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Towards Transabdominal Fetal Pulse Oximetry: Computational Modeling and Algorithm Development
Towards Transabdominal Fetal Pulse Oximetry: Computational Modeling and Algorithm Developm...
Towards Transabdominal Fetal Pulse Oximetry: Computational Modeling and Algorithm Development

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260311091500.5
ISBN  
9798314865941
DDC  
616
저자명  
Wu, Jingyi
서명/저자  
Towards Transabdominal Fetal Pulse Oximetry: Computational Modeling and Algorithm Development / Jingyi Wu
발행사항  
[Sl] : Carnegie Mellon University, 2025
형태사항  
1 electronic resource (149 pages)
주기사항  
Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
주기사항  
Advisors: Kainerstorfer, Jana M. Committee members: Grover, Pulkit; Chalacheva, Patjanaporn; Andersson-Engels, Stefan.
학위논문주기  
- Ph.D. : Carnegie Mellon University, 2025.
초록/해제  
요약Non-invasive fetal oxygen monitoring is critical for assessing fetal well-being and preventing adverse outcomes caused by fetal hypoxia. Current clinical standards, such as cardiotocography (CTG), primarily rely on measurements of fetal heart rate and maternal contractions, both of which are indirect indicators of actual fetal oxygenation status. As a result, CTG often produces false-positive results, leading to unnecessary medical interventions. Transabdominal fetal pulse oximetry, in contrast, offers the potential for direct, continuous, and non-invasive estimation of fetal oxygen saturation (SpO2). However, significant physiological and technical challenges-including strong maternal tissue interference, complex multi-layer photon propagation, and motion artifacts-have limited its clinical adoption.This dissertation addresses these challenges and advances transabdominal fetal pulse oximetry toward clinical feasibility through computational modeling and algorithmic innovations. First, a novel self-calibrated pulse oximetry algorithm was developed to overcome a fundamental limitation: conventional pulse oximeters require empirical calibration on healthy subjects, resulting in inaccuracies when applied to low-oxygen saturation conditions like those in fetal circulation. The proposed algorithm significantly improves accuracy in the low SpO2 range relevant for fetal applications. Next, the self-calibrated algorithm was extended by incorporating multilayer photon transport modeling, which allows accurate fetal SpO2 estimation despite significant maternal tissue interference. To enhance real-world applicability, extensive sensitivity analyses based on MRI-derived anatomical models were conducted to optimize device configuration and evaluate the effects of fetal positioning. Finally, a deep learning framework utilizing long short-term memory networks was developed to robustly remove motion artifacts from pulsatile optical signals, further improving measurement reliability in clinical environments.Together, these advancements provide a solid foundation for accurate, continuous, and non-invasive fetal SpO2 monitoring, creating pathways toward safer and more effective fetal health monitoring in clinical practice. Additionally, these methodologies offer valuable tools applicable to a wide range of other optical physiological monitoring applications. 
언어주기  
English
일반주제명  
Biomedical engineering
일반주제명  
Physiology
일반주제명  
Bioinformatics
일반주제명  
Optics
키워드  
Fetal oxygen monitoring
키워드  
Multi-layer tissue optics
키워드  
Near-infrared spectroscopy
키워드  
Photon transport modeling
키워드  
Physiological signal processing
키워드  
Pulse oximetry
기타저자  
Carnegie Mellon University Biomedical Engineering
기본자료저록  
Dissertations Abstracts International. 86-11B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aWu,  Jingyi▼eauthor.▼0(orcid)0000-0003-3666-5082
■24510▼aTowards  Transabdominal  Fetal  Pulse  Oximetry:  Computational  Modeling  and  Algorithm  Development  ▼cJingyi  Wu
■260    ▼a[Sl]▼bCarnegie  Mellon  University▼c2025
■264  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a1  electronic  resource  (149  pages)
■336    ▼atext▼btxt▼2rdacontent
■337    ▼acomputer▼bc▼2rdamedia
■338    ▼aonline  resource▼bcr▼2rdacarrier
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-11,  Section:  B.
