The original digits are randomly sampled from the test set. Figures are best viewed when zoomed. On FashionMNIST -bags, TargetedMI makes some mistakes among the'pullover', 'coat', and'shirt' objects (the 3rd, 5th, and 7th columns). Let us look at the bottom subfigure which depicts 10 hiragana characters and their handwriting. Figures are best viewed when zoomed.

Although attention-based multi-instance learning algorithms have achieved impressive performances on slide-level whole slide image (WSI) classification tasks, they are prone to mistakenly focus on irrelevant patterns such as staining conditions and tissue morphology, leading to incorrect patch-level predictions and unreliable interpretability. Moreover, these attention-based MIL algorithms tend to focus on salient instances and struggle to recognize hard-to-classify instances. In this paper, we first demonstrate that attention-based WSI classification methods do not adhere to the standard MIL assumptions. From the standard MIL assumptions, we propose a surprisingly simple yet effective instance-based MIL method for WSI classification (FocusMIL) based on max-pooling and forward amortized variational inference. We argue that synergizing the standard MIL assumption with variational inference encourages the model to focus on tumour morphology instead of spurious correlations. Our experimental evaluations show that FocusMIL significantly outperforms the baselines in patch-level classification tasks on the Camelyon16 and TCGA-NSCLC benchmarks. Visualization results show that our method also achieves better classification boundaries for identifying hard instances and mitigates the effect of spurious correlations between bags and labels.

Multi-instance learning (MIL) deals with objects represented as bags of instances and can predict instance labels from bag-level supervision. However, significant performance gaps exist between instance-level MIL algorithms and supervised learners since the instance labels are unavailable in MIL. Most existing MIL algorithms tackle the problem by treating multi-instance bags as harmful ambiguities and predicting instance labels by reducing the supervision inexactness. This work studies MIL from a new perspective by considering bags as auxiliary information, and utilize it to identify instance-level causal representations from bag-level weak supervision. We propose the CausalMIL algorithm, which not only excels at instance label prediction but also provides robustness to distribution change by synergistically integrating MIL with identifiable variational autoencoder. Our approach is based on a practical and general assumption: the prior distribution over the instance latent representations belongs to the non-factorized exponential family conditioning on the multi-instance bags. Experiments on synthetic and real-world datasets demonstrate that our approach significantly outperforms various baselines on instance label prediction and out-of-distribution generalization tasks.