"The Relationship Between GERD and OSA" - A new Resource Video has been added to your library. - 9/28/2026
"The Relationship Between GERD and OSA", a non-CEC / non-CME educational video, has been added to the Clinical Correlations and Case-Based Learning category in your
Resource Videos.
In this 10-minute video, Sleep ISR adult cochair Dr. Michael Zachek answers an interesting patient question that calls to mind the bidirectional relationship of GERD and OSA, and provides a deep dive academic and clinical explanation of the relationship in clinical care. This video will enhance the way you conduct diagnostic and therapeutic studies with medically complex patients in the sleep disorders center.
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New Resource Video: "Sweat Artifact vs Stage N3 in the PSG" - 8/25/2026
"Sweat Artifact vs Stage N3 in the PSG" has been added to the Artifacts and Signal Integrity category in your free
Resource Videos library.
In this 5-minute video, Sleep ISR adult cochair Dr. Scott Williams will demonstrate how to tell the difference between sweat artifact and slow wave sleep that is used to score Stage N3 sleep. This video will enhance the way you conduct diagnostic and therapeutic studies with medically complex patients in the sleep disorders center.
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New Resource Video available: "Post-Arousal Central Event Scoring" - 7/16/2026
"Post-Arousal Central Event Scoring" has been added to the Respiratory Physiology and Event Scoring category in your
Resource Videos.
In this short 3-minute video, Sleep ISR adult cochair Dr. Scott Williams covers a topic that every scorer is faces with: "Should I score post-arousal centrals?" He provides a practical and clinical explanation that will enhance the way you conduct diagnostic and therapeutic studies with medically complex patients in the sleep disorders center.
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"Oximetry and Desaturation Scoring in the PSG" video added to your Resource Library - 3/17/2026
"Oximetry and Desaturation Scoring in the PSG" has been added to the Respiratory Physiology and Event Scoring category in your
Resource Videos.
In this 14-minute video, Sleep ISR adult cochair Dr. Scott Williams answers a question from the Sleep ISR scoring community and provides a deep dive academic and clinical explanation of oximetry and desaturations in Polysomnography. He provides practical recommendations for interpreting and analyzing these signals. He takes a visual approach to define the "Oxyhemoglobin Dissociation Curve" informed by research to demonstrate this phenomenon. This video will enhance the way you conduct diagnostic and therapeutic studies with medically complex patients in the sleep disorders center.
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There is a new Resource Video available - "Lung to Finger Time: Respiratory Scoring in the PSG" - 1/27/2026
"Lung to Finger Time: Respiratory Scoring in the PSG" has been added to the Respiratory Physiology and Event Scoring category in your
Resource Videos.
In this 7-minute video, Sleep ISR adult cochair Dr. Scott Williams answers a question from the Sleep ISR scoring community that explains the delay from respiratory events to desaturations with is a common occurrence in Polysomnography due to underlying cardiorespiratory physiology. He takes a visual approach informed by research to demonstrate this phenomenon. This video will enhance the way you conduct diagnostic and therapeutic studies with medically complex patients in the sleep disorders center.
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New Resource Video: "The Relationship of Atrial Fibrillation and OSA" - 12/22/2025
"The Relationship of Atrial Fibrillation and OSA" has been added to the Cardiovascular and Oximetry Monitoring category in your
Resource Videos.
In this 15-minute video, Sleep ISR adult cochair Dr. Michael Zachek provides detailed clinical exploration of the condition and uses a research- and case-based approach to make the case that A-fib and Obstructive Sleep Apnea are closely linked, and these underpinnings are demonstrated. This video will enhance the way you conduct diagnostic and therapeutic studies with medically complex patients in the sleep disorders center.
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“Compatibility Mode” Scheduled to Sunset January 1, 2026 - 11/25/2025
Sleep ISR Platform's “Compatibility Mode” Feature is Scheduled to Sunset January 1, 2026
This post is a follow up to a message previously sent to Sleep ISR users who access records through an older version of the platform known as “Compatibility Mode”—note: a majority of users do NOT access this mode. Compatibility Mode will be discontinued on January 1, 2026.
If you have any questions, please contact our team. You can reach us through:
•
Technical Feedback → found under the
Resources menu of your ISR dashboard under
Give Feedback
•
Email: isr@aasm.org
We’re here to help ensure that your transition to the fully updated Sleep ISR experience is smooth and successful.
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New Resource Video available: "Cheyne-Stokes Respiration in the PSG" - 11/4/2025
"Cheyne-Stokes Respiration in the PSG" has been added to the Respiratory Physiology and Event Scoring category in your
Resource Videos.
In this 16-minute video, Sleep ISR adult cochair Dr. Scott Williams will demonstrate how to score respiratory events that appear in Cheyne-Stokes Respiration using a case study from an actual Sleep ISR scorer in the lab setting. He will be taking a deep dive into all subtypes of respiratory event scoring backed by research citations. This video will enhance the way you conduct diagnostic and therapeutic studies with medically complex patients in the sleep disorders center.
