Literature DB >> 31435480

Prediction of intrapartum fetal hypoxia considering feature selection algorithms and machine learning models.

Zafer Cömert1, Abdulkadir Şengür2, Ümit Budak3, Adnan Fatih Kocamaz4.   

Abstract

INTRODUCTION: Cardiotocography (CTG) consists of two biophysical signals that are fetal heart rate (FHR) and uterine contraction (UC). In this research area, the computerized systems are usually utilized to provide more objective and repeatable results.
MATERIALS AND METHODS: Feature selection algorithms are of great importance regarding the computerized systems to not only reduce the dimension of feature set but also to reveal the most relevant features without losing too much information. In this paper, three filters and two wrappers feature selection methods and machine learning models, which are artificial neural network (ANN), k-nearest neighbor (kNN), decision tree (DT), and support vector machine (SVM), are evaluated on a high dimensional feature set obtained from an open-access CTU-UHB intrapartum CTG database. The signals are divided into two classes as normal and hypoxic considering umbilical artery pH value (pH < 7.20) measured after delivery. A comprehensive diagnostic feature set forming the features obtained from morphological, linear, nonlinear, time-frequency and image-based time-frequency domains is generated first. Then, combinations of the feature selection algorithms and machine learning models are evaluated to achieve the most effective features as well as high classification performance.
RESULTS: The experimental results show that it is possible to achieve better classification performance using lower dimensional feature set that comprises of more related features, instead of the high-dimensional feature set. The most informative feature subset was generated by considering the frequency of selection of the features by feature selection algorithms. As a result, the most efficient results were produced by selected only 12 relevant features instead of a full feature set consisting of 30 diagnostic indices and SVM model. Sensitivity and specificity were achieved as 77.40% and 93.86%, respectively.
CONCLUSION: Consequently, the evaluation of multiple feature selection algorithms resulted in achieving the best results.

Entities:  

Keywords:  Biomedical signal processing; Classification; Feature selection; Fetal heart rate; Machine learning

Year:  2019        PMID: 31435480      PMCID: PMC6702252          DOI: 10.1007/s13755-019-0079-z

Source DB:  PubMed          Journal:  Health Inf Sci Syst        ISSN: 2047-2501


  20 in total

1.  SisPorto 2.0: a program for automated analysis of cardiotocograms.

Authors:  D Ayres-de Campos; J Bernardes; A Garrido; J Marques-de-Sá; L Pereira-Leite
Journal:  J Matern Fetal Med       Date:  2000 Sep-Oct

2.  Linear and nonlinear parameters for the analysis of fetal heart rate signal from cardiotocographic recordings.

Authors:  Maria G Signorini; Giovanni Magenes; Sergio Cerutti; Domenico Arduini
Journal:  IEEE Trans Biomed Eng       Date:  2003-03       Impact factor: 4.538

3.  Linear and nonlinear analysis of heart rate patterns associated with fetal behavioral states in the antepartum period.

Authors:  Hernâni Gonçalves; João Bernardes; Ana Paula Rocha; Diogo Ayres-de-Campos
Journal:  Early Hum Dev       Date:  2007-01-29       Impact factor: 2.079

4.  Feature selection for computerized fetal heart rate analysis using genetic algorithms.

Authors:  Liang Xu; Antoniya Georgieva; Christopher W G Redman; Stephen J Payne
Journal:  Conf Proc IEEE Eng Med Biol Soc       Date:  2013

5.  Inter- and intra-observer agreement of non-reassuring cardiotocography analysis and subsequent clinical management.

Authors:  Sarah Rhöse; Ayesha M F Heinis; Frank Vandenbussche; Joris van Drongelen; Jeroen van Dillen
Journal:  Acta Obstet Gynecol Scand       Date:  2014-04-15       Impact factor: 3.636

6.  Computerised analysis of the fetal heart rate and relation to acidaemia at delivery.

Authors:  B K Strachan; D S Sahota; W J van Wijngaarden; D K James; A M Chang
Journal:  BJOG       Date:  2001-08       Impact factor: 6.531

Review 7.  Antenatal cardiotocography for fetal assessment.