■500    ▼aAdvisors:  Kainerstorfer,  Jana  M.    Committee  members:  Grover,  Pulkit;  Chalacheva,  Patjanaporn;  Andersson-Engels,  Stefan.
■5021  ▼bPh.D.▼cCarnegie  Mellon  University▼d2025.
■520    ▼aNon-invasive  fetal  oxygen  monitoring  is  critical  for  assessing  fetal  well-being  and  preventing  adverse  outcomes  caused  by  fetal  hypoxia.  Current  clinical  standards,  such  as  cardiotocography  (CTG),  primarily  rely  on  measurements  of  fetal  heart  rate  and  maternal  contractions,  both  of  which  are  indirect  indicators  of  actual  fetal  oxygenation  status.  As  a  result,  CTG  often  produces  false-positive  results,  leading  to  unnecessary  medical  interventions.  Transabdominal  fetal  pulse  oximetry,  in  contrast,  offers  the  potential  for  direct,  continuous,  and  non-invasive  estimation  of  fetal  oxygen  saturation  (SpO2).  However,  significant  physiological  and  technical  challenges-including  strong  maternal  tissue  interference,  complex  multi-layer  photon  propagation,  and  motion  artifacts-have  limited  its  clinical  adoption.This  dissertation  addresses  these  challenges  and  advances  transabdominal  fetal  pulse  oximetry  toward  clinical  feasibility  through  computational  modeling  and  algorithmic  innovations.  First,  a  novel  self-calibrated  pulse  oximetry  algorithm  was  developed  to  overcome  a  fundamental  limitation:  conventional  pulse  oximeters  require  empirical  calibration  on  healthy  subjects,  resulting  in  inaccuracies  when  applied  to  low-oxygen  saturation  conditions  like  those  in  fetal  circulation.  The  proposed  algorithm  significantly  improves  accuracy  in  the  low  SpO2  range  relevant  for  fetal  applications.  Next,  the  self-calibrated  algorithm  was  extended  by  incorporating  multilayer  photon  transport  modeling,  which  allows  accurate  fetal  SpO2  estimation  despite  significant  maternal  tissue  interference.  To  enhance  real-world  applicability,  extensive  sensitivity  analyses  based  on  MRI-derived  anatomical  models  were  conducted  to  optimize  device  configuration  and  evaluate  the  effects  of  fetal  positioning.  Finally,  a  deep  learning  framework  utilizing  long  short-term  memory  networks  was  developed  to  robustly  remove  motion  artifacts  from  pulsatile  optical  signals,  further  improving  measurement  reliability  in  clinical  environments.Together,  these  advancements  provide  a  solid  foundation  for  accurate,  continuous,  and  non-invasive  fetal  SpO2  monitoring,  creating  pathways  toward  safer  and  more  effective  fetal  health  monitoring  in  clinical  practice.  Additionally,  these  methodologies  offer  valuable  tools  applicable  to  a  wide  range  of  other  optical  physiological  monitoring  applications. 
■546    ▼aEnglish
■590    ▼aSchool  code:  0041
■650  4▼aBiomedical  engineering
■650  4▼aPhysiology
■650  4▼aBioinformatics
■650  4▼aOptics
■653    ▼aFetal  oxygen  monitoring
■653    ▼aMulti-layer  tissue  optics
■653    ▼aNear-infrared  spectroscopy
■653    ▼aPhoton  transport  modeling
■653    ▼aPhysiological  signal  processing
■653    ▼aPulse  oximetry
■7102  ▼aCarnegie  Mellon  University▼bBiomedical  Engineering.▼edegree  granting  institution.
■7201  ▼aKainerstorfer,  Jana  M.▼edegree  supervisor.
■7730  ▼tDissertations  Abstracts  International▼g86-11B.
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357166▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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