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Uncertainty Quantification in Machine Learning for Biosignal Applications -- A Review

Ivo Pascal de Jong Andreea Ioana Sburlea Matias Valdenegro-Toro
Sep 2026
Machine Learning Human-computer Interaction

Abstract

Purpose: Uncertainty Quantification (UQ) has gained traction in an attempt to improve the interpretability and robustness of machine learning predictions. Specifically (medical) biosignals such as electroencephalography (EEG), electrocardiography (ECG), electrooculography (EOG), and electromyography (EMG) could benefit from good UQ, since these suffer from a poor signal-to-noise ratio, and good human interpretability is pivotal for medical applications. To determine how uncertainty estimation can be used for biosignal tasks, we investigate current methods, use cases, applications, evaluations, and uncertainty measures. Methods: In this paper, we systematically review the state of the art of applying Uncertainty Quantification to Machine Learning tasks in the biosignal domain. All works from Web of Science, Scopus, IEEE XPlore and PsycINFO that discuss uncertainty in Machine Learning on one of the aforementioned biosignals is included. Results: We present various methods, shortcomings, uncertainty measures and theoretical frameworks that currently exist in this application domain based on the 53 reviewed papers and related literature. We address misconceptions in the field, provide recommendations for future work, and discuss gaps in the literature in relation to diagnostic implementations as well as control for prostheses or brain-computer interfaces. Conclusion: Overall it can be concluded that promising UQ methods are available, but that research is needed on how people and systems may interact with an uncertainty-model in a (clinical) environment.

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