A Three-Dimensional Histological Method for Direct Determination of the Number of Trabecular Termini in Cancellous Bone

Osteoporotic fractures occur frequently in aging populations. Established methods for analyzing microarchitecture indicate that cancellous bone loss in the elderly is associated with progressive reduction in the connectivity of the trabecular network. This disconnection may explain the increased skeletal fragility that is sometimes out of proportion to the amount of bone lost. Connectivity, however, is difficult to measure and usually requires indirect methods. We describe development of a simple, inexpensive and direct procedure for counting sites of trabecular disconnection. The method is based upon preparation of 300-500 fjim thick slices of methylmethacrylate embedded material rather than the more usual thin 8 μm. histological sections. The marrow tissue is retained within the thick slice; this is essential for conservation of any detached bone fragments. In such preparations differential superficial staining of the upper and lower surfaces with alizarin red and light green, respectively, allows the two-dimensional image to be viewed at the same time as its three-dimensional counterpart. In this way, “real” (i. e., unstained) trabecular termini can be distinguished from “apparent” (i. e., stained red or green) termini that are artifacts of the plane of section. Partly polarized light enhances the microscope image. The method does not destroy the material for subsequent bone histomorphom-etry and, therefore, may be a useful adjunct to iliac bone biopsy analysis in studies of metabolic bone disease.     

A Procedure for Preparing Undecalcified and Unembedded Bone Sections for Light Microscopy

We have developed a procedure for light microscopic investigation of undecalcified and unembeddedbone sections. Biopsy samples of human metatarsus and femur and rat femur were fixed in aldehydes and sectioned with a cutting machine equipped with a diamond saw blade. Free sections 100-150 μm thick, stained with toluidine blue and von Kossa, did not show artifacts following the cutting, and the spatial relations of mineralized and nonmineralized components remained intact. Compact and trabecular bone, bone marrow and all cell types appeared well preserved and easily recognizable. Our procedure provides a simple and rapid method for preparing bone sections which undergo no chemical treatment other than fixation. This method is a useful alternative to standard histological protocols for studying bone specimens.     

A Method to Stain Decalcified Bone without Loss of Structural Detail

A modification of Bodian's protargol-S technique is done on 7 μm sections of decalcified bone. Light microscopic results are greatly improved when compared to either ground bone sections or decalcified bone stained routinely with hematoxylin and eosin.     

Pyronin Y For Staining Stripped Autoradiographs Prepared from Plastic Embedded Sections of Rat Tissues Containing Plutonium

Autoradiography prepared by the stripping film technique from 1 μm sections of semithin plastic embedded liver and bone tissues were poststained for examination with a 1% pyronin Y solution. The use of this dye avoids heating the tissue section and the overlying photographic emulsion. It also allows the staining of the tissue section without excessive uptake of the stain by the gelatin of the stripping film.     

A novel method for embedding neonatal murine calvaria in methyl methacrylate suitable for visualizing mineralization, cellular and structural detail

The study of undecalcified bone by histological methods is essential in the field of bone research. Culturing skeletal tissues such as neonatal murine calvaria provides a reliable bridge between assessment of bone formation in vitro and anabolic activity in vivo and contains most of the essential elements of bone for studying bone formation. Neonatal calvarial assay, supported by histological methods, is used to study the anabolic effects of a wide variety of factors and compounds on bone tissue. To optimize visualization and histomorphometric measurements using neonatal calvaria, we developed a method that provides high quality tissue sections suitable for routine and histochemical staining. Undecalcified neonatal mouse calvaria were processed and embedded using a low temperature methyl methacrylate procedure. Various staining methods were performed on deplastisized and floated sections to examine mineralization and to identify cells. The Von Kossa stain counterstained with a modified H & E yielded precise images of unmineralized bone including mineralization sites, and distinct osteoblasts and osteoclasts. Toluidine blue, Ladewig's trichrome, tartrate-resistant acid phosphatase, Goldner, H & E and Villanueva stains also were tested on the undecalcified neonatal calvaria sections.     

