Multimodal Convolutional Neural Networks to Detect Fetal Compromise During Labor and Delivery

The gold standard to assess whether a baby is at risk of oxygen deprivation during childbirth, is monitoring continuously the fetal heart rate with cardiotocography (CTG). The aim is to identify babies that could benefit from an emergency operative delivery (e.g., Cesarean section), in order to prevent death or permanent brain injury. The long, dynamic and complex CTG patterns are poorly understood and known to have high false positive and false negative rates. Visual interpretation by clinicians is challenging and reliable accurate fetal monitoring in labor remains an enormous unmet medical need. In this work, we applied deep learning methods to achieve data-driven automated CTG evaluation. Multimodal Convolutional Neural Network (MCNN) and Stacked MCNN models were used to analyze the largest available database of routinely collected CTG and linked clinical data (comprising more than 35000 births). We also assessed in detail the impact of the signal quality on the MCNN performance. On a large hold-out testing set from Oxford (n= 4429 births), MCNN improved the prediction of cord acidemia at birth when compared with Clinical Practice and previous computerized approaches. On two external datasets, MCNN demonstrated better performance compared to current feature extraction-based methods. Our group is the first to apply deep learning for the analysis of CTG. We conclude that MCNN hold potential for the prediction of cord acidemia at birth and further work is warranted. Despite the advances, our deep learning models are currently not suitable for the detection of severe fetal injury in the absence of cord acidemia - a heterogeneous, small, and poorly understood group. We suggest that the most promising way forward are hybrid approaches to CTG interpretation in labor, in which different diagnostic models can estimate the risk for different types of fetal compromise, incorporating clinical knowledge with data-driven analyses

The development of a position-sensitive CZT detector with orthogonal co-planar anode strips

We report on the simulation, construction, and performance of prototype CdZnTe imaging detectors with orthogonal coplanar anode strips. These detectors employ a novel electrode geometry with non-collecting anode strips in one dimension and collecting anode pixels, interconnected in rows, in the orthogonal direction. These detectors retain the spectroscopic and detection efficiency advantages of single carrier (electron) sensing devices as well as the principal advantage of conventional strip detectors with orthogonal anode and cathode strips, i.e. an N×N array of imaging pixels are with only 2N electronic channels. Charge signals induced on the various electrodes of a prototype detector with 8×8 unit cells (1×1×5 mm3)are compared to the simulations. Results of position and energy resolution measurements are presented and discussed

Analog processing of signals from a CZT strip detector with orthogonal coplanar anodes

We present the requirements, design, and performance of an analog circuit for processing the non-collecting anode strip signals from a cadmium zinc telluride (CZT) strip detector with orthogonal coplanar anodes. Detector signal simulations and measurements with a prototype are used to define the range of signal characteristics as a function of location of the gamma interaction in the detector. The signals from the non- collecting anode strip electrodes are used to define two of the three spatial coordinates including the depth of interaction, the z dimension. Analog signal processing options are discussed. A circuit to process the signals from the non- collecting anode strips and extract from them the depth of interaction is described. The circuit employs a time-over- threshold (TOT) measurement. The performance of the detector prototype with a preliminary version of this circuit is presented, and future development work is outlined

Energy and position resolution of a CdZnTe gamma-ray detector with orthogonal coplanar anodes

We report on the simulation, construction and performance of prototype CZT imaging detectors employing orthogonal coplanar anodes. These detectors employ a novel electrode geometry with non-collecting anode strips in 1D and collecting anode pixels, interconnected in rows, in the orthogonal dimensions. These detectors retain the spectroscopic and detection efficiency advantages of single carried charge sensing devices as well as the principal advantage of conventional strip detectors with orthogonal anode and cathode strips, i.e. an N X N array of imagin pixels are realized with only 2N electronic channels. Charge signals induced on the various electrodes of a prototype detector with 8 X 8 unit cells are in good agreement with the simulations. The position resolution is about 1 mm in the direction perpendicular to the pixel lines while it is of the order of 100 micrometers in the other direction. Energy resolutions of 0.9 percent at 662 keV, 2.6 percent at 122 keV and 5.7 percent at 60 keV have been obtained at room temperature

Three-dimensional imaging and detection efficiency performance of orthogonal coplanar CZT strip detectors

We report on recent three-dimensional imaging performance and detection efficiency measurements obtained with 5 mm thick prototype CdZnTe detectors fabricated with orthogonal coplanar anode strips. In previous work, we have shown that detectors fabricated using this design achieve both very good energy resolution and sub-millimeter spatial resolution with fewer electronic channels than are required for pixel detectors. As electron-only devices, like pixel detectors, coplanar anode strip detectors can be fabricated in the thickness required to be effective imagers for photons with energies in excess of 500 keV. Unlike conventional double-sided strip detectors, the coplanar anode strip detectors require segmented contacts and signal processing electronics on only one surface. The signals can be processed to measure the total energy deposit and the photon interaction location in three dimensions. The measurements reported here provide a quantitative assessment of the detection capabilities of orthogonal coplanar anode strip detectors

Digital techniques for real-time pulse shaping in radiation measurements

Recursive algorithms for real-time digital pulse shaping in pulse height measurements have been developed. The differentiated signal from the preamplifier (exponential pulse) is amplified and then digitized. Digital data are deconvolved so that the response of the high-pass network is eliminated. The deconvolved pulse is processed by a time-invariant digital filter which allows trapezoidal/triangular or cusp-like shapes to be synthesized. A prototype of a digital trapezoidal processor was built which is capable of sampling and processing digital data in real time at clock rates up to 50 MHz.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/31113/1/0000009.pd

Pulse-Shape discrimination with the Counting Test Facility

Pulse shape discrimination (PSD) is one of the most distinctive features of liquid scintillators. Since the introduction of the scintillation techniques in the field of particle detection, many studies have been carried out to characterize intrinsic properties of the most common liquid scintillator mixtures in this respect. Several application methods and algorithms able to achieve optimum discrimination performances have been developed. However, the vast majority of these studies have been performed on samples of small dimensions. The Counting Test Facility, prototype of the solar neutrino experiment Borexino, as a 4 ton spherical scintillation detector immersed in 1000 tons of shielding water, represents a unique opportunity to extend the small-sample PSD studies to a large-volume setup. Specifically, in this work we consider two different liquid scintillation mixtures employed in CTF, illustrating for both the PSD characterization results obtained either with the processing of the scintillation waveform through the optimum Gatti's method, or via a more conventional approach based on the charge content of the scintillation tail. The outcomes of this study, while interesting per se, are also of paramount importance in view of the expected Borexino detector performances, where PSD will be an essential tool in the framework of the background rejection strategy needed to achieve the required sensitivity to the solar neutrino signals.Comment: 39 pages, 17 figures, submitted to Nucl. Instr. Meth.