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ELECTRON
MICROSCOPY
             -Dr Ganga H
•   Introduction
•   Transmission EM
•   Scanning EM
•   Preparation of tissue for EM
•   Diagnostic applications
Introduction and History
• The word microscope is derived
  from the Greek mikros (small) and
  skopeo (look at).

• The light microscope -developed
  from the Galilean telescope during
  the 17th century.

• Dutchman Antony van
  Leeuwenhoek (1632-1723) –
  simple microscope.

• Discovered protozoa,
  spermatozoa, and bacteria, and
  classified red blood cells by shape.
• The limiting factor in Van
  Leeuwenhoek’s microscope was the
  single convex lens.

• Addition of another lens could
  magnify the image produced by the
  first lens.

• This compound microscope –
  consisting of an objective lens and an
  eyepiece, a mirror or a source of light
  and a specimen table for holding and
  positioning the specimen.
Resolution of the Human Eye
• In sufficient light, the unaided human eye can
  distinguish two points 0.2 mm apart.

• A lens or an assembly of lenses (a microscope) can be
  used to magnify this distance and enable the eye to
  see points even closer together than 0.2 mm.
Types of microscopes
• Three basic types:
• Optical, charged particle (electron and ion), or scanning
  probe.
• Electron and ion microscopes, use a beam of charged
  particles, and electromagnetic or electrostatic lenses
• They can see features as small a tenth of a nanometer,
  such as individual atoms.
• Scanning probe microscopes use a physical probe (a very
  small, very sharp needle) which scan over the sample in
  contact or near-contact with the surface.
• These instruments are capable of atomic scale resolution
• A modern light microscope - 1000x .
• The resolving power of the microscope limited by
  the wavelength of the light used for illumination.
• Using light with a shorter wavelength--a small
  improvement.
• Using oil --- small improvement, but all together
  only brought the resolving power of the
  microscope to just under 100 nm.
• In the 1920- accelerated electrons behave in
  vacuum much like light.
• They travel in straight lines and have wavelike
  properties.
• Wavelength is about 1,00,000 times shorter
  than that of visible light.
• Electric and magnetic fields are used to shape
  the paths followed by electrons
1931-Ernst Ruska at the University of Berlin built the
first transmission electron microscope (TEM)
1986- awarded the Nobel Prize for Physics
• The first electron microscope used two magnetic
  lenses, and three years later he added a third lens
  and demonstrated a resolution of 100 nm, twice
  as good as that of the light microscope.

• Today, electron microscopes have reached
  resolutions of better than 0.05 nm, more than
  4000 times better than a typical light microscope
  and 4,000,000 times better than the unaided eye.
Electron microscopy
Resolution of a microscope
• Wavelength of the illumination source ( λ )

• The numerical aperture of the lens (N.A.)

    Limit of resolution = 0.61 λ/N.A.

• The maximum value of N.A. for light microscope is approx. 1.4.
  therefore, that even the short blue light ( λ = 436 nm) of the
  visible spectrum will yield a resolution of only 190 nm.

• The wavelength of an electron beam is about 100,000 times
  less than that of visible light and hence the resolution of an
  electron microscope is far superior to that of the light
  microscope.
Electron microscopy
The Electron
• An atom is made up of three kinds of particles – protons,
  neutrons, and electrons.

• The electrons, which are about 1800 times lighter than
  the nuclear particles, occupy distinct orbits, each of
  which can accommodate a fixed maximum number of
  electrons.

• When electrons are liberated from the atom-they
  behave like light.
Types of electron microscope
               1. Transmission
                 electron
                 microscopy :

               2. Scanning
                 electron
                 microscopy:
Electron microscopy
SEM
Normal cell under EM
Transmission Electron Microscope
                    Principle
• TEM is the direct counterpart of Light
  microscope
• Involves passage of high velocity electron
  beam through specimen, thin enough to
  transmit 50% of the electrons
• Transmitted electrons – focused by lens
  systems to form a 2 dimensional magnified
  image
Analogy between LM & TEM

