M4: Multi-Proxy Multi-Gate Mixture of Experts Network for Multiple Instance Learning in Histopathology Image Analysis
Junyu Li, Ye Zhang, Wen Shu, Xiaobing Feng, Yingchun Wang, Pengju Yan, Xiaolin Li, Chulin Sha, Min He
TL;DR
MIL for WSIs is often limited to single-task predictions, failing to exploit inter-task relationships among genetic mutations. M4 extends the Multi-gate Mixture-of-Experts framework to the MIL setting by introducing a multi-proxy MIL expert network and per-task gates, enabling joint prediction of multiple mutations from WSIs. The approach yields improved average AUC across five TCGA datasets and provides heatmap-based interpretability showing tumor-focused attention, particularly for rare mutations. This work advances multi-task WSI analysis and supports scalable, precision-oncology applications by efficiently modeling inter-task correlations from histopathology imagery.
Abstract
Multiple instance learning (MIL) has been successfully applied for whole slide images (WSIs) analysis in computational pathology, enabling a wide range of prediction tasks from tumor subtyping to inferring genetic mutations and multi-omics biomarkers. However, existing MIL methods predominantly focus on single-task learning, resulting in not only overall low efficiency but also the overlook of inter-task relatedness. To address these issues, we proposed an adapted architecture of Multi-gate Mixture-of-experts with Multi-proxy for Multiple instance learning (M4), and applied this framework for simultaneous prediction of multiple genetic mutations from WSIs. The proposed M4 model has two main innovations: (1) utilizing a mixture of experts with multiple gating strategies for multi-genetic mutation prediction on a single pathological slide; (2) constructing multi-proxy expert network and gate network for comprehensive and effective modeling of pathological image information. Our model achieved significant improvements across five tested TCGA datasets in comparison to current state-of-the-art single-task methods. The code is available at:https://github.com/Bigyehahaha/M4.
