Fhsu-Net: Deep Learning-Based Model for the Extraction of Fetal Heart Sounds in Abdominal Phonocardiography

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    Abstract

    Fetal well-being assessment using conventional tools requires skilled clinicians for interpretation and may be heavily affected by noise if recorded for lengthy durations or by the contaminated maternal effects. In this paper, we propose for the first time a deep learning-based model, fetal heart sounds U-Net (FHSU-NET), for automated extraction of fetal heart activity illustrated as sound waves in raw phonocardiography (PCG). A total of 20 healthy mothers were included in this study to train and validate FHSU-NET following a leave-one-subject-out (LOSO) cross-validation scheme. The model successfully extracted fetal PCG with a median root mean square error (RMSE) of 0.702 [IQR: 0.695-0.706] relative to ground-truth. The median error in heart rate estimated using the ground-truth and FHSU-NET was 18.507 [IQR: 11.996-23.215] with a correlation of 0.642 (p-value = 0.002) and Bland-altman mean difference of 5.18. The proposed model paves the way towards implementing deep learning in clinical settings to decrease the high dependency on medical experts when interpreting lengthy PCG.

    Original languageBritish English
    Title of host publicationProceedings of the 2023 IEEE 33rd International Workshop on Machine Learning for Signal Processing, MLSP 2023
    EditorsDanilo Comminiello, Michele Scarpiniti
    PublisherIEEE Computer Society
    ISBN (Electronic)9798350324112
    DOIs
    StatePublished - 2023
    Event33rd IEEE International Workshop on Machine Learning for Signal Processing, MLSP 2023 - Rome, Italy
    Duration: 17 Sep 202320 Sep 2023

    Publication series

    NameIEEE International Workshop on Machine Learning for Signal Processing, MLSP
    Volume2023-September
    ISSN (Print)2161-0363
    ISSN (Electronic)2161-0371

    Conference

    Conference33rd IEEE International Workshop on Machine Learning for Signal Processing, MLSP 2023
    Country/TerritoryItaly
    CityRome
    Period17/09/2320/09/23

    Keywords

    • deep learning
    • Fetal phonocardiography (PCG)
    • Fetal well-being
    • signal processing
    • U-Net

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