Escalona-Vargas Diana, Wu Hau-Tieng, Frasch Martin G, Eswaran Hari
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, 4301 West Markham St., #518, Little Rock, AR, 72205, USA.
Department of Mathematics and Department of Statistical Science, Duke University, Durham, NC, USA.
Cardiovasc Eng Technol. 2018 Sep;9(3):483-487. doi: 10.1007/s13239-018-0351-4. Epub 2018 Mar 26.
Fetal magnetocardiography (fMCG) provides accurate and reliable measurements of electrophysiological events in the fetal heart and is capable of studying fetuses with congenital heart diseases. A variety of techniques exist to extract the fMCG signal with the demand for non-invasively obtained fetal cardiac information. To the best of our knowledge, there is no comparative study published in the field as to how the various extraction algorithms perform. We perform a comparative study of the ability of five methods to extract the fMCG using real biomagnetic signals, two of those methods are applied to real fMCG data for the first time. Biomagnetic signals were recorded and processed with each of the five methods to obtain fMCG. The R peaks of the fMCG traces were obtained via a peak-detection algorithm. From whole recording for each method, the fetal heart rate (FHR) was calculated and used to perform FHR variability (FHRV) analysis. Additionally, we calculated durations from the PQRST complex from time-averaged data during sinus rhythm. The five methods recovered the fMCG signals, but two of them were able to extract cleaner fMCG and the morphology was observed from the continuous data. The time-averaged data showed very similar morphologies between methods, but two of them displayed a signal amplitude reduction on the R-waves and T-waves. Values of PQRST durations, FHR and FHRV were in the range of previous fetal cardiac studies. We have compared five methods for fMCG extraction and showed their ability to perform fMCG analysis.
胎儿心动磁图(fMCG)可对胎儿心脏的电生理事件进行准确可靠的测量,并且能够研究患有先天性心脏病的胎儿。为了满足对非侵入性获取胎儿心脏信息的需求,存在多种提取fMCG信号的技术。据我们所知,该领域尚未发表关于各种提取算法性能的比较研究。我们使用真实的生物磁信号对五种提取fMCG的方法进行了比较研究,其中两种方法是首次应用于真实的fMCG数据。用这五种方法分别记录和处理生物磁信号以获取fMCG。通过峰值检测算法获得fMCG轨迹的R波峰。从每种方法的整个记录中计算胎儿心率(FHR),并用于进行胎儿心率变异性(FHRV)分析。此外,我们从窦性心律期间的时间平均数据中计算PQRST复合波的持续时间。这五种方法都恢复了fMCG信号,但其中两种方法能够提取更纯净的fMCG,并且从连续数据中观察到了形态。时间平均数据显示不同方法之间的形态非常相似,但其中两种方法在R波和T波上显示出信号幅度降低。PQRST持续时间、FHR和FHRV的值在先前胎儿心脏研究的范围内。我们比较了五种fMCG提取方法,并展示了它们进行fMCG分析的能力。