Deng Yanjun, Zhang Yefei, Zhou Zhixin, Zhang Xianfei, Jiao Pengfei, Zhao Zhidong
School of Electronics and Information, Hangzhou Dianzi University, Hangzhou, China.
School of Cyberspace Security, Hangzhou Dianzi University, Hangzhou, China.
Front Physiol. 2023 Mar 6;14:1090937. doi: 10.3389/fphys.2023.1090937. eCollection 2023.
Fetal distress is a symptom of fetal intrauterine hypoxia, which is seriously harmful to both the fetus and the pregnant woman. The current primary clinical tool for the assessment of fetal distress is Cardiotocography (CTG). Due to subjective variability, physicians often interpret CTG results inconsistently, hence the need to develop an auxiliary diagnostic system for fetal distress. Although the deep learning-based fetal distress-assisted diagnosis model has a high classification accuracy, the model not only has a large number of parameters but also requires a large number of computational resources, which is difficult to deploy to practical end-use scenarios. Therefore, this paper proposes a lightweight fetal distress-assisted diagnosis network, LW-FHRNet, based on a cross-channel interactive attention mechanism. The wavelet packet decomposition technique is used to convert the one-dimensional fetal heart rate (FHR) signal into a two-dimensional wavelet packet coefficient matrix map as the network input layer to fully obtain the feature information of the FHR signal. With ShuffleNet-v2 as the core, a local cross-channel interactive attention mechanism is introduced to enhance the model's ability to extract features and achieve effective fusion of multichannel features without dimensionality reduction. In this paper, the publicly available database CTU-UHB is used for the network performance evaluation. LW-FHRNet achieves 95.24% accuracy, which meets or exceeds the classification results of deep learning-based models. Additionally, the number of model parameters is reduced many times compared with the deep learning model, and the size of the model parameters is only 0.33 M. The results show that the lightweight model proposed in this paper can effectively aid in fetal distress diagnosis.
胎儿窘迫是胎儿宫内缺氧的一种症状,对胎儿和孕妇都有严重危害。目前评估胎儿窘迫的主要临床工具是胎心宫缩图(CTG)。由于主观变异性,医生对CTG结果的解读往往不一致,因此需要开发一种胎儿窘迫辅助诊断系统。尽管基于深度学习的胎儿窘迫辅助诊断模型具有较高的分类准确率,但该模型不仅参数数量众多,而且需要大量计算资源,难以部署到实际的终端应用场景中。因此,本文提出了一种基于跨通道交互注意力机制的轻量级胎儿窘迫辅助诊断网络LW-FHRNet。采用小波包分解技术将一维胎儿心率(FHR)信号转换为二维小波包系数矩阵图作为网络输入层,以充分获取FHR信号的特征信息。以ShuffleNet-v2为核心,引入局部跨通道交互注意力机制,增强模型的特征提取能力,实现多通道特征的有效融合且无需降维。本文使用公开可用的数据库CTU-UHB对网络性能进行评估。LW-FHRNet的准确率达到95.24%,达到或超过了基于深度学习模型的分类结果。此外,与深度学习模型相比,模型参数数量减少了许多倍,模型参数大小仅为0.33M。结果表明,本文提出的轻量级模型能够有效地辅助胎儿窘迫诊断。