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作者:

Wang, Minghan (Wang, Minghan.) | Li, Guangfei (Li, Guangfei.) | Yang, Yimin (Yang, Yimin.) | Yang, Yongxiu (Yang, Yongxiu.) | Feng, Yongkang (Feng, Yongkang.) | Li, Yashuang (Li, Yashuang.) | Liu, Guoli (Liu, Guoli.) | Hao, Dongmei (Hao, Dongmei.)

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EI Scopus SCIE

摘要:

In clinical practice, obstetricians use visual interpretation of fetal heart rate (FHR) to diagnose fetal conditions, but inconsistencies among interpretations can hinder accuracy. This study introduces MTU-Net3+, a deep learning model designed for automated, multi-task FHR analysis, aiming to improve diagnostic accuracy and efficiency. The proposed MTU-Net3 + was built upon the UNet3 + architecture, incorporating an encoder, a decoder, full-scale skip connections, and a deep supervision module, and further integrates a self-attention mechanism and bidirectional Long Short-Term Memory layers to enhance its performance. The MTU-Net3 + model accepts the preprocessed 20-minute FHR signals as input, outputting categorical probabilities and baseline values for each time point. The proposed MTU-Net3 + model was trained on a subset of a public database, and was tested on the remaining data of the public database and a private database. In the remaining public datasets, this model achieved F1 scores of 84.21% for deceleration (F1.Dec) and 61.33% for acceleration (F1.Acc), with a Root Mean Square Baseline Difference (RMSD.BL) of 3.46 bpm, 0% of points with an absolute difference exceeding 15 bpm(D15bpm), a Synthetic Inconsistency Coefficient (SI) of 44.82%, and a Morphological Analysis Discordance Index (MADI) of 7.00%. On the private dataset, the model recorded an RMSD.BL of 1.37 bpm, 0% D15bpm, F1.Dec of 100%, F1.Acc of 87.50%, an SI of 12.20% and a MADI of 2.79%. The MTU-Net3 + model proposed in this study performed well in automated FHR analysis, demonstrating its potential as an effective tool in the field of fetal health assessment.

关键词:

Acceleration Multi-task learning Deceleration Fetal heart rate Baseline

作者机构:

  • [ 1 ] [Wang, Minghan]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 2 ] [Li, Guangfei]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 3 ] [Yang, Yimin]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 4 ] [Yang, Yongxiu]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 5 ] [Feng, Yongkang]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 6 ] [Li, Yashuang]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 7 ] [Hao, Dongmei]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 8 ] [Li, Guangfei]Beijing Int Sci & Technol Cooperat Base Intelligen, Beijing, Peoples R China
  • [ 9 ] [Yang, Yimin]Beijing Int Sci & Technol Cooperat Base Intelligen, Beijing, Peoples R China
  • [ 10 ] [Hao, Dongmei]Beijing Int Sci & Technol Cooperat Base Intelligen, Beijing, Peoples R China
  • [ 11 ] [Li, Guangfei]BJUT UPV Joint Res Lab Biomed Engn, Beijing, Peoples R China
  • [ 12 ] [Hao, Dongmei]BJUT UPV Joint Res Lab Biomed Engn, Beijing, Peoples R China
  • [ 13 ] [Liu, Guoli]Peking Univ Peoples Hosp, Dept Obstet, Beijing, Peoples R China

通讯作者信息:

  • [Li, Guangfei]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China;;[Hao, Dongmei]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, 219 Life Sci Bldg, 100 Pingleyuan, Beijing 100124, Peoples R China;;[Li, Guangfei]Beijing Int Sci & Technol Cooperat Base Intelligen, Beijing, Peoples R China;;[Hao, Dongmei]Beijing Int Sci & Technol Cooperat Base Intelligen, Beijing, Peoples R China;;[Li, Guangfei]BJUT UPV Joint Res Lab Biomed Engn, Beijing, Peoples R China;;[Hao, Dongmei]BJUT UPV Joint Res Lab Biomed Engn, Beijing, Peoples R China;;

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来源 :

BIOMEDICAL ENGINEERING LETTERS

ISSN: 2093-9868

年份: 2024

期: 5

卷: 14

页码: 1037-1048

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SCOPUS被引频次: 3

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