Fetal Electrocardiogram Signal Research Articles

Advancing non-invasive fetal health monitoring: A time–frequency approach to extracting fetal electrocardiogram signals

The fetal electrocardiogram (FECG) provides an important way for clinicians to assess fetal health and to monitor pregnancy conditions. Although FECG can be captured through abdominal electrocardiogram (AECG) recordings from pregnant women, it often receives interference from maternal cardiac activity and other external sources. Particularly, as the high-amplitude maternal electrocardiogram (MECG) typically obscures the waveform of the FECG, isolating FECG from the AECG signals is challenging. Nevertheless, the differences in frequency patterns between MECG and FECG suggest a potential way for reconstructing FECG by combining the frequency and amplitude information. To this end, we proposed a novel method for separating FECG signals from the AECG via the time–frequency representation. We designed an encoder–decoder architecture based hierarchical multiscale-aware network to capture features embedded in both the time and frequency domains. Equipped with a holistic attention-aware module (HAA), the model extracts and consolidates fetal heart activity-related features in the time–frequency domain. Further introducingan attention gate module (AG) to emphasize key features during encoder-to-decoder transmission, the model enhances the quality and efficiency of FECG extraction without any redundancy in high-quality feature mapping. The model was trained using a hybrid time-domain and frequency-domain loss function and validated on two public databases. Excellent performances, such as an average Pearson correlation coefficient of 0.85 for estimating the quality of FECG signals, were observed demonstrating its excellent performance and providing a promising non-invasive method for monitoring fetal health. These findings indicate that the proposed method effectively captures the amplitude differences between fetal and maternal heartbeats across various frequency components within the AECG, leading to the extraction of high-quality FECG signals.

Compression of electrocardiogram signals using compressive sensing technique based on curvelet transform toward medical applications

AbstractElectrocardiogram (ECG) signals can be monitored from many patients based on healthcare systems. To enhance these systems, the ECG signals should be collected and then stored in a cloud platform for later analysis. Hence, ECG signals can be utilized to diagnose heart diseases. However, the ECG signals require great internet capacity. So, compression techniques can be implemented to reduce a memory storage capacity for these signals. One of the potential compression techniques is the compressive sensing (CS). This paper proposes a CS technique to compress ECG signals. This technique is used to reduce sampling rates of the ECG signals to be less than the Nyquist rate. Moreover, a framework is suggested for the compression of maternal and fetal ECG signals. The compression of these signals is based on the curvelet transform (CT) to produce sparsity in ECG signals. The MIT-BIH database are utilized for testing the ECG signals. This database includes several ECG signals with various sampling rates, such as aberrant and normal signals. The proposed CS technique achieved a compression ratio (CR) of 15.7 with an accuracy of 98.2%. Also, a percentage root mean difference (PRD) is utilized to calculate the performance of the reconstructed ECG signals. The achieved value of the PRD is 2.0.

The Development and Implementation of Innovative Blind Source Separation Techniques for Real-Time Extraction and Analysis of Fetal and Maternal Electrocardiogram Signals.

This article presents an innovative approach to analyzing and extracting electrocardiogram (ECG) signals from the abdomen and thorax of pregnant women, with the primary goal of isolating fetal ECG (fECG) and maternal ECG (mECG) signals. To resolve the difficulties related to the low amplitude of the fECG, various noise sources during signal acquisition, and the overlapping of R waves, we developed a new method for extracting ECG signals using blind source separation techniques. This method is based on independent component analysis algorithms to detect and accurately extract fECG and mECG signals from abdomen and thorax data. To validate our approach, we carried out experiments using a real and reliable database for the evaluation of fECG extraction algorithms. Moreover, to demonstrate real-time applicability, we implemented our method in an embedded card linked to electronic modules that measure blood oxygen saturation (SpO2) and body temperature, as well as the transmission of data to a web server. This enables us to present all information related to the fetus and its mother in a mobile application to assist doctors in diagnosing the fetus's condition. Our results demonstrate the effectiveness of our approach in isolating fECG and mECG signals under difficult conditions and also calculating different heart rates (fBPM and mBPM), which offers promising prospects for improving fetal monitoring and maternal healthcare during pregnancy.

