Functional brain organization is stable within individuals across years

Brain regions exhibit dynamic yet highly coordinated activity patterns that form large-scale functional networks measurable through resting-state correlations. While their association with fluctuating activity may intuitively suggest functional networks to be temporally transient and dependent on state, a growing body of literature suggests that they are person-specific and stable across days. If truly person-specific, then functional networks should preserve unique characteristics over extended periods. To test this hypothesis, we collected longitudinal precision fMRI data ([≥]60 minutes per participant per time point) from 10 healthy young adults across 1-3 year intervals, as well as three adults over 8-13 years. We further replicated findings in the MyConnectome dataset and its 10-year follow-up. Functional network organization--when sufficient per-participant data were collected-- remained largely stable within individuals over prolonged periods of up to 13 years, suggesting that individualized brain organization constitutes persistent features of personal identity that may be supported by homeostatic mechanisms. SIGNIFICANCEWhile many aspects of brain function are portrayed as dynamic and malleable, our study provides evidence for the long-term preservation of functional organization of the healthy young adult brain. Whole-brain functional organization exhibited unique individual characteristics that were preserved for years, even over a decade. The stability of such individualized neural architecture suggests that the brain encodes features of personhood that may be invariant across contexts and temporal fluctuations. This observation reframes our understanding of brain resilience and plasticity by offering new insights into the extent that homeostatic mechanisms of brain organization can withstand stressors and environmental changes through time to maintain a constant functional organization. These insights pave the way for a more comprehensive understanding of the neural mechanisms behind this stability, with the possibility of pinpointing critical markers of healthy brain function and its disruptions.