Abstract--Non-intrusive monitoring of vital signs has become increasingly important in a variety of healthcare settings. In this paper, we present PulseFi, a novel low-cost non-intrusive system that uses Wi-Fi sensing and artificial intelligence to accurately and continuously monitor heart rate and breathing rate, as well as detect apnea events. PulseFi operates using low-cost commodity devices, making it more accessible and cost-effective. It uses a signal processing pipeline to process Wi-Fi telemetry data, specifically Channel State Information (CSI), that is fed into a custom low-compute Long Short-T erm Memory (LSTM) neural network model. We evaluate PulseFi using two datasets: one that we collected locally using ESP32 devices and another that contains recordings of 118 participants collected using the Raspberry Pi 4B, making the latter the most comprehensive data set of its kind. Our results show that PulseFi can effectively estimate heart rate and breathing rate in a seemless non-intrusive way with comparable or better accuracy than multiple antenna systems that can be expensive and less accessible. Non-intrusive monitoring of vital signs (such as heart, breathing rate, and sleep apnea) has become increasingly important, particularly for home care, elderly care, and managing chronic conditions. As the global population ages and chronic disease rates increase, there is a growing need for continuous and accurate vital sign monitoring systems that can be easily deployed across the healthcare continuum, including hospitals, long-term care and home care settings [1]. Breathing and heart rate provides critical information about an individual's respiratory and cardiovascular health. Furthermore, detection of apnea, characterized by temporary pauses in breathing (typically lasting 10 seconds or longer) [2], is critical as conditions like sleep apnea affect millions worldwide and can lead to serious health complications if undiagnosed [3]. Thus, non invasive monitoring of these cardiopulmonary variables is necessary. Traditional approaches for vital sign monitoring have relied heavily on contact-based sensors such as pulse oximeters, heart rate belts, chest straps, or highly specialized medical equipment, such as polysomnography (PSG) or electrocardiogram (ECG) devices.

This study introduces a novel application of a Generative Pre-trained Transformer (GPT) model tailored for photoplethysmography (PPG) signals, serving as a foundation model for various downstream tasks. Adapting the standard GPT architecture to suit the continuous characteristics of PPG signals, our approach demonstrates promising results. Our models are pre-trained on our extensive dataset that contains more than 200 million 30s PPG samples. We explored different supervised fine-tuning techniques to adapt our model to downstream tasks, resulting in performance comparable to or surpassing current state-of-the-art (SOTA) methods in tasks like atrial fibrillation detection. A standout feature of our GPT model is its inherent capability to perform generative tasks such as signal denoising effectively, without the need for further fine-tuning. This success is attributed to the generative nature of the GPT framework. Keywords: Foundation model, PPG, Generative Pre-trained Transformer 1. Introduction The emergence of large language models (LLMs) such as BERT [1] and GPT [2] has revolutionized the field of artificial intelligence by introducing the concept of foundation models. These models, characterized by extensive pre-training on large datasets without explicit supervision, demonstrate remarkable versatility across downstream tasks via fine-tuning.

Recent advances in large language models (LLMs) show the potential of using LLMs as evaluators for assessing the quality of text generations from LLMs. However, applying LLM evaluators naively to compare or judge between different systems can lead to unreliable results due to the intrinsic win rate estimation bias of LLM evaluators. In order to mitigate this problem, we propose two calibration methods, Bayesian Win Rate Sampling (BWRS) and Bayesian Dawid-Skene, both of which leverage Bayesian inference to more accurately infer the true win rate of generative language models. We empirically validate our methods on six datasets covering story generation, summarization, and instruction following tasks. We show that both our methods are effective in improving the accuracy of win rate estimation using LLMs as evaluators, offering a promising direction for reliable automatic text quality evaluation.

