Finger-to-Chest Style Transfer-assisted Deep Learning Method For Photoplethysmogram Waveform Restoration with Timing Preservation

Wearable measurements, such as those obtained by photoplethysmogram (PPG) sensors are highly susceptible to motion artifacts and noise, affecting cardiovascular measures. Chest-acquired PPG signals are especially vulnerable, with signal degradation primarily resulting from lower perfusion, breathing-induced motion, and mechanical interference from chest movements. Traditional restoration methods often degrade the signal, and supervised deep learning (DL) struggles with random and systematic distortions, requiring very large datasets for successful training. To efficiently restore chest PPG waveform, we propose a style transfer-assisted cycle-consistent generative adversarial network, called starGAN, whose performance is evaluated on a three-channel PPG signal (red, green,and infrared) acquired by a chest-worn multi-modal sensor, called Soundi. Two identical devices are adopted, one sensor to collect the PPG signal on the chest, considered to feature low quality and undergoing restoration, and another sensor to obtain a high-quality PPG signal measured on the finger, considered the reference signal. Extensive validation over some 8,000 5-second chunks collected from 40 subjects showed about 90% correlation of the restored chest PPG with the reference finger PPG, with a 30% improvement over raw chest PPG. Likewise, the signal-to-noise ratio improved on average of about 125%, over the three channels. The agreement with heart-rate computed from concurrent ECG was extremely high, overcoming 84% on average. These results demonstrate effective signal restoration, comparable with findings in recent literature papers. Significance: PPG signals collected from wearable devices are highly susceptible to artifacts, making innovative AI-based techniques fundamental towards holistic health assessments in a single device.

@article{pagotto2025_2503.13496,
  title={ Finger-to-Chest Style Transfer-assisted Deep Learning Method For Photoplethysmogram Waveform Restoration with Timing Preservation },
  author={ Sara Maria Pagotto and Federico Tognoni and Matteo Rossi and Dario Bovio and Caterina Salito and Luca Mainardi and Pietro Cerveri },
  journal={arXiv preprint arXiv:2503.13496},
  year={ 2025 }
}