Paperdoi:10.1364/boe.609878

Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality

Venue listed2026Added Oct 30, 2026

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Authors: Alya Alshehhi, Amine El Moutaouakil, Qammer H. Abbasi, Rami Ghannam

Biomedical Optics Express, published 2026-10-21

First page or project page of “Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality” (opens in a new tab)

Alya Alshehhi et al., "Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality", doi:10.1364/boe.609878, CC BY 4.0

TL;DR

Near-infrared reflective PPG at the temple with orthogonal polarisers on the emitter and detector, which rejects specular/superficial reflections while keeping pulsatile light. 22 participants with free head movement in VR, simultaneous ECG and 3-axis accel as references; compared against unpolarised PPG.

  • Form factor: head

Abstract

Virtual reality (VR) increasingly relies on continuous physiological signals, such as heart rate and heart-rate variability, to monitor users’ state in real time. The face is well suited to capturing these signals: the temple lies over a superficial artery, making it a strong photoplethysmography (PPG) site, but head motion and skin pigmentation can degrade optical cardiovascular measurements. We evaluated near-infrared cross-polarised temple PPG in 22 participants during free head movement in VR, using simultaneous ECG and three-axis acceleration as references. Orthogonal polarisers on the emitter and detector suppressed superficial reflections while preserving pulsatile light. Compared with unpolarised PPG, cross-polarisation was associated with a 29% reduction in the relative standard deviation of the DC baseline, a reduction in heart-rate bias from 1.84 to 0.01 bpm, and lower RMSSD and SDNN errors (43% and 44%). The largest HRV gains were observed in medium and darker skin groups. These results provide preliminary evidence that cross-polarisation may improve both the accuracy and the cross-skin-tone consistency of head-mounted PPG, thus supporting its use in next-generation smart eyewear and extended-reality devices.

Verbatim from the publisher's DOI record (opens in a new tab) · Publisher licence: https://creativecommons.org/licenses/by/4.0/

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Tasks & signals

Tasks

Signal denoising

Signals

Keywords

OpticsPolarisationMotion ArtifactSkin ToneFairnessHRVTempleHead Mounted

How it works

How Method works: Setup → Method → TargetSetup: Signals (PPG, ECG, ACC); Wavelengths (infrared); Form factor (head). Method: Method. Target: Signal denoising.SetupSignals: PPG, ECG, ACCSignalsPPG, ECG, ACCWavelengths: infraredWavelengthsinfraredForm factor: headForm factorheadMethodMethodTargetSignal denoisingSignal denoising
Wavelengths
infrared

Cite this paper

Cite this paper with the fields recorded here. Check it against the publisher before submitting.

Alshehhi, A., Moutaouakil, A. E., Abbasi, Q. H., & Ghannam, R. (2026). Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality. Biomedical Optics Express. https://doi.org/10.1364/boe.609878
Alshehhi, Alya, Amine El Moutaouakil, Qammer H. Abbasi, and Rami Ghannam. 2026. "Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality." Biomedical Optics Express. https://doi.org/10.1364/boe.609878.
Alshehhi, A., Moutaouakil, A. E., Abbasi, Q. H. and Ghannam, R. (2026) 'Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality', Biomedical Optics Express. doi: 10.1364/boe.609878.
Alshehhi, Alya, et al. "Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality." Biomedical Optics Express, 2026. https://doi.org/10.1364/boe.609878.
A. Alshehhi, A. E. Moutaouakil, Q. H. Abbasi, and R. Ghannam, "Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality," Biomedical Optics Express, 2026, doi: 10.1364/boe.609878.
@article{alshehhi2026crosspolarised,
  title         = {{Cross-polarised temple photoplethysmography for motion-robust and equitable cardiovascular sensing in virtual reality}},
  author        = {Alshehhi, Alya and Moutaouakil, Amine El and Abbasi, Qammer H. and Ghannam, Rami},
  year          = {2026},
  journal       = {Biomedical Optics Express},
  doi           = {10.1364/boe.609878}
}

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