VRPTR prediction of individual language activation and uncertainty from resting state fMRI.

Resting-state connectivity can predict task-evoked fMRI activation, but correspondence with an individual task map may partly reflect a shared population pattern. We evaluated the Variational Resting-state-to-Task Prediction TransformeR (VRPTR), a three-dimensional encoder-decoder combining a compressed Transformer bottleneck, variational latent sampling, and multiscale skip connections. Models were trained in 360 healthy adults from the WU-Minn Human Connectome Project and evaluated in 40 held-out participants from the same dataset for the story-versus-math language contrast. VRPTR achieved mean voxel-map Pearson r=0.642 and Dice AUC=0.519, exceeding compact volumetric BrainSurfCNN-like and SWIFUN-like comparators by Δr=0.0376 and 0.0335, respectively. A template fixed from the 360 training maps yielded residual correlation 0.364; VRPTR improved correlation but not mean absolute or root mean squared error over this template. A matched factorial ablation associated Transformer processing with improved map correlation (Δr=0.0168); the variational main effect did not survive multiple-comparison correction. Component swaps indicated that subject-specific activation patterns depended more on multiscale skip features than on the bottleneck representation. Latent sampling produced a modest association between posterior standard deviation and voxelwise absolute error (mean Spearman ρ=0.091). Raw 95% intervals covered only 4.7% of observed values. Five-fold calibration within the held-out cohort increased coverage to 94.8%, and spatially varying uncertainty modestly improved probabilistic scores over a constant-width model. Uncertainty also increased under input degradation. These findings support the contribution of Transformer processing to language-map prediction and distinguish it from subject-specific spatial conditioning and relative uncertainty estimation. Independent validation of calibrated uncertainty and evaluation in clinical cohorts remain necessary.