Heart rate is a physiological signal that provides information about an individual's health and affective state. Remote photoplethysmography (rPPG) allows the estimation of this signal from video recordings of a person's face. Classical rPPG methods make use of signal processing techniques, while recent rPPG methods utilize deep learning networks. Methods are typically evaluated on datasets collected in well-lit environments with participants at resting heart rates. However, little investigation has been done on how well these methods adapt to variations in illumination and heart rate. In this work, we systematically evaluate representative state-of-the-art methods for remote heart rate estimation. Specifically, we evaluate four classical methods and four deep learning-based rPPG estimation methods in terms of their generalization ability to changing scenarios, including low lighting conditions and elevated heart rates. For a thorough evaluation of existing approaches, we collected a novel dataset called CHILL, which systematically varies heart rate and lighting conditions. The dataset consists of recordings from 45 participants in four different scenarios. The video data was collected under two different lighting conditions (high and low) and normal and elevated heart rates. In addition, we selected two public datasets to conduct within- and cross-dataset evaluations of the rPPG methods. Our experimental results indicate that classical methods are not significantly impacted by low-light conditions. Meanwhile, some deep learning methods were found to be more robust to changes in lighting conditions but encountered challenges in estimating high heart rates. The cross-dataset evaluation revealed that the selected deep learning methods underperformed when influencing factors such as elevated heart rates and low lighting conditions were not present in the training set.

Hypertension is a leading cause of morbidity and mortality worldwide. The ability to diagnose and treat hypertension in the ambulatory population is hindered by limited access and poor adherence to current methods of monitoring blood pressure (BP), specifically, cuff-based devices. Remote photoplethysmography (rPPG) evaluates an individual's pulse waveform through a standard camera without physical contact. Cameras are readily available to the majority of the global population via embedded technologies such as smartphones, thus rPPG is a scalable and promising non-invasive method of BP monitoring. The few studies investigating rPPG for BP measurement have excluded high-risk populations, including those with cardiovascular disease (CVD) or its risk factors, as well as subjects in active cardiac arrhythmia. The impact of arrhythmia, like atrial fibrillation, on the prediction of BP using rPPG is currently uncertain. We performed a study to better understand the relationship between rPPG and BP in a real-world sample of ambulatory patients from a cardiology clinic with established CVD or risk factors for CVD. We collected simultaneous rPPG, PPG, BP, ECG, and other vital signs data from 143 subjects while at rest, and used this data plus demographics to train a deep learning model to predict BP. We report that facial rPPG yields a signal that is comparable to finger PPG. Pulse wave analysis (PWA)-based BP estimates on this cohort performed comparably to studies on healthier subjects, and notably, the accuracy of BP prediction in subjects with atrial fibrillation was not inferior to subjects with normal sinus rhythm. In a binary classification task, the rPPG model identified subjects with systolic BP $\geq$ 130 mm Hg with a positive predictive value of 71% (baseline prevalence 48.3%), highlighting the potential of rPPG for hypertension monitoring.

Recent work has shown that a person's sympathetic arousal can be estimated from facial videos alone using basic signal processing. This opens up new possibilities in the field of telehealth and stress management, providing a non-invasive method to measure stress only using a regular RGB camera. In this paper, we present SympCam, a new 3D convolutional architecture tailored to the task of remote sympathetic arousal prediction. Our model incorporates a temporal attention module (TAM) to enhance the temporal coherence of our sequential data processing capabilities. The predictions from our method improve accuracy metrics of sympathetic arousal in prior work by 48% to a mean correlation of 0.77. We additionally compare our method with common remote photoplethysmography (rPPG) networks and show that they alone cannot accurately predict sympathetic arousal "out-of-the-box". Furthermore, we show that the sympathetic arousal predicted by our method allows detecting physical stress with a balanced accuracy of 90% - an improvement of 61% compared to the rPPG method commonly used in related work, demonstrating the limitations of using rPPG alone. Finally, we contribute a dataset designed explicitly for the task of remote sympathetic arousal prediction. Our dataset contains synchronized face and hand videos of 20 participants from two cameras synchronized with electrodermal activity (EDA) and photoplethysmography (PPG) measurements. We will make this dataset available to the community and use it to evaluate the methods in this paper. To the best of our knowledge, this is the first dataset available to other researchers designed for remote sympathetic arousal prediction.

Remote camera measurement of the blood volume pulse via photoplethysmography (rPPG) is a compelling technology for scalable, low-cost, and accessible assessment of cardiovascular information. Neural networks currently provide the state-of-the-art for this task and supervised training or fine-tuning is an important step in creating these models. However, most current models are trained on facial videos using contact PPG measurements from the fingertip as targets/ labels. One of the reasons for this is that few public datasets to date have incorporated contact PPG measurements from the face. Yet there is copious evidence that the PPG signals at different sites on the body have very different morphological features. Is training a facial video rPPG model using contact measurements from another site on the body suboptimal? Using a recently released unique dataset with synchronized contact PPG and video measurements from both the hand and face, we can provide precise and quantitative answers to this question. We obtain up to 40 % lower mean squared errors between the waveforms of the predicted and the ground truth PPG signals using state-of-the-art neural models when using PPG signals from the forehead compared to using PPG signals from the fingertip. We also show qualitatively that the neural models learn to predict the morphology of the ground truth PPG signal better when trained on the forehead PPG signals. However, while models trained from the forehead PPG produce a more faithful waveform, models trained from a finger PPG do still learn the dominant frequency (i.e., the heart rate) well.

This paper aims to demonstrate the importance and feasibility of fusing multimodal information for emotion recognition. It introduces a multimodal framework for emotion understanding by fusing the information from visual facial features and rPPG signals extracted from the input videos. An interpretability technique based on permutation feature importance analysis has also been implemented to compute the contributions of rPPG and visual modalities toward classifying a given input video into a particular emotion class. The experiments on IEMOCAP dataset demonstrate that the emotion classification performance improves by combining the complementary information from multiple modalities.

This paper presents an approach to assess the perfusion of visible human tissue from RGB video files. We propose metrics derived from remote photoplethysmography (rPPG) signals to detect whether a tissue is adequately supplied with blood. The perfusion analysis is done in three different scales, offering a flexible approach for different applications. We perform a plane-orthogonal-to-skin rPPG independently for locally defined regions of interest on each scale. From the extracted signals, we derive the signal-to-noise ratio, magnitude in the frequency domain, heart rate, perfusion index as well as correlation between specific rPPG signals in order to locally assess the perfusion of a specific region of human tissue. We show that locally resolved rPPG has a broad range of applications. As exemplary applications, we present results in intraoperative perfusion analysis and visualization during skin and organ transplantation as well as an application for liveliness assessment for the detection of presentation attacks to authentication systems.