Feature Re-Embedding: Towards Foundation Model-Level Performance in Computational Pathology
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Abstract (arXiv)
Multiple instance learning (MIL) is the most widely used framework in computational pathology, encompassing sub-typing, diagnosis, prognosis, and more. However, the existing MIL paradigm typically requires an offline instance feature extractor, such as a pre-trained ResNet or a foundation model. This approach lacks the capability for feature fine-tuning within the specific downstream tasks, limiting its adaptability and performance. To address this issue, we propose a Re-embedded Regional Transformer (R2T) for re-embedding the instance features online, which captures fine-grained local features and establishes connections across different regions. Unlike existing works that focus on pre-training powerful feature extractor or designing sophisticated instance aggregator, R2T is tailored to re-embed instance features online. It serves as a portable module that can seamlessly integrate into mainstream MIL models. Extensive experimental results on common computational pathology tasks validate that: 1) feature re-embedding improves the performance of MIL models based on ResNet-50 features to the level of foundation model features, and further enhances the performance of foundation model features; 2) the R2T can introduce more significant performance improvements to various MIL models; 3) R2T-MIL, as an R2T-enhanced AB-MIL, outperforms other latest methods by a large margin.The code is available at: https://github.com/DearCaat/RRT-MIL.
Key facts. Cited by 66 papers in the map (data through 7 Oct 2026). Builds on 28 of its 53 references that are in the map. First posted on arXiv 27 Feb 2024.
Builds on
28 of 53 references.
References · 28
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- 2020Data Efficient and Weakly Supervised Computational Pathology on Whole Slide Imagescited by 738
- 2021TransMIL: Transformer based Correlated Multiple Instance Learning for Whole Slide Image Classificationcited by 549
- 2020Dual-stream Multiple Instance Learning Network for Whole Slide Image Classification with Self-supervised Contrastive Learningcited by 473
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- 2022Scaling Vision Transformers to Gigapixel Images via Hierarchical Self-Supervised Learningcited by 357
- 2022DTFD-MIL: Double-Tier Feature Distillation Multiple Instance Learning for Histopathology Whole Slide Image Classificationcited by 254
- 2021Rethinking and Improving Relative Position Encoding for Vision Transformercited by 206
- 2022Structure-Aware Transformer for Graph Representation Learningcited by 191
- 2020Whole Slide Images based Cancer Survival Prediction using Attention Guided Deep Multiple Instance Learning Networkscited by 178
- 2021GraphFormers: GNN-nested Transformers for Representation Learning on Textual Graphcited by 143
- 2023Artificial Intelligence for Digital and Computational Pathologycited by 106
- 2023Interventional Bag Multi-Instance Learning On Whole-Slide Pathological Imagescited by 91
- 2019CAMEL: A Weakly Supervised Learning Framework for Histopathology Image Segmentationcited by 73
- 2023Cross-Modal Translation and Alignment for Survival Analysiscited by 70
- 2021Cluster-to-Conquer: A Framework for End-to-End Multi-Instance Learning for Whole Slide Image Classificationcited by 65
- 2023Multiple Instance Learning Framework with Masked Hard Instance Mining for Whole Slide Image Classificationcited by 58
- 2019Deep learning-based survival prediction for multiple cancer types using histopathology imagescited by 47
- 2021Self supervised learning improves dMMR/MSI detection from histology slides across multiple cancerscited by 23
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Citing papers per year: 2024: 13; 2025: 32; 2026: 21.
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- 2025MGPATH: Vision-Language Model with Multi-Granular Prompt Learning for Few-Shot WSI Classification11 Feb 2025
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- 2026CIGTSurv: Clinical Information Guided Tri-modal Survival Prediction with Local Prototype Association and Global Feature Alignment4 Aug 2026
- 2026From Patches to Evidence Balls: Class-Conditioned Evidence Retrieval for Few-Shot Whole Slide Image Classification2 Aug 2026
- 2026Predicting Metastatic Risk from Primary Cancer Tissue Architecture via Distance-Aware Spatial Modeling27 Jun 2026
- 2026Thinking in Scales: Accelerating Gigapixel Pathology Image Analysis via Adaptive Continuous Reasoning19 May 2026
- 2026Bridging the Modality Bottleneck in Pathology MIL through Virtual Molecular Staining12 May 2026
- 2026PC-MIL: Decoupling Feature Resolution from Supervision Scale in Whole-Slide Learning13 Apr 2026
- 2026Mixture of Mini Experts: Overcoming the Linear Layer Bottleneck in Multiple Instance Learning23 Mar 2026
- 2026Multimodal Model for Computational Pathology:Representation Learning and Image Compression19 Mar 2026
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