• Arrangement & function of their components
 1. Illuminating system – source & condensor
 2. Imaging system – lenses to produce
    magnified image – objective & projector
 3. Image translating system – Final image is
    viewed
LM   EM
THE LIGHT MICROSCOPE v THE ELECTRON MICROSCOPE

FEATURE                    LIGHT MICROSCOPE        ELECTRON MICROSCOPE

Electromagnetic                Visible light               Electrons
spectrum used              390nm (red) – 760nm              app. 4nm


Maximum                       app. 200nm or                0.14nm
resolving power                 0.2micron                 Fine detail
Maximum
magnification                 x1000 – x1500                X 5,00,000
Radiation                  Tungsten or quartz         High voltage (50kV)
source                       halogen lamp              tungsten filament
Lenses                            Glass                     Magnets
Interior                         Air-filled                 Vacuum
                                                      Rigidly fixed, adjust
Focus                       Lens is movable
                                                         lens currents
© 2007 Paul Billiet ODWS
THE LIGHT MICROSCOPE v THE ELECTRON
                      MICROSCOPE

                                                      ELECTRON
FEATURE                    LIGHT MICROSCOPE
                                                     MICROSCOPE

                           Human eye (retina),     Fluorescent screen,
Focussing screen                                    photographic film
                            photographic film
Fixation                      formaldehyde        Glutaraldehyde,OsO4
Embedding                          Wax                   Resin
Sectioning                      Microtome           Ultramicrotome
                            slices - 20 000nm        Slices - 50nm
                            Whole cells visible   Parts of cells visible
Stains                     Water soluble dyes        Heavy metals

Support                        Glass slide            Copper grid
© 2007 Paul Billiet ODWS
•   ELECTRON SOURCE

•   ELECTROMAGNETIC LENS
    SYSTEM

•   SAMPLE HOLDER

•   IMAGING SYSTEM.
Electron source
• The electron source consists of a
  cathode and an anode.
• The cathode is a tungsten
  filament which emits electrons
  when being heated.
• A negative cap confines the
  electrons into a loosely focused
  beam.
• The beam is then accelerated
  towards the specimen by the
  positive anode.
Electromagnetic lens system
• The system allows electrons within a small
  energy range to pass through, so the electrons
  in the electron beam will have a well-defined
  energy.
• 1. Magnetic Lens: Circular electro-
  magnets capable of generating a precise
  circular magnetic field. The field acts like an
  optical lens to focus the electrons.

• 2. Aperture: A thin disk with a small (2-100
  micrometers) circular through-hole. It is used
  to restrict the electron beam and filter out
  unwanted electrons before hitting the
  specimen.
• TEM9.swf
The Vacuum System
• The electron beam must be generated in and traverse
  through the microscope column under a high vacuum
  condition.

• The presence of air molecules will result in the collision
  and scattering of the electrons from their path.

• In the electron microscope the vacuum is maintained
  by a series of highly efficient vacuum pumps.

• THE VACUUM FACTOR: Biological material must be
  properly fixed and preserved
Sample holder

• The sample holder is a platform equipped with
  a mechanical arm for holding the specimen
  and controlling its position.
Electron microscopy
Imaging system
• The imaging system consists of another
  electromagnetic lens system and a
  screen.

• The electromagnetic lens - two lens, one
  for refocusing the electrons after they
  pass through the specimen, and the other
  for enlarging the image and projecting it
  onto the screen.

• The screen has a phosphorescent plate
  which glows when being hit by electrons.
Image Formation in the TEM
• The basis of image formation in the TEM is the
  scattering of electrons.
• The scattering results in a shadow on the viewing
  screen or photographic film.
• Material with high atomic numbers will cause more
  scattering and produce a deep shadow. Such material
  is termed "electron dense" and has high image
  contrast.
• Biological material has low electron density and is
  known generally as "electron transparent". Hence, an
  inherent low contrast image is formed.
• BIOLOGICAL MATERIAL must, therefore, be STAINED
  with heavy metal salts.
Scanning electron microscopy
THE SCANNING ELECTRON
            MICROSCOPE
• To directly visualise the surface topography of solid
  unsectioned specimens.
• Probe scans the specimen in square raster pattern.
• The first scanning electron microscope (SEM) debuted in
  1938 ( Von Ardenne) with the first commercial
  instruments around 1965.
• Differs from TEM in construction & operational modes
• TEM – information is obtained from transmitted
  electrons
• SEM – majority is obtained from secondary,
  backscattered electrons & from X-rays.
Electron microscopy
Electron microscopy
Thin Specimen Interactions
• Incident electrons which are transmitted through the
  thin specimen without any interaction occurring
  inside the specimen- Unscattered Electrons.

