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Smart selection of signal analysis algorithms for telecare of high-risk pregnancy

Wróbel J., Matonia A., Horoba K., Jeżewski J., Czabański R., Pawlak A., Porwik P.

Journal of Medical Informatics & Technologies

2014

Vol. 23

27--33

Telemedical system for fetal home monitoring with smart selection of signal analysis algorithms is presented in this paper. Fetal monitoring signals are provided by a mobile instrumentation consisting of bioelectrical signal recorder and tablet PC which retrieves and processes the data as well as provides wireless data transmission based on Internet. The fetal surveillance system enables analysis, dynamic presentation and archiving of acquired signals and medical data. Novelty of the proposed approach relies on smart fitting of the algorithms for analysis of the abdominal signals in mobile instrumentation, as well as on controlling of the fetal monitoring session from the surveillance center. These actions are performed automatically through continuous analyzing of the signal quality and the reliability of the quantitative parameters determined for the acquired signals. Using that approach the amount and content of data transmitted through remote channels to the surveillance center can be controlled to ensure the most reliable assessment of the fetal well-being.

Coincidence of maternal and fetal QRS complexes in view of fetal heart rate determination

Kupka T., Jeżewski J., Matonia A., Wróbel J., Horoba K.

Journal of Medical Informatics & Technologies

2002

Vol. 4

MT49--55

Indirect fetal electrocardiography is a developing diagnostic method in perinatal medicine. Signals of electrical activity being recorded from maternal abdomen surface contain more information than in till now used method of mechanical heart activity measurement based on ultrasound signals. The main problem relies on separation of basic useful component from a signal containing also dominant maternal electrocardiogram and muscles activity artifacts. The algorithms of maternal electrocardiogram suppression via subtraction are commonly used. Although regarding their complexity, these algorithms have limited applicability in systems for long-term monitoring of fetal heart activity. Other solution relies on simple blanking of maternal QRS complexes. However, in case of coincidence of fetal and maternal QRS complexes, this leads to partial loss of information about fetal heart rate variability. For evaluation of how often such coincidence of both complexes takes place, the algorithm has been developed which is described in this paper.