Dehydration Dehydration • Tissue fixed in aqueous fixatives have high water content. The process of removal of this water so –called (free water), i.e., water not bound to thee tissue components but within the spaces of the protein network, is termed dehydration. Dehydration - Routine dehydration is accomplished by using a serious of gradually increasing percentage of ethyl alcohol to reduce shrinkage and distortion of tissue components. Dehydration • Alcoholic series and time in each percentage depend on tissue size and type of tissue. • The volume of alcohol should be at least 10 times the size of the tissue. • The percentage of alcohol usually employed are 70, 70, 95 and 100%, where the tissue is placed into two or three changes for 1 hr each. • For special, delicate or large pieces of tissue, dehydration should start at either 30% or 50% and might remain for longer than 1hr in each concentration. Types of dehydrating agents a- Ethyl alcohol (nontoxic) b- Dioxane C- Cellosolve d-others (methyl alcohol, acetone, isopropyl alcohol) Clearing Clearing (dealcoholization) Introduction • This is the step between dehydration and paraffin infiltration. • The purpose of this step is removal of the alcohol and replacement with a fluid that will mix with paraffin. • The tissue is placed in two or three changes of clearing agents (volume 10 times the tissue). Clearing (dealcoholization) Introduction • Good clearing agents should replace alcohol quickly and not over harden the tissue. • This step is called clearing because they penetrate, make the tissue transparent and also harden it. • Too long in the clearing agent hardens the tissue and the tissue become difficult to section. Clearing agents • Most clearing agents are highly toxic and inflammable and should be handled with care. • Xylene is the most commonly used clearing agent. If dehydration is incomplete the xylene becomes opaque or milky as water comes out of the tissue. If this occurs, put the tissue back into absolute alcohol and continue dehydration. • Benzene penetrates and clears tissue very rapidly, produces a minimum of shrinkage. • chloroform are also clearing reagents. • Cedarwood oil. Clearing agents…Con • Choice of clearing agents depend upon the following: 1- The type of tissue to be processed. 2- Speedy removal of the dehydrating agent. 3- Ease of removal by molten paraffin wax. 3- Minimal tissue damage. Infiltration Infiltration • Is the saturation of tissue cavities and cells by a supporting substance which is generally, but not always, the medium in which they are finally embedded. • Is the process of replacing clearing agent by embedding media. • Tissues are infiltrated by immersion in a substance such as a wax, which is fluid when hot and solid when cold. Infiltration • Alternatively, tissues can be infiltrated with a solution of a substance dissolved in a solvent, for example nitrocellulose in alcohol-ether, which solidifies on evaporation of the solvent to provide a firm mass suitable for sectioning. Ideally an infiltrating and embedding medium should be • • • • • • • • • • • soluble in processing fluids suitable for sectioning and ribboning molten between 30°C and 60°C translucent or transparent; colourless stable homogeneous capable of flattening after ribboning non-toxic odourless easy to handle inexpensive Paraffin wax • PROPERTIES Paraffin wax is a polycrystalline mixture of solid hydrocarbons produced during the refining of coal and mineral oils. • Wax hardness (viscosity) depends upon the molecular weight of the components and the ambient temperature. High molecular weight mixtures melt at higher temperatures than waxes comprised of lower molecular weight fractions. Paraffin wax is traditionally marketed by its melting points which range from 39°C to 68°C. Paraffin wax…Con • Tissue-wax adhesion depends upon crystal morphology of the embedding medium. Small, uniform sized crystals provide better physical support for specimens through close packing. Crystalline morphology of paraffin wax can be altered by incorporating additives which result in a less brittle, more homogeneous wax with good cutting characteristics. Paraffin Infiltration Properties of paraffin Is rapidly converted from solid to liquid form on heating. permeates the tissue in a liquid state. solidifies relatively quickly on cooling. When the paraffin solidifies it becomes firm enough to section at room temperature. MODIFIED PARAFFIN WAXES • The properties of paraffin wax are improved for histological purposes by the inclusion of substances added alone or in combination to the wax: - Improve ribboning: prolong heating of paraffin wax at high temperatures or use micro-crystalline wax. - Increase hardness: add stearic acid. - Decrease melting point. - Improve adhesion between specimen and wax. Paraffin Infiltration…Con • Once the liquid paraffin has infiltrated hardened, it maintains the components of the tissue in proper relation to each other; otherwise these components would be compressed and distorted during sectioning. Advantage of paraffin infiltration 1- Time of infiltration and embedding are short. 