Spatial Artifact Coherence Determines Codec Robustness in Patch-Based rPPG

Objective: Consumer face camera remote photoplethysmography (rPPG) enables passive cardiovascular monitoring, but whether single-cycle waveform morphology encoding arterial stiffness biomarkers is recoverable from this measurement has not been characterised. Methods: We evaluated 16 architectures spanning six families on 153 subjects across three datasets, introducing cross-subject Pearson r to distinguish subject-specific recovery from template collapse. Results: No architecture recovered subject-specific morphology (cross-subject r range 0.773--0.9999; ground-truth ceiling 0.601). Supervised Contrastive (SupCon) converged to log N = 4.844, constituting the strongest available empirical evidence that no discriminative morphological structure is extractable from single-cycle rPPG by the encoder families tested. The VAE decoder restores population-level harmonic content absent from the rPPG input (H2/H1: 0.310 output vs. 0.275 input), generalising zero-shot to UBFC (r = +0.708); a directional hallucination gap (p = 0.150) suggests partial signal reading. Anti-collapse objectives fail when input carries no discriminative structure. Significance: Consumer cameras cannot encode individual arterial morphology; cross-subject r is a necessary collapse diagnostic for waveform reconstruction benchmarks.

Remote photoplethysmography (rPPG) transformers achieve low heart-rate error on benchmarks, yet their decisions remain opaque--a growing concern as rPPG moves toward clinical heart rate estimation. Existing rPPG XAI is dominated by qualitative heatmap inspection without quantitative faithfulness metrics or physiology-grounded validation, leaving a gap between visual plausibility and auditable evidence. We address this gap. First, we adapt four attribution methods (raw attention, rollout, flow, Beyond Intuition) to RhythmFormer's bi-level routing attention with top-$k$ selection. Second, we introduce a skin coverage metric quantifying how much attribution mass falls on skin regions. Third, we adapt the SaCo faithfulness coefficient from its original classification setting to rPPG regression by using the MAE between original and perturbed predicted rPPG waveforms as the perturbation impact. Applying these tools, we quantify a multi-hop leakage effect under sparse top-$k$ routing: attention rollout and flow almost completely restores the connections that individual refined-attention layers explicitly set to zero. Beyond Intuition mitigates this via its value-projection-weighted rollout and gradient-supported mask, attaining the highest median refined skin coverage ($0.83$ vs. $0.57$ for vanilla rollout) and faithfulness ($F=0.92$) among the evaluated methods on UBFC-rPPG. Validation across diverse datasets and model variants is needed. A case study on a low-SaCo outlier further shows all four methods recovering consistently once an artefactual region is replaced, suggesting consistent SaCo behavior across attribution families in this illustrative case. Together, these metrics move XAI for rPPG toward auditable numerical evidence about spatial alignment and perturbation faithfulness, i.e. trustworthy rPPG XAI.

Remote photoplethysmography (rPPG) enables non-contact measurement of cardiac pulse signals by analyzing subtle color changes in facial videos. Nevertheless, extracting rPPG signals remains challenging because of their extremely weak signal strength and susceptibility to illumination noise. In this paper, we propose an rPPG signal extraction method that exploits the quasi-periodic characteristics of rPPG signals. Our approach models quasi-periodicity of the rPPG signal, which arises from the stable cardiac cycle, as a block-sparse structure in the time-frequency domain. To incorporate a block-sparse model and enable adaptive signal separation under illumination fluctuations, we construct a time-varying signal separation framework. Experiments using a public dataset demonstrate the effectiveness of our method.