Computer-based intrapartum fetal monitoring and beyond: a review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK)

Antoniya Georgieva, Patrice Abry, Václav Chudáček, Petar M. Djurić, Martin G. Frasch, René Kok, Christopher A. Lear, Sebastiaan N. Lemmens, Inês Nunes, Aris T. Papageorghiou, Gerald J. Quirk, Christopher W.G. Redman, Barry Schifrin, Jiri Spilka, Austin Ugwumadu, Rik Vullings (Corresponding author)

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The second Signal Processing and Monitoring in Labor workshop gathered researchers who utilize promising new research strategies and initiatives to tackle the challenges of intrapartum fetal monitoring. The workshop included a series of lectures and discussions focusing on: new algorithms and techniques for cardiotocogoraphy (CTG) and electrocardiogram acquisition and analyses; the results of a CTG evaluation challenge comparing state-of-the-art computerized methods and visual interpretation for the detection of arterial cord pH <7.05 at birth; the lack of consensus about the role of intrapartum acidemia in the etiology of fetal brain injury; the differences between methods for CTG analysis “mimicking” expert clinicians and those derived from “data-driven” analyses; a critical review of the results from two randomized controlled trials testing the former in clinical practice; and relevant insights from modern physiology-based studies. We concluded that the automated algorithms performed comparably to each other and to clinical assessment of the CTG. However, the sensitivity and specificity urgently need to be improved (both computerized and visual assessment). Data-driven CTG evaluation requires further work with large multicenter datasets based on well-defined labor outcomes. And before first tests in the clinic, there are important lessons to be learnt from clinical trials that tested automated algorithms mimicking expert CTG interpretation. In addition, transabdominal fetal electrocardiogram monitoring provides reliable CTG traces and variability estimates; and fetal electrocardiogram waveform analysis is subject to promising new research. There is a clear need for close collaboration between computing and clinical experts. We believe that progress will be possible with multidisciplinary collaborative research.

LanguageEnglish
Pages1207-1217
JournalActa Obstetricia et Gynecologica Scandinavica
Volume98
Issue number9
DOIs
StatePublished - 13 May 2019

Fingerprint

Fetal Monitoring
Electrocardiography
Education
Research
Brain Injuries
Randomized Controlled Trials
Research Personnel
Clinical Trials
Parturition
Sensitivity and Specificity

Keywords

  • artificial intelligence
  • cardiotocography
  • electronic fetal monitoring
  • health data
  • hypoxic-ischemic encephalopathy
  • intrapartum care
  • sensitivity
  • specificity

Cite this

Georgieva, Antoniya ; Abry, Patrice ; Chudáček, Václav ; Djurić, Petar M. ; Frasch, Martin G. ; Kok, René ; Lear, Christopher A. ; Lemmens, Sebastiaan N. ; Nunes, Inês ; Papageorghiou, Aris T. ; Quirk, Gerald J. ; Redman, Christopher W.G. ; Schifrin, Barry ; Spilka, Jiri ; Ugwumadu, Austin ; Vullings, Rik. / Computer-based intrapartum fetal monitoring and beyond : a review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK). In: Acta Obstetricia et Gynecologica Scandinavica. 2019 ; Vol. 98, No. 9. pp. 1207-1217
@article{74e833193c69436e9528ffb873cb9ee7,
title = "Computer-based intrapartum fetal monitoring and beyond: a review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK)",
abstract = "The second Signal Processing and Monitoring in Labor workshop gathered researchers who utilize promising new research strategies and initiatives to tackle the challenges of intrapartum fetal monitoring. The workshop included a series of lectures and discussions focusing on: new algorithms and techniques for cardiotocogoraphy (CTG) and electrocardiogram acquisition and analyses; the results of a CTG evaluation challenge comparing state-of-the-art computerized methods and visual interpretation for the detection of arterial cord pH <7.05 at birth; the lack of consensus about the role of intrapartum acidemia in the etiology of fetal brain injury; the differences between methods for CTG analysis “mimicking” expert clinicians and those derived from “data-driven” analyses; a critical review of the results from two randomized controlled trials testing the former in clinical practice; and relevant insights from modern physiology-based studies. We concluded that the automated algorithms performed comparably to each other and to clinical assessment of the CTG. However, the sensitivity and specificity urgently need to be improved (both computerized and visual assessment). Data-driven CTG evaluation requires further work with large multicenter datasets based on well-defined labor outcomes. And before first tests in the clinic, there are important lessons to be learnt from clinical trials that tested automated algorithms mimicking expert CTG interpretation. In addition, transabdominal fetal electrocardiogram monitoring provides reliable CTG traces and variability estimates; and fetal electrocardiogram waveform analysis is subject to promising new research. There is a clear need for close collaboration between computing and clinical experts. We believe that progress will be possible with multidisciplinary collaborative research.",
keywords = "artificial intelligence, cardiotocography, electronic fetal monitoring, health data, hypoxic-ischemic encephalopathy, intrapartum care, sensitivity, specificity",
author = "Antoniya Georgieva and Patrice Abry and V{\'a}clav Chud{\'a}ček and Djurić, {Petar M.} and Frasch, {Martin G.} and Ren{\'e} Kok and Lear, {Christopher A.} and Lemmens, {Sebastiaan N.} and In{\^e}s Nunes and Papageorghiou, {Aris T.} and Quirk, {Gerald J.} and Redman, {Christopher W.G.} and Barry Schifrin and Jiri Spilka and Austin Ugwumadu and Rik Vullings",
year = "2019",
month = "5",
day = "13",
doi = "10.1111/aogs.13639",
language = "English",
volume = "98",
pages = "1207--1217",
journal = "Acta Obstetricia et Gynecologica Scandinavica",
issn = "0001-6349",
publisher = "Wiley-Blackwell",
number = "9",

