# Interventional Bag Multi-Instance Learning On Whole-Slide Pathological Images

arXiv: https://arxiv.org/abs/2303.06873 · HTML: https://mlsanity.com/paper/2303.06873/

## Key facts

- Cited by 91 papers in the map (data through 14 Oct 2026).
- Builds on 27 of its 48 references that are in the map.
- First posted on arXiv 13 Mar 2023.

## Builds on (most cited first, 27 of 27)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [An Empirical Study of Training Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.02057/) (2021)
- [ImageNet-trained CNNs are biased towards texture; increasing shape bias improves accuracy and robustness](https://mlsanity.com/paper/1811.12231/) (2018)
- [Show, Attend and Tell: Neural Image Caption Generation with Visual Attention](https://mlsanity.com/paper/1502.03044/) (2015)
- [Attention-based Deep Multiple Instance Learning](https://mlsanity.com/paper/1802.04712/) (2018)
- [TransMIL: Transformer based Correlated Multiple Instance Learning for Whole Slide Image Classification](https://mlsanity.com/paper/2106.00908/) (2021)
- [Dual-stream Multiple Instance Learning Network for Whole Slide Image Classification with Self-supervised Contrastive Learning](https://mlsanity.com/paper/2011.08939/) (2020)
- [Long-Tailed Classification by Keeping the Good and Removing the Bad Momentum Causal Effect](https://mlsanity.com/paper/2009.12991/) (2020)
- [DTFD-MIL: Double-Tier Feature Distillation Multiple Instance Learning for Histopathology Whole Slide Image Classification](https://mlsanity.com/paper/2203.12081/) (2022)
- [Causal Intervention for Weakly-Supervised Semantic Segmentation](https://mlsanity.com/paper/2009.12547/) (2020)
- [Representation Learning via Invariant Causal Mechanisms](https://mlsanity.com/paper/2010.07922/) (2020)
- [Whole Slide Images based Cancer Survival Prediction using Attention Guided Deep Multiple Instance Learning Networks](https://mlsanity.com/paper/2009.11169/) (2020)
- [Patch-based Convolutional Neural Network for Whole Slide Tissue Image Classification](https://mlsanity.com/paper/1504.07947/) (2015)
- [Revisiting Multiple Instance Neural Networks](https://mlsanity.com/paper/1610.02501/) (2016)
- [Distilling Causal Effect of Data in Class-Incremental Learning](https://mlsanity.com/paper/2103.01737/) (2021)
- [Interventional Few-Shot Learning](https://mlsanity.com/paper/2009.13000/) (2020)
- [Visual Commonsense R-CNN](https://mlsanity.com/paper/2002.12204/) (2020)
- [CAMEL: A Weakly Supervised Learning Framework for Histopathology Image Segmentation](https://mlsanity.com/paper/1908.10555/) (2019)
- [Pushing the limits of self-supervised ResNets: Can we outperform supervised learning without labels on ImageNet?](https://mlsanity.com/paper/2201.05119/) (2022)
- [Neural Image Compression for Gigapixel Histopathology Image Analysis](https://mlsanity.com/paper/1811.02840/) (2018)
- [Cluster-to-Conquer: A Framework for End-to-End Multi-Instance Learning for Whole Slide Image Classification](https://mlsanity.com/paper/2103.10626/) (2021)
- [Semi-Supervised Histology Classification using Deep Multiple Instance Learning and Contrastive Predictive Coding](https://mlsanity.com/paper/1910.10825/) (2019)
- [ReMix: A General and Efficient Framework for Multiple Instance Learning based Whole Slide Image Classification](https://mlsanity.com/paper/2207.01805/) (2022)
- [Transformer based multiple instance learning for weakly supervised histopathology image segmentation](https://mlsanity.com/paper/2205.08878/) (2022)
- [Deep Convolutional Neural Networks for Breast Cancer Histology Image Analysis](https://mlsanity.com/paper/1802.00752/) (2018)
- [Interventional Multi-Instance Learning with Deconfounded Instance-Level Prediction](https://mlsanity.com/paper/2204.09204/) (2022)
- [Label Stability in Multiple Instance Learning](https://mlsanity.com/paper/1703.04986/) (2017)

