Spatial filtering using singular value decomposition of multiple abdominal leads provides an effective method for isolating fetal ECG signals from maternal interference.
May aid non-invasive fetal ECG monitoring; hypothesis-generating and requires prospective validation before clinical use.
One of the basic problems in the analysis of the rhythm and the shape of the fetal ECG (FECG) is the interference caused by the electrical activity of the maternal heart (MECG). Methods devised for suppressing the maternal signals in the abdominally recorded leads obviously have to rely on differences in the characteristics of both kinds of signals. In the past various differences have been employed for this purpose such as differences in wave shape, frequency content and source location. The method presented here is based on the latter principle. The electrical sources of the fetal and maternal heart are clearly separated in space. By employing multiple abdominal leads, a linear combination of the recorded signals can be formed which acts effectively as a spatial filter. As such the filtering characteristics depend exclusively on the separation inside the human body (the electrical volume conductor) and, as such, can be expected to be independent of the temporal aspects of the recorded signals. In particular, the obtained filter is unaffected by the occurrence of ectopic beats in either the fetal or the maternal heart. The determination of the required filter (weighting coefficients) is carried out by using the technique of singular value decomposition (SVD) of the data matrix representing the sampled input signals. The filter effectively suppresses the maternal component in the filter output and optimizes the fetal component. The properties of this filter are demonstrated.
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A. van Oosterom (1986) studied this question.
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