Open access intrapartum CTG database.

Open access intrapartum CTG database.
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DOI:
10.1186/1471-2393-14-16
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发表时间:
2014-01-13
影响因子:
3.1
通讯作者:
Lhotská L
Lhotská L
中科院分区:
医学3区
文献类型:
--
作者:
Chudáček V;Spilka J;Burša M;Janků P;Hruban L;Huptych M;Lhotská L

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胎儿宫缩描记术(CTG)是一种监测胎儿心率和子宫收缩的方法。自1960年以来,产科医生经常使用它来评估胎儿的健康状况。在过去的20年中,出现了许多尝试引入自动信号处理和评估方法的尝试,但是仍然没有与成人心率变异性领域类似的显著进展,其中开放访问数据库可用(例如MIT-BIH)。根据本文对有关出版物的彻底审查,目前状况的缺点是显而易见的。临床医生和技术人员在该领域缺乏共同点阻碍了临床可用的进展。我们的数字化产时心电分娩记录的开放获取数据库旨在改变这种情况。产时CTG数据库共包括552个产时记录,这些记录是2010年4月至2012年8月在捷克共和国布尔诺大学医院产科病房获得的。所有记录均以电子形式存储在OB TraceVue®系统中。这些记录是从9164个产时记录中选择的,考虑到临床和技术因素。所有录音最长不超过90分钟,并在分娩前最多90分钟开始。CTG与分娩的时间关系以及不超过30分钟的第二产程的长度是已知的。大多数记录(除了46例剖腹产)都是故意的阴道分娩。所有记录都有可用的生化标志物以及一些更一般的临床特征。文中给出了数据库的完整描述和参数选择的推理过程。一个新的开放访问CTG数据库的介绍,这应该给研究界的共同点比较结果的合理的大型数据库。我们预计,在阅读论文后,读者将从临床和技术角度了解该领域的背景,这将使他/她能够使用数据库并了解其局限性。
Cardiotocography (CTG) is a monitoring of fetal heart rate and uterine contractions. Since 1960 it is routinely used by obstetricians to assess fetal well-being. Many attempts to introduce methods of automatic signal processing and evaluation have appeared during the last 20 years, however still no significant progress similar to that in the domain of adult heart rate variability, where open access databases are available (e.g. MIT-BIH), is visible. Based on a thorough review of the relevant publications, presented in this paper, the shortcomings of the current state are obvious. A lack of common ground for clinicians and technicians in the field hinders clinically usable progress. Our open access database of digital intrapartum cardiotocographic recordings aims to change that. The intrapartum CTG database consists in total of 552 intrapartum recordings, which were acquired between April 2010 and August 2012 at the obstetrics ward of the University Hospital in Brno, Czech Republic. All recordings were stored in electronic form in the OB TraceVue®;system. The recordings were selected from 9164 intrapartum recordings with clinical as well as technical considerations in mind. All recordings are at most 90 minutes long and start a maximum of 90 minutes before delivery. The time relation of CTG to delivery is known as well as the length of the second stage of labor which does not exceed 30 minutes. The majority of recordings (all but 46 cesarean sections) is – on purpose – from vaginal deliveries. All recordings have available biochemical markers as well as some more general clinical features. Full description of the database and reasoning behind selection of the parameters is presented in the paper. A new open-access CTG database is introduced which should give the research community common ground for comparison of results on reasonably large database. We anticipate that after reading the paper, the reader will understand the context of the field from clinical and technical perspectives which will enable him/her to use the database and also understand its limitations.
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