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Tissue Processing
Dr. Muhammad Fakhar E Adil
D.V.M., M. Phil.
Introduction
Histology: Microscopic study of body tissues.
Histopathology: microscopic study of diseased tissue
Tissue source
Biopsy
Necropsy
The techniques for processing the tissues, whether
biopsies or tissues from necropsy so as to enable the
scientist to study them under the microscope
Source of Tissues
(human; animal)
Biopsy Removal of tissues Autopsy/Necropsy
Freezing Fixation
Cryomicrotomy Washing
Mounting Dehydration
Histochemical reactions Clearing
Fixation Infiltrating & Embedding
Staining or Counterstaining Microtomy (sectioning)
Cover slipping Mounting
Staining
Cover slipping
Microscopy
Photomicrography
Digital micrography
Protocols for paraffin sectioning
1. Receipt & Identification
2. Labeling of the specimen with numbering
3. Fixation
4. Dehydration
5. Clearing
6. infiltration
7. Embedding
8. Section cutting
9. Staining
10. Mounting
Specimen identification
 Patient information
 History
 Laboratory code (numbers that will identify each specimen for each
patient)
Fixation
 Preserve tissues permanently in as life-like a state as possible
 The fixative should be 15 – 20 times more in volume then the specimen
Aims
• Prevent autolysis
• Penetrate evenly and rapidly
• Harden specimen
• Antisepsis of the sample
• Increase optical density
Ideal Fixative
• Should not cause shrinkage or
swelling of cells
• Must not interfere with staining
• Cheap and easily available
• Should be good antiseptic
• Safe to use
Fixation
 The bits should of the size of approximately 1 cm3
 These bits are then placed in metal cassettes or capsules
which are then placed in the fixative
Fixatives
 10% Formalin
 10 ml formalin in 90 ml distilled water
 MOA – forms cross links between amino acids of proteins thereby
making them insoluble
 Advantages – rapid penetration, available & cheap, does not over
harden tissue, ideal for mailing
 Disadvantages – irritant, forms paraformaldehyde precipitates,
formation of black formalin pigment , acid formaldehyde hematin
Fixatives
 Other fixatives
1. Glutaraldehyde
2. Osmium tetraoxide
3. Potassium dichromate
4. Mercuric chloride
5. Picric acid
6. Zenker’s fluid
7. Zenker’s Formal (Helly’s fluid)
8. Bouin’s fluid
Fixatives
 Microanatomical fixatives:
 These are used to preserve the anatomy of the tissue.
 E.g. 10% formal saline (brain), buffered formalin
 Cytological fixatives:
 These are used to fix intracellular structures.
 E.g. nuclear fixatives (Carnoy’s fluid, Clarke’s fluid), cytoplasmic fixatives
(Champy’s fluid, Regaud’s fluid)
 Histochemical fixatives:
 These are used to demonstrate the chemical constituents of the cell.
 E.g. formal saline, cold acetone, absolute alcohol
Decalcification
 Removal of the calcium salts from the specimen
 Nitric acid, formic acid, picric acid, acetic acid, citric acid,
hydrochloric acid
Dehydration
 Process in which the water content in the tissue to be processed is
completely reduced by passing the tissue through increasing
concentrations of dehydrating agents
 E.g. Ethyl alcohol, Acetone, Isopropyl alcohol, Dioxane
 Dehydration is done so that the wax i.e. Paraffin wax can be easily
infiltrated in tissue as it is immiscible with water
Clearing
 The procedure where in the alcohol in the tissue is replaced
by a fluid which will dissolve the wax used for impregnating
the tissues
 Cedar wood oil : The best agent but is expensive.
 Benzene : It is carcinogenic.
 Xylene : It is most commonly used.
 Chloroform: Toxic and expensive
Infiltration
 In this the tissue is kept in a wax bath containing molten
paraffin wax for 6 – 8 hours.
