Fetal health classification from cardiotocographic data using machine learning
Abolfazl Mehbodniya
Department of Electronics and Communications Engineering, Kuwait College of Science and Technology, Kuwait, Kuwait
Search for more papers by this authorArokia Jesu Prabhu Lazar
Department of Computer Science and Engineering, CMR Institute of Technology, Hyderabad, India
Search for more papers by this authorDilip Kumar Sharma
Department of Mathematics, Jaypee University of Engineering and Technology, Guna, Madhya Pradesh, India
Search for more papers by this authorSanthosh Jayagopalan
Department of Computer Science and Engineering, Vel Tech Rangarajan Dr. Sagunthala R&D Institute of Science and Technology, Chennai, Tamil Nadu, India
Search for more papers by this authorKousalya K
Department of Computer Science and Engineering, Kongu Engineering College, Perundurai, Tamil Nadu, India
Search for more papers by this authorPallavi Singh
School of Allied Health Sciences, Jaipur National University, Jaipur, Rajasthan, India
Search for more papers by this authorRegin Rajan
Department of Computer Science and Engineering, Adhiyamaan College of Engineering, Hosur, Tamil Nadu, India
Search for more papers by this authorSharnil Pandya
Department of CSIT and AIML, Symbiosis International University, Pune, Maharashtra, India
Search for more papers by this authorCorresponding Author
Sudhakar Sengan
Department of Computer Science and Engineering, PSN College of Engineering and Technology, Tirunelveli, Tamil Nadu, India
Correspondence
Sudhakar Sengan, Department of Computer Science and Engineering, PSN College of Engineering and Technology, Tirunelveli–627152, Tamil Nadu, India.
Email: [email protected]
Search for more papers by this authorAbolfazl Mehbodniya
Department of Electronics and Communications Engineering, Kuwait College of Science and Technology, Kuwait, Kuwait
Search for more papers by this authorArokia Jesu Prabhu Lazar
Department of Computer Science and Engineering, CMR Institute of Technology, Hyderabad, India
Search for more papers by this authorDilip Kumar Sharma
Department of Mathematics, Jaypee University of Engineering and Technology, Guna, Madhya Pradesh, India
Search for more papers by this authorSanthosh Jayagopalan
Department of Computer Science and Engineering, Vel Tech Rangarajan Dr. Sagunthala R&D Institute of Science and Technology, Chennai, Tamil Nadu, India
Search for more papers by this authorKousalya K
Department of Computer Science and Engineering, Kongu Engineering College, Perundurai, Tamil Nadu, India
Search for more papers by this authorPallavi Singh
School of Allied Health Sciences, Jaipur National University, Jaipur, Rajasthan, India
Search for more papers by this authorRegin Rajan
Department of Computer Science and Engineering, Adhiyamaan College of Engineering, Hosur, Tamil Nadu, India
Search for more papers by this authorSharnil Pandya
Department of CSIT and AIML, Symbiosis International University, Pune, Maharashtra, India
Search for more papers by this authorCorresponding Author
Sudhakar Sengan
Department of Computer Science and Engineering, PSN College of Engineering and Technology, Tirunelveli, Tamil Nadu, India
Correspondence
Sudhakar Sengan, Department of Computer Science and Engineering, PSN College of Engineering and Technology, Tirunelveli–627152, Tamil Nadu, India.
Email: [email protected]
Search for more papers by this authorAbstract
Health complications during the gestation period have evolved as a global issue. These complications sometimes result in the mortality of the fetus, which is more prevalent in developing and underdeveloped countries. The genesis of machine learning (ML) algorithms in the healthcare domain have brought remarkable progress in disease diagnosis, treatment, and prognosis. This research deploys various ML algorithms to predict fetal health from the cardiotocographic (CTG) data by labelling the health state into normal, needs guarantee, and pathology. This work assesses the influence of various factors measured through CTG to predict the health state of the fetus through algorithms like support vector machine, random forest (RF), multi-layer perceptron, and K-nearest neighbours. In addition to this, the regression analysis and correlation analysis revealed the influence of the attributes on fetal health. The results of the algorithms show that RF performs better than its peers in terms of accuracy, precision, recall, F1-score, and support. This work can further enhance more promising results by performing suitable feature engineering in the CTG data.
