Multi-parametric magnetic resonance imaging (mpMRI) plays an increasingly important role in the diagnosis of prostate cancer. Various computer-aided detection algorithms have been proposed for automated prostate cancer detection by combining information from various mpMRI data components. However, there exist other features of mpMRI, including the spatial correlation between voxels and between-patient heterogeneity in the mpMRI parameters, that have not been fully explored in the literature but could potentially improve cancer detection if leveraged appropriately. This paper proposes novel voxel-wise Bayesian classifiers for prostate cancer that account for the spatial correlation and between-patient heterogeneity in mpMRI. Modeling the spatial correlation is challenging due to the extreme high dimensionality of the data, and we consider three computationally efficient approaches using Nearest Neighbor Gaussian Process (NNGP), knot-based reduced-rank approximation, and a conditional autoregressive (CAR) model, respectively. The between-patient heterogeneity is accounted for by adding a subject-specific random intercept on the mpMRI parameter model. Simulation results show that properly modeling the spatial correlation and between-patient heterogeneity improves classification accuracy. Application to in vivo data illustrates that classification is improved by spatial modeling using NNGP and reduced-rank approximation but not the CAR model, while modeling the between-patient heterogeneity does not further improve our classifier. Among our proposed models, the NNGP-based model is recommended considering its robust classification accuracy and high computational efficiency.
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