Retrieval-Augmented Multiple Instance Learning

Multiple Instance Learning (MIL) is a crucial weakly supervised learning method applied across various domains, e.g., medical diagnosis based on whole slide images (WSIs). Recent advancements in MIL algorithms have yielded exceptional performance when the training and test data originate from the same domain, such as WSIs obtained from the same hospital. However, this paper reveals a performance deterioration of MIL models when tested on an out-of-domain test set, exemplified by WSIs sourced from a novel hospital. To address this challenge, this paper introduces the Retrieval-AugMented MIL (RAM-MIL) framework, which integrates Optimal Transport (OT) as the distance metric for nearest neighbor retrieval. The development of RAM-MIL is driven by two key insights.