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Paper · arXiv

Detecting Neurovascular Instability from Multimodal Physiological Signals Using Wearable-Compatible Edge AI: A Responsible Computational Framework

We propose Melaguard, a multimodal ML framework (Transformer-lite, 1.2M parameters, 4-head self-attention) for detecting neurovascular instability (NVI) from wearable-compatible physiological signals prior to structural stroke pathology. The model fuses heart rate variability (HRV), peripheral perfusion index, SpO2, and bilateral phase coherence into a composite NVI Score, designed for edge inference (WCET <=4 ms on Cortex-M4). NVI - the pre-structural dysregulation of cerebrovascular autoregulation preceding overt stroke - remains undetectable by existing single-modality wearables. With 12.2 million incident strokes annually, continuous multimodal physiological monitoring offers a practi...

AuthorsTruong Quynh Hoa, Hoang Dinh Cuong, Truong Xuan Khanh
Primary categorycs.LG
Published20 March 2026
Last updated at source20 March 2026
cs.LGcs.AI
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