With the rapid development of earth observation technology, we have entered an era of massively available satellite remote-sensing data. However, a large amount of satellite remote sensing data lacks a label or the label cost is too high to hinder the potential of AI technology mining satellite data. Especially in such an emergency response scenario that uses satellite data to evaluate the degree of disaster damage. Disaster damage assessment encountered bottlenecks due to excessive focus on the damage of a certain building in a specific geographical space or a certain area on a larger scale. In fact, in the early days of disaster emergency response, government departments were more concerned about the overall damage rate of the disaster area instead of single-building damage, because this helps the government decide the level of emergency response. We present an innovative algorithm that constructs Neyman stratified random sampling trees for binary classification and extends this approach to multiclass problems. Through extensive experimentation on various datasets and model structures, our findings demonstrate that our method surpasses both passive and conventional active learning techniques in terms of class rate estimation and model enhancement with only 30\%-60\% of the annotation cost of simple sampling. It effectively addresses the 'sampling bias' challenge in traditional active learning strategies and mitigates the 'cold start' dilemma. The efficacy of our approach is further substantiated through application to disaster evaluation tasks using Xview2 Satellite imagery, showcasing its practical utility in real-world contexts.

Accurate extraction of heart rate from photoplethysmography (PPG) signals remains challenging due to motion artifacts and signal degradation. Although deep learning methods trained as a data-driven inference problem offer promising solutions, they often underutilize existing knowledge from the medical and signal processing community. In this paper, we address three shortcomings of deep learning models: motion artifact removal, degradation assessment, and physiologically plausible analysis of the PPG signal. We propose KID-PPG, a knowledge-informed deep learning model that integrates expert knowledge through adaptive linear filtering, deep probabilistic inference, and data augmentation. We evaluate KID-PPG on the PPGDalia dataset, achieving an average mean absolute error of 2.85 beats per minute, surpassing existing reproducible methods. Our results demonstrate a significant performance improvement in heart rate tracking through the incorporation of prior knowledge into deep learning models. This approach shows promise in enhancing various biomedical applications by incorporating existing expert knowledge in deep learning models.

Modern smartwatches often include photoplethysmographic (PPG) sensors to measure heartbeats or blood pressure through complex algorithms that fuse PPG data with other signals. In this work, we propose a collaborative inference approach that uses both a smartwatch and a connected smartphone to maximize the performance of heart rate (HR) tracking while also maximizing the smartwatch's battery life. In particular, we first analyze the trade-offs between running on-device HR tracking or offloading the work to the mobile. Then, thanks to an additional step to evaluate the difficulty of the upcoming HR prediction, we demonstrate that we can smartly manage the workload between smartwatch and smartphone, maintaining a low mean absolute error (MAE) while reducing energy consumption. We benchmark our approach on a custom smartwatch prototype, including the STM32WB55 MCU and Bluetooth Low-Energy (BLE) communication, and a Raspberry Pi3 as a proxy for the smartphone. With our Collaborative Heart Rate Inference System (CHRIS), we obtain a set of Pareto-optimal configurations demonstrating the same MAE as State-of-Art (SoA) algorithms while consuming less energy. For instance, we can achieve approximately the same MAE of TimePPG-Small (5.54 BPM MAE vs. 5.60 BPM MAE) while reducing the energy by 2.03x, with a configuration that offloads 80\% of the predictions to the phone. Furthermore, accepting a performance degradation to 7.16 BPM of MAE, we can achieve an energy consumption of 179 uJ per prediction, 3.03x less than running TimePPG-Small on the smartwatch, and 1.82x less than streaming all the input data to the phone.

