2026-10-27 · ArXiv
arXiv:2605.05164v2 Announce Type: replace-cross
Abstract: Accurate analysis of histopathological images is critical for disease diagnosis and treatment planning. Whole-slide images (WSIs), which digitize tissue specimens at gigapixel resolution, are fundamental to this process but require aggregating thousands of patches for slide-level predictions. Multiple Instance Learning (MIL) tackles this challenge with a two-stage paradigm, decoupling tile-level embedding and slide-level prediction. However, most existing methods implicitly embed patch representations in homogeneous Euclidean spaces, overlooking the hierarchical organization and regional heterogeneity of pathological tissues. This limits current models' ability to capture global tissue architecture and fine-grained cellular morphology. To address this limitation, we introduce a hybrid hyperbolic-Euclidean representation that embeds WSI features in dual geometric spaces, enabling complementary modeling of hierarchical tissue structures and local morphological details. Building on this formulation, we develop BatMIL, an MIL method that leverages both geometric spaces. To model long-range dependencies among thousands of patches, we employ a structured state space sequence model backbone that encodes patch sequences with linear computational complexity. Furthermore, to account for regional heterogeneity, we introduce a mixture-of-experts module that dynamically routes each patch to specialized expert sub-networks based on its features, improving representational capacity while reducing redundant computation. Experiments on seven datasets spanning six cancer types demonstrate that BatMIL achieves outstanding performance against fifteen state-of-the-art MIL approaches, demonstrating that geometry-embedding representation learning offers a promising direction for computational pathology.
原文链接：https://arxiv.org/abs/2605.05164
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