Microtomy Flashcards

1
Q

Rotary microtome

A
  • can cut 2-3 um thin sections
  • good for a wide variety of tissue types (hard, fatty, fragile etc)
  • can ribbon and do serial sections
  • can be fully automated
  • improve section quality
  • increase productivity
  • less chance of musculoskeletal disorder dev or techs — elbow, shoulder, wrist
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2
Q

Sliding microtome

A
  • block is stationary and knife moves
  • good for:
    • large blocks
    • hard sections
    • can do whole mounts (placing a whole organism or specimen on a slide for exam) (neuropathology, ophthalmic pathology) (RESEARCH)
  • cannot cut as thin as rotary microtome
  • cannot ribbon
  • can do serial sections
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3
Q

Knives

A
  • EM used glass and Diamond because they cut VERY thin on plastics
  • plastic techniques for bigger sections eg bone use Ralph knives (type of glass knife)
  • has tool edge
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4
Q

Disposable blades

A
  • need sharp, defect free edge; dull/nicked knives cause artifacts
  • big or low profile - type chosen depends on microtome blade holder being used
  • advs. :
  • reliable sharpness
  • ease of use
  • high and low profile available
  • don’t have to sharpen
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5
Q

CUTTING ANGLES (slide 7)

A
  1. Bevel
    - very tip of knife
    - 27- 32 degrees
  2. Wedge
    - main knife angle
    - 15 degrees
  3. Clearance
    - angle between bevel and block face
    - 2–5 degrees
  4. Rake
    - inverse of clearance angle
    - 90degrees minus clearance minus bevel angles
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6
Q

Clearance angles issues

A

A. Tilt too slight
- missed or skipped sections
- alternating thick and thin (vibrating against block )
- wrinkled tissue
- tissue lifted on upstroke

B. Tilt too large (knife tip almost perpendicular to block); less support for knife
- chatter
-microchatter
- washboarding
- may not be able to get a ribbon

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7
Q

Floatation bath

A
  • should be able to control temp (kept at 10 degrees below melting point of paraffin)
  • must keep bottom free of bubbles (clean with tissue wipes, coin, slide)
  • for compression issues can add surfactant
    • alcohol
    • detergent
  • most places can use tap water but some places have too much rust, sulfur or endemic microorganisms in the water; use distilled water
  • must be kept clean
    • can grow mold and bacteria
  • clean with soap and water after each use
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8
Q

Drying oven

A
  • goal is to remove water between section and slide
  • If not done tissue will not stay adhered to slide; floats off during sectioning
  • not to melt the paraffin
  • if using horizontal staining need to let slides drain vertically before start heating
  • temp should be around or a little above melting point of parafffin
  • if too hot can cause distortion (>70deg)
  • dark pyknotic nuclei ( misrepresentation of state of tissue since this usually marks apoptosis)
  • nuclear bubbling from steam made by water pushing the nuclear proteins around
  • cells completely devoid of nuclear detail
  • usually 60 deg for 20-30 min
  • can do 37 deg for 1 to 2 hrs could let it sit overnight for best results
  • can do room temp overnight (aka air drying)
  • can be done on newer platform automated H&E stainers
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9
Q

Slide Types

A
  • variety of sizes
  • routine : 76* 25mm, 1-1.2 mm thick

Section adhesives - used when tissue may detach from slide
- exposure to strong alkaline solution during staining
- frozen sections
- special procedures eg IHC, IF or special stains
- sections that will be exposed to hot or cold temps (oven)
- CNS tissue
- tissue with increased blood and mucus
- hard and crunchy tissue (esp decalcification tissue)

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10
Q

Adhesives

A
  • gelatin (Knox or capsule), albumin (egg white) and starch : prone to microbial growth and increased background staining
  • poly L-lysine: bought as a solution, diluted out 1:10 with water; slides are dipped in solution to coat the allowed to dry; only good for few days after being made
  • 2-amiopropylthiethoxysilane (APES or Silane coated) : slides dipped in 2 % solution of APES in acetone, drained dipped in acetone, drained again, rinsed in distilled water and dried upright; good for cytology specimens that are bloody or have increased amount of protein
  • pre-manufactured-charged slides
    • commonly used, have a permanent positive charge
    • utilizes a polymer that contains amino groups to bind and stick to silicone in glass
    • esp good for IHC antigen retrieval methods
    • will go bad, need to rotate stock and check expiration dates
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11
Q

Sectioning artifacts/issues

A

most common issues:
- dull knife
- something loose
- wrong tilt

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12
Q

Ribbon not forming

A
  1. Wax too hard:
    - hard wax (high melting point paraffin; get lower melting point paraffin)
    - breath on block to warm up
    - don’t place on ice
    - cut at room temperature
  2. Wrong clearance angle
    - knife clearance angle
    - too small or to large >15<
    - readjust
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13
Q

Compression

A
  1. Dull blade: move blade to a new area/ change blade
  2. Soft wax: use harder paraffin/ice block
  3. Dense tissue: ice block longer
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14
Q

Ribbon comes off in a “C”

