Distribution based MIL pooling filters: Experiments on a lymph node metastases dataset

Histopathology is a crucial diagnostic tool in cancer and involves the analysis of gigapixel slides. Multiple instance learning (MIL) promises success in digital histopathology thanks to its ability to handle gigapixel slides and work with weak labels. MIL is a machine learning paradigm that learns the mapping between bags of instances and bag labels. It represents a slide as a bag of patches and uses the slide’s weak label as the bag’s label. This paper introduces distribution-based pooling filters that obtain a bag-level representation by estimating marginal distributions of instance features. We formally prove that the distribution-based pooling filters are more expressive than the classical point estimate-based counterparts, like ‘max’ and ‘mean’ pooling, in terms of the amount of information captured while obtaining bag-level representations. Moreover, we empirically show that models with distribution-based pooling filters perform equal to or better than those with point estimate-based pooling filters on distinct real-world MIL tasks defined on the CAMELYON16 lymph node metastases dataset. Our model with a distribution pooling filter achieves an area under the receiver operating characteristics curve value of 0.9325 (95% confidence interval: 0.8798 - 0.9743) in the tumor vs. normal slide classification task.