Virtual Slide: Real Microscopy Redefined

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Virtual Slide: Real Microscopy Redefined Microscopy & Imaging dotslide Virtual Slide System

2 ONTENTS SLIDE INTO THE FUTURE today Microscopy and image analysis are generally considered to be two separate processes, the former feeding into the latter. In some fields though, such as pathology, the two are synonymous with practitioners analysing preparations directly through the eyepiece. This is due the look and feel only a real slide-mounted sample and microscope can offer. The dotslide system from Olympus brings microscopy and imaging closer together. The result is an advanced and extremely versatile virtual slide which is an exact copy of the real specimen. Stored electronically, it is accessible around the world instantly and simultaneously the future of imaging is here. dotslide in pathology and research 4 9 Virtual slide technology enables the information from one glass slide to be shared across the globe for teleconsultation, supraregional collaborations, archiving of slide materials, and teaching. The dotslide features include: remote access to virtual slides with the functionality of a microscope, but without the instrument itself; the ability to see and analyse macro overviews of slides not possible using traditional microscopes. dotslide functions and system 10 15 ll of the dotslide system components are designed to interact seamlessly, producing a fully automated, high-speed scanning system with excellent flexibility and simple operation. These ensure that users get the best results for each type of specimen with the minimum of effort. lood smear, 100x oil. ourtesy of Dr Victor Gisiger, Pathologie et iologie cellulaire, Université de Montréal, Montreal, anada.

4 dotslide HPTER IN I PTHOLOGY ND RESERH dotslide IN PTHOLOGY ND RESERH Exceed the limits Virtual slide microscopy offers both pathologists and researchers the unique potential to acquire complete slides at high magnification and resolution, to enable diagnosis, analysis and archiving of samples for discussion both remotely or in online conferences. Virtual slide technology enables users to exceed the limits of conventional digital microscopy and telepathology in both the size and the resolution of image files that can be discussed, as well as in time and location of discussion with colleagues. dotslide IN PTHOLOGY With the increasing demand for networking in hospitals and collaborations comes the need for the correct tools. The new dotslide concept from Olympus has introduced a unique high-speed, whole-slide scanning system, producing digital slide images at high-end microscope quality for pathology. Now, the user can work more flexibly and efficiently to evaluate slides, diagnose and consult colleagues for second opinions, at separate times and in different locations. iopsy Virtual slide real diagnosis Taking an exact copy of an entire slide using the dotslide system increases the flexibility of case analysis. This unique ability is due to the careful combination of precision optical components, high-quality scanning stage and camera with advanced application software. The whole picture The careful integration of all the components creates a highly flexible system that enables the user to acquire digital slides for diagnosis quickly and effortlessly. The acquisition process starts with generating an overview image of the entire slide. It includes the automatic detection of the specimen to avoid time-consuming scanning of areas where there is no sample on the slide. s a second step, the high-magnification scan is automatically performed, over the whole slide or over smaller, predefined areas of interest using the preselected objective. During the acquisition, thousands of individual images are simultaneously compressed without any loss in quality and stitched together to create a seamless, magnified version of the slide. s a result, this is carried out within minutes, even using high-magnification objectives. Worldwide access The virtual slide image is stored with all the relevant information in such a way that it enables instant, controlled, access from anywhere in the world. This makes it an excellent tool for remote diagnosis (telediagnostics), second-opinion consultations, group discussions and intra-operative diagnosis of frozen sections. The system provides each user with an easy-to-use on-screen control interface, allowing free navigation within the sample. Moreover, the users can control multiple virtual slides and/or other image file formats simultaneously for easy comparison. In this way, they can access virtual slides from wherever they are and therefore do not need to be in their office or even their home country to screen a slide. Sample preparation Sample digitalisation Meeting room More importantly, as well as giving individual access to the virtual slides, the system also enables collaboration around the globe via the access-controlled conferencing tool. This allows users to be assigned different roles such as moderator, speaker or client. Therefore, second opinions can be requested or difficult case discussions can happen immediately and in real time, with the added benefit of annotation, highlighting and minute taking a truly revolutionary tool ensuring a new level of efficiency. Evaluation and teleconsultation

