# Minimal High-Resolution Patches Are Sufficient for Whole Slide Image Representation via Cascaded Dual-Scale Reconstruction

arXiv: https://arxiv.org/abs/2508.01641 · HTML: https://mlsanity.com/paper/2508.01641/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 28 of its 42 references that are in the map.
- First posted on arXiv 3 Aug 2025.

## Builds on (most cited first, 28 of 28)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Momentum Contrast for Unsupervised Visual Representation Learning](https://mlsanity.com/paper/1911.05722/) (2019)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [Emerging Properties in Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.14294/) (2021)
- [Bootstrap your own latent: A new approach to self-supervised Learning](https://mlsanity.com/paper/2006.07733/) (2020)
- [Attention-based Deep Multiple Instance Learning](https://mlsanity.com/paper/1802.04712/) (2018)
- [Data Efficient and Weakly Supervised Computational Pathology on Whole Slide Images](https://mlsanity.com/paper/2004.09666/) (2020)
- [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)
- [Transfusion: Understanding Transfer Learning for Medical Imaging](https://mlsanity.com/paper/1902.07208/) (2019)
- [Deep neural network models for computational histopathology: A survey](https://mlsanity.com/paper/1912.12378/) (2019)
- [Patch-based Convolutional Neural Network for Whole Slide Tissue Image Classification](https://mlsanity.com/paper/1504.07947/) (2015)
- [An Analysis of Deep Neural Network Models for Practical Applications](https://mlsanity.com/paper/1605.07678/) (2016)
- [Self-Path: Self-supervision for Classification of Pathology Images with Limited Annotations](https://mlsanity.com/paper/2008.05571/) (2020)
- [Feature Re-Embedding: Towards Foundation Model-Level Performance in Computational Pathology](https://mlsanity.com/paper/2402.17228/) (2024)
- [Dynamic Graph Representation with Knowledge-aware Attention for Histopathology Whole Slide Image Analysis](https://mlsanity.com/paper/2403.07719/) (2024)
- [Cluster-to-Conquer: A Framework for End-to-End Multi-Instance Learning for Whole Slide Image Classification](https://mlsanity.com/paper/2103.10626/) (2021)
- [Self-Supervised Learning Across Domains](https://mlsanity.com/paper/2007.12368/) (2020)
- [Lossy Image Compression with Quantized Hierarchical VAEs](https://mlsanity.com/paper/2208.13056/) (2022)
- [Multi-view Aggregation Network for Dichotomous Image Segmentation](https://mlsanity.com/paper/2404.07445/) (2024)
- [Giga-SSL: Self-Supervised Learning for Gigapixel Images](https://mlsanity.com/paper/2212.03273/) (2022)
- [The Effect of Intrinsic Dataset Properties on Generalization: Unraveling Learning Differences Between Natural and Medical Images](https://mlsanity.com/paper/2401.08865/) (2024)
- [Bridging the gap between Natural and Medical Images through Deep Colorization](https://mlsanity.com/paper/2005.10589/) (2020)
- [Revisiting End-to-End Learning with Slide-level Supervision in Computational Pathology](https://mlsanity.com/paper/2506.02408/) (2025)
- [Long-MIL: Scaling Long Contextual Multiple Instance Learning for Histopathology Whole Slide Image Analysis](https://mlsanity.com/paper/2311.12885/) (2023)

## Built on by (most cited first, 1 of 1)

- [EvoPS: Evolutionary Patch Selection for Whole Slide Image Analysis in Computational Pathology](https://mlsanity.com/paper/2511.07560/) (2025)

## Abstract (arXiv)

Whole-slide image (WSI) analysis remains challenging due to the gigapixel scale and sparsely distributed diagnostic regions. Multiple Instance Learning (MIL) mitigates this by modeling the WSI as bags of patches for slide-level prediction. However, most MIL approaches emphasize aggregator design while overlooking the impact of the feature extractor of the feature extraction stage, which is often pretrained on natural images. This leads to domain gap and suboptimal representations. Self-supervised learning (SSL) has shown promise in bridging domain gap via pretext tasks, but it still primarily builds upon generic backbones, thus requiring WSIs to be split into small patches. This inevitably splits histological structures and generates both redundant and interdependent patches, which in turn degrades aggregator performance and drastically increases training costs. To address this challenge, we propose a Cascaded Dual-Scale Reconstruction (CDSR) framework, demonstrating that only an average of 9 high-resolution patches per WSI are sufficient for robust slide-level representation. CDSR employs a two-stage selective sampling strategy that identifies the most informative representative regions from both model-based and semantic perspectives. These patches are then fed into a Local-to-Global Network, which reconstructs spatially coherent high-resolution WSI representations by integrating fine-grained local detail with global contextual information. Unlike existing dense-sampling or SSL pipelines, CDSR is optimized for efficiency and morphological fidelity. Experiments on Camelyon16, TCGA-NSCLC, and TCGA-RCC demonstrate that CDSR achieves improvements of 6.3% in accuracy and 5.5% in area under ROC curve on downstream classification tasks with only 7,070 (4.5% of total) high-resolution patches per dataset on average, outperforming state-of-the-art methods trained on over 10,000,000 patches.