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1.
Australas Phys Eng Sci Med ; 40(2): 413-425, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28409335

RESUMO

Localization of interictal spikes is an important clinical step in the pre-surgical assessment of pharmacoresistant epileptic patients. The manual selection of interictal spike periods is cumbersome and involves a considerable amount of analysis workload for the physician. The primary focus of this paper is to automate the detection of interictal spikes for clinical applications in epilepsy localization. The epilepsy localization procedure involves detection of spikes in a multichannel EEG epoch. Therefore, a multichannel Time-Frequency (T-F) entropy measure is proposed to extract features related to the interictal spike activity. Least squares support vector machine is used to train the proposed feature to classify the EEG epochs as either normal or interictal spike period. The proposed T-F entropy measure, when validated with epilepsy dataset of 15 patients, shows an interictal spike classification accuracy of 91.20%, sensitivity of 100% and specificity of 84.23%. Moreover, the area under the curve of Receiver Operating Characteristics plot of 0.9339 shows the superior classification performance of the proposed T-F entropy measure. The results of this paper show a good spike detection accuracy without any prior information about the spike morphology.


Assuntos
Potenciais de Ação/fisiologia , Eletroencefalografia/métodos , Entropia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Curva ROC , Máquina de Vetores de Suporte , Fatores de Tempo , Análise de Ondaletas
2.
Technol Health Care ; 24(6): 783-794, 2016 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-27315149

RESUMO

BACKGROUND: The fetal electrocardiogram (FECG) signals are essential to monitor the health condition of the baby. Fetal heart rate (FHR) is commonly used for diagnosing certain abnormalities in the formation of the heart. Usually, non-invasive abdominal electrocardiogram (AbECG) signals are obtained by placing surface electrodes in the abdomen region of the pregnant woman. AbECG signals are often not suitable for the direct analysis of fetal heart activity. Moreover, the strength and magnitude of the FECG signals are low compared to the maternal electrocardiogram (MECG) signals. The MECG signals are often superimposed with the FECG signals that make the monitoring of FECG signals a difficult task. OBJECTIVE: Primary goal of the paper is to separate the fetal electrocardiogram (FECG) signals from the unwanted maternal electrocardiogram (MECG) signals. METHOD: A multivariate signal processing procedure is proposed here that combines the Multivariate Empirical Mode Decomposition (MEMD) and Independent Component Analysis (ICA). RESULTS: The proposed method is evaluated with clinical abdominal signals taken from three pregnant women (N= 3) recorded during the 38-41 weeks of the gestation period. The number of fetal R-wave detected (NEFQRS), the number of unwanted maternal peaks (NMQRS), the number of undetected fetal R-wave (NUFQRS) and the FHR detection accuracy quantifies the performance of our method. Clinical investigation with three test subjects shows an overall detection accuracy of 92.8%. CONCLUSION: Comparative analysis with benchmark signal processing method such as ICA suggests the noteworthy performance of our method.


Assuntos
Eletrocardiografia/métodos , Eletrocardiografia/estatística & dados numéricos , Monitorização Fetal/métodos , Monitorização Fetal/estatística & dados numéricos , Frequência Cardíaca Fetal/fisiologia , Relações Materno-Fetais/fisiologia , Processamento de Sinais Assistido por Computador , Adulto , Algoritmos , Feminino , Humanos , Gravidez
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