6 dotslide IN PTHOLOGY ND RESERH Virtual digital slides can be easily accessed and viewed simply with an Internet browser, including all relevant information Guided by annotations and views, students can identify regions of interest (ROIs) easily Teaching tool Teaching new students to analyse pathology samples is an important process. It is, though, beset with the difficult decision of how best to demonstrate the differences between normal samples and many different disease stages that exist for each type of tissue. Up until now, this choice has been restricted to either giving each student a different, but very similar slide, so that they can get the feel of working with a whole sample, or presenting a single image of one sample via projector or online tutorial. oth of these options have severe limitations for teaching in groups. With the introduction of the Olympus dotslide system, though, this has now changed each student can review the same sample and control the position and magnification individually as if it were a real slide. The tutor can also work with all the students in real time, showing them how best to analyse effectively, pick out rare cases, or test all students on the same slide. High capacity and automatic throughput Many diagnostic, teaching and clinical trials laboratories are faced with a growing number of samples to process and it is therefore more efficient to scan slides in batches and review them later. The Olympus dotslide system can be fitted with a slide loader, which holds up to 50 slides and is integrated with a bar code reader, giving full traceability and hands-off scanning. This ability also makes it quick and easy to archive slides, producing permanent records. Storage and preservation ccess and security When handling a large number of virtual slides, high-quality, secure and rapid access data storage is an important consideration. Olympus has therefore worked with leading electronic storage providers to establish local, regional and international data access and storage network capabilities. With patients samples, privacy is paramount and the system has therefore integrated security settings giving controlled access to the slide image and related data. The old and the new clear advantage of electronic storage is that slides can be found and loaded quickly and easily, enabling users to quickly reopen a slide for further investigation, access slides for reference purposes, or prepare presentations for conferences and lectures. Furthermore, there is no degradation to the sample over time the slide image will always be as crisp and clear as the day it was recorded. This is especially advantageous when archiving old or rare samples, which can then be made available for everyone as if they had been copied. To the future The advances of the dotslide system are based on the versatile nature of Olympus microscopes, which leaves it ready to be upgraded to match any future requirements. What is said for the microscope is also valid for future analysis of digitised specimen. With the ongoing development of the application software, it is expected that computer-assisted diagnosis software will be available which will help to improve detection and interpretation of tumours and other disease patterns, leaving the pathologist in full control of the diagnosis result. Image below: Virtual digital slides can be accessed instantly and in a controlled way through local networks or via the Internet, enabling the users to discuss samples and findings with colleagues or students in real time, compare samples and distribute the same sample to multiple locations, e.g. for evaluation.

