# MoEMambaMIL: Structure-Aware Selective State Space Modeling for Whole-Slide Image Analysis

arXiv: https://arxiv.org/abs/2603.06378 · HTML: https://mlsanity.com/paper/2603.06378/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and biomedical MoE, one of 12 directions in Mixture-of-experts.
- Builds on 14 of its 21 references that are in the map.
- First posted on arXiv 6 Mar 2026.

## Placed in

- Mixture-of-experts / [Medical and biomedical MoE](https://mlsanity.com/moe/medical-and-biomedical-moe/)
- State-space sequence models (S4, Mamba) / [Mamba for medical image analysis](https://mlsanity.com/ssm/mamba-for-medical-image-analysis/)

## Builds on (most cited first, 14 of 14)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Mamba: Linear-Time Sequence Modeling with Selective State Spaces](https://mlsanity.com/paper/2312.00752/) (2023)
- [Outrageously Large Neural Networks: The Sparsely-Gated Mixture-of-Experts Layer](https://mlsanity.com/paper/1701.06538/) (2017)
- [Attention-based Deep Multiple Instance Learning](https://mlsanity.com/paper/1802.04712/) (2018)
- [Vision Mamba: Efficient Visual Representation Learning with Bidirectional State Space Model](https://mlsanity.com/paper/2401.09417/) (2024)
- [VMamba: Visual State Space Model](https://mlsanity.com/paper/2401.10166/) (2024)
- [Scaling Vision with Sparse Mixture of Experts](https://mlsanity.com/paper/2106.05974/) (2021)
- [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)
- [Scaling Vision Transformers to Gigapixel Images via Hierarchical Self-Supervised Learning](https://mlsanity.com/paper/2206.02647/) (2022)
- [MambaMIL: Enhancing Long Sequence Modeling with Sequence Reordering in Computational Pathology](https://mlsanity.com/paper/2403.06800/) (2024)
- [MoVA: Adapting Mixture of Vision Experts to Multimodal Context](https://mlsanity.com/paper/2404.13046/) (2024)
- [GraphMETRO: Mitigating Complex Graph Distribution Shifts via Mixture of Aligned Experts](https://mlsanity.com/paper/2312.04693/) (2023)

## Abstract (arXiv)

Whole-slide image (WSI) analysis is challenging due to the gigapixel scale of slides and their inherent hierarchical multi-resolution structure. Existing multiple instance learning (MIL) approaches often model WSIs as unordered collections of patches, which limits their ability to capture structured dependencies between global tissue organization and local cellular patterns. Although recent State Space Models (SSMs) enable efficient modeling of long sequences, how to structure WSI tokens to fully exploit their spatial hierarchy remains an open problem.We propose MoEMambaMIL, a structure-aware SSM framework for WSI analysis that integrates region-nested selective scanning with mixture-of-experts (MoE) modeling. Leveraging multi-resolution preprocessing, MoEMambaMIL organizes patch tokens into region-aware sequences that preserve spatial containment across resolutions. On top of this structured sequence, we decouple resolution-aware encoding and region-adaptive contextual modeling via a combination of static, resolution-specific experts and dynamic sparse experts with learned routing. This design enables efficient long-sequence modeling while promoting expert specialization across heterogeneous diagnostic patterns. Experiments demonstrate that MoEMambaMIL achieves the best performance across 9 downstream tasks.