• The transmission of unscattered electrons is inversely
  proportional to the specimen thickness.

• Areas of the specimen that are thicker will have
  fewer transmitted unscattered electrons and so will
  appear darker, conversely the thinner areas will have
  more transmitted and thus will appear lighter.
Elastic Interactions

• No energy is transferred from the electron to the
  sample. The electron either passes without any
  interaction or is scattered by electrostatic with the
  positive potential inside the electron cloud.
• These signals are mainly exploited in TEM and
  electron diffraction.
Inelastic scattering:

Primary electrons hit electrons of
the specimen atom

Energy is transferred from the
primary electron to the specimen



Emission of electrons and radiation
Electron specimen interaction
Electron microscopy
• After the impingement of the primary
  electrons on the specimens, secondary
  electrons as well as other forms of
  radiation are emitted.

• But only the secondary electrons will be
  collected by the signal detector.

• In the detector these electrons strike a
  scintillator and the light produced is
  converted to electric signals by a
  photomultiplier.

• The electric signal is then amplified and
  displayed on the cathode ray tube (CRT).
• In the SEM the electron beam is rapidly
  scanned back and forth in an orderly pattern
  across the specimen surface.

• It is a composite of many individual image
  spots similar to the image formed on the TV
  screen.

• The SEM has a specimen stage that allows the
  specimen to move freely so that the surface of
  the specimen can be viewed from all angles.
The focused electron beam is moved from one pixel to another.
At every pixel, the beam stays for a defined time and generates
a signal (e.g.secondary electrons) which are detected, amplified
and displayed on a computer screen
Image magnification in SEM

– A smaller area is scanned with the same number of
  pixels.
– The scanned pixels are smaller
TEM vs SEM
             TEM                             SEM
6 lenses – C1, C2, objective, 3   3 lenses – 2 condensor, 1
projector                         objective

High accelerating voltage -       low accelerating voltage
penetration
Not complicated                   Specimen Stage – complicated

X & y axis                        X,Y,Z-axis, tilting, rotating
Contrast formation in TEM

Absorption of electrons

Scattering of electrons

Diffraction and phase contrast
Contrast formation in TEM

• Biological specimen consist of light elements:
  Absorption contrast weak
  Scattering contrast weak           LOW CONTRAST
  Phase contrast weak
• Contrast enhancement required:
  – Treatment with heavy metals (Ur, Pb, Os)!
  – Heavy metals attach differently to different
    components
Thin section of alga stained with heavy
            metals (Ur, Pb)
Contrast formation in SEM (using SE
              and BSE)

• Different number of electrons from different
  spots of the specimen

  – Based on topography of the specimen
  – Based on composition of the specimen
Uniform layer of heavy metal on specimen surface

                        Primary electron beam




Platinum
SCANNING TRANSMISSION ELECTRON MICROSCOPY
                          (STEM)
• This is a recent technological advance in the field of
  Electron Microscopy.
• The beam of electrons scans the specimen, as it does in
  scanning electron microscopy.
• However, it is the transmitted electrons that are
  collected and amplified and form an image on a
  cathode ray tube.
• The small spot size of the beam allows different areas
  of the specimen to be discriminated and analyzed.
• A major use of STEM is in X-ray analysis which allows
  the elemental composition of the specimen to be
  mapped.
Specimen preparation for electron
            microscopy
Steps include

 Specimen procurement

 Fixation

 Tissue processing and sectioning

 Staining
SPECIMEN PROCUREMENT

Tissue preserved in glutaraldehyde.

Tissue must be representative of the disease.

