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Author:

Wang, M. (Wang, M..) | Li, G. (Li, G..) | Yang, Y. (Yang, Y..) | Feng, Y. (Feng, Y..) | Li, Y. (Li, Y..) | Liu, G. (Liu, G..) | Hao, D. (Hao, D..)

Indexed by:

EI Scopus SCIE

Abstract:

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. © Korean Society of Medical and Biological Engineering 2024.

Keyword:

Acceleration Fetal heart rate Deceleration Multi-task learning Baseline

Author Community:

  • [ 1 ] [Wang M.]Department of Biomedical Engineering, College of Chemistry and Life Science, Beijing University of Technology, 219 Life Sciences Building, 100 Pingleyuan, Beijing, 100124, China
  • [ 2 ] [Li G.]Department of Biomedical Engineering, College of Chemistry and Life Science, Beijing University of Technology, 219 Life Sciences Building, 100 Pingleyuan, Beijing, 100124, China
  • [ 3 ] [Li G.]Beijing International Science and Technology Cooperation Base for Intelligent Physiological Measurement and Clinical Transformation, Beijing, China
  • [ 4 ] [Li G.]BJUT-UPV Joint Research Laboratory in Biomedical Engineering, Beijing, China
  • [ 5 ] [Yang Y.]Department of Biomedical Engineering, College of Chemistry and Life Science, Beijing University of Technology, 219 Life Sciences Building, 100 Pingleyuan, Beijing, 100124, China
  • [ 6 ] [Yang Y.]Beijing International Science and Technology Cooperation Base for Intelligent Physiological Measurement and Clinical Transformation, Beijing, China
  • [ 7 ] [Yang Y.]Department of Biomedical Engineering, College of Chemistry and Life Science, Beijing University of Technology, 219 Life Sciences Building, 100 Pingleyuan, Beijing, 100124, China
  • [ 8 ] [Feng Y.]Department of Biomedical Engineering, College of Chemistry and Life Science, Beijing University of Technology, 219 Life Sciences Building, 100 Pingleyuan, Beijing, 100124, China
  • [ 9 ] [Li Y.]Department of Biomedical Engineering, College of Chemistry and Life Science, Beijing University of Technology, 219 Life Sciences Building, 100 Pingleyuan, Beijing, 100124, China
  • [ 10 ] [Liu G.]Department of Obstetrics, Peking University People’s Hospital, Beijing, China
  • [ 11 ] [Hao D.]Department of Biomedical Engineering, College of Chemistry and Life Science, Beijing University of Technology, 219 Life Sciences Building, 100 Pingleyuan, Beijing, 100124, China
  • [ 12 ] [Hao D.]Beijing International Science and Technology Cooperation Base for Intelligent Physiological Measurement and Clinical Transformation, Beijing, China
  • [ 13 ] [Hao D.]BJUT-UPV Joint Research Laboratory in Biomedical Engineering, Beijing, China

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Source :

Biomedical Engineering Letters

ISSN: 2093-9868

Year: 2024

Issue: 5

Volume: 14

Page: 1037-1048

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count: 1

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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