Multi-Classification of Fetal Health Status Using Extreme Learning Machine

Abstract

Cardiotocography (CTG) is used for monitoring the fetal heart rate signals during pregnancy. Evaluation of these signals by specialists provides information about fetal status. When a clinical decision support system is introduced with a system that can automatically classify these signals, it is more sensitive for experts to examine CTG data. In this study, CTG data were analysed with the Extreme Learning Machine (ELM) algorithm and these data were classified as normal, suspicious and pathological as well as benign and malicious. The proposed method is validated with the University of California International CTG data set. The performance of the proposed method is evaluated with accuracy, f1 score, Cohen kappa, precision, and recall metrics. As a result of the experiments, binary classification accuracy was obtained as 99.29%. There was only 1 false positive. When multi-class classification was performed, the accuracy was obtained as 98.12%. The amount of false positives was found as 2. The processing time of the training and testing of the ELM algorithm were quite minimized in terms of data processing compared to the support vector machine and multi-layer perceptron. This result proved that a high classification accuracy was obtained by analysing the CTG data both binary and multiple classification.