MExD: An Expert-Infused Diffusion Model for Whole-Slide Image Classification

Whole Slide Image (WSI) classification poses unique challenges due to the vast image size and numerous non-informative regions, which introduce noise and cause data imbalance during feature aggregation. To address these issues, we propose MExD, an Expert-Infused Diffusion Model that combines the strengths of a Mixture-of-Experts (MoE) mechanism with a diffusion model for enhanced classification. MExD balances patch feature distribution through a novel MoE-based aggregator that selectively emphasizes relevant information, effectively filtering noise, addressing data imbalance, and extracting essential features. These features are then integrated via a diffusion-based generative process to directly yield the class distribution for the WSI. Moving beyond conventional discriminative approaches, MExD represents the first generative strategy in WSI classification, capturing fine-grained details for robust and precise results. Our MExD is validated on three widely-used benchmarks—Camelyon16, TCGA-NSCLC, and BRACS—consistently achieving state-of-the-art performance in both binary and multi-class tasks. The model and code will be made publicly available upon acceptance.