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首页> 外文期刊>The Journal of maternal-fetal medicine >SisPorto 2.0: a program for automated analysis of cardiotocograms.
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SisPorto 2.0: a program for automated analysis of cardiotocograms.

机译：SisPorto 2.0：用于自动分析心电图的程序。

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OBJECTIVE: To describe the latest version of SisPorto, a program for automated analysis of cardiotocograms that closely follows the FIGO guidelines, analyses ante- and intrapartum tracings, performs no signal reduction, and has the possibility of simultaneously recording twins. METHODS: A detailed description of the program's processing algorithms and operation is provided, as well as the main results of the studies performed to-date with this system. RESULTS: Considering both current and previous versions of the program, SisPorto has been tested in over 6000 pregnancies. The system's FHR baseline was compared with an average of three experts' estimates, and the difference was under 8 bpm in all cases. A fair to good agreement was found with experts' identification of accelerations, decelerations, contractions, and normal/reduced variability (proportions of agreement 0.64-0.89). In a preliminary validity study (n = 85), a sensitivity of 100% and a specificity of 99% were obtained in prediction of poor neonatal outcome. The system is currently undergoing an international multicentre validation study. CONCLUSIONS: Although still at the research level, a considerable experience has now been gathered with this system. Promising results have been achieved in studies comparing SisPorto with experts' analysis and in those evaluating the validity of the system.
机译：目的：描述最新版本的SisPorto，这是一种自动执行心电图分析的程序，该程序紧密遵循FIGO准则，分析产前和产后描迹，不降低信号强度，并可以同时记录双胞胎。方法：提供了程序处理算法和操作的详细说明，以及迄今为止使用该系统进行的研究的主要结果。结果：考虑到该程序的当前版本和以前的版本，SisPorto已在6000多个怀孕中进行了测试。将系统的FHR基线与三位专家的估计平均值进行比较，并且在所有情况下差异均低于8 bpm。在专家鉴定加速度，减速度，收缩率和正常/减小的可变性方面，发现了相当好的协议（协议的比例为0.64-0.89）。在一项初步的有效性研究中（n = 85），在预测不良的新生儿结局时，灵敏度为100％，特异性为99％。该系统目前正在进行国际多中心验证研究。结论：尽管仍处于研究阶段，但该系统现已积累了相当多的经验。在将SisPorto与专家分析进行比较的研究以及评估系统有效性的研究中均取得了可喜的结果。

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