8 dotslide IN PTHOLOGY ND RESERH Selection of participants and images to be discussed for online conferences Online conferencing in real time, locationindependent dotslide IN RESERH Life science research has relied heavily on advances in microscopy to move our knowledge forward. The dotslide system represents such a step forward, offering excellent throughput for extensive image analysis and superb documentation of tissue sections, cell cultures and even tissue microarrays. Takeaway Increased efficiency Microscopy has advanced rapidly over the last few years in terms of the microscope hardware and the techniques used to produce contrast or markers developed to identify molecules, organelles and cell types. Today, we have a much more accurate way of investigating cellular and bimolecular processes. Many experiments use multiple sections of a sample to show the distribution of a certain molecule. nalysing these can take up many hours of the researcher s time and block the microscope for other users. y scanning the sections on the dotslide system, the researcher can view their slide away from the microscope and even perform analysis using dedicated imaging software. Global discussion Due to the unique way the dotslide images are stored and transmitted, a researcher can invite the rest of their group to view slides of interest, either individually or as a group, whether they are in the same building or situated around the world. The virtual facility offers controllable access for the user, such that with the correct permissions, they can add and edit files. The system is designed to only transmit the amount of data required to provide the desired view and is therefore very quick. The onference tool window allows a moderator to set up a conference so that all invited clients can see and discuss what the speaker is showing, plus it also records every aspect of the conference, such as the participants names, notes and annotations. Tissue microarrays The microarray concept is rapidly developing, giving both high throughput and high content for all molecular -omes such as the genome, proteome and metabolome. rrays are a very cost-efficient way of running highly statistically relevant investigations and, importantly, the array principle applies just as well to tissue samples, known as tissue microarrays (TMs). TMs consist of many small tissue cores with a defined diameter that are fixed on a single object carrier. With TMs, researchers have a powerful way of preparing and staining thousands of different tissue samples under the same conditions and analysing them at once. This has made them an increasingly important and efficient tool for molecular biological research, pharmaceutical drug discovery, gene expression and therapeutic antibody research. The functionality of the dotslide system can be expanded with a dedicated TM module, facilitating acquisition and simple analysis of tissue microarrays. This module enables documentation of each core separately, accurately recording its slide and core reference for traceability. Multifunction The dotslide system comprises a research-level microscope with a colour-perfect digital camera and advanced software, making it a platform with great flexibility, which allows the addition of a range of accessories, from new objectives to fluorescence illumination units. Specialised analysis The dotslide software enables simple measurements such as perimeters, distances and areas without the need for scaling. With additional software tools, a number of analysis functions are available to aid in the rapid investigation of the virtual slides. For example, the family of software can perform phase analysis to automatically calculate the share of specific tissue types or to identify structures according to a series of criteria such as size, shape and intensity. Selection or exclusion of TM cores for scanning with minimum effort Gallery view and multi-image display Images courtesy of Universitätsklinikum Schleswig-Holstein, Institut für Pathologie, Prof. Dr. med... Feller Fluorescence The dotslide slide scanner can be upgraded to include fluorescence image acquisition Fluorescent markers have become one of the main methods of generating clear contrast in light microscopy. Furthermore, they have allowed very specific identification of molecules, enabling ultra-precise localisation and transport studies. These capabilities are essential for numerous applications throughout many different research areas. For example, fluorescent markers provide oncology researchers with the ability to follow specific proteins in normal and cancerous cells, to clearly display differences in translation levels, location or transport. In pharmacological studies, fluorescence probes have enabled researchers to study the direct effect of compounds on cells and whole tissues, accelerating preclinical screening. The dotslide system can be used with fluorescent samples, giving a completely unique perspective a slide recorded in full fluorescence can be thoroughly examined without any risk of bleaching or damage to the cells.

10 dotslide FUNTIONS ND SYSTEM dotslide FUNTIONS ND SYSTEM Leveraging potential Secure image and user management, straightforward creation of Web image galleries, annotation functions and the fast and easy navigation make the dotslide system a versatile platform for diagnosis, teaching and online conferences. The system consists of robust and carefully selected hardware integrated with the Olympus X upright microscope, offering the user peerless reliability and flexibility. dotslide THE FUNTIONS The real power of the dotslide system lies in its functionality. It is designed to provide all the features needed to make both diagnostic and research use as easy as possible. These functions are presented to the user via an intuitive and easy-to-use interface. Region definition To define the area to be scanned, the user can identify a region of interest (ROI) themselves, using the simple on-screen tools, or leave the system to automatically detect the extent of the sample or samples. User-defined regions of interest (ROIs) for more detailed scanning at higher magnifications Keeping focused To make the scan process as fast as possible, the system generates a focus map using the fast software-based autofocus. Different maps are used depending on the type of sample being scanned, providing the best solution whatever the sample. Numerous coordinates are selected to create the map, which gives the system an instant focus reference when scanning the slide. lways sharp For evaluation of distinct structures, such as the shape of cell nuclei or complex specimens with different types of tissue, the extended focal imaging (EFI) feature can be used to produce a perfectly focused image with greatly increased depth of focus at any point within the virtual sample. This is achieved by taking a Z-series of images through the sample and combining them, in focus elements of each other, into one crisp image. High speed Including the generation of the focus map, it takes less then 2 minutes for the dotslide to scan a 10 x 10 mm sample area using a 20x objective with a 0.63x camera adapter. Different selectable focus maps ensure clear and sharp images, whatever the specimen spect of whole rat embryo, 20x magnification Non-EFI image (left) and EFI image (right) Smear-stained Papanicolaou, 40x magnification Non-EFI image (left) and EFI image (right)

