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Kenneth R. Diller
A. J. Welch
The University of Texas at Austin
Department of Biomedical Engineering
1 Texas Longhorns #C0800
Austin, Texas 78712
2.3 TEM Imaging of Tissue Ultrastructure cross-sectional area occupied by fibrils to the total image area,
The second aim of this paper is to detect and investigate the is quantified using a conventional thresholding image process-
dehydration mechanism of optical clearing. Lateral resolution ing technique.
of most light-based imaging techniques are limited by diffrac-
tion and unable to reveal structural information of nanometer-
3 Results
sized particles responsible for light scattering. TEM, with
5-Å resolution, is capable of imaging ultrastructural changes 3.1 Photographic Imaging
in tissue to help understand the scattering reduction mecha- Photographic imaging assesses optical clearing efficacy of air,
nisms of optical clearing. TEM is used to inspect the ultra- glycerol, and DMSO-immersed in vitro rat skin. Half of each
structure of native, glycerol-immersed and air-immersed tissue specimen is placed overlying glass while the other half
tissue. is placed overlying a black opaque ruler. The entire tissue
Specimens include rat-tail tendon fascicles and rat hepato- specimen is simultaneously epi- and transilluminated 共Fig. 2兲.
cytes. Tendon fascicles are composed of Type I collagen, the Lighter regions of tissue overlying glass and darker regions of
primary constituent of human dermis. The utility of tendon as tissue overlying the opaque ruler indicate increased transmis-
an experimental specimen is that the collagen fibrils are ar- sion and decreased reflectance, respectively. Tissue transmit-
ranged parallel along the fascicle axis, unlike the more ran- tance was calculated by subtracting the reflectance intensity
dom fibril orientation in skin. The orderly fibril arrangement 关upper portion of Figs. 2共a兲–2共c兲兴 from the corresponding to-
facilitates specimen orientation prior to TEM embedding and tal intensity 关lower portion of Figs. 2共a兲–2共c兲兴. Reflectance
permits ultrasectioning perpendicular to the fibril axis. Hepa- from the black 共highly absorbing兲 ruler is negligible. The ratio
tocytes are used in lieu of more clinically relevant epidermal of transmittance to reflectance 共T/R兲 is an indicator of scatter-
keratinocytes because of the difficulty in separating them ing strength assuming absorption remains constant. A high
from the dermis. In addition, the liver is a homogeneous cel- ratio corresponds to weak scattering, while a low ratio corre-
lular structure whereas epidermis is an inhomogeneous struc- sponds to strong scattering.
ture composed of differentiated keratinocyte layers. Air-immersion past 50 h and glycerol-immersion past 24 h
Tail tendon fascicles are cut into 2-cm-long sections and induce similar increases in optical clarity. Equilibrium T/R is
liver is cut into 1-mm3 cubes. Both specimens are immedi- approximately 1.5⫻ greater for glycerol and air-immersion
ately submerged into anhydrous glycerol. Agent-immersed than DMSO-immersion. Both chemical agents increase T/R
samples are extracted from respective solutions after 20 min much faster than air-immersion 关Fig. 3共a兲兴. DMSO, glycerol,
and the excess agent is removed from the surface by placing and air-immersion induce 15, 40, and 55% decreases in skin
the tissue specimens onto filter paper. The air-immersed speci- mass, respectively. The decrease in skin mass is fastest for
mens are exposed to ambient atmosphere for 2 h. All speci- DMSO and slowest for air-immersion 关Fig. 3共b兲兴. By nondi-
mens, including a control, are then fixed in 5% gluteraldehyde mensionalizing with respect to time, T/R increases for in-
in Hepes buffer at pH 7.2 for 1 h and later embedded in resin creasing mass loss as shown in Fig. 3共c兲.
according to a standard protocol for TEM ultramicrotomy.28 Tail tendon fascicle immersion in glycerol and air causes
Stained tissue sections are imaged with an AMT Advan- similar appearances when observed using phase contrast mi-
tage HR digital camera at magnifications of up to 28 000⫻ on croscopy. Although the tendon fascicle immersed in glycerol
an FEI EM208 TEM at 80 kV. For consistency, images are optically clears more rapidly than the air-immersed specimen,
recorded near the center of each fascicle. Cross-sectional area at equilibrium the two tissue specimens appear similarly
共and volume兲 fraction of the fibrils, defined as the ratio of transparent. See Fig. 4.
Fig. 3 共a兲 Normalized dynamic transmissivity/reflectivity ratio. 共b兲 normalized dynamic skin mass. 共c兲 normalized transmissivity/reflectivity ratio
versus normalized skin mass. All plots normalize to initial values.
