A Robust Approach Assisted by Signal Quality Assessment for Fetal Heart Rate Estimation from Doppler Ultrasound Signal.

Fetal heart rate (FHR) monitoring, typically using Doppler ultrasound (DUS) signals, is an important technique for assessing fetal health. In this work, we develop a robust DUS-based FHR estimation approach complemented by DUS signal quality assessment (SQA) based on unsupervised representation learning in response to the drawbacks of previous DUS-based FHR estimation and DUS SQA methods. We improve the existing FHR estimation algorithm based on the autocorrelation function (ACF), which is the most widely used method for estimating FHR from DUS signals. Short-time Fourier transform (STFT) serves as a signal pre-processing technique that allows the extraction of both temporal and spectral information. In addition, we utilize double ACF calculations, employing the first one to determine an appropriate window size and the second one to estimate the FHR within changing windows. This approach enhances the robustness and adaptability of the algorithm. Furthermore, we tackle the challenge of low-quality signals impacting FHR estimation by introducing a DUS SQA method based on unsupervised representation learning. We employ a variational autoencoder (VAE) to train representations of pre-processed fetal DUS data and aggregate them into a signal quality index (SQI) using a self-organizing map (SOM). By incorporating the SQI and Kalman filter (KF), we refine the estimated FHRs, minimizing errors in the estimation process. Experimental results demonstrate that our proposed approach outperforms conventional methods in terms of accuracy and robustness.

Fetal Heart Rate Detection Using First Derivative of ECG Waveform and Multiple Weighting Functions.

Fetal heart rate monitoring using the abdominal electrocardiograph (ECG) is an important topic for the diagnosis of heart defects. Many studies on fetal heart rate detection have been presented, however, their accuracy is still unsatisfactory. That is because the fetal ECG waveform is contaminated by maternal ECG interference, muscle contractions, and motion artifacts. One of the conventional methods is to detect the R-peaks from the integrated power of the frequency corresponding to the fetal heartbeats. However, the detection accuracy of the R-peaks is not enough. In this paper, we propose a method to generate the candidates of R-peaks using the first derivative of the signal and to pick up the estimated heartbeats by a multiple weighting function. The proposed multiple weighting function is designed by the Gaussian distribution, of which parameters are set from a grid search with the goal of minimizing the standard deviation of RR intervals (neighboring R-peaks intervals). The validation for the proposed framework has been evaluated on real-world data, which got the better accuracy than the conventional method that detects R-peaks from the integrated power and uses the weighting function produced by a fixed parameter of Gaussian distribution [12]. The averaged absolute error (AAE) which compares the estimated fetal heart rate and the reference fetal heart rate has been decreased by 17.528 bpm.