In addressing the challenge of analysing the large-scale Adolescent Brain Cognition Development (ABCD) fMRI dataset, involving over 5,000 subjects and extensive neuroimaging data, we propose a scalable Bayesian scalar-on-image regression model for computational feasibility and efficiency. Our model employs a relaxed-thresholded Gaussian process (RTGP), integrating piecewise-smooth, sparse, and continuous functions capable of both hard- and soft-thresholding. This approach introduces additional flexibility in feature selection in scalar-on-image regression and leads to scalable posterior computation by adopting a variational approximation and utilising the Karhunen-Lo\`eve expansion for Gaussian processes. This advancement substantially reduces the computational costs in vertex-wise analysis of cortical surface data in large-scale Bayesian spatial models. The model's parameter estimation and prediction accuracy and feature selection performance are validated through extensive simulation studies and an application to the ABCD study. Here, we perform regression analysis correlating intelligence scores with task-based functional MRI data, taking into account confounding factors including age, sex, and parental education level. This validation highlights our model's capability to handle large-scale neuroimaging data while maintaining computational feasibility and accuracy.
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