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Histotechnology– LECTURE (1st SEMESTER)

Instructor: Sir CHARLES ANDRE VLILACERAN <3


Transcribed by: FRANCIS ANDREI H. MIRA

LECTURE 4: IMPREGNATION, EMBEDDING, AND MICROTOMY

NOTE: Difference between impregnation and embedding:


Impregnation is infiltration of the paraffin wax to the tissues.
Embedding is when we put the infiltrated tissues into an
embedding mold with the corresponding embedding media.

IMPREGNATION
• AKA: Infiltration
• Clearing agent is completely removed from the tissue and
replaced by a medium that will fill all natural cavities,
spaces, and interstices of the tissues.
• Sets tissue to a sufficient firm consistency to allow cutting
of suitably thin sections without undue distortion and
without alteration of the spatial relationships of the tissue
and cellular elements. II. GELATIN IMPREGNATION
• RARELY USED except when dehydration is to be avoided
NOTE: and when tissues are to be subjected to histochemical and
1. Without firm consistency: tissue will collapse during cutting. enzyme studies.
2. Ideal Volume: At least 25x the volume of the tissue. • It is used for delicate specimens and frozen tissue
sections because it prevents fragmentation of tough and
3 METHODS OF IMPREGNATION friable tissues.
• Three methods of impregnation used in histology: • Water-soluble, does not require dehydration and clearing
1. PARAFFIN WAX IMPREGNATION • Low melting point and does not cause overhardening of
o Simplest, most common, and by far the best for routine tissues by heating
use. • Tissues should not be more than 2-3mm thick since
o Melting point is 54-58°C. gelatin embedded specimens are harder to freeze than
non-impregnated tissues.
2. CELLOIDIN WAX/COLLOIDION IMPREGNATION
NOTE: 1% PHENOL Solution is used to prevent the growth of
3. GELATIN IMPREGNATION molds in pair with 20% gelatin.
o Most expensive type of impregnation process
REAGENT TO TISSUE RATIO STEP
Fixation
20:1
Decalcification
Dehydration
10:1
Clearing
25:1 Infiltration

EMBEDDING
• AKA: Blocking/Casting
• Process by which the impregnated tissue is placed into a
precisely arranged position in a mold containing a medium,
which is then allowed to solidify.
• “Orientation” – the process by which a tissue is arranged
NOTE: Automatic Processing makes use of Autotechnicon.
in a precise position in the mold during embedding, on the
microtome before cutting, and on the slide before staining.
I. CELLOIDIN IMPREGNATION • After impregnation, the tissue is placed into a mold
• Purified form of nitrocellulose soluble in many solvents. containing the embedding medium and this medium is
• Suitable for specimens containing large cavities or hollow allowed to solidify – to proceed with the microtomy, it needs
spaces which tend to collapse, for hard and dense tissues to be solidified along with wax.
(bones and teeth) and for large tissue sections of whole • Paraffin embedded tissues are arranged at the bottom of
embryos. them old together with their proper labels and immersed in
• PROS melted paraffin at a temperature between 5-10°C above its
o Causes much less shrinkage and distortion than melting point.
paraffin wax. • And then cooled rapidly in a refrigerator at -5°C or
• CONS immersed in cold water to solidify, this will allow hardening
o Slow and tedious of tissues, giving them a firmer consistency and better
o Serial sections are difficult to prepare support thereby facilitating the cutting of sections.
o Very thin sections (<10u) are difficult to cut
NOTE: Faster Impregnation for large tissue specimens, use
Celloidin Impregnation.

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CLINICAL CHEMISTRY – LECTURE

OTHER EMBEDDING METHODS


1. CELLOIDIN/NITROCELLULOSE METHOD
• Recommended for embedding hard tissues such as bones
and teeth and for large sections of whole organs like eyes.
• Low Viscosity Nitrocellulose (L.V.N.) is another form of
celloidin, soluble in equal concentration of ether and
alcohol.

2. DOUBLE EMBEDDING METHOD


• The process in which tissues are first infiltrated with
celloidin and subsequently embedded in paraffin mass.
o Combination of Paraffin and Celloidin.
• Used to facilitate cutting of large blocks of dense firm
SEVERAL TYPES OF BLOCKING-OUT MOLDS tissues (brain) and small sections of celloidin blocks.

