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Steps of processing

Fixation


Dehydration


Clearing


Infiltration

Reason for dehydration

Remove water from tissue


Enables tissue to be embedded by paraffin

Reason for clearing

Removing alcohol from dehydration


Makes tissue susceptible for infiltration

Reason for infiltration

Prepping tissue for embedding medium (paraffin)


Allows for easy microtomy

Define Miscibility

A substance that can form a solution

Alcohol & water = yes


Oil & water = no

Open processors

Tissue is transferred from one solution to the next

Closed processor

Solutions pumped in and out of tissue

Maintenance & QC for processors include...

Monitor reagents (correct order, top off, change when needed)


Monitor paraffin temperatures (above melting point)

Excessive dehydration causes

Hard/brittle tissue

Incomplete dehydration causes

Soft/mushy tissue, clearing agent won’t act properly

Dehydrating agents include:

Ethanol


Methanol


Isopropanol


Butanol


Acetone

Universal Solvents are:

Reagents that can perform both dehydrating and clearing steps

The 3 Universal reagents are:

Dioxane


Tertiary butanol


Tetrahydrofuran

Clearing agents include:

Xylene - Limonene, Alkanes


Toluene


Benzene


Chloroform


Essential oils


Acetone

Infiltrating mediums include:

Paraffin


Water soluble waxes (carbowax)


Celloidin


Plastics


Agar & gelatin

Paraffin additives include:

Beeswax


Rubber


Other waxes


Plastics

Factors that can affect processing include:

Agitation


Heat (high temps)


Viscosity


Vacuum pressure


Clogged processing lines

Which alcohol is commonly used for blood smears?

Methanol (Methyl Alcohol)

Most common alcohol used forndehydration

Ethanol

Inadequate clearing causes:

Inadequate infiltration


Soft mushy tissue

Prolonged clearing causes:

Hard / brittle tissue


Denaturation if tissue

Most common clearing agent is

Xylene

Xylene substitutes include

Limonene reagents


Alkanes

What is the function of infiltration?

Support tissue so the cells and structures are in their proper relationship during microtomy

Most common infiltration medium:

Paraffin wax

Effects of a higher melting point with paraffin wax:

Increases hardness, supports, easier to cut tin sections

Effects of lower melting point

Softer, less support, easier to ribbon

What type of artifact is shown?

Over dehydration causing chatter

What reaction is being shown?

Improper heat/processing caused hazy blue nuclei

What problem is shown above?

Uneven staining - caused by contaminated clearing or infiltration reagent

What is wrong with this tissue?

Cross hatching artifact / Sponge artifacts

What causes this issue?

Incomplete fixation before grossing

What problem is present with this specimen

H&E stain of overdecalcified bone

What is shown above?

Under Decalcification in H&E bone

What is shown above?

Proper decalcified bone in H&E stain

What is the typical melting point for paraffin wax?

55-58°C

Precautions when using zinc formalin:

Zinc salts can clog processing lines

Inadequate fixation causes...

Cell shrinkage

Inadequate dehydration causes...

Mushy tissue

Excessive dehydration causes...

Hard/brittle tissue


Cell shrinkage

Inadequate clearing causes...

Soft & mushy tissue

Excessive clearing causes...

Hard / brittle tissue


Denaturation of tissue

QC for processing

Check fluid levels


Document changes


Document loads/unloads/cleaned process


Clean cycle after each run


Recycle reagents

How to prevent cell shrinkage

Complete fixation


Complete submerging