Rapid Adaptation of SpO2 Estimation to Wearable Devices via Transfer Learning on Low-Sampling-Rate PPG

Zequan Liang, Ruoyu Zhang, Wei Shao, krishna Karthik, Ehsan Kourkchi, Setareh Rafatirad, Houman Homayoun

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Keywords: SpO2 estimation; photoplethysmography (PPG); wearable health monitoring; transfer learning; machine learning

Abstract: Blood oxygen saturation (SpO2) is a vital marker for healthcare monitoring. Traditional SpO2 estimation methods often rely on complex clinical calibration, making them unsuitable for low-power, wearable applications. In this paper, we propose a transfer learning–based framework for the rapid adaptation of SpO2 estimation to energy-efficient wearable devices using low-sampling-rate (25Hz) dual-channel photoplethysmography (PPG). We first pretrain a bidirectional Long Short-Term Memory (BiLSTM) model with self-attention on a public clinical dataset, then fine-tune it using data collected from our wearable We-Be band and an FDA-approved reference pulse oximeter. Experimental results show that our approach achieves a mean absolute error (MAE) of 2.967% on the public dataset and 2.624% on the private dataset, significantly outperforming traditional calibration and non-transferred machine learning baselines. Moreover, using 25Hz PPG reduces power consumption by 40% compared to 100Hz, excluding baseline draw. Our method also attains an MAE of 3.284% in instantaneous SpO2 prediction, effectively capturing rapid fluctuations. These results demonstrate the rapid adaptation of accurate, low-power SpO2 monitoring on wearable devices without the need for clinical calibration.

Track: 3. Signal processing, machine learning, deep learning, and decision-support algorithms for digital and computational health

NominateReviewer:

Houman Homayoun, [e-mail]
Zequan Liang, [e-mail]

Submission Number: 50