Areas that show - degeneration, necrosis,
 haemorrhage must be avoided.
Drying of the surface must be avoided.

Tissue must be properly fixed.

The suitability of the tissue can be confirmed
 by a frozen section or touch preparation.
• Fixation : most commonly used are osmium
  tetroxide, glutaraldehyde and
  paraformaldehyde.

• Dehydration : acetone or ascending
  concentration of alcohol, 5-15 min in each
  concentration.

• Use of dimethyoxypropane for rapid dehydration.

• Clearing agent: propylene oxide.
• Embedding media : methacrylate and epoxy
  resins

• These medias infiltrate well and help in thin
  sectioning

• Blocks are transferred to suitable capsule
  containing fresh resin and these capsules are
  transferred to incubator for polymerization.
Processing schedule

Fixation:
• Glutaraldehyde 2.5% at 4° C for 1-4 hrs.
• Wash in buffer.


Post fixation treatment:
• 1% osmium tetroxide at 4°C for 1 hr.
• Wash in water.
Dehydration
50% alcohol              5-15 min
70% alcohol              5-15 min
90% alcohol              5-15 min
Absolute alcohol         5-15 min
Absolute alcohol         5-15 min
Absolute alcohol         5-15 min
Clearing
Propylene oxide          15 min
Propylene oxide          15 min
Impregnation
Epoxy resin              45-60min
Polymerization at 60°C   24hrs
 When formalin fixed tissue used – area that is likely
  to be fixed from outer surface to be chosen.

 Paraffin blocks-the corresponding light microscopic
  section should be examined so that best portion of
  the tissue can be mapped.

 However paraffin embedded tissue is never
  satisfying for an electron microscopist because of
  considerable distortion.
 Certain types specimens require special
  processing unlike surgical specimens.


These include-

1. Percutaneous renal biopsies- 1-2mm pieces
   from both the ends of the core are fixed to
   ensure cortical glomeruli are represented in
   tissue .
Aspirate directly expressed
          into glutaraldehyde with
               gentle agitation
             and kept for fixation

2.FNAB

            Filtration of the fixed
          specimen through 20µm
                 mesh screen




         Cells washed with pelleted
         buffer and processed as for
                 solid tissue
3.Bone marrow aspirate



   Centifugation of    Gentle Layering
                                              Disk is gently
     heparinized      of fixative on the
                                            transferred and
      aspirate in      buffy coat and
                                           further processed
   haematocrit tube         fixation
4.Core biopsies of bone
Challenging as decalcification causes severe
 damage to cells.
                        Fixation in
                      glutaraldehyde




                  Soft marrow dislodged
                  with fine needle under
                  a dissecting microscope




                   Processed in routine
                         fashion
5.Body fluids


    Non       • Centrifugation&
              • Fixation in glutaraldehyde
hemorrhagic
   fluids

Hemorrhagic   • Erythrocytes removed
   fluids       with brief hemolysis.
              • Rinsing in buffer and
                fixation
TISSUE SECTIONING


Preparation of thick or semithin sections:

After the tissue has been embedded in plastic
 resin

The blocks are embedded into sections at a
 thickness of approximately 1µm.
And these are stained with methylene blue or
 toulidine blue and


Examined to verify that blocks selected are
 representative of the disease process
Thin sections are used for ultrastructural
 study-50nm thickness.

These very thin sections are necessary-poor
 penetrating properties of electron beam.

Ultramicrotomes are used for thin sectioning
STAINING


• Staining done using heavy metals such as
  uranium and lead
Diagnostic applications

 As a rule the pathologist performing the EM
 should come to presumptive diagnosis from
 Clinical history and light microscopic findings
 before performing the ultra structural studies.
Electron
           microscopy


Ultrastructural
 diagnosis of     Ultrastructure of
 non tumour            tumors
    biopsy
Non tumor biopsies               Tumor diagnosis


                                 • Epithelial tumors
•   Diseases of kidney           • Mesothelioma
•   Metabolic storage diseases   • Melanoma
•   Respiratory tract biopsies   • Hematopoietic and
•   Skeletal muscle diseases       lymphopoietic tumors
•   Infectious agents            • Soft-tissue tumors
•   Cutaneous diseases           • Central nervous system
•   Peripheral nerve biopsies      tumors
                                 • Small round cell tumors
.
Renal biopsies


