Tissue-aware dual-attention MIL

The paper introduces CDE-MIL, a weakly supervised multiple instance learning framework for whole slide images. It combines tissue foreground segmentation, feature extraction, and dual-attention aggregation to study colorectal cancer classification without pixel-level annotations.

Three complementary modules

01

Tissue-Seg

Extract tissue foreground to reduce background interference.

02

CFE

Combine a variational information bottleneck and top-k selection for feature extraction.

03

DAM

Aggregate channel-wise and instance-wise attention.

Results reported in the paper

Accuracy (ACC) in the full-data setting is shown below. These values reflect the paper’s dataset splits and experimental conditions, not clinical deployment performance.

CDE-MIL · Full-data evaluation
DatasetDomainACC
TCGA-CRCColorectal cancer0.9989
CRSColorectal cancer0.9832
TCGA-STADGastric cancer0.9341
CAMELYON16Breast cancer lymph node metastasis0.9253

Author affiliations: Suzhou University of Science and Technology; Shandong University. Summary based on the supplied paper. DOI: 10.1016/j.bspc.2026.110936