U-FaceBP: Uncertainty-aware Bayesian Ensemble Deep Learning for Face Video-based Blood Pressure Estimation

arXiv cs.CV / 4/30/2026

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Key Points

  • The paper introduces U-FaceBP, an uncertainty-aware Bayesian ensemble deep learning approach to estimate blood pressure from face videos using rPPG.
  • U-FaceBP explicitly models both aleatoric and epistemic uncertainties via Bayesian neural networks, aiming to improve reliability in remote BP estimation.
  • The method uses an ensemble across multiple modalities—rPPG-derived signals, PPG signals derived from face videos, and face images—by combining predictions from multiple BNNs.
  • Experiments on two datasets with 1,197 subjects across diverse racial groups show that U-FaceBP outperforms existing state-of-the-art methods.
  • The authors demonstrate that the uncertainty outputs can guide modality fusion, support reliability assessment, and help analyze performance differences across racial groups.

Abstract

Blood pressure (BP) measurement is crucial for daily health assessment. Remote photoplethysmography (rPPG), which extracts pulse waves from face videos captured by a camera, has the potential to enable convenient BP measurement without specialized medical devices. However, there are various uncertainties in BP estimation using rPPG, leading to limited estimation performance and reliability. In this paper, we propose U-FaceBP, an uncertainty-aware Bayesian ensemble deep learning method for face video-based BP estimation. U-FaceBP models aleatoric and epistemic uncertainties in face video-based BP estimation with a Bayesian neural network (BNN). Additionally, we design U-FaceBP as an ensemble method, estimating BP from rPPG signals, PPG signals derived from face videos, and face images using multiple BNNs. Large-scale experiments on two datasets involving 1197 subjects from diverse racial groups demonstrate that U-FaceBP outperforms state-of-the-art BP estimation methods. Furthermore, we show that the uncertainty estimates provided by U-FaceBP are informative and useful for guiding modality fusion, assessing prediction reliability, and analyzing performance across racial groups.