12 dotslide FUNTIONS ND SYSTEM Perfect images number of other processes ensure that the images produced are of the utmost quality. utoscaling, contrast and brightness control, background and shading correction, filters, false colour display and auto-exposure all combine to acquire premium images and subsequently modify the display optimally. The system configurations used for each virtual slide are stored with the slide file for future reference and consistency. Image server The virtual slide image is stored with all the relevant information in a proprietary format (.vsi), and can be uploaded to a dedicated software environment, which enables instant, controlled, secure access from any local or networked computer, or across the Internet. The dotslide system supports different methods of viewing the image files, enabling viewing permissions to be set and accessed via specialised software or a standard browser. The slide can be reviewed during the scan process Immediate review The image is displayed without delay on the screen whilst being scanned, and can be immediately edited and viewed without affecting the acquisition. This is due to the high-performance and unique multi-threading Olympus software. nnotations can be immediately added to the file in the form of shapes, arrows and text, whilst audio commentary and an automated scale bar can be displayed in the image. dvanced processing technology allows images to be scanned with high magnifications as quickly as the equivalent image from a 2x objective. Easy navigation The multifunction screen not only displays the digital slide image, but also relevant data and an overview image that can be used for navigation, along with buttons for x and y movements and zooming. The system also enables the virtual slides to be exported to Web, enabling them to be placed on a website for teaching or reference purposes. Similarly, the virtual slide can be recreated on DVD so that it can be distributed to colleagues and students without the need for specialist viewing software. Security Passwords and privileges can be set by the main user so that team members and collaborators can have differential access to the files. This means that changes can only be made by authorised people and that they are tracked within the software, which will help investigators maintain traceability. lear user and image management The navigation window allows easy orientation and navigation within the slide File management With such high-quality images being produced for each slide, file storage and access is a very important consideration with the dotslide system. The first unique step used by dotslide is on-the-fly lossless compression, which means that a 15 x 15 mm sample scanned with a 40x objective is compressed from 30 G to 3 G for storage. Secondly, with the dotslide system fully prepared for mass data transfer and storage, it can easily be integrated with ultra-high capacity storage systems, for which Olympus works with the leading companies in the electronic storage market. ccess anywhere Virtual slides can be accessed via a number of different methods and can also be published to Web databases in a special file format, to enable very easy teleconsultation or international collaboration. The system ensures the ideal properties for processing, data transfer and image display, since parameters such as resolution are automatically adjusted to what is needed for the user s monitor. In this way, there is no time delay between changing the view and seeing the image.

14 dotslide FUNTIONS ND SYSTEM dotslide camera est resolution and natural colour reproduction dotslide THE SYSTEM The dotslide system is built on the highly flexible Olympus optical bench microscope concept, enabling each system to be exactly right for every requirement. Every component is made to the highest standard and ready for any task. In the frame The dotslide system is based on the upright X Olympus research microscopes, which enables a range of modules to be easily added to meet the desired specification. Motorised scanning stage Fast and precise Objectives The objectives used with the dotslide system are all from the advanced Olympus UIS2 range, offering excellent transmission across the entire spectrum. ll objectives are plan-corrected, displaying high colour fidelity with optimised contrast to visualise stained specimen in front of a bright, natural background. They are available as either plan apochromats (UPlanSPO) or plan fluorites (UPlanFL). The motorised nosepiece integrates fully with the system for fast, hands-free objective changes. Illumination The 100-watt halogen light source provides the perfect illumination for high-fidelity brightfield observation and can be polarised using the correct filters. In addition, a fluorescent source can be directly fitted to the microscope for axial illumination. The stability and quality of the light provided by these illumination systems coupled with the imaging camera produce unmatched colour reproduction, giving users the quality of image via high-end microscope optics with the convenience of a computer monitor. This is essential for confident case diagnosis and slide interpretation. High-power control top-specification P-based workstation provides all the power required for complex control and processing of both microscope and analysis functions. The large, high-resolution monitor is driven by a dedicated graphic board and a multiformat DVD burner provides easy-to-use optical storage. ccurate movement high-precision X, Y stage gives the system excellent accuracy and repeatability, and can handle standard as well as large slide formats. Slide handling The robustly designed slide loader contains five trays, each holding 10 slides. The integrated bar code scanner reads all common code formats and can be used to automate slide data entry. Slide loader areful, reliable slide handling

