This document provides information on the routine steps of dehydration and infiltration/impregnation for processing soft tissue specimens. It describes the process of dehydration, which removes water from tissues using increasing concentrations of ethanol before clearing with xylene. Tissues are then infiltrated with paraffin wax by repeated changes in a heated oven to allow the wax to fully impregnate the tissues and provide structure for sectioning. The key steps and considerations for dehydration, clearing, and paraffin infiltration are outlined.
This document provides information on the routine steps of dehydration and infiltration/impregnation for processing soft tissue specimens. It describes the process of dehydration, which removes water from tissues using increasing concentrations of ethanol before clearing with xylene. Tissues are then infiltrated with paraffin wax by repeated changes in a heated oven to allow the wax to fully impregnate the tissues and provide structure for sectioning. The key steps and considerations for dehydration, clearing, and paraffin infiltration are outlined.
This document provides information on the routine steps of dehydration and infiltration/impregnation for processing soft tissue specimens. It describes the process of dehydration, which removes water from tissues using increasing concentrations of ethanol before clearing with xylene. Tissues are then infiltrated with paraffin wax by repeated changes in a heated oven to allow the wax to fully impregnate the tissues and provide structure for sectioning. The key steps and considerations for dehydration, clearing, and paraffin infiltration are outlined.
This document provides information on the routine steps of dehydration and infiltration/impregnation for processing soft tissue specimens. It describes the process of dehydration, which removes water from tissues using increasing concentrations of ethanol before clearing with xylene. Tissues are then infiltrated with paraffin wax by repeated changes in a heated oven to allow the wax to fully impregnate the tissues and provide structure for sectioning. The key steps and considerations for dehydration, clearing, and paraffin infiltration are outlined.
the intercellular and extracellular parts of the tissue following fixation and decalcification. • Done in preparation for impregnation and embedding. Many of the embedding media are not miscible with water. • The second routine step if decalcification is not done. • Done by using reagent fluids or dehydrating agents or by freeze-drying. How it is done? • Tissue is passed through a series or succession of increasing strength or up-graded concentration of dehydrating agent, ranging from 70 – 95%. • Purpose: To gradually remove water content from cells /tissues. • Direct immersion into 85 – 95% dehydrating agent will produce considerable shrinkage and hardening of tissues leading to distortion. How….? Dehydration • Concentrated dehydrating agents tend to harden only the surface of the tissue while the inner parts are not completely penetrated. This will result in a relatively unequal impregnation of tissue which will lead to poor cutting of sections. Dehydration • The strength of initial concentration depends on: • 1. size of tissue • 2. nature of tissue • 3. fixative used Dehydration • For routine work: *Initial concentration: usually 70%
• Prolonged storage in lower concentration
(below 70%) tends to macerate the tissue. Dehydration • Dehydration time will depend upon the size and nature of the tissue. • An interval of 1 hour immersion in each concentration • Smaller and delicate tissues will require shorter time interval. Dehydration Characteristics of Dehydrating Agents: 1. Must dehydrate rapidly without producing considerable shrinkage and distortion of tissues. 