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UterineExplorer(Plus) : toolbox for uterine eletromyography processing and visualization

dc.contributor.authorJorge, Cláudio José Marques
dc.contributor.institutionFaculty of Sciences
dc.contributor.institutionDepartment of Physics
dc.contributor.supervisorConceição, Raquel Cruz da
dc.contributor.supervisorBatista, Arnaldo G.
dc.date.accessioned2026-02-24T16:15:02Z
dc.date.available2026-02-24T16:15:02Z
dc.date.issued2025
dc.descriptionTese de Mestrado, Engenharia Biomédica e Biofísica, 2025, Universidade de Lisboa, Faculdade de Ciências
dc.description.abstractPreterm labor remains a major public health challenge and one of the leading causes of neonatal morbidity and mortality. The electrohysterogram (EHG), a non-invasive recording of uterine electrical activity, is considered a promising biomarker for predicting labor and preterm birth. However, the scarcity of robust and user-friendly software tools for multichannel EHG analysis has limited its wider adoption in both research and clinical practice. This dissertation presents the development of UterineExplorerPLUS (UExPLUS), a MATLAB-based platform designed to process, analyze, and visualize EHG signals. Migrating from the outdated GUIDE system to AppDesigner, UExPLUS introduces a modular and sustainable structure that integrates a wide range of methods within a unified environment. These include spectral and time-frequency analyses (Welch, Continuous Wavelet Transform, Empirical Mode Decomposition), nonlinear complexity measures (Approximate Entropy, Sample Entropy, Fuzzy Entropy, Conditional Entropy), clustering algorithms, and adaptive filtering. A key contribution is the implementation of a robust Alvarez wave detector, based on strict spectral criteria and concatenation of waves less than three seconds apart, while filtering maternal respiration artefacts. Other innovations include improved pacemaker estimation, intrauterine pressure (IUP) analysis, and maternal respiration processing. UExPLUS also enables multichannel visualization through scalograms and spectrograms, supporting the estimation of instantaneous frequency, bandwidth, and energy distributions. Validation with public datasets, such as the Icelandic 16-channel database, confirmed the reliability and versatility of the platform. Results demonstrate that UExPLUS provides accurate computation, clear visualization, and reproducible storage of multiple uterine activity parameters. This work contributes to computational obstetrics by offering an integrated and extensible toolbox for EHG analysis, paving the way for future clinical translation and supporting the early detection of labor complications, particularly preterm birth.en
dc.formatapplication/pdf
dc.identifier.tid204174619
dc.identifier.urihttp://hdl.handle.net/10400.5/117278
dc.language.isoeng
dc.subjectElectrohysterography
dc.subjectUterine Electromyography
dc.subjectPreterm labor
dc.subjectPregnancy Monitoring
dc.subjectComputational Obstetrics
dc.titleUterineExplorer(Plus) : toolbox for uterine eletromyography processing and visualizationen
dc.typemaster thesis
dspace.entity.typePublication
rcaap.rightsopenAccess

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