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作者:

Hao, Dongmei (Hao, Dongmei.) | Peng, Jin (Peng, Jin.) | Wang, Ying (Wang, Ying.) | Liu, Juntao (Liu, Juntao.) | Zhou, Xiya (Zhou, Xiya.) | Zheng, Dingchang (Zheng, Dingchang.)

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摘要:

Uterine contraction (UC) activity is commonly used to monitor the approach of labour and delivery. Electrohysterograms (EliGs) have recently been used to monitor UC and distinguish between efficient and inefficient contractions. In this study, we aimed to identify UC in EHG signals using a convolutional neural network (CNN). An open-access database (Icelandic 16-electrode EHG database from 45 pregnant women with 122 recordings, DB1) was used to develop a CNN model, and 14000 segments with a length of 45 s (7000 from UCs and 7000 from non-UCs, which were determined with reference to the simultaneously recorded tocography signals) were manually extracted from the 122 EHG recordings. Five-fold cross-validation was applied to evaluate the ability of the CNN to identify UC based on its sensitivity (SE), specificity (SP), accuracy (ACC), and area under the receiver operating characteristic curve (AUC). The CNN model developed using DB1 was then applied to an independent clinical database (DB2) to further test its generalisation for recognizing UCs. The EHG signals in DB2 were recorded from 20 pregnant women using our multi-channel system, and 308 segments (154 from UCs and 154 from non-UCs) were extracted. The CNN model from five-fold cross-validation achieved average SE, SP, ACC, and AUC of 0.87, 0.98, 0.93, and 0.92 for DB1, and 0.88, 0.97, 0.93, and 0.87 for DB2, respectively. In summary, we demonstrated that CNN could effectively identify UCs using EHG signals and could be used as a tool for monitoring maternal and foetal health.

关键词:

Monitoring labour Maternal health Electrohysterogram Uterine contraction Convolutional neural network

作者机构:

  • [ 1 ] [Hao, Dongmei]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing Int Platform Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing 100024, Peoples R China
  • [ 2 ] [Peng, Jin]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing Int Platform Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing 100024, Peoples R China
  • [ 3 ] [Wang, Ying]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing Int Platform Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing 100024, Peoples R China
  • [ 4 ] [Liu, Juntao]Peking Union Med Coll Hosp, Dept Obstet, Beijing 100730, Peoples R China
  • [ 5 ] [Zhou, Xiya]Peking Union Med Coll Hosp, Dept Obstet, Beijing 100730, Peoples R China
  • [ 6 ] [Peng, Jin]Anglia Ruskin Univ, Fac Hlth Educ Med & Social Care, Med Device & Technol Res Grp, Chelmsford CM1 1SQ, CM, England
  • [ 7 ] [Zheng, Dingchang]Anglia Ruskin Univ, Fac Hlth Educ Med & Social Care, Med Device & Technol Res Grp, Chelmsford CM1 1SQ, CM, England

通讯作者信息:

  • [Hao, Dongmei]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing Int Platform Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing 100024, Peoples R China;;[Zheng, Dingchang]Anglia Ruskin Univ, Fac Hlth Educ Med & Social Care, Med Device & Technol Res Grp, Chelmsford CM1 1SQ, CM, England

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来源 :

COMPUTERS IN BIOLOGY AND MEDICINE

ISSN: 0010-4825

年份: 2019

卷: 113

7 . 7 0 0

JCR@2022

ESI学科: COMPUTER SCIENCE;

ESI高被引阀值:147

JCR分区:1

被引次数:

WoS核心集被引频次: 32

SCOPUS被引频次: 40

ESI高被引论文在榜: 0 展开所有

万方被引频次:

中文被引频次:

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