A deep learning framework for noninvasive fetal ECG signal extraction

• Published in: Frontiers in physiology Vol. 15; p. 1329313
• Main Authors: Wahbah, Maisam, Zitouni, M. Sami, Al Sakaji, Raghad, Funamoto, Kiyoe, Widatalla, Namareq, Krishnan, Anita, Kimura, Yoshitaka, Khandoker, Ahsan H.
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 22.04.2024
• Subjects: biomedical signal processing algorithms; deep learning; fetal heart rate; long short-term memory; noninvasive fetal electrocardiogram; Physiology; noninvasive fetal electrocardiogram; deep learning; biomedical signal processing algorithms; fetal heart rate; long short-term memory
• ISSN: 1664-042X; 1664-042X
• DOI: 10.3389/fphys.2024.1329313

Introduction: The availability of proactive techniques for health monitoring is essential to reducing fetal mortality and avoiding complications in fetal wellbeing. In harsh circumstances such as pandemics, earthquakes, and low-resource settings, the incompetence of many healthcare systems worldwide in providing essential services, especially for pregnant women, is critical. Being able to continuously monitor the fetus in hospitals and homes in a direct and fast manner is very important in such conditions. Methods: Monitoring the health of the baby can potentially be accomplished through the computation of vital bio-signal measures using a clear fetal electrocardiogram (ECG) signal. The aim of this study is to develop a framework to detect and identify the R-peaks of the fetal ECG directly from a 12 channel abdominal composite signal. Thus, signals were recorded noninvasively from 70 pregnant (healthy and with health conditions) women with no records of fetal abnormalities. The proposed model employs a recurrent neural network architecture to robustly detect the fetal ECG R-peaks. Results: To test the proposed framework, we performed both subject-dependent (5-fold cross-validation) and independent (leave-one-subject-out) tests. The proposed framework achieved average accuracy values of 94.2% and 88.8%, respectively. More specifically, the leave-one-subject-out test accuracy was 86.7% during the challenging period of vernix caseosa layer formation. Furthermore, we computed the fetal heart rate from the detected R-peaks, and the demonstrated results highlight the robustness of the proposed framework. Discussion: This work has the potential to cater to the critical industry of maternal and fetal healthcare as well as advance related applications.