Motion-Based Confidence Score to Support the Practical Application of rPPG Methods in Health Monitoring

Remote photoplethysmography (rPPG) has gained popularity as a non-invasive technique for remote monitoring, as it can provide accurate measurements of an individual's physiological signals under controlled conditions. However, the accuracy of rPPG can be affected by various factors, such as movement artifacts, changes in skin tone, and the presence of other sources of light in the environment. To improve the reliability of rPPG measurements in real-world monitoring settings and reduce the frequency of false alarms in health monitoring settings, we propose a confidence score indicating the quality of the predictions. This score was built by identifying meaningful variables related to motion that strongly correlate with the accuracy of the measurements and training a classifier with data coming from 3 distinct datasets, to improve the model's robustness, reproducibility, and generalizability. Despite that only motion-related features have been considered, the high AUC values obtained in all cases were always above 0.93, demonstrating the model's ability to detect inaccurate heart rate measurements.

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Publication Details

Journal
Journal of Medical Systems
Published
2026-05-18
DOI
https://doi.org/10.1007/s10916-026-02412-2
Primary Topic
Non-Invasive Vital Sign Monitoring
Type
article
Field-Weighted Citation Impact
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article

Motion-Based Confidence Score to Support the Practical Application of rPPG Methods in Health Monitoring

Naeem Ramzan, Benjamin Tilbury, Miguel Arevalillo-Herráez, Yuyan Wu
Journal of Medical Systems
Non-Invasive Vital Sign Monitoring
article

Motion-Based Confidence Score to Support the Practical Application of rPPG Methods in Health Monitoring

Naeem Ramzan, Benjamin Tilbury, Miguel Arevalillo-Herráez, Yuyan Wu
article en

Abstract

Remote photoplethysmography (rPPG) has gained popularity as a non-invasive technique for remote monitoring, as it can provide accurate measurements of an individual's physiological signals under controlled conditions. However, the accuracy of rPPG can be affected by various factors, such as movement artifacts, changes in skin tone, and the presence of other sources of light in the environment. To improve the reliability of rPPG measurements in real-world monitoring settings and reduce the frequency of false alarms in health monitoring settings, we propose a confidence score indicating the quality of the predictions. This score was built by identifying meaningful variables related to motion that strongly correlate with the accuracy of the measurements and training a classifier with data coming from 3 distinct datasets, to improve the model's robustness, reproducibility, and generalizability. Despite that only motion-related features have been considered, the high AUC values obtained in all cases were always above 0.93, demonstrating the model's ability to detect inaccurate heart rate measurements.

Journal of Medical SystemsVol. 50(1)
Universitat de València (ES), Artificial Intelligence Research Institute (ES), University of the West of Scotland (GB)
Openalex Percentile: Top 9%
Non-Invasive Vital Sign Monitoring
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