Chongzhou Fang

Jialin Liu, Ning Miao, Chongzhou Fang et al.

The Electrocardiogram (ECG) measures the electrical cardiac activity generated by the heart to detect abnormal heartbeat and heart attack. However, the irregular occurrence of the abnormalities demands continuous monitoring of heartbeats. Machine learning techniques are leveraged to automate the task to reduce labor work needed during monitoring. In recent years, many companies have launched products with ECG monitoring and irregular heartbeat alert. Among all classification algorithms, the time series-based algorithm dynamic time warping (DTW) is widely adopted to undertake the ECG classification task. Though progress has been achieved, the DTW-based ECG classification also brings a new attacking vector of leaking the patients' diagnosis results. This paper shows that the ECG input samples' labels can be stolen via a side-channel attack, Flush+Reload. In particular, we first identify the vulnerability of DTW for ECG classification, i.e., the correlation between warping path choice and prediction results. Then we implement an attack that leverages Flush+Reload to monitor the warping path selection with known ECG data and then build a predictor for constructing the relation between warping path selection and labels of input ECG samples. Based on experiments, we find that the Flush+Reload-based inference leakage can achieve an 84.0\% attacking success rate to identify the labels of the two samples in DTW.

Wei Shao, Zequan Liang, Ruoyu Zhang et al.

Biometric authentication using physiological signals offers a promising path toward secure and user-friendly access control in wearable devices. While electrocardiogram (ECG) signals have shown high discriminability, their intrusive sensing requirements and discontinuous acquisition limit practicality. Photoplethysmography (PPG), on the other hand, enables continuous, non-intrusive authentication with seamless integration into wrist-worn wearable devices. However, most prior work relies on high-frequency PPG (e.g., 75 - 500 Hz) and complex deep models, which incur significant energy and computational overhead, impeding deployment in power-constrained real-world systems. In this paper, we present the first real-world implementation and evaluation of a continuous authentication system on a smartwatch, We-Be Band, using low-frequency (25 Hz) multi-channel PPG signals. Our method employs a Bi-LSTM with attention mechanism to extract identity-specific features from short (4 s) windows of 4-channel PPG. Through extensive evaluations on both public datasets (PTTPPG) and our We-Be Dataset (26 subjects), we demonstrate strong classification performance with an average test accuracy of 88.11%, macro F1-score of 0.88, False Acceptance Rate (FAR) of 0.48%, False Rejection Rate (FRR) of 11.77%, and Equal Error Rate (EER) of 2.76%. Our 25 Hz system reduces sensor power consumption by 53% compared to 512 Hz and 19% compared to 128 Hz setups without compromising performance. We find that sampling at 25 Hz preserves authentication accuracy, whereas performance drops sharply at 20 Hz while offering only trivial additional power savings, underscoring 25 Hz as the practical lower bound. Additionally, we find that models trained exclusively on resting data fail under motion, while activity-diverse training improves robustness across physiological states.