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Cardiotocography (CTG) is the main tool used for fetal monitoring during labour. Interpretation of CTG requires dynamic pattern recognition in real time. It is recognised as a difficult task with high inter- and intra-observer disagreement.…

Machine Learning · Computer Science 2021-11-02 M. O'Sullivan , T. Gabruseva , G. Boylan , M. O'Riordan , G. Lightbody , W. Marnane

Cardiotocography (CTG) is a key element when it comes to monitoring fetal well-being. Obstetricians use it to observe the fetal heart rate (FHR) and the uterine contraction (UC). The goal is to determine how the fetus reacts to the…

Signal Processing · Electrical Eng. & Systems 2022-10-03 Julien Bertieaux , Mohammadhadi Shateri , Fabrice Labeau , Thierry Dutoit

Objective: To develop and interpret a supervised variational autoencoder (VAE) model for classifying cardiotocography (CTG) signals based on pregnancy outcomes, addressing interpretability limits of current deep learning approaches.…

Machine Learning · Computer Science 2025-09-09 John Tolladay , Beth Albert , Gabriel Davis Jones

Gynaecologists and obstetricians visually interpret cardiotocography (CTG) traces using the International Federation of Gynaecology and Obstetrics (FIGO) guidelines to assess the wellbeing of the foetus during antenatal care. This approach…

Machine Learning · Computer Science 2020-08-25 Paul Fergus , Carl Chalmers , Casimiro Curbelo Montanez , Denis Reilly , Paulo Lisboa , Beth Pineles

Intrapartum cardiotocography (CTG) is widely used for fetal monitoring during labor, yet its interpretation suffers from high inter-observer variability and limited predictive accuracy. Deep learning approaches have been constrained by the…

Machine Learning · Computer Science 2026-01-13 Naomi Fridman , Berta Ben Shachar

The monitoring of fetal heart rate (FHR) and the assessment of its variability are crucial for preventing fetal compromise and adverse outcomes. However, traditional methods encounter limitations arising from equipment performance, data…

Machine Learning · Computer Science 2026-05-15 Xiaohua Wang , Kai Yu , XuXiao Liang , Liang Wang , Chao Han

Early detection of cardiovascular diseases is crucial for effective treatment and an electrocardiogram (ECG) is pivotal for diagnosis. The accuracy of Deep Learning based methods for ECG signal classification has progressed in recent years…

Signal Processing · Electrical Eng. & Systems 2022-04-12 Likith Reddy , Vivek Talwar , Shanmukh Alle , Raju. S. Bapi , U. Deva Priyakumar

The analysis of electrocardiogram (ECG) signals can be time consuming as it is performed manually by cardiologists. Therefore, automation through machine learning (ML) classification is being increasingly proposed which would allow ML…

Machine Learning · Computer Science 2022-05-10 Shourya Verma

Foundation models (FMs) and large language models (LLMs) have demonstrated promising generalization across diverse domains for time-series analysis, yet their potential for electronic fetal monitoring (EFM) and cardiotocography (CTG)…

Machine Learning · Computer Science 2025-11-07 Sheng Wong , Ravi Shankar , Beth Albert , Gabriel Davis Jones

Antepartum Cardiotocography (CTG) is vital for fetal health monitoring, but traditional methods like the Dawes-Redman system are often limited by high inter-observer variability, leading to inconsistent interpretations and potential…

Artificial Intelligence · Computer Science 2024-11-13 M. Jaleed Khan , Manu Vatish , Gabriel Davis Jones

Electrocardiogram (ECG) monitoring is one of the most powerful technique of cardiovascular disease (CVD) early identification, and the introduction of intelligent wearable ECG devices has enabled daily monitoring. However, due to the need…

Signal Processing · Electrical Eng. & Systems 2024-03-08 Hongxiang Gao , Xingyao Wang , Zhenghua Chen , Min Wu , Jianqing Li , Chengyu Liu

Electrocardiogram (ECG) interpretation is essential for cardiovascular disease diagnosis, but current automated systems often struggle with transparency and generalization to unseen conditions. To address this, we introduce ZETA, a…

Machine Learning · Computer Science 2025-10-27 Jialu Tang , Hung Manh Pham , Ignace De Lathauwer , Henk S. Schipper , Yuan Lu , Dong Ma , Aaqib Saeed

Cardiotocography (CTG) is a low-cost, non-invasive fetal health assessment technique used globally, especially in underdeveloped countries. However, it is currently mainly used to identify the fetus's current status (e.g., fetal acidosis or…

Signal Processing · Electrical Eng. & Systems 2025-09-19 Jinshuai Gu , Zenghui Lin , Jingying Ma , Jingyu Wang , Linyan Zhang , Rui Bai , Zelin Tu , Youyou Jiang , Donglin Xie , Yuxi Zhou , Guoli Liu , Shenda Hong

Electrocardiography (ECG) plays a central role in cardiovascular diagnostics, yet existing automated approaches often struggle to generalize across clinical tasks and offer limited support for open-ended reasoning. We present HeartLLM, a…

Artificial Intelligence · Computer Science 2026-01-27 Jinning Yang , Wenjie Sun , Wen Shi

Automated fetal ultrasound interpretation requires a workflow from visual perception, including plane recognition and anatomical segmentation, to clinical understanding, including biometric measurement and diagnostic reporting. However, the…

Computer Vision and Pattern Recognition · Computer Science 2026-05-26 Xiaotian Hu , Mingxuan Liu , Junwei Huang , Kasidit Anmahapong , Yifei Chen , Yiming Huang , Xuguang Bai , Zihan Li , Hongjia Yang , Yingqi Hao , Hong Xu , Yu Jiang , Tian Tian , Yi Liao , Haibo Qu , Qiyuan Tian

Cardiotocography (CTG) is essential for fetal monitoring but is frequently compromised by diverse artefacts which obscure true fetal heart rate (FHR) patterns and can lead to misdiagnosis or delayed intervention. Current deep-learning…

Audio and Speech Processing · Electrical Eng. & Systems 2025-08-18 Sheng Wong , Beth Albert , Gabriel Davis Jones

Deep learning has advanced medical image classification, but interpretability challenges hinder its clinical adoption. This study enhances interpretability in Chest X-ray (CXR) classification by using concept bottleneck models (CBMs) and a…

Information Retrieval · Computer Science 2025-04-30 Hasan Md Tusfiqur Alam , Devansh Srivastav , Md Abdul Kadir , Daniel Sonntag

Interpreting and communicating electrocardiogram (ECG) findings are crucial yet challenging tasks in cardiovascular diagnosis, traditionally requiring significant expertise and precise clinical communication. This paper introduces…

Signal Processing · Electrical Eng. & Systems 2025-10-30 Koustav Mallick , Neel Singh , Mohammedreza Hajiarbabi

Long-term fetal heart rate (FHR) monitoring during the antepartum period, increasingly popularized by electronic FHR monitoring, represents a growing approach in FHR monitoring. This kind of continuous monitoring, in contrast to the…

Machine Learning · Computer Science 2024-01-30 Zenghui Lin , Xintong Liu , Nan Wang , Ruichen Li , Qingao Liu , Jingying Ma , Liwei Wang , Yan Wang , Shenda Hong

Advancements in generative Artificial Intelligence (AI) hold great promise for automating radiology workflows, yet challenges in interpretability and reliability hinder clinical adoption. This paper presents an automated radiology report…

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