Specifications Fully automatic virtual slide scanner dotslide X microscope frame Objectives included: 2x PLPON, 10x, 20x, 40x UPLSPO, other objectives may be added optionally, e.g. 100x oil Illumination: brightfield with 100 W halogen lamp house, optional: fluorescence, polarisation Slide holder for 1 x 3 slides and for 2 x 3 slides Multistage insert for batch scanning of four 1 x 3 slides (optional) Slide loader for 50 slides 3 x 1, with integrated bar code scanner (optional) Digital D camera: 2/3 D camera, 6.45 µm x 6.45 µm pixel size, high sensitivity, high resolution, Peltier cooled, dynamic range of 3 x 12 bit dotslide workstation with Dual XEON technology and 500 G data storage capacity, network interface 100/1,000 Mbit/s Ethernet 4 G RM and high-resolution TFT monitor Data storage solution (optional) Dimensions and weight (H x W x D), excluding workstation and monitor: system w/o slide loader: 50 cm x 45 cm x 48 cm, 30 kg; system incl. slide loader: 50 cm x 112 cm x 48 cm, 80 kg E compliance Resolution High-resolution scanning (standard 1x camera adapter): 0.32 µm/pixel (20x/N 0.75) and 0.16 µm/pixel (40x/N 0.9) Fast scanning (0.63x camera adapter option): 0.51µm/pixel (20x/N 0.75) and 0.26 µm/pixel (40x/N 0.9) Scanning speed 10 x 10mm sample area with 20x objective: High-resolution scanning < 3 min Optional: fast scanning mode < 2 min Image acquisition utomatic tissue finding utomatic image montage Seamless stitching Single button for automatic scanning of up to 50 slides (with optional slide loader) Focus points are taken automatically on the sample area. Different focus map algorithms are selectable for an optimal result with different types of samples. Data compression takes place during the scanning process without any time delay. lgorithms: JPEG, lossless JPEG, JPEG 2000 or no compression. Software functions and modules View images locally, zoom, crop and rotate images ompress images and save images in different file formats Insert text annotations and drawings; create views of regions of interest, record audio annotations (sound card, microphone and speakers required) Net Image Server software for remote access to virtual slides with dotslide software, OlyVI viewer or Web browser, management of virtual slides and user access to images onferencing module for simultaneous and synchronised viewing of virtual slides, conference access control and user management, minute taking tool, chat function TM module to acquire individual images of TM cores nalysis Integrated measurement functions: distances, areas, circumferences, point count, export results to Microsoft Excel nalysis with software packages, e.g. phase analysis to measure shares of tissue types, particle analysis to identify content of tumour cells Olympus recommends HP for advanced storage solutions The manufacturer reserves the right to make technical changes without prior notice. www.olympus-europa.com rt. code: E0430656 Printed in Germany 01/2009 Postfach 10 49 08, 20034 Hamburg, Germany Wendenstraße 14 18, 20097 Hamburg, Germany Phone: +49 40 23773-0, Fax: +49 40 23773-4647 E-mail: microscopy@olympus-europa.com