Physics-Constrained Deep Learning Model for Contactless Blood Pressure Monitoring from Triaxial Bodyseismography

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Ballistocardiography (BCG) is promising for unobtrusive long-term blood pressure (BP) monitoring in laboratory settings, but traditional BCG signals are vulnerable to the variations in body-bed interaction with shifted fiducial points in temporal or amplitude axis, and BP varies with personal hemodynamic changes, causing misaligned representations that affect model generalizability and robustness. In this work, we propose a non-invasive BP estimation framework, Phy-BP, based on triaxial bodyseismography (BSG) as an extension of BCG. Firstly, an adaptive quality-control algorithm is designed to select BSG segments enriched with cardiogenic components by jointly considering neighboring beat patterns and universal cardiogenic templates. Furthermore, a physical model is established to describe 3D wave propagation in the body-bed system and is subsequently embedded into the deep learning model to characterize the intrinsic coupling among triaxial BSG signals driven by a single cardiogenic excitation. Thus, multi-axis features are aligned during model training, improving robustness against distortions in real scenarios. Experiments on a 162-hour hospital dataset collected from 21 subjects reveal that the proposed Phy-BP can dynamically filter out low-quality measurements, and the deep learning model training is constrained by physical consistency across different axes to provide faithful BP monitoring, especially when training samples are limited.