Cylindrical Geodesic Flow Matching for Quasiperiodic Physiological Signal Transformation

Paired translation between quasiperiodic physiological waveforms (i.e., recovering a target oscillatory signal from the source) is central to the interpretation of cardiovascular signals derived from wearables placed at different body locations. This source-to-target mapping in these problems carries inherent geometric structure: the phase wraps around the cycle and must be treated as a circular variable, the amplitude remains strictly positive, and the beat-to-beat alignment can drift unpredictably across cycles and subjects. While deep neural networks have been used for phase estimation and complex-valued signal modeling, prior work does not explicitly learn phase transport between paired signals. Consequently, neither endpoint-supervised regression nor the standard affine path used in flow matching accounts for this phase--amplitude structure. We introduce \emph{cylindrical geodesic flow matching} for paired cardiovascular waveform translation. We show that the standard affine path used in flow matching distorts intermediate amplitude and instantaneous frequency when interpolating between quasiperiodic signals; replacing it with a closed-form geodesic on the phase--amplitude cylinder eliminates these artifacts and converts each training pair into dense, geometry-consistent velocity supervision. On zero-shot photoplethysmography and limited-support seismocardiography adaptation benchmarks, our method consistently outperforms interpolation baselines and matches or exceeds direct supervised prediction, reducing Hilbert Transform, $L_2$, and Dynamic Time Warping distance by up to ${\sim}15\%$ over the strongest competing baseline. These results suggest that bridge geometry is a critical inductive bias for flow matching on oscillatory signal translation.