## Built on by (most cited first, 30 of 91)

- [Morphological Prototyping for Unsupervised Slide Representation Learning in Computational Pathology](https://mlsanity.com/paper/2405.11643/) (2024)
- [Feature Re-Embedding: Towards Foundation Model-Level Performance in Computational Pathology](https://mlsanity.com/paper/2402.17228/) (2024)
- [Attention-Challenging Multiple Instance Learning for Whole Slide Image Classification](https://mlsanity.com/paper/2311.07125/) (2023)
- [The Rise of AI Language Pathologists: Exploring Two-level Prompt Learning for Few-shot Weakly-supervised Whole Slide Image Classification](https://mlsanity.com/paper/2305.17891/) (2023)
- [ViLa-MIL: Dual-scale Vision-Language Multiple Instance Learning for Whole Slide Image Classification](https://mlsanity.com/paper/2502.08391/) (2025)
- [Generalizable Whole Slide Image Classification with Fine-Grained Visual-Semantic Interaction](https://mlsanity.com/paper/2402.19326/) (2024)
- [DGR-MIL: Exploring Diverse Global Representation in Multiple Instance Learning for Whole Slide Image Classification](https://mlsanity.com/paper/2407.03575/) (2024)
- [Knowledge-enhanced Pretraining for Vision-language Pathology Foundation Model on Cancer Diagnosis](https://mlsanity.com/paper/2412.13126/) (2024)
- [FOCUS: Knowledge-enhanced Adaptive Visual Compression for Few-shot Whole Slide Image Classification](https://mlsanity.com/paper/2411.14743/) (2024)
- [Rotation-Agnostic Image Representation Learning for Digital Pathology](https://mlsanity.com/paper/2311.08359/) (2023)
- [Knowledge-enhanced Visual-Language Pretraining for Computational Pathology](https://mlsanity.com/paper/2404.09942/) (2024)
- [Weakly supervised segmentation with point annotations for histopathology images via contrast-based variational model](https://mlsanity.com/paper/2304.03572/) (2023)
- [Pathology-knowledge Enhanced Multi-instance Prompt Learning for Few-shot Whole Slide Image Classification](https://mlsanity.com/paper/2407.10814/) (2024)
- [Shapley Values-enabled Progressive Pseudo Bag Augmentation for Whole Slide Image Classification](https://mlsanity.com/paper/2312.05490/) (2023)
- [Dynamic Policy-Driven Adaptive Multi-Instance Learning for Whole Slide Image Classification](https://mlsanity.com/paper/2403.07939/) (2024)
- [Agent Aggregator with Mask Denoise Mechanism for Histopathology Whole Slide Image Analysis](https://mlsanity.com/paper/2409.11664/) (2024)
- [AEM: Attention Entropy Maximization for Multiple Instance Learning based Whole Slide Image Classification](https://mlsanity.com/paper/2406.15303/) (2024)
- [Queryable Prototype Multiple Instance Learning with Vision-Language Models for Incremental Whole Slide Image Classification](https://mlsanity.com/paper/2410.10573/) (2024)
- [A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Models](https://mlsanity.com/paper/2408.14496/) (2024)
- [OTSurv: A Novel Multiple Instance Learning Framework for Survival Prediction with Heterogeneity-aware Optimal Transport](https://mlsanity.com/paper/2506.20741/) (2025)
- [A self-supervised framework for learning whole slide representations](https://mlsanity.com/paper/2402.06188/) (2024)
- [From Correlation to Causation: Max-Pooling-Based Multi-Instance Learning Leads to More Robust Whole Slide Image Classification](https://mlsanity.com/paper/2408.09449/) (2024)
- [Ordinal Multiple-instance Learning for Ulcerative Colitis Severity Estimation with Selective Aggregated Transformer](https://mlsanity.com/paper/2411.14750/) (2024)
- [Causal Clothes-Invariant Feature Learning for Cloth-Changing Person Re-ID](https://mlsanity.com/paper/2305.06145/) (2023)
- [Multi-level Multiple Instance Learning with Transformer for Whole Slide Image Classification](https://mlsanity.com/paper/2306.05029/) (2023)
- [SC-MIL: Sparsely Coded Multiple Instance Learning for Whole Slide Image Classification](https://mlsanity.com/paper/2311.00048/) (2023)
- [Prompting Whole Slide Image Based Genetic Biomarker Prediction](https://mlsanity.com/paper/2407.09540/) (2024)
- [Self-Supervision Enhances Instance-based Multiple Instance Learning Methods in Digital Pathology: A Benchmark Study](https://mlsanity.com/paper/2505.01109/) (2025)
- [ASMIL: Attention-Stabilized Multiple Instance Learning for Whole Slide Imaging](https://mlsanity.com/paper/2603.06658/) (2026)
- [Act Like a Pathologist: Tissue-Aware Whole Slide Image Reasoning](https://mlsanity.com/paper/2603.00667/) (2026)

## Abstract (arXiv)

Multi-instance learning (MIL) is an effective paradigm for whole-slide pathological images (WSIs) classification to handle the gigapixel resolution and slide-level label. Prevailing MIL methods primarily focus on improving the feature extractor and aggregator. However, one deficiency of these methods is that the bag contextual prior may trick the model into capturing spurious correlations between bags and labels. This deficiency is a confounder that limits the performance of existing MIL methods. In this paper, we propose a novel scheme, Interventional Bag Multi-Instance Learning (IBMIL), to achieve deconfounded bag-level prediction. Unlike traditional likelihood-based strategies, the proposed scheme is based on the backdoor adjustment to achieve the interventional training, thus is capable of suppressing the bias caused by the bag contextual prior. Note that the principle of IBMIL is orthogonal to existing bag MIL methods. Therefore, IBMIL is able to bring consistent performance boosting to existing schemes, achieving new state-of-the-art performance. Code is available at https://github.com/HHHedo/IBMIL.