3.2 OCT Imaging crease 4%. The measured decrease in fascicle optical thick-
OCT M-scan images 共 = 850 nm兲 of tendon fascicle im- ness of 25% may result from either a 25% decrease in physi-
mersed in glycerol and air are shown in Figs. 5共a兲 and 5共b兲, cal diameter assuming no change in refractive index or
respectively. A M-scan is a time sequence of depth scans into approximately 29% decrease in physical thickness in combi-
tissue at a single lateral position. The x axis of each image nation with a 4% increase in refractive index.
represents time of image acquisition, and y axis represents
scan depth. Backscattered light intensity 共in decibels兲 is plot- 3.3 TEM Imaging of Tissue Ultrastructure
ted as a function of time and depth. Initially after exposure to TEM images of collagen fibril distribution are shown in Fig. 6
glycerol or air, backscattered light from the fascicle is large corresponding to 共a兲 the native state, 共b兲 5-min anhydrous
because the specimen is highly turbid. At early times, effect of
multiply scattered light is evident from M-scan images. Mul-
tiply scattered photons undergo a longer optical path length
than single-scattered photons and artifactually appear as back-
scattering from beneath the fascicle.
Glycerol- and air-immersion induce similar responses in
fascicle size and scattering, although the response due to glyc-
erol is approximately an order of magnitude faster. The time
constants for fascicle shrinkage and scattering reduction due
to glycerol and air exposure are approximately 2 min and
20 min, respectively. Tendon fascicle scattering changes were
indicated by the percentage of backscattered light intensity
integrated over the fascicle thickness. Interestingly, with ei-
ther glycerol- or air-immersion, scattering first increases
slightly and then exponentially decays to near 5% of its origi-
nal value 关Figs. 5共c兲 and 5共d兲兴.
Fascicle optical thickness exponentially drops 25% of its
original value in response to both glycerol and air exposure
关Figs. 5共e兲 and 5共f兲兴. In the case of both glycerol- and air-
immersion, the average refractive index is expected to in-
crease by a small percentage. For example, assuming com-
plete replacement of all water within the tendon fascicle
共⬃50% 兲 with either glycerol or proteinaceous fibrils Fig. 4 Phase contrast images of tail tendon fascicle. 共a兲 Native state.
共n = 1.47兲, the average fascicle refractive index would in- 共b兲 10-min glycerol-immersion. 共c兲 30 min air-immersion.
Fig. 5 OCT M-scan images 共in decibels兲 of tail tendon fascicles immersed in glycerol 共a兲 and air 共b兲. Arrows indicate multiple light scattering.
Normalized back-reflected light intensity integrated over fascicle diameter during immersion in glycerol 共c兲 and air 共d兲. Normalized fascicle optical
thickness 共diameter兲 during immersion in glycerol 共e兲 and air 共f兲.
glycerol-immersion, and 共c兲 2-h air-immersion. The largest tering coefficient assuming no change in refractive index ratio
共approximately 200-nm diameter兲 fibrils account for the ma- between fibrils and surrounding fluid or change in scattering
jority of total fibril area fraction. Fibril diameter and shape do particle size or shape 关Eq. 共1兲, Fig. 1兴.
not appear significantly altered due to air-immersion; how- TEM images of rat hepatocytes are shown in Fig. 7 corre-
ever, degraded image contrast of the glycerol-immersed speci- sponding to 共a兲 the native state, 共b兲 10-min glycerol-
men may be attributed to changes in fibril size and shape. immersion, and 共c兲 2-h air-immersion. Images reveal higher
Images reveal higher fibril packing density in the glycerol- intracellular organelle volume fraction in glycerol- and air-
and air-immersed state versus the native state. Volume frac- immersed states versus the native state. Organelle area frac-
tion of tendon fibrils increased from approximately 0.65 to tion is not quantitatively analyzed.
approximately 0.90 due to glycerol- and air-immersion. Mea-
sured increase in scattering particle volume fraction 共兲 cor- 4 Discussion
responds to an approximately 60% decrease in reduced scat- Tissue dehydration is highly correlated with mass loss due to
evaporation. The primary constituents of skin are water 共70%
Fig. 6 TEM images of tail tendon fibrils. 共a兲 native state. 共b兲 20-min Fig. 7 TEM images of rat hepatocyte organelles. 共a兲 native state. 共b兲
glycerol-immersion. 共c兲 2-h air-immersion. 20-min glycerol-immersion. 共c兲 2-h air-immersion.
by mass兲 and protein 共30% by mass兲. Of these two primary aforementioned respective optical clearing mechanisms. Spe-
constituents, only water is volatile—it may evaporate and cifically, DMSO may function to disrupt the stratum corneum
leave the tissue specimen at standard atmospheric temperature mass transport barrier, increasing water and glycerol perme-
and pressure. Proteins 共primarily collagen and proteoglycans兲 ability. Dehydration and optical clearing induced by glycerol
are nonvolatile at atmospheric pressures and physiological may occur more quickly as a result of greater water perme-
temperatures. In the case of agent-immersion, mass measure- ability.
