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子宫磁肌电图活动的提取、量化与特征分析——一项概念验证案例研究

Extraction, quantification and characterization of uterine magnetomyographic activity--a proof of concept case study.

作者信息

Eswaran Hari, Govindan Rathinaswamy B, Furdea Adrian, Murphy Pam, Lowery Curtis L, Preissl Hubert T

机构信息

Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, 4301 W. Markham Slot 518, Little Rock, AR 72205, USA.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2009 May;144 Suppl 1(Suppl 1):S96-100. doi: 10.1016/j.ejogrb.2009.02.023. Epub 2009 Mar 19.

Abstract

OBJECTIVE

The objective was to extract, quantify and characterize the uterine magnetomyographic (MMG) signals that correspond to the electrophysiological activity of the uterus.

METHODS

Transabdominal MMG recordings with high spatial-temporal resolution were performed with the use of the 151 non-invasive magnetic sensor system. The extraction, quantification and characterization procedures were developed and applied to representative MMG signals that were recorded from a pregnant woman at regular intervals starting at 37 weeks of gestation until the subject reached active labor.

RESULTS

Multiple MMG recordings were successfully performed on the subject before she went into active labor. The extracted MMG burst activity showed a statistically significant correlation (r=0.2; p<0.001) with the contractile events perceived by mothers. The time-frequency analysis of the burst activity showed a power shift towards higher-frequency at 48 h before the subject went into active labor as compared to earlier recordings. Further there was a gradual increase in the synchrony in the higher-frequency band as the subject reached close to active labor.

CONCLUSIONS

The non-invasive recording of the magnetic signals of pregnant uterus with high spatial-temporal resolution can provide an insight into the preparatory phase of labor and has the potential of predicting term and preterm labor.

摘要

目的

提取、量化并表征与子宫电生理活动相对应的子宫磁肌电图(MMG)信号。

方法

使用151个非侵入性磁传感器系统进行具有高时空分辨率的经腹MMG记录。开发了提取、量化和表征程序,并将其应用于从一名孕妇妊娠37周开始定期记录直至进入活跃分娩期的代表性MMG信号。

结果

在该受试者进入活跃分娩期之前成功进行了多次MMG记录。提取的MMG爆发活动与母亲感知到的收缩事件具有统计学显著相关性(r = 0.2;p < 0.001)。与早期记录相比,爆发活动的时频分析显示在受试者进入活跃分娩期前48小时功率向高频转移。此外,随着受试者接近活跃分娩期,高频带的同步性逐渐增加。

结论

以高时空分辨率对妊娠子宫磁信号进行非侵入性记录可深入了解分娩的准备阶段,并具有预测足月和早产的潜力。

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