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Students' performance during practical examination on whole slide images using view path tracking.

Slawomir Walkowski, Mikael Lundin, Janusz Szymas

    Diagnostic Pathology
    |November 1, 2014
    PubMed
    Summary

    Students who answered oral pathology exam questions incorrectly viewed whole slide images (WSIs) more extensively than those who answered correctly. This study analyzed viewing behavior using novel tracking software to understand diagnostic area focus.

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    Area of Science:

    • Medical Education Technology
    • Digital Pathology
    • Histopathology Analysis

    Background:

    • Whole slide images (WSIs) offer novel insights into histological slide viewing in medical education.
    • A software infrastructure was developed to track viewed areas of WSIs.
    • This system was implemented during an oral pathology practical exam to analyze student viewing behavior.

    Purpose of the Study:

    • To investigate student viewing behavior on whole slide images (WSIs) during a practical oral pathology exam.
    • To analyze how students navigate and focus on specific areas of histological slides.
    • To correlate viewing patterns with exam performance.

    Main Methods:

    • A view path tracking solution was integrated into virtual microscopy software (WebMicroscope).
    • The system dynamically tracked view paths and zoom levels across WSIs for 88 students over 50 slides each.
    • Data analysis involved visualizations and statistical metrics, including average magnification, view field dispersion, and diagnostic area focus.

    Main Results:

    • Visualizations revealed characteristic viewing patterns associated with specific questions and students.
    • Students answering incorrectly tended to view slides longer and explore more dispersed areas compared to correct responders.
    • Quantitative metrics confirmed and generalized these viewing pattern observations across multiple students and WSIs.

    Conclusions:

    • The implemented view path tracking system effectively uncovered student viewing patterns during a WSI-based oral pathology exam.
    • The developed analysis methods, including visualizations and statistics, successfully identified distinct viewing behaviors.
    • This technology provides a valuable tool for understanding and potentially improving pathology education and assessment.