ments cannot distinguish between water loss and agent up- We believe dehydration can reduce light scattering by 共1兲
take; however, because we observed a monotonic decrease in increasing the volume fraction of scattering particles and 共2兲
mass of DMSO and glycerol-immersed samples, we con- intrinsic refractive index matching due to increase of pro-
cluded that a net mass flow of liquid out of the tissue occurred teoglycan concentration in a ground substance.12–16 TEM im-
in each case. Moreover, because the density of DMSO ages reveal that dehydration causes collagen fibrils and or-
共1.1 g / cm3兲 and glycerol 共1.26 g / cm3兲 is greater than water ganelles to become more closely packed, but does not cause a
共1.0 g / cm3兲, the measured mass decrease is a conservative significant change in their size. Because the native tissue
estimate of the volume decrease. Taken together, our experi- packing density of tendon collagen fibrils is near 65% and
mental results suggest that water loss or dehydration occurred increases to near 90% due to dehydration, a heuristic particle-
in air-, glycerol-, and DMSO-immersed specimens. interaction model predicts that this ultrastructural change con-
Tissue optical clarity is inversely related to its state of tributes to a 60% decrease in the reduced scattering coeffi-
hydration 共represented by mass and thickness, Figs. 3 and 5, cient, assuming no change in refractive index of the ground
respectively兲. These results agree well with Xu and Wang’s substance.
correlation between water loss and clearing capability of We believe that intrinsic refractive index matching may
agents on porcine muscle and stomach.8,9 Dehydration by air also contribute to optical clearing. Vargas et al. measured ap-
immersion produces optical property modification and ultra- proximately 50% decrease in reduced scattering coefficient
structural change similar to that observed with glycerol, and for 20-min glycerol-immersion of in vitro rat skin over visible
therefore, we believe that glycerol may function to optically and near infrared wavelengths.3 Choi et al. reported approxi-
clear tissue in-part by the mechanism of dehydration. Photo- mately 67 and 33% decreases in the reduced scattering coef-
graphic images indicate that air- and glycerol-immersed skin ficient of in vitro human skin at 633 nm for 20-min glycerol-
and tendon specimens become similarly transparent 共Figs. 2 and DMSO-immersion, respectively.11 Because water loss and
to 4兲. Similarly, OCT images indicate that rat-tail tendon fas- scattering reduction have not reached a steady state at 20-min
cicle thickness and integrated backscattered intensity de- of chemical agent immersion 共Figs. 2 and 3兲, the scattering
creased the same amount whether dehydrated in air or im- coefficient will likely decrease further than 50% at
mersed in glycerol 共Fig. 5兲. Because the OCT depth-resolved equilibrium—an effect that cannot be solely explained by the
scattering profile indicates an intrinsic reduction in backscat- increased volume fraction of scattering particles. The role of
tered intensity, and the 95% reduction of integrated backscat- intrinsic refractive index matching requires further investiga-
tered intensity over the fascicle cannot be entirely accounted tion of ground substance proteoglycan permeability and de-
for by the 25 to 30% decrease in fascicle diameter, we con- pendence on the state of tissue hydration.
clude that in air-immersed specimens, dehydration decreases TEM images of rat-tail tendon immersed in glycerol ex-
the scattering attenuation coefficient. Optical clearing of hibit lower contrast than air-immersed specimens. One expla-
DMSO- and glycerol-immersed specimens may involve mul- nation for this observation is an artifact induced by slightly
tiple mechanisms, and additional studies are required to thicker tissue sections or less absorption of uranyl acetate
clarify the time course of action for each candidate. stain. Alternatively, the effect may be attributed to a greater
We believe optical clearing mechanisms of glycerol- and degree of refractive index matching between fibrils and in-
DMSO-immersion may be quite different due to differences trafibrillar space caused by increased concentration of intrin-
in the mass transport process. Glycerol and other hydrophilic sic proteoglycans or exogenous glycerol. In addition, alter-
sugar alcohols, such as mannitol and polyethylene glycol, de- ation of fibril form and diameter may be attributed to collagen
hydrate skin effectively because their permeabilities are 10 to molecule disassociation as suggested by Yeh.7
100 times less than that of water.29 Dehydration by topical
application of glycerol on in vitro skin may be an important
mechanism of optical clearing. DMSO, however, is a well- 5 Conclusions
known skin penetration enhancer and its permeability rate is Over the last decade, many studies have reported on both
approximately 10 times greater than that of water.30 DMSO mechanisms and techniques for optical clearing of tissue us-
induces a reversible conformational change of protein when it ing chemical agents. Numerous variations in tissue type and
substitutes for water.9,31 Refractive index matching due to wa- vitality 共in vivo versus in vitro兲, chemical agent, and delivery
ter replacement by DMSO and shape or structural modifica- method have been reported in these studies. Dynamic pro-
tion of individual scattering particles may be important cesses that have been cited include agent transport, water
mechanisms of optical clearing for topical application of transport 共dehydration兲, and chemical reaction. Each dynamic
DMSO. process can alter tissue scattering strength through modifica-
Mixtures of DMSO and glycerol have shown improvement tion of scattering particle packing density and distribution,
in optical clearing capability, and this effect has been attrib- scattering particle shape and size, and relative refractive index
uted to the membrane permeability and glycerol carrier char- of scattering particles to the surrounding medium. Moreover,
acteristics of DMSO.9 The synergistic effect of DMSO and the dynamic processes can be interdependent and their rela-
glycerol may also be attributed to the combination of their tive contribution to optical clearing in specific tissues is not
well understood. Unfortunately, a primary mechanism of op- tum Electron. 9共7兲, 1379–1383 共1982兲.
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