Meta Transfer of Self-Supervised Knowledge: Foundation Model in Action for Post-Traumatic Epilepsy Prediction.

Despite the impressive advancements achieved using deep-learning for functional brain activity analysis, the heterogeneity of functional patterns and scarcity of imaging data still pose challenges in tasks such as prediction of future onset of Post-Traumatic Epilepsy (PTE) from data acquired shortly after traumatic brain injury (TBI). Foundation models pre-trained on separate large-scale datasets can improve the performance from scarce and heterogeneous datasets. For functional Magnetic Resonance Imaging (fMRI), while data may be abundantly available from healthy controls, clinical data is often scarce, limiting the ability of foundation models to identify clinically-relevant features. We overcome this limitation by introducing a novel training strategy for our foundation model by integrating meta-learning with self-supervised learning to improve the generalization from normal to clinical features. In this way we enable generalization to other downstream clinical tasks, in our case prediction of PTE. To achieve this, we perform self-supervised training on the control dataset to focus on inherent features that are not limited to a particular supervised task while applying meta-learning, which strongly improves the model's generalizability using bi-level optimization. Through experiments on neurological disorder classification tasks, we demonstrate that the proposed strategy significantly improves task performance on small-scale clinical datasets. To explore the generalizability of the foundation model in downstream applications, we then apply the model to an unseen TBI dataset for prediction of PTE using zero-shot learning. Results further demonstrated the enhanced generalizability of our foundation model.