EAAI Journal 2026 Journal Article
Expert consensus-driven spatial-temporal graph neural network for enhanced diagnosis of chronic fetal distress
- Yefei Zhang
- Yanjun Deng
- Yi Yuan
- Bingxin Ruan
- Zhidong Zhao
The timely, efficient, and accurate diagnosis of Chronic Fetal Distress (CFD) in late pregnancy is of great significance in reducing neonatal morbidity and mortality and improving pregnancy outcomes. Cardiotocography (CTG) monitoring was introduced to detect fetus at risk of CFD by observing alterations in Fetal Heart Rate (FHR) patterns and their temporal correlation with uterine contractions. However, human factors and clinical risks can influence the interpretation of CTG recordings. Most existing intelligent CTG approaches focus solely on black-box modeling of input-output relationships, neglecting the dynamic characteristics of time series, leading to calibration bias and underutilization of CTG data. This study addresses these issues by modeling dynamic graph-structured data and proposing a novel Expert Consensus-driven Spatial-Temporal graph neural Network (EcSTnet) approach for CFD auxiliary diagnosis. It is a contribution in artificial intelligence and is the application in biomedical engineering. First, a graph structure learning module is devised, concentrates on generating structured data from expert consensus static graphs and automatically learning the hidden spatial-temporal dependencies from the original FHR series. Next, we designed a dynamic graph mechanism to capture the random instability in dynamic time series from static graphs and construct optimal dynamic graphs. Finally, an enhanced spatial-temporal graph convolutional network model is constructed to simultaneously capture temporal and spatial dependencies, facilitating the transmission of pathological information. Extensive experiments, including parameter sensitivity analysis, ablation study, and classification performance evaluation, were conducted to comprehensively evaluate the proposed EcSTnet. In all cases, EcSTnet demonstrates superior performance in the ICTG task and achieves a high test accuracy of 95. 33 %.