Evidence map›Paper›PMID 42460368›Full record

ArticleBiomedical optics express2026

Missed isochromatic cardiac pulsation in remote photoplethysmography: detection, impact, and removal.

Gurnoor Kaur, Vasudevan Lakshminarayanan, Simarjeet Singh Saini

Abstract read
In one paragraph

Article in Biomedical optics express, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Gurnoor KaurCameron Heights Collegiate Institute, 301 Charles St E, Kitchener, ON N2G 2P8, Canada.
Vasudevan LakshminarayananSchool of Optometry, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G1, Canada.ORCID https://orcid.org/0000-0002-3473-1245
Simarjeet Singh SainiDepartment of Electrical and Computer Engineering, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Remote photoplethysmography (rPPG) extracts the cardiac pulse from facial video by isolating chromatic variation due to wavelength-dependent hemoglobin absorption. We report that this signal model is incomplete. A second cardiac-frequency signal is present in skin video: an isochromatic pulsation along the skin's mean reflectance direction, arising from ballistocardiographic modulation of skin surface geometry and changes in the effective scattering cross-section of the dermal vascular bed. This isochromatic component is conflated with the chromatic signal by every rPPG method we evaluated, including chrominance-based methods (POS, CHROM) and other projection or decomposition methods (OMIT, LGI, PBV, ICA). The two signals share the cardiac frequency but differ in phase and signal fidelity, and their relative directions vary with skin tone, lighting, and recording conditions. To assess whether the isochromatic component contributes significant error to rPPG, we constructed chrominance Phase-Aware Cardiac Eigenprojection (cPACE), a method that removes the isochromatic direction via a subject-adaptive projection orthogonal to the measured skin reflectance before extracting the cardiac signal through eigen-vector projection. Across UBFC-Phys (rest and speech) and the CMU-rPPG India and Sierra Leone cohorts, cross-ROI phase-locking values of the recovered signal are systematically higher under cPACE than under any other method evaluated, indicating cleaner waveform recovery. The resulting heart rate estimates achieve mean absolute error of 1.7, 3.7, 1.7, and 1.1 BPM, respectively, on these cohorts, compared to 2.8, 9.5, 16.8, and 17.8 BPM for POS with homodyne envelope correction applied for parity. Together, these results show that the isochromatic component is a major source of error in existing rPPG methods, and future methods should explicitly account for it.

Identifiers

PMID42460368
PMCPMC13372377

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