Cargando…

Cardiotocography in Obstetrics: New Solutions for “Routine” Technology

This work is devoted to the problems of one of the most common screening examinations used in medical practice: fetal cardiotocography (CTG). The technology of ultrasonic monitoring of fetal heart rate (HR) variations has been used for more than 70 years. During this time, it has undergone many upgr...

Descripción completa

Detalles Bibliográficos
Autor principal: Kodkin, Vladimir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320740/
https://www.ncbi.nlm.nih.gov/pubmed/35890806
http://dx.doi.org/10.3390/s22145126
_version_ 1784755865396445184
author Kodkin, Vladimir
author_facet Kodkin, Vladimir
author_sort Kodkin, Vladimir
collection PubMed
description This work is devoted to the problems of one of the most common screening examinations used in medical practice: fetal cardiotocography (CTG). The technology of ultrasonic monitoring of fetal heart rate (HR) variations has been used for more than 70 years. During this time, it has undergone many upgrades and has been characterized several times as a hopelessly outdated routine technology. Over the past 5–7 years, many in-depth studies and review papers on cardiotocography have appeared, which revealed both the problems and prospects of the technology. Basically, hopes are associated with artificial intelligence, which should increase the accuracy of the analysis of initially inaccurate measurements obtained using ultrasonic testing. At the same time, after the introduction of pulsed operating modes and the appearance of multi-chip sensors, the quality of the original signal remains practically unchanged. This circumstance makes the prospects of the technology very problematic. However, until now, there has not been a reliable replacement for this screening, which is equally safe, non-invasive, and accessible to a wide range of specialists, medical institutions, and patients. The paper discusses and substantiates proposals for improving the technology based on original (different from traditional CTG) methods of processing information received from ultrasonic sensors, which, in the author’s opinion, allow for solving the main problems of CTG: identifying the correct direction of radiation to the fetal heart and to reliably evaluate beat-to-beat heart rate.
format Online
Article
Text
id pubmed-9320740
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-93207402022-07-27 Cardiotocography in Obstetrics: New Solutions for “Routine” Technology Kodkin, Vladimir Sensors (Basel) Article This work is devoted to the problems of one of the most common screening examinations used in medical practice: fetal cardiotocography (CTG). The technology of ultrasonic monitoring of fetal heart rate (HR) variations has been used for more than 70 years. During this time, it has undergone many upgrades and has been characterized several times as a hopelessly outdated routine technology. Over the past 5–7 years, many in-depth studies and review papers on cardiotocography have appeared, which revealed both the problems and prospects of the technology. Basically, hopes are associated with artificial intelligence, which should increase the accuracy of the analysis of initially inaccurate measurements obtained using ultrasonic testing. At the same time, after the introduction of pulsed operating modes and the appearance of multi-chip sensors, the quality of the original signal remains practically unchanged. This circumstance makes the prospects of the technology very problematic. However, until now, there has not been a reliable replacement for this screening, which is equally safe, non-invasive, and accessible to a wide range of specialists, medical institutions, and patients. The paper discusses and substantiates proposals for improving the technology based on original (different from traditional CTG) methods of processing information received from ultrasonic sensors, which, in the author’s opinion, allow for solving the main problems of CTG: identifying the correct direction of radiation to the fetal heart and to reliably evaluate beat-to-beat heart rate. MDPI 2022-07-08 /pmc/articles/PMC9320740/ /pubmed/35890806 http://dx.doi.org/10.3390/s22145126 Text en © 2022 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kodkin, Vladimir
Cardiotocography in Obstetrics: New Solutions for “Routine” Technology
title Cardiotocography in Obstetrics: New Solutions for “Routine” Technology
title_full Cardiotocography in Obstetrics: New Solutions for “Routine” Technology
title_fullStr Cardiotocography in Obstetrics: New Solutions for “Routine” Technology
title_full_unstemmed Cardiotocography in Obstetrics: New Solutions for “Routine” Technology
title_short Cardiotocography in Obstetrics: New Solutions for “Routine” Technology
title_sort cardiotocography in obstetrics: new solutions for “routine” technology
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320740/
https://www.ncbi.nlm.nih.gov/pubmed/35890806
http://dx.doi.org/10.3390/s22145126
work_keys_str_mv AT kodkinvladimir cardiotocographyinobstetricsnewsolutionsforroutinetechnology