Martinek Radek, Kelnar Michal, Koudelka Petr, Vanus Jan, Bilik Petr, Janku Petr, Nazeran Homer, Zidek Jan
Department of Cybernetics and Biomedical Engineering, VSB-Technical University of Ostrava, 17. listopadu 15, 708 33 Ostrava, Czech Republic.
Physiol Meas. 2016 Feb;37(2):238-56. doi: 10.1088/0967-3334/37/2/238. Epub 2016 Jan 22.
This paper describes the design, construction, and testing of a multi-channel fetal electrocardiogram (fECG) signal generator based on LabVIEW. Special attention is paid to the fetal heart development in relation to the fetus' anatomy, physiology, and pathology. The non-invasive signal generator enables many parameters to be set, including fetal heart rate (FHR), maternal heart rate (MHR), gestational age (GA), fECG interferences (biological and technical artifacts), as well as other fECG signal characteristics. Furthermore, based on the change in the FHR and in the T wave-to-QRS complex ratio (T/QRS), the generator enables manifestations of hypoxic states (hypoxemia, hypoxia, and asphyxia) to be monitored while complying with clinical recommendations for classifications in cardiotocography (CTG) and fECG ST segment analysis (STAN). The generator can also produce synthetic signals with defined properties for 6 input leads (4 abdominal and 2 thoracic). Such signals are well suited to the testing of new and existing methods of fECG processing and are effective in suppressing maternal ECG while non-invasively monitoring abdominal fECG. They may also contribute to the development of a new diagnostic method, which may be referred to as non-invasive trans-abdominal CTG + STAN. The functional prototype is based on virtual instrumentation using the LabVIEW developmental environment and its associated data acquisition measurement cards (DAQmx). The generator also makes it possible to create synthetic signals and measure actual fetal and maternal ECGs by means of bioelectrodes.
本文介绍了一种基于LabVIEW的多通道胎儿心电图(fECG)信号发生器的设计、构建和测试。特别关注了胎儿心脏发育与胎儿解剖学、生理学和病理学的关系。该无创信号发生器能够设置许多参数,包括胎儿心率(FHR)、母亲心率(MHR)、孕周(GA)、fECG干扰(生物和技术伪迹)以及其他fECG信号特征。此外,基于FHR和T波与QRS复合波比值(T/QRS)的变化,该发生器能够在符合产时胎心监护(CTG)和fECG ST段分析(STAN)临床分类建议的同时,监测缺氧状态(低氧血症、缺氧和窒息)的表现。该发生器还可以为6个输入导联(4个腹部导联和2个胸部导联)生成具有特定属性的合成信号。此类信号非常适合测试新的和现有的fECG处理方法,并且在无创监测腹部fECG时能够有效抑制母亲的心电图。它们还可能有助于开发一种新的诊断方法,可称为无创经腹CTG + STAN。该功能原型基于使用LabVIEW开发环境及其相关数据采集测量卡(DAQmx)的虚拟仪器。该发生器还能够通过生物电极创建合成信号并测量实际的胎儿和母亲心电图。