  Aided in classification of renal disease in
particular & better understanding of the
pathogenesis of glomerular disease
a. Detailed study of glomerulus- epithelial cell,
  endothelial cells, basement membrane &
  mesangium.

b. Best method - to evaluate the thickness and the
  structure of glomerular basement membrane.

c. Aids in identifying the exact location of immune-
  complex deposits within glomerulus.
Renal B opsy D agnosi s U
                i       i            sual l y
      R equi r i ng El ect r on M cr oscopy
                                 i
Minimal change nephropathy
Post-infectious glomerulonephritis
Membranoproliferative glomerulonephritis
Membranous nephropathy
Dense deposit disease
Diabetic nephropathy—early morphological changes (GBM thickening)
Fibrillary glomerulonephritis
Focal-segmental glomerulosclerosis—early recurrence in renal allograft
Algorithm of Interpretation of Ultrastructural Findings:
              Discrete Immune-Type Electron-Dense Deposits Present
                                                                    COMBINED
                     INTRAMEMBRANOUS                                SUBENDOTHELIAL,
                    (Usually Combined                               SUBEPITHELIAL,
 SUBEPITHELIAL      with Mesangial)       SUBENDOTHELIAL MESANGIAL AND MESANGIAL
Membranous GN       Dense deposit disease MPGN          IgA         Lupus (WHO
                                                        nephropathy classes III and IV)

Lupus (WHO class V) GN related to         Lupus (WHO class Henoch-          MPGN type III
                    endocarditis, deep-   III and IV)      Schönlein
                    seated abscesses                       purpura


Postinfectious GN                         Cryoglobulinemic Lupus (WHO       GN related to
                                          GN (microtubular class II)        endocarditis,
                                          substructure)    C1q              deep-seated
                                                           nephropathy      abscesses
                                                           Rare other
                                                           forms of
                                                           mesangioprolif
                                                           erative GN
Algorithm of Interpretation of Ultrastructural Findings:
      No Discrete Immune-Type Electron-Dense Deposits Present

                                       Subendothelial
                                       Fluffy Electron-   Finely Granular   Fibrillary/Microt
Normal GBM      Diffusely Abnormal GBM Lucent Material Deposits             ubular Deposits
Minimal change Diffuse thinning        All forms of       Monoclonal        Amyloidosis,
disease, FSGS                          thrombotic         immunoglobuli     fibrillary GN,
               Thin GBM disease, early microangiopathies, n deposition      cryoglobulinemic
                                       including malignantdisease           GN, diabetic
                                       hypertension                         glomeruloscleros
               Alport syndrome                                              is, collagen type
               Diffuse thickening                                           III
                                                                            glomerulopathy
              Diabetes, hypertension,
              long-standing ischemia (also
              wrinkling)



              Diffuse lamellation /splitting

              Alport syndrome
Minimal change disease




Extensive foot process effacement.
Post streptococcal glomerulonephritis




Subepithelial humps of IgG & C 3
Membranous glomerulopathy
Membranoproliferative
          glomerulonephritis
TYPE 1                           TYPE 2
Storage disorders

 Deposition - lipid and glycogen can be visualized
  in biopsies of skin, brain, rectum, muscle, nerve,
  spleen, lymph nodes , bone marrow, heart and
  kidney.

