Low-Rate Wrist SpO2 Estimation under Micro-Perturbations Using Motion-Aware Beat Selection and Perfusion-Guided Calibration

Continuous oxygen saturation (SPO2) monitoring from photoplethysmography (PPG) is important for wearable health sensing, but wrist-based SPO2 estimation remains challenging due to subtle wrist micro-perturbations and inter-subject differences in local perfusion status. These factors can destabilize the red-to-infrared ratio-of-ratios (R) and reduce the reliability of conventional fixed R-SPO2 mapping. This paper proposes a lightweight low-rate wrist SPO2 estimation framework that integrates motion-aware beat selection and perfusion-guided calibration. The proposed method extracts beat-level alternating-current/direct-current (AC/DC) components from dual-wavelength PPG signals, computes beat-level R values, and uses accelerometer-derived motion scores to weight beats within each sliding window. A subject-specific perfusion reference is further used to guide calibration across different perfusion conditions. Experiments on a private wearable dataset show that the proposed method achieves the best 25 Hz performance, with an MAE of 2.305$\pm$1.113% and an RMSE of 3.117$\pm$1.743%, while maintaining performance comparable to the 100 Hz sampling rate and reducing PPG sensor power consumption for energy-efficient wearable implementation. These results demonstrate the effectiveness of the proposed framework for low-rate wrist SPO2 estimation under micro-perturbations.

SpO$_2$ Predictor-Guided Stage-Wise Time-Frequency Reconstruction of Low-Quality Dual-Wavelength PPG for Oxygen Saturation Estimation

Continuous oxygen saturation (SpO$_2$) estimation from wearable photoplethysmography (PPG) is important for long-term health monitoring, but low-quality red and infrared PPG segments can distort waveform morphology and degrade SpO$_2$ prediction accuracy. Existing PPG denoising and reconstruction methods usually optimize waveform fidelity or heart rate characteristics, while time-domain waveform loss on PPG signals alone insufficiently preserves frequency structure and SpO$_2$-relevant information. This paper proposes a SpO$_2$ predictor-guided stage-wise time-frequency reconstruction framework for low-quality dual-wavelength PPG signals. The proposed method first selects high-quality PPG segments to pretrain a SpO$_2$ predictor. A masked reconstruction model is then trained to recover randomly masked PPG regions using a joint reconstruction objective that combines time-domain waveform loss with frequency-domain loss computed from the short-time Fourier transform (STFT). To make the reconstruction task physiologically relevant, the pretrained SpO$_2$ predictor is incorporated as an additional constraint, encouraging the reconstructed PPG to preserve SpO$_2$ information rather than only minimizing waveform reconstruction error. The SpO$_2$ predictor and PPG reconstructor model are optimized through four training stages. Experiments on the public OpenOximetry Repository and a private wearable PPG dataset show that the proposed approach achieves the lowest subject-level MAE, with 2.882\% on the public dataset and 2.359\% on the private dataset.

Unit-Independent Low-Rate Wrist GSR Processing for Stress Detection Using Phasic nSCR Features

Galvanic skin response (GSR) is widely used for stress detection, but wrist-based GSR remains challenging because its absolute amplitude can differ substantially from laboratory-grade palmar measurements. In this paper, we propose a unit-independent low-rate wrist GSR processing pipeline to extract the number of skin conductance responses per minute (nSCR/min) as a stress-related feature. We collect paired wrist and palmar GSR recordings from 31 participants during sitting baseline, standing baseline, neutral speaking, and the Trier Social Stress Test (TSST), a laboratory social stressor task. The proposed pipeline cleans the raw GSR signal, decomposes it into tonic skin conductance level (SCL) and phasic skin conductance response (SCR), applies robust z-score normalization, and detects phasic SCR peaks to compute nSCR/min. Using random forest on 25Hz We-Be GSR, nSCR/min achieved balanced accuracies of 0.823 and 0.871 for binary classification between TSST and the sitting and standing baselines, respectively. Moreover, the 25Hz We-Be GSR features achieved comparable balanced accuracy to the original 100Hz features across the evaluated tasks. These results suggest the feasibility of low-rate, unit-independent wrist GSR processing for wearable stress detection.

