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One-step embedding method for maintaining orientation of pathological tissue specimens using agar thin films
  1. Atsushi Uchiyama1,2,
  2. Fumikazu Kimura2,
  3. Yoshie Wakatsuki1,
  4. Erika Yoshida1,
  5. Ayako Kato1,
  6. Kurumi Kato1,
  7. Rio Yoshida1,
  8. Yurie Ito1,
  9. Akira Okimura1,
  10. Munehide Nakatsugawa1
  1. 1 Division of Diagnostic pathology, Tokyo Medical University Hachioji Medical Center, Hachioji, Japan
  2. 2 Department of Biomedical Laboratory Sciences, Shinshu University, Matsumoto, Japan
  1. Correspondence to Dr Fumikazu Kimura, Department of Biomedical Laboratory Sciences, Shinshu University, Matsumoto, 390-8621, Japan; kimura_f{at}shinshu-u.ac.jp

Abstract

Pathological histology examination involves handling a variety of specimens that are cut according to regulations and placed in cassettes. Tissue fragments in the cassettes are then diagnosed after processing, embedding, thin sectioning, staining and other procedures using a processing machine. Maintaining tissue fragment order and orientation during these processes is important for accurate diagnosis. In this study, we present a method of maintaining tissue fragment order and orientation using a thin film of ultra-high-strength agar and evaluate its usefulness during tissue sectioning.

Cassettes were prepared, each containing three pieces of porcine liver, and compared embedding time with and without agar thin films (ATFs). Embedding was performed by three medical laboratory scientists with different levels of experience.

To enable one-step tissue sample embedding, ATFs were integrated with samples in the cassettes. This resulted in an average reduction of 6.22 s of embedding time per cassette compared with traditional embedding methods.

Through the use of ATFs, tissue fragment order and orientation is maintained, and embedding process time shortened. Additionally, ATFs are easily prepared and stored in 10% neutral buffered formalin over extended periods, allowing for immediate use during sectioning. This method is ideal to implement in busy pathology laboratories.

  • Diagnostic Techniques and Procedures
  • Laboratory Manual
  • Medical Laboratory Science
  • Pathology, Surgical
  • Quality Assurance, Health Care

Data availability statement

Data are available on request to the corresponding author. All data relevant to the study are included in the article. All data that are publicly available and used in the writing of this article in the text and the reference list.

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Data availability statement

Data are available on request to the corresponding author. All data relevant to the study are included in the article. All data that are publicly available and used in the writing of this article in the text and the reference list.

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Footnotes

  • Handling editor Runjan Chetty.

  • Contributors Conceptualisation: AU and YW. Methodology: AU, YW. Software: AU. Validation: all authors. Formal analysis: AU. Investigation: AU, YW and EY. Resources: AU, YW and EY. Data curation: AU. Writing—original draft preparation: AU, FK and YW. Writing—review and editing: all authors. Visualisation: AU and YW. Supervision: MN.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.