Key result
The ICA-RLS-EMD hybrid method achieved the best results for fetal heart rate extraction, with average accuracy >84% on the ADFECGDB database and >64% on the PhysioNet Challenge 2013 database.
Why the study?
Does the ICA-RLS-EMD hybrid method improve fetal heart rate determination accuracy from non-invasive fECG compared to other hybrid methods?
Does the ICA-RLS-EMD hybrid method improve fetal heart rate determination accuracy from non-invasive fECG compared to other hybrid methods?
The ICA-RLS-EMD hybrid method demonstrates promising accuracy for non-invasive fetal heart rate monitoring using fECG signals.
May support non-invasive fECG method development; leaves open prospective clinical validation before practice change.
This study focuses on fetal electrocardiogram (fECG) processing using hybrid methods that combine two or more individual methods. Combinations of independent component analysis (ICA), wavelet transform (WT), recursive least squares (RLS), and empirical mode decomposition (EMD) were used to create the individual hybrid methods. Following four hybrid methods were compared and evaluated in this study: ICA-EMD, ICA-EMD-WT, EMD-WT, and ICA-RLS-EMD. The methods were tested on two databases, the ADFECGDB database and the PhysioNet Challenge 2013 database. Extraction evaluation is based on fetal heart rate (fHR) determination. Statistical evaluation is based on determination of correct detection (ACC), sensitivity (Se), positive predictive value (PPV), and harmonic mean between Se and PPV (F1). In this study, the best results were achieved by means of the ICA-RLS-EMD hybrid method, which achieved accuracy (ACC) > 80% at 9 out of 12 recordings when tested on the ADFECGDB database, reaching an average value of ACC > 84%, Se > 87%, PPV > 92%, and F1 > 90%. When tested on the Physionet Challenge 2013 database, ACC > 80% was achieved at 12 out of 25 recordings with an average value of ACC > 64%, Se > 69%, PPV > 79%, and F1 > 72%.
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Barnova et al. (2020) studied Fetal heart rate monitoring (n=37). ICA-RLS-EMD hybrid method vs. ICA-EMD, ICA-EMD-WT, and EMD-WT was evaluated on Fetal heart rate (fHR) determination (accuracy, sensitivity, positive predictive value, and F1 score). The ICA-RLS-EMD hybrid method achieved the best results for fetal heart rate extraction, with average accuracy >84% on the ADFECGDB database and >64% on the PhysioNet Challenge 2013 database.
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