Adopting artificial intelligence algorithms for remote fetal heart rate monitoring and classification using wearable fetal phonocardiography

Fetal phonocardiography (FPCG) is a non-invasive Fetal Heart Rate (FHR) monitoring technique that can detect vibrations and murmurs in heart sounds. However, acquiring fetal heart sounds from a wearable FPCG device is challenging due to noise and artefacts. This research contributes a resilient solution to overcome the conventional issues by adopting Artificial Intelligence (AI) with FPCG for automated FHR monitoring in an end-to-end manner, named (AI-FHR). Four sequential methodologies were used to ensure reliable and accurate FHR monitoring. The proposed method removes low-frequency noises and high-frequency noises by using Chebyshev II high-pass filters and Enhanced Complete Ensemble Empirical Mode Decomposition with Adaptive Noise (ECEEMDAN) in combination with Phase Shifted Maximal Overlap Discrete Wavelet Transform (PS-MODWT) filters, respectively. The denoised signals are segmented to reduce complexity, and the segmentation is performed using multi-agent deep Q-learning (MA-DQL). The segmented signal is provided to reduce the redundancies in cardiac cycles using the Artificial Hummingbird Optimization (AHBO) algorithm. The segmented and non-redundant signals are converted into 3D spectrograms using a machine learning algorithm called variational auto-encoder-general adversarial networks (VAE-GAN). The feature extraction and classification are carried out by adopting a hybrid of the bidirectional gated recurrent unit (BiGRU) and the multi-boosted capsule network (MBCapsNet). The proposed method was implemented and simulated using MATLAB R2020a and validated by adopting effective validation metrics. The results demonstrate that the proposed method performed better than the current method with accuracy (81.34%), sensitivity (72%), F1-score (83%), Energy (0.808 J), and complexity index (13.34). Like other optimization methods, AHO needs precise parameter adjustment in order to function well. Its performance may be greatly impacted by the selection of parameters, including population size, exploration rate, and learning rate.