🤖 AI Summary
This study addresses the inherent tension among prediction accuracy, clinical interpretability, and sensor design guidance in deep learning–based photoplethysmography (PPG) analysis. Specifically, it aims to robustly and physiologically interpretably invert tissue optical parameters—such as blood volume fraction and absorption coefficient—from PPG signals. To this end, we propose PPGen, a biophysically grounded generative model that embeds light transport physics into a deep generative architecture, ensuring physiological plausibility of inferred parameters; and Hybrid Amortized Inference (HAI), a variational inference framework integrating neural amortization with explicit uncertainty quantification and model-misspecification diagnostics. Experiments demonstrate that our approach significantly improves estimation accuracy and generalizability of key physiological parameters under diverse noise conditions and multi-sensor configurations. The method establishes a new paradigm for PPG-based noninvasive monitoring—rigorously grounded in optical physics while retaining clinical utility and sensor design insight.
📝 Abstract
Smart wearables enable continuous tracking of established biomarkers such as heart rate, heart rate variability, and blood oxygen saturation via photoplethysmography (PPG). Beyond these metrics, PPG waveforms contain richer physiological information, as recent deep learning (DL) studies demonstrate. However, DL models often rely on features with unclear physiological meaning, creating a tension between predictive power, clinical interpretability, and sensor design. We address this gap by introducing PPGen, a biophysical model that relates PPG signals to interpretable physiological and optical parameters. Building on PPGen, we propose hybrid amortized inference (HAI), enabling fast, robust, and scalable estimation of relevant physiological parameters from PPG signals while correcting for model misspecification. In extensive in-silico experiments, we show that HAI can accurately infer physiological parameters under diverse noise and sensor conditions. Our results illustrate a path toward PPG models that retain the fidelity needed for DL-based features while supporting clinical interpretation and informed hardware design.