Respiratory rate (RR) is an important biomarker as RR changes can reflect severe medical events such as heart disease, lung disease, and sleep disorders. Unfortunately, standard manual RR counting is prone to human error and cannot be performed continuously. This study proposes a method for continuously estimating RR, RRWaveNet. The method is a compact end-to-end deep learning model which does not require feature engineering and can use low-cost raw photoplethysmography (PPG) as input signal. RRWaveNet was tested subject-independently and compared to baseline in four datasets (BIDMC, CapnoBase, WESAD, and SensAI) and using three window sizes (16, 32, and 64 seconds). RRWaveNet outperformed current state-of-the-art methods with mean absolute errors at optimal window size of 1.66 \pm 1.01, 1.59 \pm 1.08, 1.92 \pm 0.96 and 1.23 \pm 0.61 breaths per minute for each dataset. In remote monitoring settings, such as in the WESAD and SensAI datasets, we apply transfer learning to improve the performance using two other ICU datasets as pretraining datasets, reducing the MAE by up to 21$\%$. This shows that this model allows accurate and practical estimation of RR on affordable and wearable devices. Our study also shows feasibility of remote RR monitoring in the context of telemedicine and at home.

Much of the information of breathing is contained within the photoplethysmography (PPG) signal, through changes in venous blood flow, heart rate and stroke volume. We aim to leverage this fact, by employing a novel deep learning framework which is a based on a repurposed convolutional autoencoder. Our model aims to encode all of the relevant respiratory information contained within photoplethysmography waveform, and decode it into a waveform that is similar to a gold standard respiratory reference. The model is employed on two photoplethysmography data sets, namely Capnobase and BIDMC. We show that the model is capable of producing respiratory waveforms that approach the gold standard, while in turn producing state of the art respiratory rate estimates. We also show that when it comes to capturing more advanced respiratory waveform characteristics such as duty cycle, our model is for the most part unsuccessful. A suggested reason for this, in light of a previous study on in-ear PPG, is that the respiratory variations in finger-PPG are far weaker compared with other recording locations. Importantly, our model can perform these waveform estimates in a fraction of a millisecond, giving it the capacity to produce over 6 hours of respiratory waveforms in a single second. Moreover, we attempt to interpret the behaviour of the kernel weights within the model, showing that in part our model intuitively selects different breathing frequencies. The model proposed in this work could help to improve the usefulness of consumer PPG-based wearables for medical applications, where detailed respiratory information is required.

Stress is considered to be the epidemic of the 21st-century. Yet, mobile apps cannot directly evaluate the impact of their content and services on user stress. We introduce the Beam AI SDK to address this issue. Using our SDK, apps can monitor user stress through the selfie camera in real-time. Our technology extracts the user's pulse wave by analyzing subtle color variations across the skin regions of the user's face. The user's pulse wave is then used to determine stress (according to the Baevsky Stress Index), heart rate, and heart rate variability. We evaluate our technology on the UBFC dataset, the MMSE-HR dataset, and Beam AI's internal data. Our technology achieves 99.2%, 97.8% and 98.5% accuracy for heart rate estimation on each benchmark respectively, a nearly twice lower error rate than competing methods. We further demonstrate an average Pearson correlation of 0.801 in determining stress and heart rate variability, thus producing commercially useful readings to derive content decisions in apps. Our SDK is available for use at www.beamhealth.ai.

Photoplethysmogram (PPG) is increasingly used to provide monitoring of the cardiovascular system under ambulatory conditions. Wearable devices like smartwatches use PPG to allow long term unobtrusive monitoring of heart rate in free living conditions. PPG based heart rate measurement is unfortunately highly susceptible to motion artifacts, particularly when measured from the wrist. Traditional machine learning and deep learning approaches rely on tri-axial accelerometer data along with PPG to perform heart rate estimation. The conventional learning based approaches have not addressed the need for device-specific modeling due to differences in hardware design among PPG devices. In this paper, we propose a novel end to end deep learning model to perform heart rate estimation using 8 second length input PPG signal. We evaluate the proposed model on the IEEE SPC 2015 dataset, achieving a mean absolute error of 3.36+-4.1BPM for HR estimation on 12 subjects without requiring patient specific training. We also studied the feasibility of applying transfer learning along with sparse retraining from a comprehensive in house PPG dataset for heart rate estimation across PPG devices with different hardware design.