The emergence of foundation models in neuroimaging is driven by the increasing availability of large-scale and heterogeneous brain imaging datasets. Recent advances in self-supervised learning, particularly reconstruction-based objectives, have demonstrated strong potential for pretraining models that generalize effectively across diverse downstream functional MRI (fMRI) tasks. In this study, we explore region-aware reconstruction strategies for a foundation model in resting-state fMRI, moving beyond approaches that rely on random region masking. Specifically, we introduce an ROI-guided masking strategy using the Automated Anatomical Labelling Atlas (AAL3), applied directly to full 4D fMRI volumes to selectively mask semantically coherent brain regions during self-supervised pretraining. Using the ADHD-200 dataset comprising 973 subjects with resting-state fMRI scans, we show that our method achieves a 4.23% improvement in classification accuracy for distinguishing healthy controls from individuals diagnosed with ADHD, compared to conventional random masking. Region-level attribution analysis reveals that brain volumes within the limbic region and cerebellum contribute most significantly to reconstruction fidelity and model representation. Our results demonstrate that masking anatomical regions during model pretraining not only enhances interpretability but also yields more robust and discriminative representations. In future work, we plan to extend this approach by evaluating it on additional neuroimaging datasets, and developing new loss functions explicitly derived from region-aware reconstruction objectives. These directions aim to further improve the robustness and interpretability of foundation models for functional neuroimaging.

Functional Magnetic Resonance Imaging (fMRI) is essential for studying brain function and diagnosing neurological disorders, but current analysis methods face reproducibility and transferability issues due to complex pre-processing and task-specific models. We introduce NeuroSTORM (Neuroimaging Foundation Model with Spatial-Temporal Optimized Representation Modeling), a generalizable framework that directly learns from 4D fMRI volumes and enables efficient knowledge transfer across diverse applications. NeuroSTORM is pre-trained on 28.65 million fMRI frames (>9,000 hours) from over 50,000 subjects across multiple centers and ages 5 to 100. Using a Mamba backbone and a shifted scanning strategy, it efficiently processes full 4D volumes. We also propose a spatial-temporal optimized pre-training approach and task-specific prompt tuning to improve transferability. NeuroSTORM outperforms existing methods across five tasks: age/gender prediction, phenotype prediction, disease diagnosis, fMRI-to-image retrieval, and task-based fMRI classification. It demonstrates strong clinical utility on datasets from hospitals in the U.S., South Korea, and Australia, achieving top performance in disease diagnosis and cognitive phenotype prediction. NeuroSTORM provides a standardized, open-source foundation model to improve reproducibility and transferability in fMRI-based clinical research.