“…There have also been studies on user interaction in digital pathology with multi-resolution viewers 19 , 23 , 24 , 25 and eyetracking; 26 however, to our knowledge, this is the first application of using pathologists’ interactions with digital slides to adaptively alter whole slide image resolution for storage and subsequent secondary review. There has also been previous work on compositing several images of differing zoom factors into a single VRI, 27 but this is the first application of such variable resolution imaging in pathology. With our approach, pathologist diagnostic behavior determines the image resolution across the specimen area and allows us to reduce whole slide image data sizes while maintaining the relevant information to the diagnosis.…”