Enhancing Fetal Electrocardiogram Signal Extraction Accuracy through a CycleGAN Utilizing Combined CNN-BiLSTM Architecture.

The fetal electrocardiogram (FECG) records changes in the graph of fetal cardiac action potential during conduction, reflecting the developmental status of the fetus in utero and its physiological cardiac activity. Morphological alterations in the FECG can indicate intrauterine hypoxia, fetal distress, and neonatal asphyxia early on, enhancing maternal and fetal safety through prompt clinical intervention, thereby reducing neonatal morbidity and mortality. To reconstruct FECG signals with clear morphological information, this paper proposes a novel deep learning model, CBLS-CycleGAN. The model's generator combines spatial features extracted by the CNN with temporal features extracted by the BiLSTM network, thus ensuring that the reconstructed signals possess combined features with spatial and temporal dependencies. The model's discriminator utilizes PatchGAN, employing small segments of the signal as discriminative inputs to concentrate the training process on capturing signal details. Evaluating the model using two real FECG signal databases, namely "Abdominal and Direct Fetal ECG Database" and "Fetal Electrocardiograms, Direct and Abdominal with Reference Heartbeat Annotations", resulted in a mean MSE and MAE of 0.019 and 0.006, respectively. It detects the FQRS compound wave with a sensitivity, positive predictive value, and F1 of 99.51%, 99.57%, and 99.54%, respectively. This paper's model effectively preserves the morphological information of FECG signals, capturing not only the FQRS compound wave but also the fetal P-wave, T-wave, P-R interval, and ST segment information, providing clinicians with crucial diagnostic insights and a scientific foundation for developing rational treatment protocols.

LabVIEW-Enabled Synthetic Signal for Empowering Fetal-Maternal Healthcare

Biomedical signal processing has advanced to the point that tools and methods are now available to doctors to diagnose and track medical conditions connected to pregnancy. However, it is extremely difficult for researchers to look into novel procedures and approaches to uncover underlying pathological abnormalities associated with high-risk pregnancies due to the scarcity of high-quality medical databases of pregnant women. In this study, a LabVIEW software environment is used to precisely design a bio-physiological signal generator (BPSG) for use in feto-maternal health assessment applications. McSharry’s dynamical ECG model served as inspiration for the methods utilized to create the proposed time-domain mathematical model. The BPSG is capable of generating various realistic synthetic signals like respiration signal, pulse plethysmography (PPG) signal, phonocardiography (PCG) signal, maternal ECG (MECG) signal, fetal ECG (FECG) signal, abdominal ECG (AECG) signa,l and umbilical blood flow (UBF) velocimetry signals with corresponding Doppler indices. It is possible to create synthetic signals for both healthy and unhealthy conditions. Synthetic signal facilitates the testing and calibration of new diagnostic procedures, denoising algorithms, feature extraction processes, and instrumentation, all of which contribute to the prompt prediction of an overall health state of expectant mother.

A deep learning framework for noninvasive fetal ECG signal extraction.

Introduction: The availability of proactive techniques for health monitoring is essential to reducing fetal mortality and avoiding complications in fetal wellbeing. In harsh circumstances such as pandemics, earthquakes, and low-resource settings, the incompetence of many healthcare systems worldwide in providing essential services, especially for pregnant women, is critical. Being able to continuously monitor the fetus in hospitals and homes in a direct and fast manner is very important in such conditions. Methods: Monitoring the health of the baby can potentially be accomplished through the computation of vital bio-signal measures using a clear fetal electrocardiogram (ECG) signal. The aim of this study is to develop a framework to detect and identify the R-peaks of the fetal ECG directly from a 12 channel abdominal composite signal. Thus, signals were recorded noninvasively from 70 pregnant (healthy and with health conditions) women with no records of fetal abnormalities. The proposed model employs a recurrent neural network architecture to robustly detect the fetal ECG R-peaks. Results: To test the proposed framework, we performed both subject-dependent (5-fold cross-validation) and independent (leave-one-subject-out) tests. The proposed framework achieved average accuracy values of 94.2% and 88.8%, respectively. More specifically, the leave-one-subject-out test accuracy was 86.7% during the challenging period of vernix caseosa layer formation. Furthermore, we computed the fetal heart rate from the detected R-peaks, and the demonstrated results highlight the robustness of the proposed framework. Discussion: This work has the potential to cater to the critical industry of maternal and fetal healthcare as well as advance related applications.

