Silva Neto MGD, Vale Madeiro JPD, Gomes DG. On designing a biosignal-based fetal state assessment system: A systematic mapping study.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2022;
216:106671. [PMID:
35144149 DOI:
10.1016/j.cmpb.2022.106671]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Revised: 01/05/2022] [Accepted: 01/28/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND AND OBJECTIVE
The patterns present in biosignals, such as fetal heart rate (FHR), are valuable indicators of fetal well-being. In designing biosignal analysis systems, the variety of approaches and technology usage impairs the decision-making for the fundamental units of the systems. There is a need for an updated overview of studies encompassing the biosignal-based fetal state assessment systems. Therefore, we propose a systematic mapping study to identify and synthesize recent research regarding the building blocks that compose these systems.
METHODS
We followed well-established guidelines to perform a systematic mapping of studies regarding the building-blocks that compose the fetal state assessment systems and published between January 2016 and January 2021. A search string was determined based on the mapping questions and the PI (population and intervention) divisions. The search string was applied in digital libraries covering the fields of computer science, engineering, and medical informatics. Then, we applied the forward snowballing technique to complement the resulting set. This process resulted in 75 primary studies selected from a total of 871 papers.
RESULTS
Selected studies were classified according to the publication types, systems design stages, datasets, and predictive capabilities. The results revealed that (i) The majority of the selected studies refer to the method as a type of publication and there is a lack of validation studies; (ii) The CTU-UHB was the most frequent biosignal-based dataset and UCI-CTG was the most frequent feature-based data; (iii) The selected studies made use of the system design stages alone or in a mixed-mode.
CONCLUSION
The results indicated that the well-established classification models achieved competitive results compared with the state-of-the-art methods in data-constrained system designs. Moreover, we identified the need for validation studies in the clinical environment.
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