A
  1. Top and/or bottom of block
    - not parallel to knife, trim with safety razor
  2. Dull blade over part of block
    - compression of block in dull area
    - non compression in sharp area
  3. Tissue is more dense in one area
    - less dense in other
    - more compression on dense side
    - ice the block
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15
Q

Sections attach to block face on return stroke

A
  1. Too small of a clearance angle; make larger
  2. Tissue embedded at the top of block
  3. Top of block “ragged”
  4. Block vertical, not clear knife
  5. Static electricity
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16
Q

Sections roll up on knife edge

A
  1. Dull knife (move or replace)
  2. Sections too thick
    - make thinner section
    - use lower melting point wax =softer
  3. Too large clearance angle
    - make smaller
  4. Too sharp knife
    - brains
    - dull the knife (dull block or edge of pencil)
17
Q

Chippers/divots/moth eaten

A

Rough trim too aggressively
- knife pulls chunks of wax from block
-rough trim at smaller intervals
- do not use fist 2-4 sections on ribbon

18
Q

Thick and thin sections

A

See on on floatation bath where you have difference in size and shades of white in sections
1. Something loose
- tighten all levers and knobs
2. Too small clearance angle
- increase clearance angle
3. Wax too soft
- use higher melting point paraffin
- ice block

19
Q

Thick and thin sections

A
  1. Tissue too dense for wax
    - overprocessed (cut down on time or temperature )
    - wax too soft (ice block; use higher melting point paraffin)
    - tissue naturally dense (uterus/ muscular structure)
  2. “Light-weight” microtome
    - need a sturdier microtome or blade/knife
  3. Hand rhythm
    - need to be uniform
    - not speed up, slow down
  4. Faulty microtome
    - least likely
    - call repair person
20
Q

Venetian blind/washboarding

A
  • thick and thin zones within each section
  • visible with eye after staining

1.something loose
-not as loose as thick and think
- tighten all levers and knobs

  1. Too much knife tilt
    - reduce clearance angle
  2. Tissue is too dense for wax
    A. tissue is naturally dense: uterus, cervix, prostate
    - ice block
    - use higher melting point wax

B. Over processed
- reduce time or temperature of processing

C. Wax too soft
- ice block
- use higher meting point wax

21
Q

Microchatter

A
  • thick and thin microscopically
  • most often seen in:
    A. Epithelial layers of GI
    B. Fluid cysts
    C. Thyroid
22
Q

Microchatter troubleshooting

A
  1. Something loose
    - not as likely
    - tighten everything
  2. Tissue slightly hard
    - same actions as overprocessed
  3. slow down
    - hand movement too fast; do even slow rotations
  4. Tissue slightly over-processed
    - removed too much bound H2O
    - running biopsies on long cycle
    - correct:
    A. Soak block face in water for 5-60 secs
    B. Reduce processing time
    C: reduce temp on processor stations
23
Q

Tear/split/knife line

A
  1. Nicks in knife edge
    - be carful removing sections from knife edge
    - previous/ current section/ bloc has something hard in it
    - line goes through entire section
  2. Something hard in paraffin
    - particle of dust, dirt
    - remove from block
    - filter wax before use in embedding station
  3. Something hard in tissue eg.:
    - calcium = use surface decal (good probs in breast and kidney cause it guides the docs to where the bad tissue is)
    - keratin = use surface NairTM
    - suture = metal or cloth
    - glass, sand, vegetative material
    - tissue component = keratin layer, muscle
    - cut thru last
  • line starts on hard particle
  • may eventually become entire line
  • remove hard particle (probe or forceps)
24
Q

Tear/ Crack

A
  1. Pulling on tissue hard
    - laying on water bath
    - removing from knife
  2. Splitting along tissue lines (eg blood vessels, connective tissue splits from squamous tissue)
    - flotation bath too hot;
    - too long of time on water bath
  3. Face plate holding blade
    - may be uneven
    - catches tissue sections
25
Q

dragging = raking on micro sections

A
  • commonly seen in connective tissue layers (lymphatic tissue)
  • dull knife
    • to correct, move, replace blade
26
Q

Parched earth (seen in liver, placenta, blood vessels containing blood)

A
  1. Random cracks in different directions
    - seen in:
    - overprocessed tissues
    - bloody tissue
    - lymphoid tissue
    - reduce time/temp of processors
    - cryogenic spray

To correct: soak block
- water
- water + glycerin
- water + dish detergent
- water +wetting agent

27
Q

Folds/ wrinkles

A
  1. Poor technique
    - anchor at one end
    - remove with forceps
    - pick up other sections
  2. Curved tissue
    E.g. artery, appendix
    Solution: ended straight, leave on flotation bath a longer time
  3. Too hot flotation bath
    - wrinkles/ folds melt in place
    - not enough time to remove wrinkles
    - solution = cool water temperature
28
Q

Waves

A
  • 3D old
  • seen in curved tissue
  • action: increase temp of flotation bath; increase time on flotation bath

=make sure to clean water bath as well because endemic bacteria can grow in it