2. Must not evaporate quickly 3. Should not harden tissue excessively 4. Should not remove stains 5. Should be able to dehydrate even fatty tissues 6. Should not be toxic to the body 7. Should not be a fire hazard Dehydration • Ethyl Alcohol / ethanol • Best and most recommended dehydrating agent. Preparation of Ethyl Alcohol Class Activity: • Prepare 200 ml. 70% alcohol from absolute ethyl alcohol • Prepare 200 ml. 70% alcohol from 95% ethyl alcohol • Prepare 500 ml. of 80% alcohol from 90% ethyl alcohol Formula: CdVd = CsVs Routine Step No. 3 Dealcoholization/Clearing DEALCOHOLIZATION/CLEARING • The process whereby alcohol is remove (dealcoholization) from the tissue and replace by a substance or a reagent that will dissolve the wax with which the tissue is to be impregnated (ex. paraffin) or the medium on which the tissue is to be mounted (ex. canada balsam). • The medium used in this process is referred to as clearing agent, hence, clearing process. Dealcoholization • When used after alcohol dehydration, the clearing agent serves to mix with alcohol and remove it from the tissue. • When used after the tissue had been stained, the clearing agent will make microscopic tissue preparations transparent due to their high index of refraction. dealcoholization • Due to this property of ‘high index of refraction’ which makes tissue transparent, solutions utilized for alcohol removal are also referred to as ‘clearing agents’. • Not all clearing agents exhibit this property. Characteristics of a good clearing agent 1. Should be miscible with….. a) alcohol to promote rapid removal of the dehydrating agent from the tissue b) paraffin to facilitate impregnation c) mounting medium to facilitate mounting of tissue sections 2. Should not produce excessive tissue shrinkage and hardening 3. Should no dissolve out aniline dyes 4. Should not evaporate quickly in a waterbath 5. Should make tissue transparent Xylol / xylene • Commonly used clearing agent for routine work. • A true clearing agent (removes alcohol and clears tissue specimens) • Clearing time: 1 hour Other true clearing agents 1. Toluene 2. Benzene 3. Cedar wood oil
• The process requires 2 – 3 changes of xylol
Routine Step No. 4 Infiltration/Impregnation Infiltration/Impregnation • The process whereby the clearing agent is completely removed from the tissue and replace by a medium that will completely fill all the tissue cavities, thereby, giving a firm consistency to the specimen, and allowing easier handling and cutting of suitably thin tissue sections without any damage or distortion to the tissue and its cellular components. Impregnation /Infiltration • Commonly used medium: Paraffin • When placed into tissues, it fills all tissue spaces or cavities, hence, called ‘impregnating or infiltrating medium’. • Requires 3 changes of infiltrating medium carried out in a paraffin oven / incubator using a high temperature so that the medium is in its melted state. methods 1. Paraffin wax impregnation 2. Celloidin / Collodion impregnation 3. Gelatin impregnation Paraffin Wax Impregnation • The simplest, most common and best method used for routine work. • Medium: Paraffin wax with melting point of 56°C is recommended • Lab temperature: *20 – 24°C: MP 54- 58°C *15 – 18°C: MP 50 – 54°C • Hard tissues requires higher MP of paraffin wax than soft tissues. Paraffin wax impregnation • In the past, admixtures were used such as paraffin wax plus 10 – 20% beeswax to give extra hardness in very warm environments. • Paraffin wax does not deteriorate with age. • Older paraffin wax shows less tendency to crystallize during setting. • Recommended for urgent biopsies, dense and hard fibrous tissues, lungs spleen and other delicate tissues. Ways of Paraffin Wax Impregnation 1. Manual Processing
• After complete clearing, tissue is immersed in
2 – 4 changes of melted paraffin wax at 15 minutes interval, either in a paraffin oven or an incubator which has been regulated at 55 – 60°C. • Purpose of 2 – 4 changes: To ensure complete removal of clearing agent from the tissue. Paraffin wax impregnation GENERAL RULE: • The paraffin oven temp. for routine work must be 2 – 5°C above the MP of the infiltrating medium Manual Processing About 3 mm. thick tissue Fixation 10% BNF 24 hours DEHYDRATION 70% Ethanol 1 hour 80% 1 hour 90% 1 hour 95% 1 hour 95% 1 hour Dealcoholization / Xylol I 1 hour Clearing Xylol II 1 hour Xylol III 1 hour Impregnation / Paraffin Wax I 15 mins Infiltration Paraffin Wax II 15 mins Paraffin Wax III 15 mins Paraffin Wax IV 15 mins Embedding Paraffin Wax 3 hours Factors