Background. Digital pathology has aroused widespread interest in modern pathology. The key of digitalization is to scan the whole slide image (WSI) at high magnification. The lager the magnification is, the richer details WSI will provide, but the scanning time is longer and the file size of obtained is larger. Methods. We design a strategy to scan slides with low resolution (5X) and a super-resolution method is proposed to restore the image details when in diagnosis. The method is based on a multi-scale generative adversarial network, which sequentially generates three high-resolution images such as 10X, 20X and 40X. Results. The peak-signal-to-noise-ratio of 10X to 40X generated images are 24.16, 22.27 and 20.44, and the structural-similarity-index are 0.845, 0.680 and 0.512, which are better than other super-resolution networks. Visual scoring average and standard deviation from three pathologists is 3.63 plus-minus 0.52, 3.70 plus-minus 0.57 and 3.74 plus-minus 0.56 and the p value of analysis of variance is 0.37, indicating that generated images include sufficient information for diagnosis. The average value of Kappa test is 0.99, meaning the diagnosis of generated images is highly consistent with that of the real images. Conclusion. This proposed method can generate high-quality 10X, 20X, 40X images from 5X images at the same time, in which the time and storage costs of digitalization can be effectively reduced up to 1/64 of the previous costs. The proposed method provides a better alternative for low-cost storage, faster image share of digital pathology. Keywords. Digital pathology; Super-resolution; Low resolution scanning; Low cost
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