Semi-blind source extraction algorithm for fetal electrocardiogram based on generalized autocorrelations and reference signals

AbstractBlind source extraction (BSE) has become one of the promising methods in the field of signal processing and analysis, which only desires to extract “interesting” source signals with specific stochastic property or features so as to save lots of computing time and resources. This paper addresses BSE problem, in which desired source signals have some available reference signals. Based on this prior information, we develop an objective function for extraction of temporally correlated sources. Maximizing this objective function, a semi-blind source extraction fixed-point algorithm is proposed. Simulations on artificial electrocardiograph (ECG) signals and the real-world ECG data demonstrate the better performance of the new algorithm. Moreover, comparisons with existing algorithms further indicate the validity of our new algorithm, and also show its robustness to the estimated error of time delay

Advanced robust non-invasive foetal heart detection techniques during active labour using one pair of transabdominal electrodes

The thesis proposes and evaluates three state-of-the-art signal processing techniques to detect fetal heartbeats within each maternal cardiac cycle, during labour contractions, using only a pair of transabdominal electrodes. The first and second techniques are, namely, the structured third- order cumulant-slice-template matching and the bispectral-contours-template matching for fetal QRS identification, respectively. The third technique is based on the modified and appropriately weighted spectral multiple signal classification (MUSIC) with incorporated covariance matrix for uterine contraction noise-like interfering signals also contaminated with noise. Essentially, two modifications to the standard MUSIC have been developed in order to enhance the performance of the spectral estimator in our applied work. The first modification involves the introduction of an optimised weighting function to the segmented ECG covariance matrix, and is chiefly aimed at enhancing the fetal QRS major spectral peak which occurs at around 30 Hz against the mother QRS major spectral peak usually occurring around 17 Hz and all other noise contributions. Additional optional pseudo-bispectral enhancement to sharpen the maternal and fetal spectral peaks, in particular when the mother and fetal R-waves are temporally coincident, have been achieved. The second modification to the spectral MUSIC is the removal of the unjustified assumption that only white Gaussian noise is present and the incorporation of the actual measured labour uterine contraction covariance matrix in reconfigured subspace analysis. This inevitably leads to the generalised eigenvectors - eigenvalues decomposition modern signal processing. This is now coined the modified, interference incorporated pseudo-spectral MUSIC. The above mentioned first and second techniques are higher-order statistics-based (HOS) and hybrid involving both signal processing and NN classifiers. The third technique is second-order statistics-based (SOS). In all techniques, the removal of signal non-linearity with the aid of non-linear Volterra synthesisers plays a crucial part in the fetal detection integrity. Accurately assessed fetal heart classification rates as high as 95% have been achieved during labour, thus helping to provide non-invasive transparency to fetal intrapartum welfare. Performance analysis and evaluation processes involved more than 30 critical cases classified as “fetal under stress in labour” recorded in a London hospital database and used both transbadominal ECG electrodes and fetal scalp electrodes. The latter facilitates detection of the instantaneous fetal heart rate which is then used as the Reference Fetal Heart Rate in the assessment of the classification rate of each of the above mentioned techniques. It will be shown that the fetal heartbeats are completely masked by uterine activity and noise artefacts in all the recorded transabdominal maternal ECG signals. The fetal scalp electrode was, therefore, deemed necessary to provide the highest accurate measure of fetal heart functionality (from the hospital viewpoint), and in the assessment of the three non-invasive techniques presented in this thesis. The techniques may also be used during gestation and as early as 10 weeks

Non-invasive fetal monitoring: a maternal surface ECG electrode placement-based novel approach for optimization of adaptive filter control parameters using the LMS and RLS algorithms