A Simple Method Using Alizarin Red S For the Detection of Calcium in Epoxy Resin Embedded Tissue

This report presents a simple procedure for staining 1-2 μm epoxy plastic sections of cells and mineralizing matrix present in fetal bovine bone tissue cultures. A 0.3% aqueous toluidine blue 0 solution was used as a cellular stain and was followed with 2% alizarin red S for the detection of calcium at sites of mineralition. Effects of concentration and pH of alizarin red S on the penetration of epon embedded thick sections were investigated Optimal staining was achieved with a 2% aqueous alizarin red S solution adjusted to a pH of 5.5-6.5. This staining procedure provides unusually clear contrast between mineral and bone cells in plastic sections for light microscopy.     

Histological Observations of Dental Tissues Using the Confocal Laser Scanning Microscope

To investigate the time course of mineralization in undecalcified dental tissues, calcein-and tetracycline-labeled rat maxillary molar sections were stained with Villanueva bone stain en bloc, embedded in methyl-methacrylate (MMA), ground to 50 μm thickness, and observed by confocal laser scanning microscopy (CLSM). This method allowed observation of dental structures including odontoblasts, pulp cells and periodontal ligament, and dentinal tubules and enamel rods at high resolution; labeled enamel, dentine, and cementum could be observed simultaneously regardless of section thickness. CLSM permitted simultaneous observation of both the components of calcified tissue and the cellular components of dental tissues, and assessment of the mineralization time course of hard tissues labeled by tetracycline or calcein. The technique is useful for both assessing the elements composing dental structure and observing the histological dynamics by which dental structure develops.     

Improvements in Histological Techniques for Epoxy-Resin Embedded Bone Specimens

A procedure is presented in which some of the processing difficulties with fixation, embedding and cutting whole mouse bones and large bone pieces from other species are considered. The bone specimens are fixed in acetone or by a Karnovsky-formol-saline process which preserves intact endosteal surface-to-cortex layers. After fixation the bones are embedded in a hard mixture of epoxy resin to provide blocks with face sizes up to 3.5 × 3.0 cm. Mineralized sections are cut at 4 μm; demineralized at 3 μm. Sections are fastened to gelatin-subbed slides with pressure plates which produce flat, secure sections. After removal of the plastic, an unmodified Mayer's hematoxylin and a polychromatic eosin staining method is applied to demineralized sections, and a slightly modified method to mineralized sections.     

Stain Technology a Bone Stain for Osteoid Seams in Fresh, Unembedded, Mineralized Bone

Fresh, ground, mineralized bone sections 75-100 μ thick are stained 90 minutes or 48 hours in the Bone Stain, a preparation containing fast green FCF, orange G, basic fuchsin, and azure II. Surface stain is then removed by grinding under running water. Sections are washed in 0.1% zephiran chloride (benzalkonium chloride) or in 0.01% mild soap and again washed in tap water, followed with distilled water. Sections are next differentiated in 0.01% acetic acid in 95% methanol, dehydrated in 95% ethanol and 100% ethanol, cleared in alcohol:xylene 1:1, 1:4, 1:9 and 2 changes of xylol, and then mounted permanently in Eukitt's mounting media.

Osteoid seams stain either green to jade green or red to dark red, incompletely mineralized bone red or orange yellow, and the zone of demarcation light green. The walls of lacunae, canaliculae, feathered bone, procedural artifacts and periosteocyte lacunar low-density versions stain red.

The method helps in the differential diagnosis of certain metabolic bone diseases in human biopsy and autopsy material.     

Whole joint Embedding in Polymethylmethacrylate: a Method for Preparing Intact Musculoskeletal Organ Systems for Histomorphology and 3-D Reconstruction

Large and medium size undecalcined joints were embedded in methylmethacrylate resin. Sections of 600 μm prepared from polymethylmethacrylate blocks show minimal distortion and are suitable for surface staining and three-dimensional reconstruction. The 5 μm sections prepared from these slabs retain good cytological detail. This method permits the examination of musculoskeletal organ systems at both macroscopic and microscopic levels.     

