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ProtoPur advances weakly supervised instance learning in computational pathology by leveraging prototype-purity pseudo-labeling to extract high-quality instance-level signals from weak bag-level annotations. The method effectively decouples class-specific evidence from shared morphology using frozen foundation-model features, offering a theoretically grounded approach that improves performance across multiple MIL backbones without requiring dense manual labeling. This work demonstrates how foundation model representations can be exploited to reveal latent supervision signals in expensive medical imaging datasets.
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ProtoPur: Prototype-Purity Pseudo-Labeling for Weakly Supervised Instance Learning in Pathology

arXiv3 min read

arXiv:2610.15669v1 Announce Type: cross Abstract: Weak bag-level labels are widely available in computational pathology, whereas reliable instance-level annotations for whole-slide images remain expensive and ambiguous. Weakly supervised multiple instance learning (MIL) achieves strong bag-level classification, but instance-level supervision from attention scores, model predictions, negative bags, or spatial refinement may fail to identify class-specific local evidence. We propose ProtoPur, a prototype-purity pseudo-labeling method for weakly supervised instance-level learning in pathology whole-slide images. ProtoPur estimates class-balanced local purity over prototype regions constructed from frozen foundation-model features, and assigns pseudo-labels to high-purity regions strongly associated with a target class. This purity-first design separates class-specific evidence from negative or shared morphology, with coverage used only to ensure sufficient pseudo-label assignment. We provide a PAC-style analysis showing that the risk of an instance classifier trained with ProtoPur pseudo-labels can be decomposed into a standard uniform-convergence term and a ProtoPur-specific pseudo-label noise term, comprising selected-region mismatch and a coverage residual. Experiments on three public whole-slide image datasets with two pathology foundation encoders show that ProtoPur consistently improves instance-level performance across multiple MIL backbones while maintaining competitive bag-level performance. Pseudo-label quality comparisons on two public datasets further demonstrate that prototype-purity selection provides stronger instance supervision. These results suggest that the foundation-model features contain exploitable instance-level supervision signals, and ProtoPur is a way to reveal and use these signals from weak bag labels without requiring dense instance annotations.

Abstract:Weak bag-level labels are widely available in computational pathology, whereas reliable instance-level annotations for whole-slide images remain expensive and ambiguous. Weakly supervised multiple instance learning (MIL) achieves strong bag-level classification, but instance-level supervision from attention scores, model predictions, negative bags, or spatial refinement may fail to identify class-specific local evidence. We propose ProtoPur, a prototype-purity pseudo-labeling method for weakly supervised instance-level learning in pathology whole-slide images. ProtoPur estimates class-balanced local purity over prototype regions constructed from frozen foundation-model features, and assigns pseudo-labels to high-purity regions strongly associated with a target class. This purity-first design separates class-specific evidence from negative or shared morphology, with coverage used only to ensure sufficient pseudo-label assignment. We provide a PAC-style analysis showing that the risk of an instance classifier trained with ProtoPur pseudo-labels can be decomposed into a standard uniform-convergence term and a ProtoPur-specific pseudo-label noise term, comprising selected-region mismatch and a coverage residual. Experiments on three public whole-slide image datasets with two pathology foundation encoders show that ProtoPur consistently improves instance-level performance across multiple MIL backbones while maintaining competitive bag-level performance. Pseudo-label quality comparisons on two public datasets further demonstrate that prototype-purity selection provides stronger instance supervision. These results suggest that the foundation-model features contain exploitable instance-level supervision signals, and ProtoPur is a way to reveal and use these signals from weak bag labels without requiring dense instance annotations.

Computer Vision and Pattern Recognition (cs.CV); Machine Learning (cs.LG)

arXiv:2610.15669 [cs.CV]

(or arXiv:2610.15669v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2610.15669 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 325 words

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