A Phonocardiographic-Based Fiber-Optic Sensor and Adaptive Filtering System for Noninvasive Continuous Fetal Heart Rate Monitoring

Authors

MARTINEK Radek NEDOMA Jan FAJKUS Marcel KAHANKOVA Radana KONECNY Jaromir JANKŮ Petr KEPAK Stanislav BILIK Petr NAZERAN Homer

Year of publication 2017
Type Article in Periodical
Magazine / Source Sensors
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.3390/s17040890
Keywords interferometer; fetal heart rate (fHR); maternal heart rate (mHR); EMI-free; adaptive system; Least Mean Squares (LMS) algorithm
Description This paper focuses on the design, realization, and verification of a novel phonocardiographic-based fiber-optic sensor and adaptive signal processing system for noninvasive continuous fetal heart rate (fHR) monitoring. Our proposed system utilizes two Mach-Zehnder interferometeric sensors. Based on the analysis of real measurement data, we developed a simplified dynamic model for the generation and distribution of heart sounds throughout the human body. Building on this signal model, we then designed, implemented, and verified our adaptive signal processing system by implementing two stochastic gradient-based algorithms: the Least Mean Square Algorithm (LMS), and the Normalized Least Mean Square (NLMS) Algorithm. With this system we were able to extract the fHR information from high quality fetal phonocardiograms (fPCGs), filtered from abdominal maternal phonocardiograms (mPCGs) by performing fPCG signal peak detection. Common signal processing methods such as linear filtering, signal subtraction, and others could not be used for this purpose as fPCG and mPCG signals share overlapping frequency spectra. The performance of the adaptive system was evaluated by using both qualitative (gynecological studies) and quantitative measures such as: Signal-to-Noise Ratio-SNR, Root Mean Square Error-RMSE, Sensitivity-S+, and Positive Predictive Value-PPV.

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