# Bi-TTA: Bidirectional Test-Time Adapter for Remote Physiological Measurement

arXiv: https://arxiv.org/abs/2409.17316 · HTML: https://mlsanity.com/paper/2409.17316/

## Key facts

- Cited by 6 papers in the map (data through 14 Oct 2026).
- Builds on 45 of its 74 references that are in the map.
- First posted on arXiv 25 Sep 2024.

## Builds on (most cited first, 30 of 45)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Model-Agnostic Meta-Learning for Fast Adaptation of Deep Networks](https://mlsanity.com/paper/1703.03400/) (2017)
- [Scaling Up Visual and Vision-Language Representation Learning With Noisy Text Supervision](https://mlsanity.com/paper/2102.05918/) (2021)
- [Sharpness-Aware Minimization for Efficiently Improving Generalization](https://mlsanity.com/paper/2010.01412/) (2020)
- [Deep CORAL: Correlation Alignment for Deep Domain Adaptation](https://mlsanity.com/paper/1607.01719/) (2016)
- [Visualizing the Loss Landscape of Neural Nets](https://mlsanity.com/paper/1712.09913/) (2017)
- [Do We Really Need to Access the Source Data? Source Hypothesis Transfer for Unsupervised Domain Adaptation](https://mlsanity.com/paper/2002.08546/) (2020)
- [Generalizing to Unseen Domains: A Survey on Domain Generalization](https://mlsanity.com/paper/2103.03097/) (2021)
- [Out-of-Distribution Generalization via Risk Extrapolation (REx)](https://mlsanity.com/paper/2003.00688/) (2020)
- [Efficient Test-Time Model Adaptation without Forgetting](https://mlsanity.com/paper/2204.02610/) (2022)
- [Towards Stable Test-Time Adaptation in Dynamic Wild World](https://mlsanity.com/paper/2302.12400/) (2023)
- [Meta Pseudo Labels](https://mlsanity.com/paper/2003.10580/) (2020)
- [High-Performance Large-Scale Image Recognition Without Normalization](https://mlsanity.com/paper/2102.06171/) (2021)
- [A Comprehensive Survey on Test-Time Adaptation under Distribution Shifts](https://mlsanity.com/paper/2303.15361/) (2023)
- [Test-Time Training with Masked Autoencoders](https://mlsanity.com/paper/2209.07522/) (2022)
- [Source Data-absent Unsupervised Domain Adaptation through Hypothesis Transfer and Labeling Transfer](https://mlsanity.com/paper/2012.07297/) (2020)
- [DeepPhys: Video-Based Physiological Measurement Using Convolutional Attention Networks](https://mlsanity.com/paper/1805.07888/) (2018)
- [PhysFormer: Facial Video-based Physiological Measurement with Temporal Difference Transformer](https://mlsanity.com/paper/2111.12082/) (2021)
- [RhythmNet: End-to-end Heart Rate Estimation from Face via Spatial-temporal Representation](https://mlsanity.com/paper/1910.11515/) (2019)
- [Remote Heart Rate Measurement from Highly Compressed Facial Videos: an End-to-end Deep Learning Solution with Video Enhancement](https://mlsanity.com/paper/1907.11921/) (2019)
- [Video-based Remote Physiological Measurement via Cross-verified Feature Disentangling](https://mlsanity.com/paper/2007.08213/) (2020)
- [Back to the Source: Diffusion-Driven Test-Time Adaptation](https://mlsanity.com/paper/2207.03442/) (2022)
- [Make Sharpness-Aware Minimization Stronger: A Sparsified Perturbation Approach](https://mlsanity.com/paper/2210.05177/) (2022)
- [The Way to my Heart is through Contrastive Learning: Remote Photoplethysmography from Unlabelled Video](https://mlsanity.com/paper/2111.09748/) (2021)
- [PulseGAN: Learning to generate realistic pulse waveforms in remote photoplethysmography](https://mlsanity.com/paper/2006.02699/) (2020)
- [SITA: Single Image Test-time Adaptation](https://mlsanity.com/paper/2112.02355/) (2021)
- [VIPL-HR: A Multi-modal Database for Pulse Estimation from Less-constrained Face Video](https://mlsanity.com/paper/1810.04927/) (2018)
- [Meta-rPPG: Remote Heart Rate Estimation Using a Transductive Meta-Learner](https://mlsanity.com/paper/2007.06786/) (2020)
- [Camera Measurement of Physiological Vital Signs](https://mlsanity.com/paper/2111.11547/) (2021)
- [Contrast-Phys: Unsupervised Video-based Remote Physiological Measurement via Spatiotemporal Contrast](https://mlsanity.com/paper/2208.04378/) (2022)

## Built on by (most cited first, 6 of 6)

- [DA2: Depth Anything in Any Direction](https://mlsanity.com/paper/2509.26618/) (2025)
- [Lotus-2: Advancing Geometric Dense Prediction with Powerful Image Generative Model](https://mlsanity.com/paper/2512.01030/) (2025)
- [StereoDiff: Stereo-Diffusion Synergy for Video Depth Estimation](https://mlsanity.com/paper/2506.20756/) (2025)
- [Align the GAP: Prior-based Unified Multi-Task Remote Physiological Measurement Framework For Domain Generalization and Personalization](https://mlsanity.com/paper/2506.16160/) (2025)
- [Not Only Consistency: Enhance Test-Time Adaptation with Spatio-temporal Inconsistency for Remote Physiological Measurement](https://mlsanity.com/paper/2507.07908/) (2025)
- [FLOW: Feature-Level Optimal Warping for Generalized Remote Physiological Measurement](https://mlsanity.com/paper/2609.38913/) (2026)

## Abstract (arXiv)

Remote photoplethysmography (rPPG) is gaining prominence for its non-invasive approach to monitoring physiological signals using only cameras. Despite its promise, the adaptability of rPPG models to new, unseen domains is hindered due to the environmental sensitivity of physiological signals. To address this, we pioneer the Test-Time Adaptation (TTA) in rPPG, enabling the adaptation of pre-trained models to the target domain during inference, sidestepping the need for annotations or source data due to privacy considerations. Particularly, utilizing only the user's face video stream as the accessible target domain data, the rPPG model is adjusted by tuning on each single instance it encounters. However, 1) TTA algorithms are designed predominantly for classification tasks, ill-suited in regression tasks such as rPPG due to inadequate supervision. 2) Tuning pre-trained models in a single-instance manner introduces variability and instability, posing challenges to effectively filtering domain-relevant from domain-irrelevant features while simultaneously preserving the learned information. To overcome these challenges, we present Bi-TTA, a novel expert knowledge-based Bidirectional Test-Time Adapter framework. Specifically, leveraging two expert-knowledge priors for providing self-supervision, our Bi-TTA primarily comprises two modules: a prospective adaptation (PA) module using sharpness-aware minimization to eliminate domain-irrelevant noise, enhancing the stability and efficacy during the adaptation process, and a retrospective stabilization (RS) module to dynamically reinforce crucial learned model parameters, averting performance degradation caused by overfitting or catastrophic forgetting. To this end, we established a large-scale benchmark for rPPG tasks under TTA protocol. The experimental results demonstrate the significant superiority of our approach over the state-of-the-art.
