Beyond Site Agreement: Re-estimation for Brain Network Generalization

Summary

Cross-site out-of-distribution (OOD) generalization in resting-state functional magnetic resonance imaging (rs-fMRI) often relies on learning task-discriminative representations from full-scan functional connectivity (FC) graphs and promoting invariance across source sites. However, FC graphs are estimated from finite, temporally correlated blood-oxygen-level-dependent (BOLD) sequences. Cross-site agreement therefore does not necessarily imply that predictive evidence remains supported under FC re-estimation within the same scan. In this paper, we propose Brain Network Re-estimation-Informed OOD Learning (BRIO), a framework that uses within-scan FC re-estimation to guide cross-site alignment. BRIO maps fullscan graphs and their re-estimates into consistently indexed connectome factors, enabling comparisons of their predictive contributions. It assesses re-estimation support from changes in these contributions relative to within-class subject variability and class separation. For each source-site pair and class, this task-calibrated support from both sites is combined with predictive relevance to form pairwise qualifications, which determine relative factor weights and overall alignment strength. Leave-one-site-out experiments on four real-world datasets (ABIDE, REST-metaMDD, SRPBS, and ABCD) show that BRIO consistently outperforms competitive baselines, with relative improvements of up to 3.8% in accuracy. These gains also persist under an alternative brain parcellation on ABIDE.