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arXiv · 2608.12117

Attractor Image-Based Deep Learning of Arterial Pulse Waves for Age Classification

Sara Vardanega·Patrick Segers·Philip Aston·Ernst Rietzschel·Jordi Alastruey·Manasi Nandi
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Abstract

Arterial pulse waveform morphology evolves with age, reflecting structural and functional changes in the cardiovascular system. Thus, vascular age is a valuable surrogate marker of cardiovascular health, and premature vascular ageing can indicate increased disease risk. Pulse wave analysis could support risk stratification in otherwise asymptomatic adults. We transformed pulse wave time-series data from photoplethysmography (PPG) and arterial tonometry into images, using the Symmetric Projection Attractor Reconstruction (SPAR) method. These SPAR images were used to train a convolutional neural network to classify healthy subjects into two closely spaced age groups (35-40 and 50-55 years). The model demonstrated consistent classification performance across internal and external test sets, achieving F1 scores above 70% for both PPG and tonometry signals. These results suggest that SPAR-derived pulse wave images contain discriminative morphological features even among healthy adults close in age. This proof-of-concept lays the groundwork for future research into the use of SPAR for early risk detection using smart wearables.

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Sara Vardanega, Patrick Segers, Philip Aston, Ernst Rietzschel, Jordi Alastruey, Manasi Nandi. 2026-08-12. Attractor Image-Based Deep Learning of Arterial Pulse Waves for Age Classification. https://doi.org/10.22489/cinc.2025.343

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