Flat, Adherent, Well-Contrasted Semithin Plastic Sections for Light Microscopy

Semithin (0.5-2.0 μm) sections of plastic embedded specimens have long been used for identifying and orienting structures destined for electron microscopic observation. Improved staining methods and the development of more versatile plastics have increased the use of semithin plastic sections for histochemical and autoradiographic studies. The principal advantage of plastic over paraffin sections is the possibility of increased resolution. This advantage is often compromised, however, by problems arising during processing and staining. Wrinkles are common in sections containing tissues of different consistencies or when the hardness of the tissue does not match that of the surrounding plastic (Millonig 1980). Unfortunately, many of the methods designed to eliminate wrinkles (e.g., Alsop 1974, Sommer et al. 1979) require prolonged staining or repeated handling of the sections. Section adhesion problems usually arise during staining, particularly if the protocol requires alkaline or oxidizing reagents. Adhesives such as Mayer's albumen or chrome alum-gelatin (Hayat 1981) work well but may contribute to undesirable background staining or trapping of debris. A more complicated problem, inadequate stain contrast for photomicrography, usually can be traced to inability of the stain to penetrate the plastic, staining of the plastic, or nonspecific staining of the tissue. Alkaline staining solutions and chemicals which etch plastic can increase penetration, but may also cause section loss or staining of the plastic. The following is a simple method to eliminate these processing problems. It exploits the solvent properties and low surface tension of glycerol to aid in softening, flattening, and adhering semithin plastic sections to microscope slides.     

Surface Staining of Sawed Sections of Undecalcified Bone Containing Alloplastic Implants

A simple new method is described for the histological evaluation of bones containing alloplastic implants of ceramic and/or metallic materials. the undecalcified bone is embedded in acrylic resin and section at 50-200 μm using a sawing microtome. One surface of the preparation is stained up to 10 μm deep by floating the preparation on Giemsa stain. Other staining procedures are possible. Microscopic detail is Satisfactory for histological and morphometric evaluation.     

A Method for Histological Preparation of Undecalcified Bone Sections Containing Acrylic Bone Cement

An improved and time reducing method is presented for the histological evaluation of bone containing polymethylmethacrylate (PMMA) bone cement. The undecalcified bone was embedded in epoxy resin and sections of 50-100 μm thickness were produced using a commercially available cutting grinding system. The sections were stained with Stevenel's blue and van Gieson picrofuchsin or a modified hematoxylin-eosin. PMMA bone cement was not dissolved and remained enabling examination in situ of an intact cement bone interface and tissue reaction without decalcification.     

Wrinkle-Free Plastic Sections for Light Microscopy

Plastic sections 0.5 to 2 μm thick are routinely used for light microscopy. Although plastic sections have several advantages over paraffin or celloidin sections, a problem that is often encountered with plastic sections is wrinkling (Fig. 1). Wrinkling occurs during staining when sections dried on glass slides are covered with stain and heated to hasten the penetration of the stain. Mounted sections heated on glass slides, but not stained, ordinarily lack wrinkles, even when examined with phase contrast optics. Similarly, mounted sections covered with stain, but not heated, lack wrinkles; unfortunately, such sections fail to stain adequately. Unmounted sections floated on heated drops of stain also lack wrinkles (Millonig 1980). Thus, it is clear that wrinkling occurs only when mounted sections are covered with stain and heated.     

