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Computer-based intrapartum fetal monitoring and beyond: A review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK)
A. Georgieva, P. Abry, V. Chudáček, PM. Djurić, MG. Frasch, R. Kok, CA. Lear, SN. Lemmens, I. Nunes, AT. Papageorghiou, GJ. Quirk, CWG. Redman, B. Schifrin, J. Spilka, A. Ugwumadu, R. Vullings,
Jazyk angličtina Země Spojené státy americké
Typ dokumentu kongresy, Research Support, N.I.H., Extramural, práce podpořená grantem
Grantová podpora
17/601
Health Research Council of New Zealand - International
Canadian Institutes of Health Research (CIHR) - International
R01 HD097188
NICHD NIH HHS - United States
R21 HD080025
NICHD NIH HHS - United States
CDF-2016-09-004
Department of Health - United Kingdom
CDF-2016-09-004
National Institute of Health Research (NIHR) - International
719500
European Union Horizon - International
Institute of Human Development, Child and Youth Health - International
PubMed
31081113
DOI
10.1111/aogs.13639
Knihovny.cz E-zdroje
- MeSH
- acidóza diagnóza MeSH
- algoritmy * MeSH
- elektrokardiografie metody MeSH
- kardiotokografie metody MeSH
- lidé MeSH
- monitorování plodu metody MeSH
- počítačové zpracování signálu MeSH
- prenatální diagnóza MeSH
- těhotenství MeSH
- Check Tag
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- kongresy MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Geografické názvy
- Spojené království MeSH
The second Signal Processing and Monitoring in Labor workshop gathered researchers who utilize promising new research strategies and initiatives to tackle the challenges of intrapartum fetal monitoring. The workshop included a series of lectures and discussions focusing on: new algorithms and techniques for cardiotocogoraphy (CTG) and electrocardiogram acquisition and analyses; the results of a CTG evaluation challenge comparing state-of-the-art computerized methods and visual interpretation for the detection of arterial cord pH <7.05 at birth; the lack of consensus about the role of intrapartum acidemia in the etiology of fetal brain injury; the differences between methods for CTG analysis "mimicking" expert clinicians and those derived from "data-driven" analyses; a critical review of the results from two randomized controlled trials testing the former in clinical practice; and relevant insights from modern physiology-based studies. We concluded that the automated algorithms performed comparably to each other and to clinical assessment of the CTG. However, the sensitivity and specificity urgently need to be improved (both computerized and visual assessment). Data-driven CTG evaluation requires further work with large multicenter datasets based on well-defined labor outcomes. And before first tests in the clinic, there are important lessons to be learnt from clinical trials that tested automated algorithms mimicking expert CTG interpretation. In addition, transabdominal fetal electrocardiogram monitoring provides reliable CTG traces and variability estimates; and fetal electrocardiogram waveform analysis is subject to promising new research. There is a clear need for close collaboration between computing and clinical experts. We believe that progress will be possible with multidisciplinary collaborative research.
CIIRC Czech Technical University Prague Prague Czech Republic
Department of Electrical Engineering Eindhoven University of Technology Eindhoven the Netherlands
Department of Obstetrics and Gynecology at Stony Brook University Medical Center Stony Brook NY USA
Department of Obstetrics and Gynecology St George's University of London London UK
Department of Obstetrics and Gynecology University of Washington Seattle WA USA
Department of Physiology University of Auckland Auckland New Zealand
Electrical and Computer Engineering Stony Brook University Stony Brook NY USA
Nemo Healthcare Veldhoven the Netherlands
Nuffield Department of Women's and Reproductive Health University of Oxford Oxford UK
University of Lyon Ens de Lyon University Claude Bernard CNRS Laboratoire de Physique Lyon France
Citace poskytuje Crossref.org
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