Remote photoplethysmography (rPPG) enables contactless physiological measurement from facial videos, yet its subtle pulse-related variations are easily affected by illumination variation, head motion, facial blur, and region-of-interest instability. Existing methods mainly suppress interference during feature learning, while whether the learned temporal features remain affected by interference and how to further suppress such interference before rPPG estimation are rarely examined. To address this limitation, we propose PhysVR, a vision-language model guided interference-aware temporal feature refinement framework for rPPG estimation. Specifically, a physiological backbone produces global temporal features and a coarse rPPG prediction, from which signal-derived physiological reliability evidence is constructed from local temporal characteristics. In parallel, a frozen vision-language model processes sampled facial frames under an interference-oriented prompt, and an evidence head extracts visual interference evidence from the VLM output. Temporal cross-attention integrates the physiological and visual evidence with the global temporal features to construct interference-aware temporal context. Guided by this context, a shared temporal correction unit performs general refinement, while four interference-specific experts selectively suppress different interference through adaptive routing. The refined temporal features are then used for final rPPG estimation. Extensive experiments on five public benchmarks demonstrate that PhysVR consistently outperforms representative methods under both intra-dataset and cross-dataset evaluation protocols.
Remote photoplethysmography (rPPG) estimates the blood volume pulse (BVP) signal from facial videos, enabling contact-free health monitoring. Conventional clip-wise approaches, which use video clips as input, require capturing over one hundred frames before inference, thus introducing several seconds of delay and hindering real-time use. Meanwhile, frame-wise approaches struggle to capture long-range temporal and periodic features of physiological rhythms, and therefore lead to reduced estimation accuracy. To overcome these issues, we propose StreamPPG, a unified architecture that enables low-latency frame-wise physiological signal estimation while achieving competitive accuracy compared with clip-wise approaches. StreamPPG is trained under a consistent privileged learning (CPL) strategy, which leverages ground-truth rPPG signals as privileged information to enhance the model's representation capability. Extensive experiments demonstrate that StreamPPG achieves state-of-the-art accuracy across multiple datasets while maintaining real-time throughput on edge devices.
Remote photoplethysmography (rPPG) enables non-contact heart-rate estimation from facial videos, but its weak physiological signal is easily corrupted by motion, illumination changes, occlusion, skin-appearance variation, and device noise. Existing rPPG methods typically rely on a single model to directly predict heart rate or recover pulse waveforms, while different strong estimators may produce conflicting yet individually plausible candidates for the same video. To resolve these conflicts, we propose PhysAgent, an inference-time multi-agent candidate-verification framework. Unlike direct prediction approaches, PhysAgent neither trains a new base rPPG model nor asks Multimodal Large Language Models (MLLMs) to output heart rate directly. In contrast, it treats outputs from multiple base estimators as physiological hypotheses to be verified and uses a lightweight 4B MLLM, Qwen3-VL-4B, to drive multi-agent reasoning over video conditions, signal reliability, and candidate disagreement. A deterministic physiological verifier checks the fusion proposal, and a reproducible numerical fusion process produces the final heart rate. Experimental results on multiple public rPPG benchmarks show that PhysAgent improves fusion stability and reliability across different datasets and source-domain settings, while avoiding the irreproducibility and physiological inconsistency of direct MLLM prediction or unconstrained ensemble fusion. The code will be released soon.
Remote Photoplethysmography (rPPG) enables convenient non-contact physiological measurement. Existing Self-Supervised Learning (SSL) methods commonly fall into a correlation trap: they tend to learn the most dominant periodic signals in the data, such as high-energy motion or illumination noise, rather than the faint, true rPPG signal, leading to poor model generalization. To address this, we propose a new SSL paradigm, Physiological Causal Probing (PCP), which treats the latent rPPG signal as the underlying physical source and the resulting pixel chrominance variations as its visual manifestation. Its core idea is to shift from passive correlation learning to active, precise intervention: it intervenes on the video based on a proposed rPPG hypothesis, and verifies whether the post-intervention changes match physical expectations. We propose the Interv-rPPG framework to implement PCP: an rPPG extractor named PhysMambaFormer hypothesizes the rPPG signal, while a Controllable Physiological Signal Editor conducts precise chrominance-domain interventions on videos based on this hypothesis. Interv-rPPG validates the physical realism of the hypothesis through Falsifiability via Nulling' and Axiomatic Equivariance'. Our editor achieves precise editing of the rPPG signal by intervening in the low-frequency chrominance components of the video. Our method improves both in-domain and cross-domain performance on challenging datasets such as VIPL-HR and MMPD. Furthermore, it surpasses the supervised baseline in complex cross-dataset settings, while remaining competitive on clean datasets where the intervention mechanism may introduce slight residual chrominance noise. Extensive experiments, including diagnostic analysis of nuisance sensitivity, demonstrate that the PCP paradigm effectively resists motion and illumination artifacts.