Given the special situation of modeling gigapixel images, multiple instance learning (MIL) has become one of the most important frameworks for Whole Slide Image (WSI) classification. In current practice, most MIL networks often face two unavoidable problems in training: i) insufficient WSI data, and ii) the data memorization nature inherent in neural networks. These problems may hinder MIL models from adequate and efficient training, suppressing the continuous performance promotion of classification models on WSIs. Inspired by the basic idea of Mixup, this paper proposes a Pseudo-bag Mixup (PseMix) data augmentation scheme to improve the training of MIL models. This scheme generalizes the Mixup strategy for general images to special WSIs via pseudo-bags so as to be applied in MIL-based WSI classification. Cooperated by pseudo-bags, our PseMix fulfills the critical size alignment and semantic alignment in Mixup strategy. Moreover, it is designed as an efficient and decoupled method adaptive to MIL, neither involving time-consuming operations nor relying on MIL model predictions. Comparative experiments and ablation studies are specially designed to evaluate the effectiveness and advantages of our PseMix. Test results show that PseMix could often improve the performance of MIL networks in WSI classification. Besides, it could also boost the generalization capacity of MIL models, and promote their robustness to patch occlusion and noisy labels. Our source code is available at https://github.com/liupei101/PseMix.

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