HookMIL: Revisiting Context Modeling in Multiple Instance Learning for Computational Pathology

Fuente: arXiv
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Autori principali: Ling, Xitong, Ouyang, Minxi, Li, Xiaoxiao, Li, Jiawen, Chen, Ying, Sun, Yuxuan, Chen, Xinrui, Guan, Tian, Liu, Xiaoping, He, Yonghong
Natura: Preprint
Pubblicazione: 2025
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author Ling, Xitong
Ouyang, Minxi
Li, Xiaoxiao
Li, Jiawen
Chen, Ying
Sun, Yuxuan
Chen, Xinrui
Guan, Tian
Liu, Xiaoping
He, Yonghong
author_facet Ling, Xitong
Ouyang, Minxi
Li, Xiaoxiao
Li, Jiawen
Chen, Ying
Sun, Yuxuan
Chen, Xinrui
Guan, Tian
Liu, Xiaoping
He, Yonghong
contents Multiple Instance Learning (MIL) has enabled weakly supervised analysis of whole-slide images (WSIs) in computational pathology. However, traditional MIL approaches often lose crucial contextual information, while transformer-based variants, though more expressive, suffer from quadratic complexity and redundant computations. To address these limitations, we propose HookMIL, a context-aware and computationally efficient MIL framework that leverages compact, learnable hook tokens for structured contextual aggregation. These tokens can be initialized from (i) key-patch visual features, (ii) text embeddings from vision-language pathology models, and (iii) spatially grounded features from spatial transcriptomics-vision models. This multimodal initialization enables Hook Tokens to incorporate rich textual and spatial priors, accelerating convergence and enhancing representation quality. During training, Hook tokens interact with instances through bidirectional attention with linear complexity. To further promote specialization, we introduce a Hook Diversity Loss that encourages each token to focus on distinct histopathological patterns. Additionally, a hook-to-hook communication mechanism refines contextual interactions while minimizing redundancy. Extensive experiments on four public pathology datasets demonstrate that HookMIL achieves state-of-the-art performance, with improved computational efficiency and interpretability. Codes are available at https://github.com/lingxitong/HookMIL.
format Preprint
id arxiv_https___arxiv_org_abs_2512_22188
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle HookMIL: Revisiting Context Modeling in Multiple Instance Learning for Computational Pathology
Ling, Xitong
Ouyang, Minxi
Li, Xiaoxiao
Li, Jiawen
Chen, Ying
Sun, Yuxuan
Chen, Xinrui
Guan, Tian
Liu, Xiaoping
He, Yonghong
Computer Vision and Pattern Recognition
Artificial Intelligence
Multiple Instance Learning (MIL) has enabled weakly supervised analysis of whole-slide images (WSIs) in computational pathology. However, traditional MIL approaches often lose crucial contextual information, while transformer-based variants, though more expressive, suffer from quadratic complexity and redundant computations. To address these limitations, we propose HookMIL, a context-aware and computationally efficient MIL framework that leverages compact, learnable hook tokens for structured contextual aggregation. These tokens can be initialized from (i) key-patch visual features, (ii) text embeddings from vision-language pathology models, and (iii) spatially grounded features from spatial transcriptomics-vision models. This multimodal initialization enables Hook Tokens to incorporate rich textual and spatial priors, accelerating convergence and enhancing representation quality. During training, Hook tokens interact with instances through bidirectional attention with linear complexity. To further promote specialization, we introduce a Hook Diversity Loss that encourages each token to focus on distinct histopathological patterns. Additionally, a hook-to-hook communication mechanism refines contextual interactions while minimizing redundancy. Extensive experiments on four public pathology datasets demonstrate that HookMIL achieves state-of-the-art performance, with improved computational efficiency and interpretability. Codes are available at https://github.com/lingxitong/HookMIL.
title HookMIL: Revisiting Context Modeling in Multiple Instance Learning for Computational Pathology
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2512.22188