Analysis of Preterm Pregnancies using Empirical Mode Decomposition based Fractal Features

Preterm birth (gestational age < 37 weeks) is a serious pregnancy related complication that could lead to fetal morbidity and mortality. Monitoring the activity of uterus is considered to be crucial for the early diagnosis of preterm birth. Uterine Electromyography (uEMG) is a non-invasive techni...

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Main Authors: Padmanabhan Vardhini, Namadurai Punitha, Swaminathan Ramakrishnan
Format: Article
Language:English
Published: De Gruyter 2021-10-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2021-2200
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author Padmanabhan Vardhini
Namadurai Punitha
Swaminathan Ramakrishnan
author_facet Padmanabhan Vardhini
Namadurai Punitha
Swaminathan Ramakrishnan
author_sort Padmanabhan Vardhini
collection DOAJ
description Preterm birth (gestational age < 37 weeks) is a serious pregnancy related complication that could lead to fetal morbidity and mortality. Monitoring the activity of uterus is considered to be crucial for the early diagnosis of preterm birth. Uterine Electromyography (uEMG) is a non-invasive technique that provides a quantitative measure of uterine activity from the abdominal surface. In this work, an attempt has been made to characterize preterm uEMG signals using Empirical Mode Decomposition based Detrended Fluctuation Analysis (EMD-DFA). Preterm signals with varied gestational ages are considered from an online database. EMD-DFA is applied on these signals to compute the fluctuation function. The double-logarithmic plot of fluctuation function versus scale is evaluated and Chi-square analysis is performed for identifying linear scaling regions. Five features namely shortterm exponent (Hs), long-term exponent (Hl), inflection point, short-term fractal angle (αHs) and long-term fractal angle (αHl) are extracted and analyzed. Further, Coefficient of Variation (CV) is computed to examine the variations of these features among different subjects. Results show that EMD-DFA is able to characterize the fluctuations of preterm signals. From the double-logarithmic plot, a slow variation of fluctuation function is observed with respect to scale when the time to delivery is more. This indicates the presence of rapid signal fluctuations in the early stages of pregnancy. Based on the feature values, it is observed that the signal fluctuations are more correlated and smoother as the time to delivery approaches. Among the extracted features, CV values of Hs, Hl, αHs and αHl are observed to be low indicating that these features have least inter-subject variations in preterm signals. The EMD-DFA based fractal features show the ability to detect the subtle variations in uEMG signals. As early diagnosis of preterm delivery is imperative for timely medical intervention and treatment, it appears that the proposed approach could aid in determining the changes in uterine contractions in preterm condition.
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spelling doaj.art-2b34f29302af442390370b231ab3d5742022-12-22T03:55:41ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042021-10-017278378610.1515/cdbme-2021-2200Analysis of Preterm Pregnancies using Empirical Mode Decomposition based Fractal FeaturesPadmanabhan Vardhini0Namadurai Punitha1Swaminathan Ramakrishnan2Research Scholar, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai,Tamilnadu, IndiaAssistant Professor, Department of Biomedical Engineering, SSN College of Engineering, Chennai,Tamilnadu, IndiaProfessor, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai,Tamilnadu, IndiaPreterm birth (gestational age < 37 weeks) is a serious pregnancy related complication that could lead to fetal morbidity and mortality. Monitoring the activity of uterus is considered to be crucial for the early diagnosis of preterm birth. Uterine Electromyography (uEMG) is a non-invasive technique that provides a quantitative measure of uterine activity from the abdominal surface. In this work, an attempt has been made to characterize preterm uEMG signals using Empirical Mode Decomposition based Detrended Fluctuation Analysis (EMD-DFA). Preterm signals with varied gestational ages are considered from an online database. EMD-DFA is applied on these signals to compute the fluctuation function. The double-logarithmic plot of fluctuation function versus scale is evaluated and Chi-square analysis is performed for identifying linear scaling regions. Five features namely shortterm exponent (Hs), long-term exponent (Hl), inflection point, short-term fractal angle (αHs) and long-term fractal angle (αHl) are extracted and analyzed. Further, Coefficient of Variation (CV) is computed to examine the variations of these features among different subjects. Results show that EMD-DFA is able to characterize the fluctuations of preterm signals. From the double-logarithmic plot, a slow variation of fluctuation function is observed with respect to scale when the time to delivery is more. This indicates the presence of rapid signal fluctuations in the early stages of pregnancy. Based on the feature values, it is observed that the signal fluctuations are more correlated and smoother as the time to delivery approaches. Among the extracted features, CV values of Hs, Hl, αHs and αHl are observed to be low indicating that these features have least inter-subject variations in preterm signals. The EMD-DFA based fractal features show the ability to detect the subtle variations in uEMG signals. As early diagnosis of preterm delivery is imperative for timely medical intervention and treatment, it appears that the proposed approach could aid in determining the changes in uterine contractions in preterm condition.https://doi.org/10.1515/cdbme-2021-2200uterine electromyographypreterm pregnanciesempirical mode decomposition based detrended fluctuation analysisfluctuation function.
spellingShingle Padmanabhan Vardhini
Namadurai Punitha
Swaminathan Ramakrishnan
Analysis of Preterm Pregnancies using Empirical Mode Decomposition based Fractal Features
Current Directions in Biomedical Engineering
uterine electromyography
preterm pregnancies
empirical mode decomposition based detrended fluctuation analysis
fluctuation function.
title Analysis of Preterm Pregnancies using Empirical Mode Decomposition based Fractal Features
title_full Analysis of Preterm Pregnancies using Empirical Mode Decomposition based Fractal Features
title_fullStr Analysis of Preterm Pregnancies using Empirical Mode Decomposition based Fractal Features
title_full_unstemmed Analysis of Preterm Pregnancies using Empirical Mode Decomposition based Fractal Features
title_short Analysis of Preterm Pregnancies using Empirical Mode Decomposition based Fractal Features
title_sort analysis of preterm pregnancies using empirical mode decomposition based fractal features
topic uterine electromyography
preterm pregnancies
empirical mode decomposition based detrended fluctuation analysis
fluctuation function.
url https://doi.org/10.1515/cdbme-2021-2200
work_keys_str_mv AT padmanabhanvardhini analysisofpretermpregnanciesusingempiricalmodedecompositionbasedfractalfeatures
AT namaduraipunitha analysisofpretermpregnanciesusingempiricalmodedecompositionbasedfractalfeatures
AT swaminathanramakrishnan analysisofpretermpregnanciesusingempiricalmodedecompositionbasedfractalfeatures