A novel Discrete Artificial Bee Colony algorithm combined with adaptive filtering to extract Fetal Electrocardiogram signals

The Fetal Electrocardiogram (FECG) signal plays a crucial role in monitoring the health of the fetus, but there are numerous challenges in eliminating the maternal thorax signal and reducing noise interference. This paper proposes a novel objective function that combines a Least Mean Squares (LMS) adaptive filter with a heuristic algorithms to enhance the quality of the extracted FECG signal. To achieve better results, we introduce the Discrete Artificial Bee Colony (DABC) algorithm with a new initialization strategy, a random wavelet basic function strategy, and Gaussian distribution. These improvements enhance global search capabilities and ensure a faster convergence rate. The application of heuristic algorithms can reduce noise signals and provides clearer and more accurate results compared to the traditional LMS filter. Furthermore, the effectiveness of this innovative algorithm is compared with other widely used heuristic algorithms. The experiment results demonstrate that the novel algorithm significantly enhances performance by up to 8% compared to other conventional extraction methods in some indicators.

Multichannel high noise level ECG denoising based on adversarial deep learning

This paper proposes a denoising method based on an adversarial deep learning approach for the post-processing of multi-channel fetal electrocardiogram (ECG) signals. As it’s well known, noise leads to misinterpretations of fetal ECG signals and thus limits the use of fetal electrocardiography for healthcare applications. Therefore, denoising algorithms are essential for the exploitation of non-invasive fetal ECG. The proposed method is based on the combination of three end-to-end trained sub-networks to convert noisy fetal ECG signals into clean signals. The first two sub-networks are linked by skip connections and form a deep convolutional network that downsamples the noisy signals into a latent representation and subsequently upsamples this latent representation to recover clean signals. The third sub-network aims to boost the decoder sub-network to generate realistic clean signals. Experiments carried out on synthetic and real data showed that the proposed method improved by the signal-to-noise (SNR) of fetal ECG signals with input SNR ranging from -,30 to 0 dB by an average of 20 dB, and improve fetal signal quality by significantly increasing the number of true detected QRS complexes and halving QRS complex detection errors.

Generalized recursive algorithm for fetal electrocardiogram isolation from non-invasive maternal electrocardiogram

Non-invasive maternal electrocardiogram recording is the least unpleasant method to record a weak fetal electrocardiogram signal. The importance of this recording lies in the fact that it reveals crucial information about the fetal health state, especially during the last four weeks of pregnancy. This paper will be concerned with a new adaptive algorithm, namely the generalized recursive algorithm, to isolate and get the fetal electrocardiogram from the abdominal maternal electrocardiogram. This is achieved using a non-invasive method for bi-channel maternal electrocardiogram recordings i.e., with the thoracic maternal electrocardiogram as a reference signal, and the abdominal maternal electrocardiogram as a primary signal. Prior to this procedure, the discrete wavelet transform (DWT) method is applied to the abdominal electrocardiogram signal to clean it from any additive noise and the baseline wandering that is generally present on the raw recordings. The proposed new adaptive filter is shown to deliver improved characteristics through simulations. These simulations were performed on both synthetic and actual signals. This work was compared with the normalized least mean square algorithm.