 Gaucher’s disease- abnormal glucocerebroside
  accumulation in reticuloendothelial cell of
  liver,spleen,lymph nodes, and bone marrow.
Gaucher disease involving the bone marrow
A, Gaucher cells with abundant lipid-laden granular cytoplasm.
B, Electron micrograph of Gaucher cells with elongated distended lysosomes.
Ganglion cells in Tay-Sachs disease.
A, Under the light microscope, a large neuron has obvious lipid vacuolation.
B, A portion of a neuron under the electron microscope shows prominent lysosomes with
whorled configurations
Niemann -Pick disease
• Accumulation of
  sphingomyelin in
  lysosomes..
• Electron microscopy-
  engorged secondary
  lysosomes contain
  membranous cytoplasmic
  bodies resembling
  concentric lamellated
  myelin figures called
  zebra bodies
Viral & other infections
• Body fluids, skin blister fluid, curetting from
  warty skin lesions, surgically resected, PM
  specimens
• Size 20-300nm
• Negative staining- 4% PTA
A, Adenovirus, an icosahedral nonenveloped DNA virus with fibers. B, Epstein-Barr virus, an
icosahedral enveloped DNA virus. C, Rotavirus, a nonenveloped, wheel-like, RNA virus. D,
Paramyxovirus, a spherical enveloped RNA virus. RNA is seen spilling out of the disrupted
virus
Electron microscopic picture of HSV
Whipple’s disease
Respiratory Tract Biopsies

 EM helps in studying several abnormalities of
  ciliary structure.

 That is abnormalities in structure, number and
  pattern of microtubules that compose the
  axoneme of the cilium.
• Abnormal fine structure of cilia is seen in
  ciliary dysfunction, such as immotile cilia
  syndrome
Skeletal Muscle Biopsies

 Alterations that can be studied under EM are
  relatively non specific.

 Inclusions within myofibrils - lysosomal and non
  lysosomal storage disorders.*Fabry’s,Pompe’s+

 Congenital multicore disease - disaaray of myofibrils
Mitochondrial myopathy
Fabry’s Disease

                  Deficiency of alfa
                  galactosidase and
                  accumulation of
                  glycosphingolipids

                  Concentric
                  intracytoplasmic
                  inclusions
Ultrastructure of Tumors
• Electron microscopy is an useful adjuvant
  techniques in the diagnosis and understanding
  of neoplasms.

• Electron microscopy along with
  immunohistochemistry is more helpful than
  EM alone.
Indications
• Confirming the light microscopic diagnosis of a
  neoplasm.
• Differentiating primary neoplasms from
  metastatic neoplasms.
• Evaluating metastatic tumors of unknown
  primary origin.
• Evaluating histologically undifferentiated
  malignant neoplasms.
• Subtyping sarcomas

• Subtyping lymphomas and leukemias

• Evaluating neoplasms with unusual features
 such as crystalloid inclusions.
Squamous cell carcinoma
 Well differentiated squamous cell carcinoma

 Abundant cytokeratin filaments.

 Frequent desmosomes between cells.
Well differentiated squamous cell
carcinoma- frequent desmosomes
Poorly differentiated squamous cell carcinomas

Reduction in cytokeratin filaments
Reduction in desmosomes
Diminution in organelles
Loss of basal lamina
Adenocarcinoma

Microvilli – short, stubby, prominent
 microfilament,& glycocalcyeal vesicles.
Few desmosomes and cytokeratin filaments.
Intracytoplasmic mucin or glycogen deposits
Tight junctional complexes
Tight junctional
complex
microvilli
Adenocarcinoma small intestine– demonstrates tight junctional
     complex, mucin granules and luminal microvilli are typical .
Adenocarcinoma of colon- shows micrvilli, dense core rootlets below
             and rounded glycocalyceal bodies in the villi
Ultastructure Of Mesotheliomas

EM helps in differentiating mesotheliomas

 from adenocarcinoma.
Mesothelioma and Adenocarcinoma

• Mesotheliomas are characterized by having long,
  narrow, branching microvilli with a length to
  width ratio of around 10-16:1 ,-on free surfaces
  of cells.

• By contrast, adenocarcinomas have short, stubby
  microvilli with core rootlets.
Electron microphotograph of malignant mesothelioma-long thin non intestinal type of
microvilli devoid of glycocalyx and actinic rootlets.
Ultrastructure of Melanoma
Helpful in diagnosing melanomas -not express
 anti-S-100 or the HMB-45 monoclonal
 antibody.

In such cases identification of
 premelanosomes or melanosomes hallmarks
 the diagnosis of melanoma.
Melanosomes –cytoplasmic organelles
 where melanin is produced.

