ResearchResearch paperLarge Language Models · Training & Scaling1 source · Oct 20, 2026

AdaptMIL: Domain Adaptation for Multiple Instance Learning in Digital Pathology

To address this challenge, we propose AdaptMIL, a training strategy for integrating domain adaptation into MIL training.

Key points

  • Pathology foundation models (PFMs) support a wide range of histopathology tasks on whole-slide images through multiple instance learning (MIL).
  • AdaptMIL is motivated by our finding that directly applying domain adaptation objectives during MIL training can interfere with MIL aggregation learning, often resulting in performance degradation over standard training.
  • AdaptMIL resolves this by decoupling representation-level domain alignment learning from MIL aggregation learning through a two-stage training procedure.
  • We show that AdaptMIL improves cross-hospital performance and outperforms alternative adaptation methods across experiments spanning multiple WSI datasets, tasks, PFMs, MIL architectures, and domain adaptation objectives.

Sources (1)

  • [1]AdaptMIL: Domain Adaptation for Multiple Instance Learning in Digital Pathology
    arXiv (AI, ML, NLP, CV, robotics, multi-agent) · Oct 20, 10:52 AM
    To address this challenge, we propose AdaptMIL, a training strategy for integrating domain adaptation into MIL training.
    Pathology foundation models (PFMs) support a wide range of histopathology tasks on whole-slide images through multiple instance learning (MIL).

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