title: An ultra-high speed Whole Slide Image viewing system.
abstract: BACKGROUND
  One of the goals for a Whole Slide Imaging (WSI) system is implementation in the clinical practice of pathology. One of the unresolved problems in accomplishing this goal is the speed of the entire process, i.e., from viewing the slides through making the final diagnosis. Most users are not satisfied with the correct viewing speeds of available systems. We have evaluated a new WSI viewing station and tool that focuses on speed.
  
  
  METHODS
  A prototype WSI viewer based on PlayStation®3 with wireless controllers was evaluated at the Department of Pathology at MGH for the following reasons: 1. For the simulation of signing-out cases; 2. Enabling discussion at a consensus conference; and 3. Use at slide seminars during a Continuing Medical Education course.
  
  
  RESULTS
  Pathologists were being able to use the system comfortably after 0-15 min training. There were no complaints regarding speed. Most pathologists were satisfied with the functionality, usability and speed of the system. The most difficult situation was simulating diagnostic sign-out.
  
  
  CONCLUSIONS
  The preliminary results of adapting the Sony PlayStation®3 (PS3®) as an ultra-high speed WSI viewing system were promising. The achieved speed is consistent with what would be needed to use WSI in daily practice.
authors.affiliation: Pathology Service, Massachusetts General Hospital, Boston, MA, USA. yyagi@partners.org
authors.forename: Yukako
authors.initials: Y
authors.lastname: Yagi
authors.forename: Shigeatsu
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kyusojin
authors.forename: Maristela
authors.initials: M
authors.lastname: Onozato
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Mizutani
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Osato
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Yada
authors.forename: Eugene J
authors.initials: EJ
authors.lastname: Mark
authors.forename: Matthew P
authors.initials: MP
authors.lastname: Frosch
authors.forename: David N
authors.initials: DN
authors.lastname: Louis
mesh_terms: D003626:Data Display; D003952:Diagnostic Imaging / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D019113:Telepathology / Q000295:instrumentation*; D013997:Time Factors