affecting paraffin wax impregnation • Total impregnation time generally depends upon the following: 1. Nature and size of tissues • Larger and denser tissue blocks require longer time and more frequent changes of wax. 2. Types of clearing agents used • Benzene and xylene are easily remove from tissues • Chloroform and cedarwood oil are more difficult to remove and require more frequent wax changes. Paraffin wax impregnation Precautions: • Paraffin oven must be maintained at a temp. 2-5°C above the MP of paraffin wax. • Paraffin wax must be pure and free from dust, water droplets and other foreign substances. • Fresh wax should be filtered before use in a wax oven. • Re-used wax: heat to 100 - 105°C to remove water and raising its MP. • Trimmed away wax may be re-used by melting and filtering (Greene’s No. 904 coarse filter paper) • Paraffin wax maybe used only TWICE. Substitutes for paraffin wax 1. Paraffin group a) Paraplast • A mixture of highly purified paraffin and synthetic plastic polymers. • MP: 56 – 57°C • More elastic and resilient than paraffin wax. • permits large dense tissue blocks such as bones, brain to be cut easily with the same result as in double embedding substitutes….. b). Embeddol • A synthetic wax substitute similar to paraplast • MP: 56 – 58°C • Less brittle and less compressible than paraplast c). Bioloid • A semi-synthetic wax recommended for embedding eyes. d). Tissue Mat • A product of paraffin containing rubber • Same property as paraplast substitutes….. 2. Ester Wax • Lower MP: 46 -48°C but harder than paraffin • Not soluble in water but soluble in 95% ethanol and other clearing agents, hence can be used for impregnation without prior clearing of the tissue. • A heavy duty microtome such as sliding microtome or sledge-type microtome is required for sectioning due to relative hardness of wax. substitutes….. 3. Carbowax • A water soluble wax made up of polyethylene glycols • MP: 38 – 42°C and 45 – 56°C • Contains 18 or more carbon atoms, which appear solid at RT. • Soluble and miscible with water, hence, does not require dehydration and clearing of the tissue. • Tissue is fixed, washed-out and transferred directly into the melted carbowax. • Suitable for enzyme histochemical studies. carbowax….. • Due to its water soluble properties (hygroscopic nature), tissue sections are very difficult to float-out. • Floating-out of tissue sections maybe done using the following solutions: • 1. Pearse solution • 2. Blank and McCarthy Mixture carbowax processing • For routine processing: at 56°C • 4 changes of carbowax: with agitation • 70% - 30 min • 90%- 45 min • 100% - 1 hour • 100% - 1 hour carbowax processing • Done at 56°C with agitation Fixation Impregnation 70% Carbowax 30 min 90% Carbowax 45 min 100% Carbowax 1 hour 100% Carbowax 1 hour Embedding Fresh Carbowax
• Embedding is done at 56°C and rapidly cooled
in a refrigerator. 2. Automatic Processing • Uses automatic tissue processor / automatic tissue processing machine. • Automatically fixes, dehydrates, clears and infiltrates tissues. • With constant tissue agitation Automatic Tissue Processor Automatic tissue processor • Miles Tissue-Tek VIP 3000 Bench-To Model • This automatic tissue processor provides ten programs for fixing, dehydrating, clearing and paraffin impregnation 3. Vacuum Embedding • Involves wax impregnation under negative atmospheric pressure inside an embedding oven. Vacuum Processing • Time required for complete impregnation is reduced from 25 – 75% of the normal time required for tissue processing • Particularly recommended for urgent biopsies, for dense and hard fibrous tissues and delicate specimens (lungs, spleen, eyes). Timetable Comparison Paraffin Manual Tissue Automatic Tissue Vacuum Tissue Processing Processing processing
32 hours 18 hours 5 hours
