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SLICEChat addresses the scalability bottleneck in whole-slide pathology by integrating progressive token pruning directly into a hybrid Mamba-Transformer encoder. This architecture reduces computational cost and memory usage before multimodal fusion, enabling efficient reasoning over gigapixel images without sacrificing diagnostic accuracy on standard benchmarks. The approach represents a significant architectural advancement for making large-scale medical imaging models viable for production environments.
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SLICEChat: Progressive In-Encoder Token Pruning for Whole-Slide Pathology Language Models

arXiv2 min read

arXiv:2609.24894v1 Announce Type: cross Abstract: Whole-slide pathology images (WSIs) contain gigapixel-scale visual content, creating a major scalability challenge for slide-level multimodal large language models (MLLMs). Existing approaches process thousands of patch tokens and typically apply compression only after slide encoding, leaving multimodal attention computationally expensive. We introduce SLICEChat, a slide-level MLLM that integrates progressive token pruning within a hybrid Mamba--Transformer slide encoder. Mamba layers enable efficient long-range propagation, while Transformer layers preserve global interactions as the sequence is progressively shortened. Between stages, language-supervised, region-aware pruning removes spatially coherent low-utility regions under a controlled keep-rate schedule, producing compact slide representations before multimodal fusion. On SlideBench VQA, SLICEChat achieves 79.84% accuracy on TCGA and 59.09% on BCNB cohorts, outperforming prior slide-level pathology MLLMs, and achieves the highest overall WSI-Bench metrics. It also provides competitive memory usage and the inference latency among the evaluated models. These results demonstrate accurate and computationally efficient multimodal reasoning over gigapixel WSIs.

Abstract:Whole-slide pathology images (WSIs) contain gigapixel-scale visual content, creating a major scalability challenge for slide-level multimodal large language models (MLLMs). Existing approaches process thousands of patch tokens and typically apply compression only after slide encoding, leaving multimodal attention computationally expensive. We introduce SLICEChat, a slide-level MLLM that integrates progressive token pruning within a hybrid Mamba--Transformer slide encoder. Mamba layers enable efficient long-range propagation, while Transformer layers preserve global interactions as the sequence is progressively shortened. Between stages, language-supervised, region-aware pruning removes spatially coherent low-utility regions under a controlled keep-rate schedule, producing compact slide representations before multimodal fusion. On SlideBench VQA, SLICEChat achieves 79.84% accuracy on TCGA and 59.09% on BCNB cohorts, outperforming prior slide-level pathology MLLMs, and achieves the highest overall WSI-Bench metrics. It also provides competitive memory usage and the inference latency among the evaluated models. These results demonstrate accurate and computationally efficient multimodal reasoning over gigapixel WSIs.

Computer Vision and Pattern Recognition (cs.CV); Computation and Language (cs.CL)

arXiv:2609.24894 [cs.CV]

(or arXiv:2609.24894v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2609.24894 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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