This paper is focused on the design, implementation and verification of a novel method for the optimization of the control parameters (such as step size mu and filter order N) of LMS and RLS adaptive filters used for noninvasive fetal monitoring. The optimization algorithm is driven by considering the ECG electrode positions on the maternal body surface in improving the performance of these adaptive filters. The main criterion for optimal parameter selection was the Signal-to-Noise Ratio (SNR). We conducted experiments using signals supplied by the latest version of our LabVIEW-Based Multi-Channel Non-Invasive Abdominal Maternal-Fetal Electrocardiogram Signal Generator, which provides the flexibility and capability of modeling the principal distribution of maternal/fetal ECGs in the human body. Our novel algorithm enabled us to find the optimal settings of the adaptive filters based on maternal surface ECG electrode placements. The experimental results further confirmed the theoretical assumption that the optimal settings of these adaptive filters are dependent on the ECG electrode positions on the maternal body, and therefore, we were able to achieve far better results than without the use of optimization. These improvements in turn could lead to a more accurate detection of fetal hypoxia. Consequently, our approach could offer the potential to be used in clinical practice to establish recommendations for standard electrode placement and find the optimal adaptive filter settings for extracting high quality fetal ECG signals for further processing. Ultimately, diagnostic-grade fetal ECG signals would ensure the reliable detection of fetal hypoxia.Web of Science175art. no. 115