2. Celloidin / Collodion Impregnation • Celloidin / collodion is a purified form of nitrocellulose soluble in many solvents. • Suitable for specimen: 1. with large hollow cavities which tend to collapse 2. hard and dense tissues 3. for large tissue sections ie. Whole embryo celloidin…. • Used with 4 percentage preparations: • Thin: 2 - 4% • Medium: 4 - 6% • Thick: 8 - 12 % • Dissolved in equal parts of ether and alcohol • Methods: 1. Wet celloidin method 2. Dry celloidin method Wet Celloidin Method • Recommended for bones, teeth, large brain sections n whole organs. • Thick preparation (8%-12%) is used as embedding medium. • Dehydrating agent: equal parts alcohol-ether mixture. • 2-4% impregnation: 5 - 7 days • 4-6%Impregnation: 5 - 7 days • 8-12% impregnation: 3 - days Dry Celloidin Method • Recommended for processing whole eye sections • Differs from wet method in storage of specimen: • Wet method: alcohol-ether mixture in a dessicator • Dry method: Gilson’s Mixture (equal parts of chloroform and cedarwood oil) Nitrocellulose Method • Uses low viscosity nitrocellulose ( LVN) • Another form of cellolidin soluble in equal parts of ether and alcohol. • Forms harder tissue block and makes cutting of thinner sections possible. • the tendency of tissue to crack may be prevented by adding plasticizers (oleum ricini or castor oil when embedding chrome- mordanted tissues. Nitrocellulose method • more explosive than ordinary celloidin, so must be handled with care. • When dry, striking or dropping will cause explosion. • Marketed wet with alcohol. 4. Gelatin Impregnation • Rarely used except when dehydration is to be avoided and for enzyme studies. • Used as an embedding medium for delicate specimens and frozen tissue section. • Used in 2 percentage preparations: • 10% with 1% phenol (prevent mold growth) • 20% with 1% phenol (same % for embedding) • Size to tissue block: not more than 2-3 mm thick Impregnation • Ratio between impregnating medium and tissue specimen: • 25 times the volume of tissue specimen Routine Step No. 5 Embedding Embedding • Also referred to as “tissue blocking” or “tissue casting”. • The process by which the impregnated tissue is placed in a precisely arranged position (proper orientation) in a molder wherein embedding medium is added until a tissue block is formed (by allowing embedding medium to solidify). Embedding: General Rule • Embedding medium must be the same as the one used in impregnation. • Paraffin to paraffin, celloidin to celloidin, gelatin to gelatin except in double embedding. • Uses tissue molders or blocking-out molders. Tissue Molders 1. Leuckhart’s Embedding Molder • Two L-shaped strips of heavy brass or metal. Tissue molders 2. Compound Embedding unit • Ice trays either plastic or metal Tissue Molders 3.Plastic embedding rings and base molders Tissue molders 4. Disposable Embedding molders 4.a) Peel-away molders Tissue molders 4.b) Paper boats • Cheap and easy to make • For celloidin and paraffin blocks embedding process • Before embedding, all the necessary materials must be prepared: molder, pencil, strip of paper for tissue code, alcohol lamp or burner. • Two ways of embedding: 1. * After impregnation, the tissue is oriented at the bottom of the mold and fresh embedding medium is poured unto the molder. *Place strip of paper with tissue code on one side of the molder. embedding process 2. *After impregnation, a fresh embedding medium is poured into a molder, then the infiltrated tissue is immediately oriented at the bottom particularly at the center of the molder. * place the tissue code tissue block formation Types of Embedding Method 1. Paraffin embedding method • Most commonly requested 2. Celloidin / Nitrocellulose Method • For hard tissues 3. Double-embedding Method • Tissues are first infiltrated and embedded in celloidin and subsequently embedded in paraffin wax. • For dense, firm tissues (brain) 4. Machine embedding Method Embedding Machines summary: embedding Routine Step No. 6 Trimming *(optional) Trimming (6) • The process of cutting-off the excess wax on all sides (sides, top and bottom) of the tissue block and the sharp or pointed edges of the block until all sides are perfectly level and parallel, almost to the edge of the tissue forming a ‘four-sided prism’ or ‘truncated pyramid’. • Distance from the edge of the trimmed block to the tissue is about 2 mm. Precautions in trimming 1. do not trim near the tissue 2 . Only thin slices are taken out at a time to prevent tissue block from cracking.
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