3. PLASTIC OR RESIN METHOD


• Has superior results for light microscopic studies,
particularly in hard tissues (undecalcified bone) and for high
resolution light microscopy of tissue sections (renal and
bone marrow biopsies).
o A. Epoxy Plastics (recommended for Electron
Microscopy
o B. Polyester Plastics
o C. Acrylic Plastics

MICROTOMY
(TRIMMING/SECTION CUTTING)
• MICROTOMY
o Process whereby processed tissues are trimmed and
cut into uniformly thin slices or sections to facilitate the
studies under the microscope.
• TRIMMING
o The excess wax is cut off from the block to expose the
tissue surface in preparation for actual cutting.
• SECTIONING/SECTION CUTTING
o Tissues are cut into uniformly thin slices with the aid of
machine to facilitate the studies under the microscope.
• MICROTOME
o Machine/instrument designed for the accurate cutting
of thin slices/sections of tissues

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CLINICAL CHEMISTRY – LECTURE

STROPPING
• The process whereby the “burr” (debris) formed during
honing is removed and the cutting edge of the knife is
polished.
o DIRECTION: HEEL-TO-TOE (Edge Last)
o PURPOSE: To polish and sharpen the knife.

FLOATING-OUT BATH
• Used to flatten sections.
• Convenient to have such a bath
close to the microtome.
• A circular, thermostatically
controlled bath 10-12 inches in
diameter and 3-4 inches in depth is
desirable.
• The inside surface should be black, thus enabling easier
visualization of sections (visualization of folds and creases
in sections).
• The thermostat should be set at 45°C (45-50°C) about 10°C
(6-10°C) below the melting point of the wax used for
blocking out.
CRYOSTAT/COLD MICROTOME
• Used for:
o Fluorescent Antibody Staining Techniques
o Histochemical Studies
NOTE: Most common solution used for Frozen Sections is your • For rapid preparation of urgent tissue biopsies
Liquid Nitrogen. • The microtome inside the cryostat:
o Rotary Microtome
HONING • STAINING OF CRYOSTAT SECTIONS FOR RAPID
• Involves the removal of gross nicks and irregularities on the SURGICAL DIAGNOSIS, 2 METHODS ARE WIDELY
knife edge (coarse honing) to remove blemishes, and USED:
grinding the cutting edge of the knife on a stone (honing o H&E Staining Technique
proper) to acquire an even edge. o Polychrome Methylene Blue (Loeffler’s Polychrome
o DIRECTION: HEEL-TO-TOE (Edge First) Methylene Blue)
o PURPOSE: To remove the gross nicks and
irregularities on the knife.
• Hone – a natural sharpening stone or a hard grinding
surface (carborundum) for sharpening a knife or other
cutting tools.
• Good quality hones are expensive, but only the best quality
should be used.
• The finer the grain in a hone, the harder the hone.

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CLINICAL CHEMISTRY – LECTURE

FROZEN SECTIONS
• This method is normally utilized when a rapid diagnosis of
the tissue in question is required, and is essentially
recommended when lipids and nervous tissue elements are
to be demonstrated.
• Requires that the tissue be maintained in the solid frozen
state during cutting of section.
• ADVANTAGES
o 1. For Certain Staining Procedures
▪ a. Demonstration of fats by Oil Red O Method
▪ b. Silver Impregnation Method
(CNS/Neuropatholgy)
▪ c. Immunofluorescence and Immunocytochemical
Staining
o 2. Frozen or Cryostat Sections are essential for rapid
diagnosis during operations.
o 3. All enzymes are destroyed at temperatures
above 56°C and although some (phosphatases) may
be demonstrated in paraffin sections, all are best
shown in cryostat or frozen sections of fresh tissues.
o 2 Methods of Preparing Frozen Sections
▪ a. Cold Knife Procedure
▪ b. Cryostat Procedure (Cold Microtome)
o Commonly used methods of freezing
▪ a. Liquid Nitrogen
▪ b. Isopentane cooled by Liquid Nitrogen
▪ c. Carbon Dioxide Gas
▪ d. Aerosol Sprays

SPECIAL PROCESSING TECHNIQUES


1. FREEZE DRYING
• Preserving tissues by rapid freezing (quenching) and
removing water (desiccation) by a physical process from
the still-frozen tissue block without the use of any chemical
fixative.
• TISSUE SIZE: 2mm Thick
• COMPLETE PROCESSING TIME: 24 – 48 hours
• ADVANTAGES:
o Produces minimum shrinkage
o Allows tissues to be processed in a fresh state
o Less displacement

2. FREEZE SUBSTITUTION
• Similar to freeze-drying
• DIFFERENCE:
o Tissue is fixed in Rossman’s Fluid or in 1% Acetone
and Dehydrated in Absolute Alcohol.
• ROSSMAN’S FLUID COMPONENTS:
o Saturated Picric Acid
o Formaldehyde

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