CONFLICT OF INTEREST
The authors show no conflict of interest to submit this paper to this journal.
Open Research
DATA AVAILABILITY STATEMENT
Data sharing is not applicable to this article as no new data were created or analyzed in this study.
REFERENCES
- Akhtar, F., Li, J., Azeem, M., Chen, S., Pan, H., Wang, Q., & Yang, J. J. (2019). Effective large for gestational age prediction using machine learning techniques with monitoring biochemical indicators. The Journal of Supercomputing, 76, 1–9.
- Arif, M. (2015). Classification of cardiotocograms using random forest classifier and selection of important features from cardiotocogram signal. Biomaterials and Biomechanics in Bioengineering, 2(3), 173–183.
10.12989/bme.2015.2.3.173 Google Scholar
- Ayres-de-Campos, D., Bernardes, J., Garrido, A., Marques-de-Sa, J., & Pereira-Leite, L. (2000). SisPorto 2.0: A program for automated analysis of cardiotocograms. Journal of Maternal-Fetal Medicine, 9(5), 311–318.
- Azar, A. T. (2014). Neuro-fuzzy feature selection approach based on linguistic hedges for medical diagnosis. International Journal of Modelling, Identification and Control, 22(3), 195–206.
10.1504/IJMIC.2014.065338 Google Scholar
- Cömert, Z., Şengür, A., Budak, Ü., & Kocamaz, A. F. (2019). Prediction of intrapartum fetal hypoxia considering feature selection algorithms and machine learning models. Health Information Science and Systems, 7(1), 1–9.
- Das, S., Mukherjee, H., Santosh, K. C., Saha, C. K., & Roy, K. (2020). Periodic change detection in fetal heart rate using Cardiotocograph. In IEEE 33rd international symposium on computer-based medical systems (CBMS) (pp. 104–109). Rochester, MN: IEEE.
10.1109/CBMS49503.2020.00027 Google Scholar
- Garcia-Canadilla, P., Sanchez-Martinez, S., Crispi, F., & Bijnens, B. (2020). Machine learning in fetal cardiology: What to expect. Fetal Diagnosis and Therapy, 47(5), 363–372.
- Ingemarsson, I. (2009). Fetal monitoring during labor. Neonatology, 95, No. 4, 342–346.
10.1159/000209299 Google Scholar
- Jezewski, M., Czabanski, R., Wróbel, J., & Horoba, K. (2010). Analysis of extracted cardiotocographic signal features to improve automated prediction of fetal outcome. Biocybernetics and Biomedical Engineering, 30(4), 29–47.
- Kermany, D. S., Goldbaum, M., & Cai, W. (2018). Identifying medical diagnoses and treatable diseases by image-based deep learning. Cell, 172(5), 1122–1131.
- Lu, C., Zhu, Z., & Gu, X. (2014). An intelligent system for lung cancer diagnosis using a new genetic algorithm-based feature selection method. Journal of Medical Systems, 38(9), 1–9.
- Magenes, G., & Signorini, M. G. (2021). Cardiotocography for fetal monitoring: Technical and methodological aspects. In In innovative technologies and signal processing in perinatal medicine (pp. 73–97). Springer.
10.1007/978-3-030-54403-4_4 Google Scholar
- Moshfegh, A., Javadzadegan, A., Mohammadi, M., Ravipudi, L., Cheng, S., & Martins, R. (2019). Development of an innovative technology to segment luminal borders of intravascular ultrasound image sequences in a fully automated manner. Computers in Biology and Medicine, 108, 111–121.
- National Institutes of Health, WHAT are some common complications of pregnancy? US Department of Health and Human Services: https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/pages/complications.
