Fully Test-Time rPPG Estimation via Synthetic Signal-Guided Feature Learning

Many remote photoplethysmography (rPPG) estimation models have achieved promising performance in the training domain but often fail to accurately estimate physiological signals or heart rates (HR) in the target domains. Domain generalization (DG) or domain adaptation (DA) techniques are therefore adopted during the offline training stage to adapt the model to either unobserved or observed target domains by utilizing all available source domain data. However, in rPPG estimation problems, the adapted model usually encounters challenges in estimating target data with significant domain variation. In contrast, Test-Time Adaptation (TTA) enables the model to adaptively estimate rPPG signals in various unseen domains by online adapting to unlabeled target data without referring to any source data. In this paper, we first establish a new TTA-rPPG benchmark that encompasses various domain information and HR distributions to simulate the challenges encountered in real-world rPPG estimation. Next, we propose a novel synthetic signal-guided rPPG estimation framework to address the forgetting issue during the TTA stage and to enhance the adaptation capability of the pre-trained rPPG model. To this end, we develop a synthetic signal-guided feature learning method by synthesizing pseudo rPPG signals as pseudo ground truths to guide a conditional generator in generating latent rPPG features. In addition, we design an effective spectral-based entropy minimization technique to encourage the rPPG model to learn new target domain information. Both the generated rPPG features and synthesized rPPG signals prevent the rPPG model from overfitting to target data and forgetting previously acquired knowledge, while also broadly covering various heart rate (HR) distributions. Our extensive experiments on the TTA-rPPG benchmark show that the proposed method achieves superior performance.