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首页> 外文期刊>Acta Obstetricia et Gynecologica Scandinavica: Official Publication of the Nordisk Forening for Obstetrik och Gynekologi >Computer‐based intrapartum fetal monitoring and beyond: A review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK)
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Computer‐based intrapartum fetal monitoring and beyond: A review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK)

机译：基于计算机的胎儿监测及更大：审查第二次劳动力处理和劳动监测研讨会（2017年10月，牛津，英国）

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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.
机译：摘要劳动车间中的第二个信号处理和监测聚集了利用具有新研究策略和倡议的研究人员来解决胎儿监测的挑战。该研讨会包括一系列专注的讲座和讨论：心电图（CTG）和心电图采集和分析的新算法和技术; CTG评估挑战的结果比较了最先进的计算机化方法和视觉解释对出生时的检测动脉瓣pHββ≤j≤1.7.05;缺乏对胎儿血症患者在胎脑损伤病因的共识; CTG分析方法的差异“模仿”专家临床医生和衍生自“数据驱动”分析的差异;对两种随机对照试验的结果审查，在临床实践中测试前者;与现代生理学研究的相关见解。我们得出结论，自动化算法相互作用，彼此相互作用并对CTG的临床评估进行临床评估。然而，迫切需要改进的敏感性和特异性（计算机化和视觉评估）。数据驱动的CTG评估需要基于明确的劳动力结果进一步处理大型多中心数据集。在诊所的第一次测试之前，从测试专家CTG解释的自动化算法测试的临床试验中，存在重要的教训。此外，Transabominal胎儿心电图监测提供可靠的CTG迹线和可变性估计值;胎儿心电图波形分析受到有前途的新研究。有明确需要在计算和临床专家之间密切合​​作。我们相信，多学科协作研究将有可能。

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