# Rapid Nasal Breathing as a Biometric Trigger: High‐Accuracy Electroencephalogram‐Based Authentication for Clinical Applications

**Authors:** Cai Chen, Xianghong Kong, Danyang Lv, Xiangwei Meng, Chongxuan Tian, Zhi Li, Fengxia Wu, Ningling Zhang, Dedong Ma

PMC · DOI: 10.1111/crj.70148 · 2026-01-23

## TL;DR

This paper introduces a secure biometric system using EEG signals triggered by rapid nasal breathing, achieving high accuracy for patient authentication in clinical settings.

## Contribution

A novel noninvasive biometric authentication method using respiratory-evoked EEG signals without external stimuli.

## Key findings

- Rapid nasal breathing-evoked EEG achieved 98.3% accuracy in identity recognition.
- Nasal breathing patterns outperformed oral breathing in biometric accuracy.
- The hybrid ResNet-Swin Transformer model optimized spatial-temporal feature extraction.

## Abstract

Traditional biometric systems are vulnerable to forgery, highlighting the need for secure alternatives. Electroencephalography (EEG) offers inherent advantages in liveness detection and antispoofing but typically requires external stimuli. We propose a novel paradigm leveraging intrinsic respiratory‐evoked EEG signals for identity authentication, with potential applications in clinical settings where unobtrusive monitoring is critical.

We developed a 64‐channel EEG acquisition system with synchronized respiratory event monitoring. Thirteen healthy volunteers performed four breathing patterns: oral, nasal, slow nasal, and rapid nasal breathing. A hybrid deep learning model was designed to optimize spatial–temporal feature extraction from EEG signals.

The model achieved 98.3% accuracy in identity recognition using rapid nasal breathing‐evoked EEG, outperforming traditional biometric methods. Nasal breathing patterns consistently yielded higher accuracy than oral breathing, with rapid nasal breathing showing the strongest discriminative power.

Respiratory‐evoked EEG signals provide a viable, noninvasive biometric identifier. The high accuracy of rapid nasal breathing opens avenues for clinical integration, such as continuous patient authentication in respiratory monitoring devices or secure access to electronic health records.

Our study demonstrates rapid nasal breathing‐evoked EEG signals enable high‐accuracy (98.3%) biometric authentication via a hybrid ResNet‐Swin Transformer model. This noninvasive approach eliminates external stimuli, offering secure patient identification for critical respiratory care settings, such as ventilator access and continuous monitoring.

## Full-text entities

- **Diseases:** neural dysregulation (MESH:D021081), respiratory diseases (MESH:D012140), COPD (MESH:D029424), delirium (MESH:D003693), cognitive deficits (MESH:D003072), neurological disorders (MESH:D009461), wheezing (MESH:D012135), mouth breathing (MESH:D009058), slow nasal breathing (MESH:D009668), anxiety (MESH:D001007), respiratory anomalies (MESH:D015619), apnea (MESH:D001049), neurological, psychiatric (MESH:D001523), breathing (MESH:D004417), confusion (MESH:D003221), asthma (MESH:D001249), respiratory depression (MESH:D012131), OSA (MESH:C535586), sleep apnea (MESH:D012891), fatigue (MESH:D005221)
- **Chemicals:** oxygen (MESH:D010100), Ag (MESH:D012834), AgCl (MESH:C037548)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12828786/full.md

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Source: https://tomesphere.com/paper/PMC12828786