Vital Staining by Trypan Blue; Its Selectivity for Olfactory Receptor Cells of the Brown Bullhead, Ictalurus Natalis

The affinity of olfactory receptors in fish for trypan blue as a vital stain is similar to that in amphibia and mammals. But, so far, only Ictalurus has given satisfactory staining. After anesthetizing the animals with MS 222 (tricaine methane sulfonate), the olfactory folds were laid bare by excising the flap of skin between anterior and posterior nares. Next, filter paper was employed to absorb the water and mucus between the folds which were then covered with staining solution. The variations in the treatment were: (a) exposure to 0.5, 1.0 and 2.0% stain concentration, (b) use of distilled water or of 0.7% NaCl solution, (c) staining times of 20, 40, 60 and 80 min. The treated tissues were fixed in Heidenhain's SUSA for 12 hr, dehydrated in isopropyl alcohol, and embedded by passage through methyl benzoate and benzene into paraffin. The sections were cut at 7 μ and mounted in Canada balsam. Vital staining in a 1% distilled water solution for 60 min gave the best results. The receptors were deep blue and contrasted well with the supporting cells. Also, the central receptor-cell processes had taken the stain. Preparations exposed longer than 60 min showed a loss of stain from the receptors. In Ictalurus all receptors are spindle-shaped with peripheral processes of little varying length and thickness depending on the depth of their nuclei within the epithelium. Most nuclei lie near the center of the epithelium. The central processes are thinner (0.25-0. 28 μ) and more curved than the peripheral ones (0.7-0. 9 μ) and may contain small pale blue apparently vesicular swellings. Trypan blue delimits receptor cells more sharply than silver impregnation and seems to be well suited for studies of comparative histology and cytology of vertebrate olfactory epithelium. Methylene blue vital staining of the same tissue shows selectivity for the intraepithelial bundles of central receptor processes rather than for the receptor nuclei.     

A Tetrachrome Stain for Fresh, Mineralized Bone Sections, Useful in the Diagnosis of Bone Diseases

Fresh, unprocessed bone is ground to sections 75-100 μ thick, stained in an aqueous solution composed of fast green FCF, 0.1 gm; orange G, 2.0 gm; distilled water, 100.0 ml; and adjusted to pH 6.65, then in a mixture of 1 part alcoholic solution of 0.25% celestine blue B and 9 parts of alcoholic solution of 0.1% basic fuchsin. Surface stain is removed by grinding sections to 50 μ and washing them in 1% invert soap (Zephiran) to remove adherent debris. (Commercial detergents and alkaline soaps may interfere with chromophore groups of the dyes.) Wash in tap water; rinse in distilled water and differentiate in 1% acetic alcohol. Dehydrate in ascending alcohols, clear in xylene and mount permanently in a neutral, synthetic resin. Active osteoid seams stain dark to light green; resting osteoid seams, red to bright orange red; transitional osteoid seams, geenish-yellow, orange red to red; older, partly mineralized matrix, orange; new, partly mineralized matrix, red; osteocyte nuclei, red; osteoblasts and osteoclasts, greenish-blue to dark purple nuclei and green or light green cytoplasm. Hyper-trophic and differentiating cartilage cells are stained light pink and dark red respectively. The staining reactions are consistent; the solutions are stable.     

Giemsa Poststaining of Sections Stained for Acetyl-Cholinesterase Improves Sensitivity and Contrast

During investigations into the cholinergic innervation of blood vessels in skeletal muscle, it was found that poststaining of sections with Giemsa's stain (Gurr, R66) after incubation to reveal acetylcholinesterase activity as copper ferrocyanide (El-Badawi and Schenk 1967) not only produced nuclear and cytoplasmic counter-staining, but also resulted in intensification of the reaction, resulting in deep blue-black nerve endings (Fig. 1). Areas previously distinguishable only by phase contrast were easily recognizable after Giemsa staining. The method described was originally used on 10 μm cryostat sections, pre- or postfixed in formolcalcium and stained in the reaction mixture described by El-Badawi and Schenk (1967) for 30-60 minutes. After rinsing in distilled water (5 min), sections were stained in Giemsa's stain (3 min), washed well in distilled water, rapidly dehydrated, cleared and mounted.     

