Key result
Novel noninvasive FIR filter detects fetal heart rate with ~99% accuracy against invasive scalp ECG.
Why the study?
Does a variable order linear phase sharp transition FIR band-pass filter improve the detection of noninvasive maternal and fetal heart rate?
Does a variable order linear phase sharp transition FIR band-pass filter improve the detection of noninvasive maternal and fetal heart rate?
A novel linear phase sharp transition FIR band-pass filter improves the accuracy of noninvasive fetal and maternal heart rate detection from ECG signals.
Answers are grounded in this paper and cite their sources.
May support noninvasive fetal monitoring; leaves open prospective validation before clinical adoption.
Fetal heart rate (FHR) detection can be monitored using either direct fetal scalp electrode recording (invasive) or by indirect noninvasive technique. Weeks before delivery, the invasive method poses a risk factor to the fetus, while the latter provides accurate fetal ECG (FECG) information which can help diagnose fetal’s well-being. Our technique employs variable order linear phase sharp transition (LPST) FIR band-pass filter which shows improved stopband attenuation at higher filter orders. The fetal frequency fiduciary edges form the band edges of the filter characterized by varying amounts of overlap of maternal ECG (MECG) spectrum. The one with the minimum maternal spectrum overlap was found to be optimum with no power line interference and maximum fetal heart beats being detected. The improved filtering is reflected in the enhancement of the performance of the fetal QRS detector (FQRS). The improvement has also occurred in fetal heart rate obtained using our algorithm which is in close agreement with the true reference (i.e., invasive fetal scalp ECG). The performance parameters of the FQRS detector such as sensitivity (Se), positive predictive value (PPV), and accuracy (F 1 ) were found to improve even for lower filter order. The same technique was extended to evaluate maternal QRS detector (MQRS) and found to yield satisfactory maternal heart rate (MHR) results.
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Marchon et al. (2018) studied Fetal heart rate monitoring during pregnancy (n=6). Linear phase sharp transition (LPST) FIR band-pass filter vs. Direct fetal scalp ECG (invasive reference) and maternal thoracic ECG was evaluated on Fetal QRS detection performance (Sensitivity, Positive Predictive Value, and F1 accuracy score). The noninvasive linear phase sharp transition FIR band-pass filter accurately detected fetal heart rate from abdominal ECGs, achieving up to 99.24% sensitivity and 99.61% accuracy compared to invasive reference signals.
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