Authors:  Rosalie M Grivell; Zarko Alfirevic; Gillian Ml Gyte; Declan Devane
Journal:  Cochrane Database Syst Rev       Date:  2010-01-20

8.  Fetal electrocardiography in labor and neonatal outcome: data from the Swedish randomized controlled trial on intrapartum fetal monitoring.

Authors:  Håkan Norén; Isis Amer-Wåhlin; Henrik Hagberg; Andreas Herbst; Ingemar Kjellmer; Karel Marşál; Per Olofsson; Karl G Rosén
Journal:  Am J Obstet Gynecol       Date:  2003-01       Impact factor: 8.661

Review 9.  Open access intrapartum CTG database.

Authors:  Václav Chudáček; Jiří Spilka; Miroslav Burša; Petr Janků; Lukáš Hruban; Michal Huptych; Lenka Lhotská
Journal:  BMC Pregnancy Childbirth       Date:  2014-01-13       Impact factor: 3.007

10.  A randomised clinical trial of intrapartum fetal monitoring with computer analysis and alerts versus previously available monitoring.

Authors:  Diogo Ayres-de-Campos; Austin Ugwumadu; Philip Banfield; Pauline Lynch; Pina Amin; David Horwell; Antonia Costa; Cristina Santos; João Bernardes; Karl Rosen
Journal:  BMC Pregnancy Childbirth       Date:  2010-10-28       Impact factor: 3.007

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  6 in total

1.  Cardiotocograph-based labor stage classification from uterine contraction pressure during ante-partum and intra-partum period: a fuzzy theoretic approach.

Authors:  Sahana Das; Sk Md Obaidullah; K C Santosh; Kaushik Roy; Chanchal Kumar Saha
Journal:  Health Inf Sci Syst       Date:  2020-03-30

2.  Personalized Body Constitution Inquiry Based on Machine Learning.

Authors:  Baochao Fan; Yanghui Li; Guihua Wen; Yan Ren; Yantong Lu; Ziying Wang; Yuan Zhang; Changjun Wang
Journal:  J Healthc Eng       Date:  2020-11-12       Impact factor: 2.682

3.  Non-linear Methods Predominant in Fetal Heart Rate Analysis: A Systematic Review.

Authors:  Maria Ribeiro; João Monteiro-Santos; Luísa Castro; Luís Antunes; Cristina Costa-Santos; Andreia Teixeira; Teresa S Henriques
Journal:  Front Med (Lausanne)       Date:  2021-11-30

4.  Heart rate markers for prediction of fetal acidosis in an experimental study on fetal sheep.

Authors:  Louise Ghesquière; C Ternynck; D Sharma; Y Hamoud; R Vanspranghels; L Storme; V Houfflin-Debarge; J De Jonckheere; C Garabedian
Journal:  Sci Rep       Date:  2022-06-23       Impact factor: 4.996

5.  Accessing Artificial Intelligence for Fetus Health Status Using Hybrid Deep Learning Algorithm (AlexNet-SVM) on Cardiotocographic Data.

Authors:  Nadia Muhammad Hussain; Ateeq Ur Rehman; Mohamed Tahar Ben Othman; Junaid Zafar; Haroon Zafar; Habib Hamam
Journal:  Sensors (Basel)       Date:  2022-07-07       Impact factor: 3.847

6.  Intrapartum cardiotocography trace pattern pre-processing, features extraction and fetal health condition diagnoses based on RCOG guideline.

Authors:  Shahad Al-Yousif; Ihab A Najm; Hossam Subhi Talab; Nourah Hasan Al Qahtani; M Alfiras; Osama Ym Al-Rawi; Wisam Subhi Al-Dayyeni; Ali Amer Ahmed Alrawi; Mohannad Jabbar Mnati; Mu'taman Jarrar; Fahad Ghabban; Nael A Al-Shareefi; Mustafa Musa Jaber; Abbadullah H Saleh; Nooritawati Md Tahir; Huda T Najim; Mayada Taher
Journal:  PeerJ Comput Sci       Date:  2022-08-18
  6 in total

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