 The wax is infiltrated in the interices of the tissue which
increases the optical differentiation & hardens the tissue &
helps in easy sectioning of the tissue.
 Paraffine wax
 Paraplast
 Paraplast plus
 Gelatin
 Celloidin
Embedding
 It is done by transferring the tissue which has been cleared of the alcohol to a
mould filled with molten wax & is allowed to cool & solidify.
 After solidification, a wax block is obtained which is then sectioned to obtain
ribbons.
Section cutting
 The procedure in which the blocks which have been prepared are cut or sectioned
and thin strips of varying thickness are prepared
 The instrument by which this is done is called as a Microtome
 Types of microtomes:
 Sliding
 Rotary
 Rocking
 Freezing
 Base sledge
Rotary microtome
 It is the most commonly used.
 Also known as Minnot’s Rotary microtome.
 In this the Block holder moves up and down while the knife remains fixed.
 It is suitable for cutting of small tissues & serial sections can be taken on it.
Parts of a Microtome (Rotary)
 Block holder
 Knife clamp screws
 Knife clamps
 Block adjustment
 Thickness gauge
 Angle of tilt adjustment
 Operating handle.
Tissue flotation bath
 It is a thermostatically controlled water bath with the inside colored black.
 It is maintained at a temperature maintained 5 – 6 degree below the melting point
of paraffin wax.
Staining
 Staining of the section is done to bring out the particular details in the tissue under
study
 The most commonly used stain in routine practice is Haematoxylin & eosin stain
 Nucleus – blue, cytoplasm – pink
Mounting
 Adhesives used for fixing the sections on the slides :
 Albumin solution (Mayor’s egg albumin)
 Starch paste
 Gelatin
 Mountants :
 DPX ( Distrene Dibutyl phthalate Xylene ).
 Canada Balsam
 Colophonium resin
 Terpene resin
"On the earth are Signs for those of
assured Faith; as also in your own selves:
And in yourselves. Then will you not see?"
(al-Dhariyat 51:20 - 21)

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Tissue Processing Techniques

  • 1. Tissue Processing Dr. Muhammad Fakhar E Adil D.V.M., M. Phil.
  • 2. Introduction Histology: Microscopic study of body tissues. Histopathology: microscopic study of diseased tissue Tissue source Biopsy Necropsy The techniques for processing the tissues, whether biopsies or tissues from necropsy so as to enable the scientist to study them under the microscope
  • 3. Source of Tissues (human; animal) Biopsy Removal of tissues Autopsy/Necropsy Freezing Fixation Cryomicrotomy Washing Mounting Dehydration Histochemical reactions Clearing Fixation Infiltrating & Embedding Staining or Counterstaining Microtomy (sectioning) Cover slipping Mounting Staining Cover slipping Microscopy Photomicrography Digital micrography
  • 4. Protocols for paraffin sectioning 1. Receipt & Identification 2. Labeling of the specimen with numbering 3. Fixation 4. Dehydration 5. Clearing 6. infiltration 7. Embedding 8. Section cutting 9. Staining 10. Mounting
  • 5. Specimen identification  Patient information  History  Laboratory code (numbers that will identify each specimen for each patient)
  • 6. Fixation  Preserve tissues permanently in as life-like a state as possible  The fixative should be 15 – 20 times more in volume then the specimen Aims • Prevent autolysis • Penetrate evenly and rapidly • Harden specimen • Antisepsis of the sample • Increase optical density Ideal Fixative • Should not cause shrinkage or swelling of cells • Must not interfere with staining • Cheap and easily available • Should be good antiseptic • Safe to use
  • 7. Fixation  The bits should of the size of approximately 1 cm3  These bits are then placed in metal cassettes or capsules which are then placed in the fixative
