Evidence mapPaperPMID 39367993Full record

ArticleInterdisciplinary sciences, computational life sciences2024

A Pragmatic Approach to Fetal Monitoring via Cardiotocography Using Feature Elimination and Hyperparameter Optimization.

Fırat Hardalaç, Haad Akmal, Kubilay Ayturan, U Rajendra Acharya, Ru-San Tan

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Article in Interdisciplinary sciences, computational life sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fırat HardalaçDepartment of Electrical Electronics Engineering, Gazi University, 06560, Ankara, Türkiye.
Haad AkmalDepartment of Electrical Electronics Engineering, Gazi University, 06560, Ankara, Türkiye. haad.akmal@gazi.edu.tr.ORCID http://orcid.org/0000-0003-3666-3888
Kubilay AyturanDepartment of Electrical Electronics Engineering, Gazi University, 06560, Ankara, Türkiye.
U Rajendra AcharyaArtificial Intelligence Applications Laboratory, School of Mathematics, Physics, and Computing, University of Southern Queensland, Springfield, QLD, 4300, Australia.
Ru-San TanNational Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, 169609, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiotocography (CTG) is used to assess the health of the fetus during birth or antenatally in the third trimester. It concurrently detects the maternal uterine contractions (UC) and fetal heart rate (FHR). Fetal distress, which may require therapeutic intervention, can be diagnosed using baseline FHR and its reaction to uterine contractions. Using CTG, a pragmatic machine learning strategy based on feature reduction and hyperparameter optimization was suggested in this study to classify the various fetal states (Normal, Suspect, Pathological). An application of this strategy can be a decision support tool to manage pregnancies. On a public dataset of 2126 CTG recordings, the model was assessed using various standard CTG dataset specific and relevant classifiers. The classifiers' accuracy was improved by the proposed method. The model accuracy was increased to 97.20% while using Random Forest (best classifier). Practically speaking, the model was able to correctly predict 100% of all pathological cases and 98.8% of all normal cases in the dataset. The proposed model was also implemented on another public CTG dataset having 552 CTG signals, resulting in a 97.34% accuracy. If integrated with telemedicine, this proposed model could also be used for long-distance "stay at home" fetal monitoring in high-risk pregnancies.

Indexed as

CardiotocographyMachine LearningAlgorithmsFemaleFetal MonitoringHeart Rate, FetalHumansPregnancyCardiotocographyClassificationFeature eliminationFetal wellbeingHyperparameter optimizationMachine learning

Identifiers

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.