Cardiotocography (CTG) is a standard tool for the assessment of fetal well-being during pregnancy and delivery. However, its interpretation is associated with high inter- and intra-observer variability. Since its introduction there have been numerous attempts to develop computerized systems assisting the evaluation of the CTG recording. Nevertheless these systems are still hardly used in a delivery ward. Two main approaches to computerized evaluation are encountered in the literature; the first one emulates existing guidelines, while the second one is more of a data-driven approach using signal processing and computational methods. The latter employs preprocessing, feature extraction/selection and a classifier that discriminates between two or more classes/conditions. These classes are often formed using the umbilical cord artery pH value measured after delivery. In this work an approach to Fetal Heart Rate (FHR) classification using pH is presented that could serve as a benchmark for reporting results on the unique open-access CTU-UHB CTG database, the largest and the only freely available database of this kind. The overall results using a very small number of features and a Least Squares Support Vector Machine (LS-SVM) classifier, are in accordance to the ones encountered in the literature and outperform the results of a baseline classification scheme proving the utility of using advanced data processing methods. Therefore the achieved results can be used as a benchmark for future research involving more informative features and/or better classification algorithms.
- Klíčová slova
- Cardiotocography (CTG), Classification, Feature selection, Fetal heart rate (FHR), Least Squares Support Vector Machines (LS-SVMs),
- Publikační typ
- časopisecké články MeSH
In this work we present a comparative study, testing selected methods for clustering and classification of holter electrocardiogram (ECG). More specifically we focus on the task of discriminating between normal 'N' beats and premature ventricular 'V' beats Some of the tested methods represent the state of the art in pattern analysis, while others are novel algorithms developed by us. All the algorithms were tested on the same datasets, namely the MIT-BIH and the AHA databases. The results for all the employed methods are compared and evaluated using the measures of sensitivity and specificity.
