LoC-Path: Learning to Compress for Pathology Multimodal Large Language Models

Whole Slide Image (WSI) MLLMs are difficult to build and deploy because gigapixel slides induce thousands of visual tokens, while only a small fraction of regions is diagnostically relevant. Existing slide-level pathology MLLMs typically combine heavy slide-level encoders with long visual prefixes, making end-to-end slide-level development and deployment expensive under limited computational resources. We revisit this regime and show that WSI tile features are highly redundant at both global and local scales, while task-relevant evidence is sparse and query-dependent. We therefore introduce LoC-Path, a resource-efficient slide-level MLLM that compresses before fusion. LoC-Path uses a Sparse Token Merger (STM) and an MAE-pretrained resampler to replace expensive slide-level encoding with a compact latent interface, then uses a Token Importance Scorer (TIS) to select the most relevant latents and a Cross-Attention Routing Adapter (CARA) to fuse them into a few LLM decoder layers. This design lowers both multimodal tuning cost and inference-time latency/memory by avoiding heavy slide-level encoding and long visual prefixes. Extensive experiments show that LoC-Path remains competitive with prior slide-level MLLMs while making end-to-end development and deployment more practical under limited computational resources.