Deep learning with fetal ECG recognition

Objective. Independent component analysis (ICA) is widely used in the extraction of fetal ECG (FECG). However, the amplitude, order, and positive or negative values of the ICA results are uncertain. The main objective is to present a novel approach to FECG recognition by using a deep learning strategy. Approach. A cross-domain consistent convolutional neural network (CDC-Net) is developed for the task of FECG recognition. The output of the ICA algorithm is used as input to the CDC-Net and the CDC-Net identifies which channel’s signal is the target FECG. Main results. Signals from two databases are used to test the efficiency of the proposed method. The proposed deep learning method exhibits good performance on FECG recognition. Specifically, the Precision, Recall and F1-score of the proposed method on the ADFECGDB database are 91.69%, 91.37% and 91.52%, respectively. The Precision, Recall and F1-score of the proposed method on the Daisy database are 97.85%, 97.42% and 97.63%, respectively. Significance. This study is a proof of concept that the proposed method can automatically recognize the FECG signals in multi-channel ECG data. The development of FECG recognition technology contributes to automated FECG monitoring.

Fetal ECG Arrhythmia Detection Based on DensNet Transfer Learning

Purpose: The mortality rate of fetuses due to heart defects is a major concern for clinicians. The fetus's heart is monitored non-invasively using the abdominal Electrocardiogram (ECG) of the mother. Most of the methods in literature diagnose fetal arrhythmia based on fetal heart rate. However, there are various challenges in fetal heart rate monitoring and arrhythmia detection. Therefore, very few methods are explored for fetal arrhythmia classification and have not achieved promising results.
 Materials and Methods: In this article, a fetal arrhythmia classification method is investigated. The method has exploited the transfer learning principle where DenseNet architecture is utilized to learn fetal ECG patterns. Fetal ECG (fECG) signal extracted from the mothers abdominal has been processed for denoising and heartbeats are segmented using signal processing techniques. The extracted heartbeats have transformed into 2D fECG images to re-train the pre-trained DenseNet architecture.
 Results: The proposed method has been evaluated on the publicly available Non-Invasive Fetal Arrhythmia Database (NIFADB) of Physionet and achieved 98.56% classification accuracy, thus outperforming other existing methods.
 Conclusion: The arrhythmia in a fetus can be detected using a non-invasive fetal ECG. Due to the faster convergence of the learning algorithm, the proposed method offers better fetal diagnosis in real-time.

Automated Extraction of Fetal ECG Signal Features Using Twinned Filter and Integrated Methodologies

Automated Extraction of Fetal ECG Signal Features Using Twinned Filter and Integrated Methodologies

An optimized hybrid methodology for non-invasive fetal electrocardiogram signal extraction and monitoring

An optimized hybrid methodology for non-invasive fetal electrocardiogram signal extraction and monitoring

A Novel Approach to Fetal ECG Extraction Using Temporal Convolutional Encoder-Decoder Network (TCED-Net).

To extract weak fetal ECG signals from the mixed ECG signal on the mother's abdominal wall, providing a basis for accurately estimating fetal heart rate and analyzing fetal ECG morphology. First, based on the relationship between the maternal chest ECG signal and the maternal ECG component in the abdominal signal, the temporal convolutional encoder-decoder network (TCED-Net) model is trained to fit the nonlinear transmission of the maternal ECG signal from the chest to the abdominal wall. Then, the maternal chest ECG signal is nonlinearly transformed to estimate the maternal ECG component in the abdominal mixed signal. Finally, the estimated maternal ECG component is subtracted from the abdominal mixed signal to obtain the fetal ECG component. The simulation results on the FECGSYN dataset show that the proposed approach achieves the best performance in F1 score, mean square error (MSE), and quality signal-to-noise ratio (qSNR) (98.94%, 0.18, and 8.30, respectively). On the NI-FECG dataset, although the fetal ECG component is small in energy in the mixed signal, this method can effectively suppress the maternal ECG component and thus extract a clearer and more accurate fetal ECG signal. Compared with existing algorithms, the proposed method can extract clearer fetal ECG signals, which has significant application value for effective fetal health monitoring during pregnancy.

