Beyond Ambiguous Visual Cues: Studying Physiological Disruptions and Cross-Modal Inconsistencies in Deepfake Videos

Recent deepfake detection studies increasingly suggest remote photoplethysmography (rPPG) signals as an authenticity cue. However, existing benchmarks lack physiological ground truth, and current detectors underexplore the cross-level relationship between facial features and physiological dynamics, often relying on late fusion or rPPG features alone. In this paper, we construct high-fidelity deepfake manipulations on established real rPPG datasets (COHFACE and UBFC-rPPG) to investigate how forgeries disrupt natural physiological signals and facial behavior at the same time. Building on this analysis, we propose a bidirectional co-attention fusion detector that jointly models rPPG and facial behavior tokens. This mechanism explicitly captures the cross-level dependencies between pulse dynamics and facial motion to learn a robust, joint authenticity representation. Extensive experiments using a subject-disjoint 5-fold evaluation demonstrate the superiority of our approach. Achieving a 92.80% AUC on constructed datasets using face swapping and 96.78% AUC on motion transfer, our model outperforms both the rPPG-only single modality baseline and the best feature-level fusion methods. Furthermore, transfer-learning result of the fusion detector on Celeb-DF-v2 while keeping both feature extractors fixed achieves 91.20% accuracy and 86.08% AUC, which suggests applicability under target-domain adaptation.