  • 8. Fixatives  10% Formalin  10 ml formalin in 90 ml distilled water  MOA – forms cross links between amino acids of proteins thereby making them insoluble  Advantages – rapid penetration, available & cheap, does not over harden tissue, ideal for mailing  Disadvantages – irritant, forms paraformaldehyde precipitates, formation of black formalin pigment , acid formaldehyde hematin
  • 9. Fixatives  Other fixatives 1. Glutaraldehyde 2. Osmium tetraoxide 3. Potassium dichromate 4. Mercuric chloride 5. Picric acid 6. Zenker’s fluid 7. Zenker’s Formal (Helly’s fluid) 8. Bouin’s fluid
  • 10. Fixatives  Microanatomical fixatives:  These are used to preserve the anatomy of the tissue.  E.g. 10% formal saline (brain), buffered formalin  Cytological fixatives:  These are used to fix intracellular structures.  E.g. nuclear fixatives (Carnoy’s fluid, Clarke’s fluid), cytoplasmic fixatives (Champy’s fluid, Regaud’s fluid)  Histochemical fixatives:  These are used to demonstrate the chemical constituents of the cell.  E.g. formal saline, cold acetone, absolute alcohol
  • 11. Decalcification  Removal of the calcium salts from the specimen  Nitric acid, formic acid, picric acid, acetic acid, citric acid, hydrochloric acid
  • 12. Dehydration  Process in which the water content in the tissue to be processed is completely reduced by passing the tissue through increasing concentrations of dehydrating agents  E.g. Ethyl alcohol, Acetone, Isopropyl alcohol, Dioxane  Dehydration is done so that the wax i.e. Paraffin wax can be easily infiltrated in tissue as it is immiscible with water
  • 13. Clearing  The procedure where in the alcohol in the tissue is replaced by a fluid which will dissolve the wax used for impregnating the tissues  Cedar wood oil : The best agent but is expensive.  Benzene : It is carcinogenic.  Xylene : It is most commonly used.  Chloroform: Toxic and expensive
  • 14. Infiltration  In this the tissue is kept in a wax bath containing molten paraffin wax for 6 – 8 hours.  The wax is infiltrated in the interices of the tissue which increases the optical differentiation & hardens the tissue & helps in easy sectioning of the tissue.  Paraffine wax  Paraplast  Paraplast plus  Gelatin  Celloidin
  • 15. Embedding  It is done by transferring the tissue which has been cleared of the alcohol to a mould filled with molten wax & is allowed to cool & solidify.  After solidification, a wax block is obtained which is then sectioned to obtain ribbons.
  • 16. Section cutting  The procedure in which the blocks which have been prepared are cut or sectioned and thin strips of varying thickness are prepared  The instrument by which this is done is called as a Microtome  Types of microtomes:  Sliding  Rotary  Rocking  Freezing  Base sledge
  • 17. Rotary microtome  It is the most commonly used.  Also known as Minnot’s Rotary microtome.  In this the Block holder moves up and down while the knife remains fixed.  It is suitable for cutting of small tissues & serial sections can be taken on it.
  • 18. Parts of a Microtome (Rotary)  Block holder  Knife clamp screws  Knife clamps  Block adjustment  Thickness gauge  Angle of tilt adjustment  Operating handle.
  • 19. Tissue flotation bath  It is a thermostatically controlled water bath with the inside colored black.  It is maintained at a temperature maintained 5 – 6 degree below the melting point of paraffin wax.
  • 20. Staining  Staining of the section is done to bring out the particular details in the tissue under study  The most commonly used stain in routine practice is Haematoxylin & eosin stain  Nucleus – blue, cytoplasm – pink
  • 21. Mounting  Adhesives used for fixing the sections on the slides :  Albumin solution (Mayor’s egg albumin)  Starch paste  Gelatin  Mountants :  DPX ( Distrene Dibutyl phthalate Xylene ).  Canada Balsam  Colophonium resin  Terpene resin
  • 22.
  • 23. "On the earth are Signs for those of assured Faith; as also in your own selves: And in yourselves. Then will you not see?" (al-Dhariyat 51:20 - 21)