Revisiting Subsampling and Mixup for WSI Classification: A Slot-Attention-Based Approach

Seongho Keum, Sanghyun Kim, Soojeong Lee, Juho Lee

Keywords: multiple instance learning, regularizer, attention mechanism, medical imaging, histopathology, weakly-supervised learning

Abstract: Whole slide image (WSI) classification requires repetitive zoom-in and out for pathologists, as only small portions of the slide may be relevant to detecting cancer. Due to the lack of patch-level labels, multiple instance learning (MIL) is common practice for training a WSI classifier. One of the challenges in MIL for WSI is the weak supervision coming only from the slide-level labels, often resulting in severe overfitting. In response, researchers have considered adapting patch-level augmentation or applying mixup augmentation, but their applicability remains unverified. Our approach augments the training dataset by sampling a subset of patches in the WSI without significantly altering the underlying semantics of the original slides. Additionally, we introduce an efficient model (Slot-MIL) that organizes patches into a fixed number of slots, the abstract representation of patches, using an attention mechanism. We empirically demonstrate that the subsampling augmentation helps to make more informative slots by restricting the over-concentration of attention and to improve interpretability. Finally, we illustrate that combining our attention-based aggregation model with subsampling and mixup, which has shown limited compatibility in existing MIL methods, can enhance both generalization and calibration. Our proposed methods achieve the state-of-the-art performance across various benchmark datasets including class imbalance and distribution shifts.

Primary Area: unsupervised, self-supervised, semi-supervised, and supervised representation learning

Code Of Ethics: I acknowledge that I and all co-authors of this work have read and commit to adhering to the ICLR Code of Ethics.

Submission Guidelines: I certify that this submission complies with the submission instructions as described on https://iclr.cc/Conferences/2024/AuthorGuide.

Anonymous Url: I certify that there is no URL (e.g., github page) that could be used to find authors' identity.

No Acknowledgement Section: I certify that there is no acknowledgement section in this submission for double blind review.

Submission Number: 6751