Self-Supervised and Topological Signal-Quality Assessment for Any PPG Device

Wearable photoplethysmography (PPG) is embedded in billions of devices, yet its optical waveform is easily corrupted by motion, perfusion loss, and ambient light, jeopardizing downstream cardiometric analytics. Existing signal-quality assessment (SQA) methods rely either on brittle heuristics or on data-hungry supervised models. We introduce the first fully unsupervised SQA pipeline for wrist PPG. Stage 1 trains a contrastive 1-D ResNet-18 on 276 h of raw, unlabeled data from heterogeneous sources (varying in device and sampling frequency), yielding optical-emitter- and motion-invariant embeddings (i.e., the learned representation is stable across differences in LED wavelength, drive intensity, and device optics, as well as wrist motion). Stage 2 converts each 512-D encoder embedding into a 4-D topological signature via persistent homology (PH) and clusters these signatures with HDBSCAN. To produce a binary signal-quality index (SQI), the acceptable PPG signals are represented by the densest cluster while the remaining clusters are assumed to mainly contain poor-quality PPG signals. Without re-tuning, the SQI attains Silhouette, Davies-Bouldin, and Calinski-Harabasz scores of 0.72, 0.34, and 6173, respectively, on a stratified sample of 10,000 windows. In this study, we propose a hybrid self-supervised-learning--topological-data-analysis (SSL--TDA) framework that offers a drop-in, scalable, cross-device quality gate for PPG signals.

Rapid Adaptation of SpO2 Estimation to Wearable Devices via Transfer Learning on Low-Sampling-Rate PPG

Blood oxygen saturation (SpO2) is a vital marker for healthcare monitoring. Traditional SpO2 estimation methods often rely on complex clinical calibration, making them unsuitable for low-power, wearable applications. In this paper, we propose a transfer learning-based framework for the rapid adaptation of SpO2 estimation to energy-efficient wearable devices using low-sampling-rate (25Hz) dual-channel photoplethysmography (PPG). We first pretrain a bidirectional Long Short-Term Memory (BiLSTM) model with self-attention on a public clinical dataset, then fine-tune it using data collected from our wearable We-Be band and an FDA-approved reference pulse oximeter. Experimental results show that our approach achieves a mean absolute error (MAE) of 2.967% on the public dataset and 2.624% on the private dataset, significantly outperforming traditional calibration and non-transferred machine learning baselines. Moreover, using 25Hz PPG reduces power consumption by 40% compared to 100Hz, excluding baseline draw. Our method also attains an MAE of 3.284% in instantaneous SpO2 prediction, effectively capturing rapid fluctuations. These results demonstrate the rapid adaptation of accurate, low-power SpO2 monitoring on wearable devices without the need for clinical calibration.

Generalizable Blood Pressure Estimation from Multi-Wavelength PPG Using Curriculum-Adversarial Learning

Accurate and generalizable blood pressure (BP) estimation is vital for the early detection and management of cardiovascular diseases. In this study, we enforce subject-level data splitting on a public multi-wavelength photoplethysmography (PPG) dataset and propose a generalizable BP estimation framework based on curriculum-adversarial learning. Our approach combines curriculum learning, which transitions from hypertension classification to BP regression, with domain-adversarial training that confuses subject identity to encourage the learning of subject-invariant features. Experiments show that multi-channel fusion consistently outperforms single-channel models. On the four-wavelength PPG dataset, our method achieves strong performance under strict subject-level splitting, with mean absolute errors (MAE) of 14.2mmHg for systolic blood pressure (SBP) and 6.4mmHg for diastolic blood pressure (DBP). Additionally, ablation studies validate the effectiveness of both the curriculum and adversarial components. These results highlight the potential of leveraging complementary information in multi-wavelength PPG and curriculum-adversarial strategies for accurate and robust BP estimation.