Finite element analysis of trabecular bone structure: a comparison of image-based meshing techniques

In this study, we investigate if finite element (FE) analyses of human trabecular bone architecture based on 168 μm images can provide relevant information about the bone mechanical characteristics. Three human trabecular bone samples, one taken from the femoral head, one from the iliac crest, and one from the lumbar spine, were imaged with micro-computed tomography (micro-CT) using a 28 μm resolution. After reconstruction the resolution was coarsened to 168 μm. First, all reconstructions were thresholded and directly converted to FE-models built of hexahedral elements. For the coarser resolutions of two samples, this resulted in a loss of trabecular connections and a subsequent loss of stiffness. To reduce this effect, a tetrahedral element meshing based on the marching cubes algorithm, as well as a modified hexahedron meshing, which thresholds the image such that load carrying bone mass is preserved, were employed. For each sample elastic moduli and tissue Von Mises stresses of the three different 168 μm models were compared to those from the hexahedron 28 μm model. For one sample the hexahedron meshing at 168 μm produced excellent results. For the other two samples the results obtained from the hexahedral models at 168 μm resolution were poor. Considerably better results were attained for these samples when using the mass-compensated or tetrahedron meshing techniques. We conclude that the accuracy of the FE-models at 168 μm strongly depends on the bone morphology, in particular its trabecular thickness. A substantial loss of trabecular connections during the hexahedron meshing process indicates that poor FE results will be obtained. In this case the tetrahedron or mass-compensated hexahedron meshing techniques can reduce the loss of connections and produce better results than the plain hexahedron meshing techniques.     

Laser Microprobe Mass Analysis (LAMMA) to Verify the Aluminon Staining of Bone

Triammonium aurin tricarboxylate (aluminon) has been used to localize aluminum in 2 μm sections of undecalcified, methyl methacrylate embedded bone obtained from patients with terminal chronic renal failure. Aluminum appeared in four cases as bright red lines at the mineralized-bone boundary. In two cases, however, purplish lines were found and one patient showed red as well as purplish lines. Laser microprobe mass analysis (LAMMA) identified aluminum at the location of the red lines and both aluminum and iron at the purplish lines. Furthermore, both iron and aluminum were found in histiocytic bone marrow cells, which showed brownish aluminon staining. It appears that when aluminum and iron occur together, aluminon staining may yield aberrant results. This study shows that LAMMA can be used for the identification of elements sought by histochemical methods and thus permits the evaluation of their staining effects.     

Preparation of Large Epoxy Sections for Light Microscopy as an Adjunct to Fine-Structure Studies

Tissue blocks 2 × 2 × 0.4 cm were fixed 6-24 hr in phosphate-buffered 5% glutaraldehyde then sliced to 2 × 2 × 0.1 cm and soaked in 0.1 phosphate-buffer (pH 7.3) for at least 12 hr. Fixation was continued for 2 hr in phosphate-buffered 1-2% OsO₄. The slices were dehydrated, infiltrated with Araldite, and embedded in flat-bottomed plastic molds. Sectioning at 1-8 μ with a sliding microtome was facilitated by addition of 10% dibutylphthalate to the standard epoxy mixture. The sections were spread on warm 1% gelatin and attached to glass slides by drying, baking at 60 C, fixing in 10% formalin or 5% glutaraldehyde and baking again. Sections were mordanted in 5% KMnO₄ (5 min), bleached with 5% oxalic acid (5 min) and neutralized in 1% Li₂CO₃ (1 min). Several stains could then be applied: azure B, toluidine blue, azure B-malachite green, Stirling's gentian violet, MacCallum's stain (modified), tribasic stain (modified) and phosphotungstic acid-hematoxylin. Nuclei, mitochondria, specific granules, elastic tissue or collagen were selectively emphasized by appropriate choice of staining procedures, and cytologic detail in 1-3 μ sections was superior to that shown by conventional methods. Selected areas from adjacent 4-8 μ sections could be re-embedded for ultramicrotomy and electron microscopy.