Analysis of uterine electromyography signals using time-frequency based topological features for detection of preterm birth

Abstract

Detection of preterm birth (gestational week < 37) is a global priority as it causes major health problems to neonates. Assessment of uterine contractions (burst) is required to detect and prevent the threat of preterm birth. Uterine electromyography (uEMG) is widely preferred to measure the uterine contractions noninvasively. These signals are nonstationary in nature. It can be handled by topological data analysis (TDA) effectively. Therefore, TDA can be used to explore the characteristics of uEMG burst signals. In this study, an attempt has been made to distinguish term (gestational week ≥ 37) and preterm conditions using timefrequency based topological features in uEMG burst signals. These signals are obtained from the publicly available online dataset. The annotated burst signals are segmented and subjected to a short time Fourier transform. The transformed real and imaginary Fourier coefficients are plotted in the complex plane and the envelope of the data points are computed using the alpha-shape technique. Four topological features such as, area, perimeter, circularity and ellipse variance are extracted. These features are statistically analyzed. The coefficient of variation (CoV) is calculated to measure the inter-subject variations. The results show that the proposed method is able to discriminate between term and preterm conditions. The extracted features namely, area and perimeter exhibit significant difference (p < 0.05) between these two conditions. The CoV of the perimeter is observed to be low, implying that this feature can handle inter-subject variations in burst signals. The extracted topological features are useful to analyze the characteristics of term and preterm pregnancies