2-Thin sections can be cut with the rotary microtome and sections will adhere to each to form a ribbon. 3-Tissue once infiltrated and embedded can be stored in a dry condition indefinitely without damage to the tissue. Paraffin Infiltration • Infiltration proceeds by placing the tissue in at least two or three changes of liquid paraffin in the paraffin oven (58-60°C) for a total of 2-4hr. Vacum infiltration • is the impregnation of tissues by a molten medium under reduced pressure. The procedure assists the complete and rapid impregnation of tissues with wax, reduces the time tissues are subjected to high temperatures thus minimising heat-induced tissue hardening, facilitates complete removal of transition solvents, and prolongs the life of wax by reducing solvent contamination. Vacuum infiltration requires a vacuum infiltrator or embedding oven manual technique - The usual method for processing tissue is to pass the tissue from one fluid to another. It needs the person physical appearance. - To avoid handling of the tissue with forceps use the method of decantation. - In this method the tissue is in one beaker only and the fluids are added to and poured off from the beaker. Routine timing schedule for manual technique 1-fixation : 12-24 hr 2-Wash : uses running tap water (6-8 hr)over night. 3-Dehydration: 70% alcohol-------------1hr 80%alcohol--------------1hr 95%alcohol--------------1hr 100%alcohol I-----------1hr 100%alcohol II----------1hr 4-Clearing a-clearing agent I--------------1hr b-clearing agent II--------------1hr Routine timing schedule for manual technique 5-Infilteration(in paraffin Oven) a-Paraffin-I(56°-58°C) ------ 1 ½ hr b-Paraffin-II ------------------- 1 ½ hr. 6-Embed Automatic tissue processing • Tissue can be rapidly processed without any attention on the part of the technician from fixative through infiltration by automatic tissue processors (histokinetic machine). In the machine the tissue is forwarded automatically to the next step after specified period of time. • The most recent automatic tissue processor use vacuum, vertical oscillation and heat to rapidly promote chemical activity, penetration and interchange of the various solutions used in processing of the tissue. Every step is adjusted for specific period of time by using a time device. Embbeding • After the infiltration, biological tissue must be supported in a solid medium or hard matrix, firm enough to support tissue and give it the sufficient rigidity to allow thin sections to be cut, and yet soft enough not to damage the knife or tissue. Embedding materials • Various embedding materials such as: - Paraffin wax. - Agar. - Gelatin. - Celloidin. Embedding…Con • During this process tissue samples are placed into molds along with liquid embedding material which is then harden. This is achieved by cooling (with most embedding materials). • The hardened blocks containing the tissue samples are then ready to be sectioned. Embedding…Con • Paraffin wax is most commonly used as embedding material. The properties of paraffin wax are improved for histological purpose by adding other substances to: - improve ribboning. - increase hardening. - decrease melting point. - improve adhesion between specimen and wax. Precautions while embedding in paraffin wax • The wax is clear from clearing agent. • No dust particles must be present. • Immediately after tissue embedding, the wax must be rapidly cooled to reduce the wax crystal sizes. Mold systems • There are four mold systems present for use: 1- Traditional method using paper boats. 2- Metal or iron container. Mold systems 3- The peel – a- way system using disposable plastic molds. 4- System using embedding rings or cassettebases which become an integral part of the block and serve as holder in the microtome. Orientation of the tissue in the block • Correct orientation of the tissue in the mold is the most important step in embedding. • Incorrect placement of tissues may result in diagnostically important elements being missed or damage during mirotomy. Orientation of the tissue in the block • Elongate tissues are placed diagonally across the block. • Tubular and walled tissues s as to provide transverse sections showing all tissue layers. Orientation of the tissue in the block • Tissue with an epithelial surface such as skin, are embedded to provide sections in a plane at right angles to the surface. • Multiple tissue pieces are aligned across axis of the mold and not placed at random. Embedding…Con • During cooling, paraffin wax shrinks up to 15%, causing compression in tissues. This compression is almost fully recovered when sections are floated on a warm waterbath6; compression resulting from microtomy is only partially recovered