Navigating the MIL Trade-Off: Flexible Pooling for Whole Slide Image Classification

Multiple Instance Learning (MIL) is a standard weakly supervised approach for Whole Slide Image (WSI) classification, where performance hinges on both feature representation and MIL pooling strategies. Recent research has predominantly focused on Transformer-based architectures adapted for WSIs. However, we argue that this trend faces a fundamental limitation: data scarcity. In typical settings, Transformer models yield only marginal gains without access to large-scale datasets--resources that are virtually inaccessible to all but a few well-funded research labs. Motivated by this, we revisit simple, non-attention MIL with unsupervised slide features and analyze temperature-$\beta$-controlled log-sum-exp (LSE) pooling.