Extraction and Detection of Fetal Electrocardiograms from Abdominal Recordings

The non-invasive fetal ECG (NIFECG), derived from abdominal surface electrodes, offers novel diagnostic possibilities for prenatal medicine. Despite its straightforward applicability, NIFECG signals are usually corrupted by many interfering sources. Most significantly, by the maternal ECG (MECG), whose amplitude usually exceeds that of the fetal ECG (FECG) by multiple times. The presence of additional noise sources (e.g. muscular/uterine noise, electrode motion, etc.) further affects the signal-to-noise ratio (SNR) of the FECG. These interfering sources, which typically show a strong non-stationary behavior, render the FECG extraction and fetal QRS (FQRS) detection demanding signal processing tasks. In this thesis, several of the challenges regarding NIFECG signal analysis were addressed. In order to improve NIFECG extraction, the dynamic model of a Kalman filter approach was extended, thus, providing a more adequate representation of the mixture of FECG, MECG, and noise. In addition, aiming at the FECG signal quality assessment, novel metrics were proposed and evaluated. Further, these quality metrics were applied in improving FQRS detection and fetal heart rate estimation based on an innovative evolutionary algorithm and Kalman filtering signal fusion, respectively. The elaborated methods were characterized in depth using both simulated and clinical data, produced throughout this thesis. To stress-test extraction algorithms under ideal circumstances, a comprehensive benchmark protocol was created and contributed to an extensively improved NIFECG simulation toolbox. The developed toolbox and a large simulated dataset were released under an open-source license, allowing researchers to compare results in a reproducible manner. Furthermore, to validate the developed approaches under more realistic and challenging situations, a clinical trial was performed in collaboration with the University Hospital of Leipzig. Aside from serving as a test set for the developed algorithms, the clinical trial enabled an exploratory research. This enables a better understanding about the pathophysiological variables and measurement setup configurations that lead to changes in the abdominal signal's SNR. With such broad scope, this dissertation addresses many of the current aspects of NIFECG analysis and provides future suggestions to establish NIFECG in clinical settings.:Abstract Acknowledgment Contents List of Figures List of Tables List of Abbreviations List of Symbols (1)Introduction 1.1)Background and Motivation 1.2)Aim of this Work 1.3)Dissertation Outline 1.4)Collaborators and Conflicts of Interest (2)Clinical Background 2.1)Physiology 2.1.1)Changes in the maternal circulatory system 2.1.2)Intrauterine structures and feto-maternal connection 2.1.3)Fetal growth and presentation 2.1.4)Fetal circulatory system 2.1.5)Fetal autonomic nervous system 2.1.6)Fetal heart activity and underlying factors 2.2)Pathology 2.2.1)Premature rupture of membrane 2.2.2)Intrauterine growth restriction 2.2.3)Fetal anemia 2.3)Interpretation of Fetal Heart Activity 2.3.1)Summary of clinical studies on FHR/FHRV 2.3.2)Summary of studies on heart conduction 2.4)Chapter Summary (3)Technical State of the Art 3.1)Prenatal Diagnostic and Measuring Technique 3.1.1)Fetal heart monitoring 3.1.2)Related metrics 3.2)Non-Invasive Fetal ECG Acquisition 3.2.1)Overview 3.2.2)Commercial equipment 3.2.3)Electrode configurations 3.2.4)Available NIFECG databases 3.2.5)Validity and usability of the non-invasive fetal ECG 3.3)Non-Invasive Fetal ECG Extraction Methods 3.3.1)Overview on the non-invasive fetal ECG extraction methods 3.3.2)Kalman filtering basics 3.3.3)Nonlinear Kalman filtering 3.3.4)Extended Kalman filter for FECG estimation 3.4)Fetal QRS Detection 3.4.1)Merging multichannel fetal QRS detections 3.4.2)Detection performance 3.5)Fetal Heart Rate Estimation 3.5.1)Preprocessing the fetal heart rate 3.5.2)Fetal heart rate statistics 3.6)Fetal ECG Morphological Analysis 3.7)Problem Description 3.8)Chapter Summary (4)Novel Approaches for Fetal ECG Analysis 4.1)Preliminary Considerations 4.2)Fetal ECG Extraction by means of Kalman Filtering 4.2.1)Optimized Gaussian approximation 4.2.2)Time-varying covariance matrices 4.2.3)Extended Kalman filter with unknown inputs 4.2.4)Filter calibration 4.3)Accurate Fetal QRS and Heart Rate Detection 4.3.1)Multichannel evolutionary QRS correction 4.3.2)Multichannel fetal heart rate estimation using Kalman filters 4.4)Chapter Summary (5)Data Material 5.1)Simulated Data 5.1.1)The FECG Synthetic Generator (FECGSYN) 5.1.2)The FECG Synthetic Database (FECGSYNDB) 5.2)Clinical Data 5.2.1)Clinical NIFECG recording 5.2.2)Scope and limitations of this study 5.2.3)Data annotation: signal quality and fetal amplitude 5.2.4)Data annotation: fetal QRS annotation 5.3)Chapter Summary (6)Results for Data Analysis 6.1)Simulated Data 6.1.1)Fetal QRS detection 6.1.2)Morphological analysis 6.2)Own Clinical Data 6.2.1)FQRS correction using the evolutionary algorithm 6.2.2)FHR correction by means of Kalman filtering (7)Discussion and Prospective 7.1)Data Availability 7.1.1)New measurement protocol 7.2)Signal Quality 7.3)Extraction Methods 7.4)FQRS and FHR Correction Algorithms (8)Conclusion References (A)Appendix A - Signal Quality Annotation (B)Appendix B - Fetal QRS Annotation (C)Appendix C - Data Recording GU

A Hierarchical Method for Removal of Baseline Drift from Biomedical Signals: Application in ECG Analysis

Noise can compromise the extraction of some fundamental and important features from biomedical signals and hence prohibit accurate analysis of these signals. Baseline wander in electrocardiogram (ECG) signals is one such example, which can be caused by factors such as respiration, variations in electrode impedance, and excessive body movements. Unless baseline wander is effectively removed, the accuracy of any feature extracted from the ECG, such as timing and duration of the ST-segment, is compromised. This paper approaches this filtering task from a novel standpoint by assuming that the ECG baseline wander comes from an independent and unknown source. The technique utilizes a hierarchical method including a blind source separation (BSS) step, in particular independent component analysis, to eliminate the effect of the baseline wander. We examine the specifics of the components causing the baseline wander and the factors that affect the separation process. Experimental results reveal the superiority of the proposed algorithm in removing the baseline wander