- Nguyen, G. N., Son, L. H., Ashour, A. S., & Dey, N. (2019). A survey of the state-of-the-art on neutrosophic sets in biomedical diagnoses. International Journal of Machine Learning and Cybernetics, 10(1), 1–13.
- Office on Women's Health, Pregnancy Complications, US Department of Health and Human Services https://www.womenshealth.gov/pregnancy/youre-pregnant-nowwhat/pregnancy-complications, 2021.
- Piri, J., Mohapatra, P. & Dey, R. (2020). Fetal health status classification using MOGA-CD based feature selection approach. IEEE international conference on electronics, computing and communication technologies (CONECCT), 1–6. https://doi.org/10.1109/CONECCT50063.2020.9198377
10.1109/CONECCT50063.2020.9198377 Google Scholar
- Qu, R., Xu, G., Ding, C., Jia, W., & Sun, M. (2020). Standard plane identification in fetal brain ultrasound scans using a differential convolutional neural network. IEEE Access, 8, 83821–83830.
- Quilligan, E. J., & Paul, R. H. (1975). Fetal monitoring: Is it worth it? Obstetrics and Gynecology, 45(1), 96–100.
- Rehman, U., Xiao, D., Kulsoom, A., Hashmi, M. A., & Abbas, S. A. (2019). Block mode image encryption technique using two-fold operations based on chaos, MD5 and DNA rules. Multimedia Tools Applications, 78(7), 9355–9382.
- Ricciardi, C., Improta, G., Amato, F., Cesarelli, G., & Romano, M. (2020). Classifying the type of delivery from cardiotocographic signals: A machine learning approach. Computer Methods and Programs in Biomedicine, 196, 105712.
- Sharanya, S., & Venkataraman, R. (2020). An intelligent context-based multi-layered Bayesian inferential, predictive analytic framework for classifying machine states. Journal of Ambient Intelligence and Humanized Computing, 12, 1–9.
- Signorini, M. G., Pini, N., Malovini, A., Bellazzi, R., & Magenes, G. (2020). Integrating machine learning techniques and physiology-based heart rate features for antepartum fetal monitoring. Computer Methods and Programs in Biomedicine, 185, 105015.
- Sridar, P., Kumar, A., Quinton, A., Nanan, R., Kim, J., & Krishnakumar, R. (2019). Decision fusion-based fetal ultrasound image plane classification using convolutional neural networks. Ultrasound in Medicine & Biology, 45(5), 1259–1273.
- Stoean, R., & Stoean, C. (2013). Modeling medical decision making by support vector machines, explaining by rules of evolutionary algorithms with feature selection. Expert Systems with Applications, 40(7), 2677–2686.
- Tahir, N., Hassan, A., Asif, M., & Ahmad, S. (2019). MCD: Mutually connected community detection using clustering coefficient approach in social networks. Proceedings of 2nd International Conference on Communication, Computing and Digital Systems (C-CODE), Islamabad, Pakistan, 160–165. https://doi.org/10.1109/C-CODE.2019.8680980
10.1109/C-CODE.2019.8680980 Google Scholar
- Torrents-Barrena, J., Piella, G., Masoller, N., Gratacós, E., Eixarch, E., Ceresa, M., & Ballester, M. Á. G. (2019). Segmentation and classification in MRI and US fetal imaging: Recent trends and future prospects. Medical Image Analysis, 51, 61–88.
- Wanriko, S., Hnoohom, N., Wongpatikaseree, K., Jitpattanakul, A., & Musigavong, O. (2021). Risk assessment of pregnancy-induced hypertension using a machine learning approach. Joint International Conference on Digital Arts, Media and Technology with ECTI Northern Section Conference on Electrical, Electronics, Computer and Telecommunication Engineering, 233–237. https://doi.org/10.1109/ECTIDAMTNCON51128.2021.9425764
10.1109/ECTIDAMTNCON51128.2021.9425764 Google Scholar
- WHO. Int. 2021. Maternal mortality. http://www.who.int/mediacentre/factsheets/fs348/en/