A New View Leaving Microscopes Behind University of

“A New View: Leaving Microscopes Behind” University of Kansas Medical Center James L. Fishback, Robert M. Klein, Michael Karr University of Kansas, School of Medicine October 22, 2007

Virtual Microscopy Images courtesy of Aperio with permission October 22, 2007

What do we do with the microscopic slide? • Traditional Histology: view with microscope • Virtual Microscopy: Scan and view with computer October 22, 2007

Cost at KUMC • Initial Cost of Software, First Server, Scanning of ½ Histology Slide Set: $40, 000 • Scanscope: $85, 000 • 2 nd Server: $15, 000 • Trade-in and Upgrade to Scanscope with ZStack capability: $90, 000 • Annual service contract: ~$20, 000/annum • Total: $250, 000 (Departments of Pathology, Anatomy, and New Curriculum $$$$$) October 22, 2007

At the KU Medical Center: • Used for histopathology laboratories: replacement for student microscopes • Two server arrangement: academic and clinical (behind firewall for HIPAA) • Students create a Personal Digital Atlas • Wireless Access for groups of 90 students, in 4 small groups of ~20 each October 22, 2007

Technology Client: • Client Installation (Scanscope) • Web Navigation • Digital Slide Conference October 22, 2007

Technology Scanner: • 120 Slide Batch Scan • Automatic Server Population • Z-stack • Oil immersion October 22, 2007

Note-taking on the Tablet PC l The Tablet PC is the centerpiece (key integrating technology) of our new curriculum • Hypothesis: • The Tablet PC will facilitate and improve the “encoding” of long-term memory, by the simple act of using “electronic ink” during note-taking • The Tablet PC will facilitate and improve the “review” function of long-term memory, by enabling rapid indexing and cross-linking of information

Microsoft® Office One. Note® 2007 notebooks are digital notebooks patterned after paper notebooks. One. Note 2007 also has a search capability, audio and video recording, notebook sharing, and the capacity for displaying pictures within your notes.

Powerpoint and One. Note

Note-taking Software

Note-taking on the Tablet PC

Aperio Virtual Microscopy and One. Note l Histopathology Lab - Neoplasia. mht

Aperio Virtual Microscopy Discussion • How would you make labs more interactive? • Is there a better way to integrate pathology and histology? • How would you test 1 st and 2 nd year students to emphasize tissue and organ structure? and any other thoughts…

KU and Aperio Virtual Microscopy