FLOW: Feature-Level Optimal Warping for Generalized Remote Physiological Measurement

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 contactless pulse estimation from facial videos, serving as a vital tool for health monitoring. However, current deep learning methods often struggle under complex disturbances, particularly varying illumination, facial expressions, and unconstrained head movements. In such scenarios, subtle physiological signals are easily dominated by external interference, making the recovered rPPG waveform unstable and unreliable. One important reason is that most existing methods directly model the rPPG signal in a unified manner, where different signal components are coupled during reconstruction. This makes it difficult to preserve weak pulse-related variations when strong disturbance-induced changes are present. To address this challenge, we propose PhysFlow, a frequency-decoupled dual-field rectified flow framework tailored for robust rPPG estimation. Specifically, the ground-truth rPPG signal is decomposed into trend and amplitude components, which are used as separate supervisory targets. Based on the extracted facial features, PhysFlow learns two component-specific conditional velocity fields to model the two components separately. This design reduces mutual interference between different components and improves the robustness of rPPG reconstruction under complex disturbances. Moreover, the rectified flow formulation enables efficient waveform reconstruction with only a few ordinary differential equation (ODE) integration steps. Extensive experiments on multiple benchmark datasets demonstrate that PhysFlow outperforms state-of-the-art methods in both heart-rate estimation and rPPG waveform reconstruction across diverse challenging scenarios.

Remote photoplethysmography (rPPG) enables non-contact extraction of blood volume pulse (BVP) signals using consumer-grade cameras. Recent unsupervised rPPG methods learn BVP representations without requiring ground-truth physiological annotations, yet their optimization is often hindered by noisy and unstable gradients, resulting in slow convergence and limited cross-domain generalization. In this paper, we propose FCUS-rPPG, a fast-converging unsupervised rPPG framework with strong generalization capability. Motivated by the observation that BVP representations exhibit both multi-spectral covariation and low-dimensional manifold structure, we design a spectrally shared backbone that facilitates BVP feature disentanglement while improving optimization efficiency. To jointly enhance convergence stability and generalization performance, we further develop a unified optimization framework operating at the gradient, loss-landscape, and feature-representation levels. Specifically, a post-verification masking mechanism filters out misleading gradients according to the weak-amplitude physiological prior of BVP signals; a perturbation-based loss landscape smoothing strategy steers optimization toward more generalizable flat minima; and a noise-aware null-space regularization constrains feature updates to the orthogonal complement of the noise subspace, thereby mitigating noise-induced representation drift. Extensive experiments on five datasets demonstrate that FCUS-rPPG requires only one training epoch, whereas existing methods typically require tens to hundreds of epochs. Notably, FCUS-rPPG consistently achieves state-of-the-art (SOTA) performance in cross-dataset evaluations. This study provides an efficient and robust solution to the real-world deployment of unsupervised rPPG. The source code will be publicly available at https://github.com/JiaJieLee/FCUS-rPPG.