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• A deep learning-based classification system proposed in this study, where the maximum flow velocity waveform from TCD signals is used for classifying intensive care unit (ICU) patient signals. • A novel CycleGAN based maximum flow velocity waveform restoration model proposed to restore low quality maximum flow velocity signal to high quality maximum flow velocity signal. • A novel two-stream method based Self-organized Operational Neural Network (Self-ONN) architecture, DopplerNet2+ is proposed in this study for classifying healthy and ICU patient signals. Since the brain is unlike any other organ in that it cannot store energy and has a high metabolic demand, constant blood flow is essential for healthy brain function. The maximum flow velocity waveform that is produced by transcranial doppler echo ultrasonography has different qualities for a healthy subject and a critically ill patient with conditions such as intraparenchymal or subarachnoid hemorrhage, hydrocephalus, or traumatic brain injury. Depending on the degree of the injury, the symptoms of traumatic brain damage can present themselves right away or not until days or weeks later. To aid in the early and accurate detection of patients with severe brain conditions, a classification system is proposed that can distinguish between healthy control and patient utilizing the maximum flow velocity waveform derived from Transcranial doppler ultrasound. In this research, we manually labelled the data to remove mediocre and corrupted signals and pre-processed low-quality signals into high-quality ones using a Cycle Generative Adversarial Network (CycleGAN). This study proposes a two-stream deep learning model, DopplerNet2+, based on a Self-organized Operational Neural Network (Self-ONN), which achieves an overall accuracy, precision, recall, sensitivity, f1 score, and specificity of 99.45%, 99.45%, 99.45%, and 99.37% for the classification issue. DopplerNet2+ has a better area under the curve (AUC) of 1.00 and a better Kolmogorov-Smirnov (KS) statistic of 0.996 at the 0.812 thresholds than 11 other Self-ONN models trained with different inputs. The results show that the proposed models can successfully carry out the targeted classification task. [ABSTRACT FROM AUTHOR]

The non-invasive fetal electrocardiogram (fECG) enables easy detection of developing heart abnormalities, leading to a significant reduction in infant mortality rate and post-natal complications. Due to the overlapping of maternal and fetal R-peaks, the low amplitude of the fECG, systematic and ambient noises, typical signal extraction methods, such as adaptive filters, independent component analysis, empirical mode decomposition, etc., are unable to produce satisfactory fECG. While some techniques can produce accurate QRS waves, they often ignore other important aspects of the ECG. Utilizing extensive preprocessing and an appropriate framework, our approach, built upon 1D CycleGAN, achieves fECG signal reconstruction from the mECG signal while preserving its morphology. The performance of our solution was evaluated by combining two available datasets from Physionet, "Abdominal and Direct Fetal ECG Database" and "Fetal electrocardiograms, direct and abdominal with reference heartbeat annotations", where it achieved an average PCC and Spectral-Correlation score of 88.4% and 89.4%, respectively. It detects the fQRS of the signal with accuracy, precision, recall and F1 score of 92.6%, 97.6%, 94.8% and 96.4%, respectively. It can also accurately produce the estimation of fetal heart rate and R-R interval with an error of 0.25% and 0.27%, respectively. The main contribution of our work is that, unlike similar studies, it can retain the morphology of the ECG signal with high fidelity. The accuracy of our solution for fetal heart rate and R-R interval length is comparable to existing state-of-the-art techniques. This makes it a highly effective tool for early diagnosis of fetal heart diseases and regular health checkups of the fetus. [ABSTRACT FROM AUTHOR]