FECG compressed sensing mode based on joint block sparsity

The development of medical Internet of Things technology has enabled the rise of telemedicine. For medical signals, real-time transmission, accuracy of signals and portability of equipment are required to be strict. The telemedicine system based on Compressed Sensing (CS) technology can avoid sampling a large number of redundant information, and reduce the complexity of data processing and computing time. However, the performance of existing Compressed Sensing algorithms in processing and reconstructing medical signals is poor. It is difficult to meet the strict requirements. In this paper, the sparse representation method which is most suitable for Fetal Electrocardiogram (FECG) signals is obtained by comparison experiment. And a Logistics-Tent Sine Bernoulli Measurement Matrix (LTSBM) construction algorithm is proposed for more convenient hardware applications. Based on the characteristics of FECG signals, a Joint Block Multiple Orthogonal Least Squares (JBMOLS) algorithm is proposed to improve the reconstruction performance in this paper. Combined with the above algorithms, the FECG compressed sensing mode is constituted, which is used to improve the compression, sampling and reconstruction performance of FECG signals. The experimental results show that, compared with traditional compressed sensing technology, the FECG compressed sensing mode improves the overall signal reconstruction performance, the running time is greatly reduced, and the practicability is stronger.

DETECTION OF FETAL ELECTROCARDIOGRAM SIGNALS FROM MATERNAL ABDOMINAL ECG RECORDINGS

Fetal electrocardiogram (fECG) is a signal that contains vital information about the health of the fetus throughout pregnancy. During pregnancy, it is important to monitor and analyse this signal because it represents the electrical activity of the developing fetal heart. Early detection of fetal ECG problems during the fetus' development is crucial because it allows early treatment and provides knowledge about diseases that may emerge at a later time. Extraction of fetal ECG from the abdomen ECG signal is valuable in these aspects. In order to extract the fetal ECG from the recorded abdomen ECG signals correctly, it must be handled appropriately. It could be challenging to separate the fetal ECG signal from other physiological artifacts and noises in the mother abdominal signal. In this study, signal processing techniques were used to separate the fetus ECG signal from real abdominal ECG recordings. These methods include Ensemble Empirical Based Denoising, Finite Impulse Response Filter, Independent Component Analysis, and Pan & Tompkins approach. The results show that utilizing only the ICA technique to extract fECG signals is insufficient and that additional algorithms, such as those indicated above, should be used together. The mECG and fECG signals can be successfully extracted using the suggested approach.

Fetal electrocardiogram signal extraction and analysis method combining fast independent component analysis algorithm and convolutional neural network

Fetal electrocardiogram (ECG) signals provide important clinical information for early diagnosis and intervention of fetal abnormalities. In this paper, we propose a new method for fetal ECG signal extraction and analysis. Firstly, an improved fast independent component analysis method and singular value decomposition algorithm are combined to extract high-quality fetal ECG signals and solve the waveform missing problem. Secondly, a novel convolutional neural network model is applied to identify the QRS complex waves of fetal ECG signals and effectively solve the waveform overlap problem. Finally, high quality extraction of fetal ECG signals and intelligent recognition of fetal QRS complex waves are achieved. The method proposed in this paper was validated with the data from the PhysioNet computing in cardiology challenge 2013 database of the Complex Physiological Signals Research Resource Network. The results show that the average sensitivity and positive prediction values of the extraction algorithm are 98.21% and 99.52%, respectively, and the average sensitivity and positive prediction values of the QRS complex waves recognition algorithm are 94.14% and 95.80%, respectively, which are better than those of other research results. In conclusion, the algorithm and model proposed in this paper have some practical significance and may provide a theoretical basis for clinical medical decision making in the future.

Unsupervised Learning-Based Non-Invasive Fetal ECG Muti-Level Signal Quality Assessment.