}

Georgieva, A, Abry, P, Chudáček, V, Djurić, PM, Frasch, MG, Kok, R, Lear, CA, Lemmens, SN, Nunes, I, Papageorghiou, AT, Quirk, GJ, Redman, CWG, Schifrin, B, Spilka, J, Ugwumadu, A & Vullings, R 2019, 'Computer-based intrapartum fetal monitoring and beyond: a review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK)' Acta Obstetricia et Gynecologica Scandinavica, vol. 98, no. 9, pp. 1207-1217. DOI: 10.1111/aogs.13639

Computer-based intrapartum fetal monitoring and beyond : a review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK). / Georgieva, Antoniya; Abry, Patrice; Chudáček, Václav; Djurić, Petar M.; Frasch, Martin G.; Kok, René; Lear, Christopher A.; Lemmens, Sebastiaan N.; Nunes, Inês; Papageorghiou, Aris T.; Quirk, Gerald J.; Redman, Christopher W.G.; Schifrin, Barry; Spilka, Jiri; Ugwumadu, Austin; Vullings, Rik (Corresponding author).

In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 98, No. 9, 13.05.2019, p. 1207-1217.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Computer-based intrapartum fetal monitoring and beyond

T2 - Acta Obstetricia et Gynecologica Scandinavica

AU - Georgieva,Antoniya

AU - Abry,Patrice

AU - Chudáček,Václav

AU - Djurić,Petar M.

AU - Frasch,Martin G.

AU - Kok,René

AU - Lear,Christopher A.

AU - Lemmens,Sebastiaan N.

AU - Nunes,Inês

AU - Papageorghiou,Aris T.

AU - Quirk,Gerald J.

AU - Redman,Christopher W.G.

AU - Schifrin,Barry

AU - Spilka,Jiri

AU - Ugwumadu,Austin

AU - Vullings,Rik

PY - 2019/5/13

Y1 - 2019/5/13

N2 - The second Signal Processing and Monitoring in Labor workshop gathered researchers who utilize promising new research strategies and initiatives to tackle the challenges of intrapartum fetal monitoring. The workshop included a series of lectures and discussions focusing on: new algorithms and techniques for cardiotocogoraphy (CTG) and electrocardiogram acquisition and analyses; the results of a CTG evaluation challenge comparing state-of-the-art computerized methods and visual interpretation for the detection of arterial cord pH <7.05 at birth; the lack of consensus about the role of intrapartum acidemia in the etiology of fetal brain injury; the differences between methods for CTG analysis “mimicking” expert clinicians and those derived from “data-driven” analyses; a critical review of the results from two randomized controlled trials testing the former in clinical practice; and relevant insights from modern physiology-based studies. We concluded that the automated algorithms performed comparably to each other and to clinical assessment of the CTG. However, the sensitivity and specificity urgently need to be improved (both computerized and visual assessment). Data-driven CTG evaluation requires further work with large multicenter datasets based on well-defined labor outcomes. And before first tests in the clinic, there are important lessons to be learnt from clinical trials that tested automated algorithms mimicking expert CTG interpretation. In addition, transabdominal fetal electrocardiogram monitoring provides reliable CTG traces and variability estimates; and fetal electrocardiogram waveform analysis is subject to promising new research. There is a clear need for close collaboration between computing and clinical experts. We believe that progress will be possible with multidisciplinary collaborative research.

AB - The second Signal Processing and Monitoring in Labor workshop gathered researchers who utilize promising new research strategies and initiatives to tackle the challenges of intrapartum fetal monitoring. The workshop included a series of lectures and discussions focusing on: new algorithms and techniques for cardiotocogoraphy (CTG) and electrocardiogram acquisition and analyses; the results of a CTG evaluation challenge comparing state-of-the-art computerized methods and visual interpretation for the detection of arterial cord pH <7.05 at birth; the lack of consensus about the role of intrapartum acidemia in the etiology of fetal brain injury; the differences between methods for CTG analysis “mimicking” expert clinicians and those derived from “data-driven” analyses; a critical review of the results from two randomized controlled trials testing the former in clinical practice; and relevant insights from modern physiology-based studies. We concluded that the automated algorithms performed comparably to each other and to clinical assessment of the CTG. However, the sensitivity and specificity urgently need to be improved (both computerized and visual assessment). Data-driven CTG evaluation requires further work with large multicenter datasets based on well-defined labor outcomes. And before first tests in the clinic, there are important lessons to be learnt from clinical trials that tested automated algorithms mimicking expert CTG interpretation. In addition, transabdominal fetal electrocardiogram monitoring provides reliable CTG traces and variability estimates; and fetal electrocardiogram waveform analysis is subject to promising new research. There is a clear need for close collaboration between computing and clinical experts. We believe that progress will be possible with multidisciplinary collaborative research.

KW - artificial intelligence

KW - cardiotocography

KW - electronic fetal monitoring

KW - health data

KW - hypoxic-ischemic encephalopathy

KW - intrapartum care

KW - sensitivity

KW - specificity

UR - http://www.scopus.com/inward/record.url?scp=85068075001&partnerID=8YFLogxK

U2 - 10.1111/aogs.13639

DO - 10.1111/aogs.13639

M3 - Article

VL - 98

SP - 1207

EP - 1217

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

SN - 0001-6349

IS - 9

ER -