Deep learning identifies cardiac coupling between mother and fetus during gestation

<p>In the last two decades, stillbirth has caused around 2 million fetal deaths worldwide. Although current ultrasound tools are reliably used for the assessment of fetal growth during pregnancy, it still raises safety issues on the fetus, requires skilled providers, and has economic concerns...

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Main Authors: Alkhodari, M, Widatalla, N, Wahbah, M, Al Sakaji, R, Funamoto, K, Krishnan, A, Kimura, Y, Khandoker, AH
格式: Journal article
语言:English
出版: Frontiers Media 2022
_version_ 1826309169278353408
author Alkhodari, M
Widatalla, N
Wahbah, M
Al Sakaji, R
Funamoto, K
Krishnan, A
Kimura, Y
Khandoker, AH
author_facet Alkhodari, M
Widatalla, N
Wahbah, M
Al Sakaji, R
Funamoto, K
Krishnan, A
Kimura, Y
Khandoker, AH
author_sort Alkhodari, M
collection OXFORD
description <p>In the last two decades, stillbirth has caused around 2 million fetal deaths worldwide. Although current ultrasound tools are reliably used for the assessment of fetal growth during pregnancy, it still raises safety issues on the fetus, requires skilled providers, and has economic concerns in less developed countries. Here, we propose deep coherence, a novel artificial intelligence (AI) approach that relies on 1 min non-invasive electrocardiography (ECG) to explain the association between maternal and fetal heartbeats during pregnancy. We validated the performance of this approach using a trained deep learning tool on a total of 941 one minute maternal-fetal R-peaks segments collected from 172 pregnant women (20–40 weeks). The high accuracy achieved by the tool (90%) in identifying coupling scenarios demonstrated the potential of using AI as a monitoring tool for frequent evaluation of fetal development. The interpretability of deep learning was significant in explaining synchronization mechanisms between the maternal and fetal heartbeats. This study could potentially pave the way toward the integration of automated deep learning tools in clinical practice to provide timely and continuous fetal monitoring while reducing triage, side-effects, and costs associated with current clinical devices.</p>
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spelling oxford-uuid:4ccc11db-c5ad-42f1-b0c5-b02a5bd8118c2023-01-16T11:54:29ZDeep learning identifies cardiac coupling between mother and fetus during gestationJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4ccc11db-c5ad-42f1-b0c5-b02a5bd8118cEnglishSymplectic ElementsFrontiers Media2022Alkhodari, MWidatalla, NWahbah, MAl Sakaji, RFunamoto, KKrishnan, AKimura, YKhandoker, AH<p>In the last two decades, stillbirth has caused around 2 million fetal deaths worldwide. Although current ultrasound tools are reliably used for the assessment of fetal growth during pregnancy, it still raises safety issues on the fetus, requires skilled providers, and has economic concerns in less developed countries. Here, we propose deep coherence, a novel artificial intelligence (AI) approach that relies on 1 min non-invasive electrocardiography (ECG) to explain the association between maternal and fetal heartbeats during pregnancy. We validated the performance of this approach using a trained deep learning tool on a total of 941 one minute maternal-fetal R-peaks segments collected from 172 pregnant women (20–40 weeks). The high accuracy achieved by the tool (90%) in identifying coupling scenarios demonstrated the potential of using AI as a monitoring tool for frequent evaluation of fetal development. The interpretability of deep learning was significant in explaining synchronization mechanisms between the maternal and fetal heartbeats. This study could potentially pave the way toward the integration of automated deep learning tools in clinical practice to provide timely and continuous fetal monitoring while reducing triage, side-effects, and costs associated with current clinical devices.</p>
spellingShingle Alkhodari, M
Widatalla, N
Wahbah, M
Al Sakaji, R
Funamoto, K
Krishnan, A
Kimura, Y
Khandoker, AH
Deep learning identifies cardiac coupling between mother and fetus during gestation
title Deep learning identifies cardiac coupling between mother and fetus during gestation
title_full Deep learning identifies cardiac coupling between mother and fetus during gestation
title_fullStr Deep learning identifies cardiac coupling between mother and fetus during gestation
title_full_unstemmed Deep learning identifies cardiac coupling between mother and fetus during gestation
title_short Deep learning identifies cardiac coupling between mother and fetus during gestation
title_sort deep learning identifies cardiac coupling between mother and fetus during gestation
work_keys_str_mv AT alkhodarim deeplearningidentifiescardiaccouplingbetweenmotherandfetusduringgestation
AT widatallan deeplearningidentifiescardiaccouplingbetweenmotherandfetusduringgestation
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AT alsakajir deeplearningidentifiescardiaccouplingbetweenmotherandfetusduringgestation
AT funamotok deeplearningidentifiescardiaccouplingbetweenmotherandfetusduringgestation
AT krishnana deeplearningidentifiescardiaccouplingbetweenmotherandfetusduringgestation
AT kimuray deeplearningidentifiescardiaccouplingbetweenmotherandfetusduringgestation
AT khandokerah deeplearningidentifiescardiaccouplingbetweenmotherandfetusduringgestation