To monitor fetal health and growth, fetal heart rate is a critical indicator. The non-invasive fetal electrocardiogram is a widely employed measurement for fetal heart rate estimation, which is extracted from the electrodes placed on the surface of the maternal abdomen. The qualities of the fetal ECG recordings, however, are frequently affected by the noises from various interference sources. In general, the fetal heart rate estimates are unreliable when low-quality fetal ECG signals are used for fetal heart rate estimation, which makes accurate fetal heart rate estimation a challenging task. So, the signal quality assessment for the fetal ECG records is an essential step before fetal heart rate estimation. In other words, some low-quality fetal ECG signal segments are supposed to be detected and removed by utilizing signal quality assessment, so as to improve the accuracy of fetal heart rate estimation. A few supervised learning-based fetal ECG signal quality assessment approaches have been introduced and shown to accurately classify high- and low-quality fetal ECG signal segments, but large fetal ECG datasets with quality annotation are required in these methods. Yet, the labeled fetal ECG datasets are limited. Proposed methods: An unsupervised learning-based multi-level fetal ECG signal quality assessment approach is proposed in this paper for identifying three levels of fetal ECG signal quality. We extracted some features associated with signal quality, including entropy-based features, statistical features, and ECG signal quality indices. Additionally, an autoencoder-based feature is calculated, which is related to the reconstruction error of the spectrograms generated from fetal ECG signal segments. The high-, medium-, and low-quality fetal ECG signal segments are classified by inputting these features into a self-organizing map. The experimental results showed that our proposal achieved a weighted average F1-score of 90% in three-level fetal ECG signal quality classification. Moreover, with the acceptable removal of detected low-quality signal segments, the errors of fetal heart rate estimation were reduced to a certain extent.

Fetal Electrocardiogram Extraction Using Dual-Path Source Separation of Single-Channel Non-Invasive Abdominal Recordings.

The development of a method for non-invasive monitoring of fetal electrocardiogram (FECG) signals from single-channel abdominal recordings. The dual-path source separation (DPSS) architecture is introduced for the simultaneous separation of fetal and maternal ECG signals from abdominal ECG recordings. DPSS initially denoises abdominal ECG (AECG) recordings using a generative dual-path long short-term memory (DP-LSTM) network. An inception module along with a series of DP-LSTM blocks is then employed to extract the masking maps associated with fetal and maternal components. Finally, these masking maps are weighted by the AECG recording to separate maternal and fetal ECG signals. The performance of this network is evaluated on 10 pregnancies from the fetal ECG synthetic database (FECGSYNDB), 22 cases of labor and pregnancy from the abdominal and direct fetal ECG database (ADFECGDB), and 69 pregnancies from set A of non-invasive FECG challenge (NIFECGC) datasets. F1-scores of 99.03%, 97.7%, and 95.3% are reported for the detection of fetal QRS complexes in FECGSYNDB, ADFECGDB, and NIFECGC respectively. DPSS technique is also evaluated in terms of separability of fetal and maternal clusters. According to the clustering-based analyses, the average purity index of 0.9750, Jaccard index of 0.9705, and Davies-Bouldin index of 0.7429 demonstrate the high source separation capability of DPSS. The achieved performance suggests that DPSS enables accurate single-channel FECG extraction, and can replace state-of-the-art source separation techniques for this purpose. This study signifies a fundamental step towards non-invasive fetal ECG monitoring systems, which favors at-home prenatal care.

Efficient transmission of FECG signal using MIMO – OFDM

The extraction of Fetal Electrocardiogram (FECG) during labor or prenatal phases of pregnancy holds significant importance for early prediction of heart abnormalities. The accuracy of the extracted FECG is crucial for effective diagnosis, but the presence of external noises, particularly from the Maternal ECG (MECG), poses a major challenge in obtaining precise information. To address this issue in biomedical data processing, the study employs Finite Impulse Response (FIR) filters using an array multiplier. One notable challenge encountered in this process is the interference caused by external noises, leading to higher delay and power dissipation. In response, a modified High-Performance Multiplier (HPM) based modified booth multiplier is thoroughly reviewed and validated. This modification aims to enhance overall performance and enable high-speed operations in filtering the FECG signals. The effectiveness of these modified multipliers is assessed using ECG signal information collected from the MIT-BIH Arrhythmia Database, comprising 120 samples. In addition to noise filtering, the study explores the validation of Multiple-Input Multiple-Output Orthogonal Frequency Division Multiplexing (MIMO-OFDM) transceivers. These transceivers play a crucial role in ensuring the effective transmission of the extracted FECG signals. The research reveals a significant reduction, up to 80.4%, in both area and power dissipation during simulations conducted in Xilinx ISE 9.1 and Cadence Virtuoso. This achievement highlights the potential for improved efficiency and reliability in the processing and transmission of FECG signals, paving the way for advancements in early detection of fetal heart abnormalities.