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"K complex in the PSG" just added to your Resource Videos library - 9/10/2025
"K complex in the PSG" was just added to your Videos library under Resources header on your dashboard, and accessible through
this direct link. In this 13-minute non-CEU/CME presentation, Adult Sleep ISR cochair Dr. Scott Williams uncovers the history of the phenomenon K complex which is a hallmark feature of Stage N2 sleep, as well as physiological explanation and theories. He uses research explorations to guide a lecture on the topic.
This video is another useful free resource for understanding the clinical impacts on recording and scoring of Polysomnography and provides insights into the patient populations in your sleep disorders center.
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One-click event annotations may only be scored in Pro Mode - 8/5/2025
This posting serves as an explanation to demonstrate the difference in scoring events between Basic (Classic) Scoring and Pro Scoring Modes.
In Basic Scoring Mode, scoring events is exactly the same as the old "classic" Sleep ISR: You must use either the keyboard hotkey shortcuts or the right click context menu to score events. However, in Pro Scoring Mode we have recently introduced "precision scoring" which means you must mark events using one-click annotations.
In other words, notes that are marked by annotations or "tags" will not count towards grading in Basic, they only count in Pro.
We notify scorers about this distinction between scoring events in Basic vs. Pro in three locations:
1) The warning below is displayed to anyone that opens a record in Basic Scoring Mode
2) As shown in the pop-up on the dashboard, in “Basic” you must use the keyboard shortcut hotkeys or the right click context menu to register events (in contrast to “Pro” when you can use one-click annotations to score).
3) in addition to the pop-up explanations above, we have built in an epoch-by-epoch warning pop-up system that STOPS the ability to advance to the next epoch until events are entered in the keyboard. It includes further explanation and reads as follows:
We hope that this demonstration helps you to score events efficiently in whichever scoring mode that you choose. Going forward, if you wish to use annotated events in your grading you must select Pro Scoring Mode instead of Basic, which only recognized keyboard entries.
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"REM Transitions in the PSG" added to Resource Videos library - 7/22/2025
"REM Transitions in the PSG" was just added to your Videos library under Resources header on your dashboard, and accessible through
this direct link. In this 5-minute non-CEU/CME presentation, Pediatric Sleep ISR cochair Dr. Kevin Kaplan fields a variety of scorer questions about the scoring features of Stage R honing in on the transition to and from REM staging. This video can be a useful resource for understanding the clinical impacts on recording and scoring of Polysomnography and provides insights into the patient populations in your sleep disorders center.
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"The Relationship Between Testosterone & OSA " just added to Resource Video library - 4/15/2025
"The Relationship Between Testosterone & OSA" was just added to your Videos library under Resources header on your dashboard, and accessible through
this direct link. In this 8-minute non-CEU/CME presentation, Adult Sleep ISR cochair Dr. Michael Zachek uncovers the relationship between Obstructive Sleep Apnea and Testosterone deficiency. He uses research explorations to guide a lecture in the effects of and treatment for the condition. This video can be a useful resource for understanding the clinical impacts on recording and scoring of Polysomnography and provides insights into the patient populations in your sleep disorders center.
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Sleep ISR Record Rewards Program - 8/9/2021
The American Academy of Sleep Medicine is thrilled to present the newest endeavor to continue to grow Sleep ISR and also address the needs of the changing sleep medicine field: Sleep ISR Record Rewards Program. This new program gives Sleep ISR administrators the ability to grant their staff access to a submission tool within the ISR platform to submit polysomnography studies.
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What is the Reliability Rating? - 7/30/2021
Developed within the Sleep ISR platform, the Reliability
Rating is a tool created to give a more practical assessment of overall scoring
performance, in comparison to the ISR scoring community. This blog will
provide an in-depth exploration of how Reliability Rating is derived, pinpoint
where Reliability Gaps occur, and the significance for your Sleep ISR scoring
evaluation.
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Important Announcement Regarding Scoring of Hypopneas - 6/12/2018
The American Academy of Sleep Medicine (AASM) Board of Directors recently approved a position statement that concluded that polysomnography for obstructive sleep apnea should include arousal-based scoring. This position statement provides further support for the recommended Hypopnea rule that has been in place since 2013. To better align with the position statement, starting with the September 2018 record, AASM’s Inter-scorer Reliability assessment system will follow the recommended rule for scoring of hypopneas (D. 1A) as outlined in the AASM Manual for the Scoring of Sleep and Associated Events.
D. 1A. Score a respiratory event as a hypopnea if ALL of the following criteria are met:
a) The peak signal excursions drop by ≥30% of pre-event baseline using nasal pressure (diagnostic study), PAP device flow (titration study), or an alternative hypopnea sensor (diagnostic study).
b) The duration of the ≥30% drop in signal excursion is ≥10 seconds.
c) There is a ≥3% oxygen desaturation from pre-event baseline or the event is associated with an arousal.
Leading up to the switch in September, we will provide additional resources to better prepare you for scoring hypopneas following the recommended rule.
*Please note, both the recommended and acceptable rule for hypopnea scoring remains unchanged within the Scoring Manual.
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