 There are four stages in development.
Electron microscopy
Hematopoietic And Lymphocytic
           Tumors
• Immunostaining remains the main stay.

• However EM is helpful –immunostaining is
  equivocal or negative.
• Ultrastructural findings of leukemias and
  lymphomas
 1. Nuclear pockets
 2. Absence of intercellular attachment
 3. Lack of endoplasmic reticulum
 4. Cytoplasm filled with free ribosomes
 5. Sparse mitochondria
 6. Lipid droplets in large cell lymphomas
7. Immunoblastic transformation- the cisternae
  of the endoplasmic reticulum become
  abundant and organised.

8.Birbeck granules in Langerhans cells- are
  endocytic organelles that transport antigens
  from receptors on cell surface to interior to
  fuse with saccules of the golgi complex
  producing racket like configuration.
Burkitt's lymphoma




Numerous nuclear projections (np), polar aggregation of mitochondria (m),
sparse endoplasmic reticulum (er)
Histiocytosis X

•   Mononuclear langerhans
    cells with curved nucleus &
    an abundant cytoplasm

•   Birbeck granules in the
    cytoplasm
Spindle cell tumors

• Fibrosarcomas- abundant rER, collagen formation

• Leiomyosarcomas – myofibrils & focal densities

• Spindle cell SCC- tonofibrils & occasional
  desmosomes
Fibrosarcomas- abundant rER, collagen formation
Smooth muscle cell tumours- poorly developed ER , myofibrillary filaments attached to
                                  focal densities
Electron microscopy
• Diffuse sheets not classified by other
  means
• Myofilaments of skeletal muscle in
  embryonal or alveolar rhabdomyosarcoma
• Lakes of glycogen in Ewing’s tumour
• Distinctive cytoplasmic processes in
  neuroblastoma
Ewing’s sarcoma




Prominent lakes of glycogen
Embryonal RMS – cytoplasm showing haphazardly arranged abortive cross
                             striations
Neuroblastoma
                Cytoplasmic
                processes
                wrapping around
                a neuroblastoma
                cell
Neuroendocrine tumours
• Neuro secretory vacuoles
  in cytoplasm
• Spherical , ovoid
• Electron dense centre
  surrounded by a clear
  lucent halo enclosed in
  distinct membrane.
• Carcinoids, APUD,
  chemodactoma, medullary
  ca thyroid
Central Nervous System
      Neoplasms
• Classification of various cellular conformations of
  the CNS is difficult when trying to distinguish glial
  and neuronal elements using only light
  microscopy and immunohistochemistry.

• Electron microscopy often plays a pivotal role in
  diagnosis because it can provide accurate
  diagnosis when immunohistochemical studies
  are equivocal or negative.
Meningioma

• Long,interdigitating cellular processes

• Numerous cytoplasmic filaments

• Prominent desmosomes
Filgree pattern of the curving strands of attenuated cells- extracranial
meningioma
Disadvantages
1. EM is not economical- stable high voltage
   supply, vaccum system etc
2. Findings unlikely to influence treatment, IHC n
   LM together are confirmatory .
3. Tissue preparation is tough
4. Only a small proportion of neoplasm can be
   studied
5. Misinterpretation of non- neoplastic elements
   belonging to the tumor
Conclusion
Currently the use of EM is limited for the
expense and lack of surgical pathologists to
interpret EM findings .

Still it provides unique insight into the
structure of some tumors and renal
pathologies.

So better to use it selectively in study and
diagnosis of human diseases and research
areas and correlating the findings with LM
findings and IHC results.
Recent advances
• One of the latest developments in electron
  microscopy is the environmental scanning
  electron microscope (ESEM), which enables
  soft, moist and/or electrically insulating
  materials to be viewed without pre-treatment.
Hammar [2002] has succinctly
summarized the current
diagnostic status for IHC and EM:




   “ There are no immunohistochemical
     features that are absolutely specific
     100% at this time in diagnosing a
     neoplasm. There are a number of ultra
     structural features of neoplasm that are
     100% or nearly 100% specific in
     diagnosing certain neoplasms."
References

• Theory and practices of histopathological
  techniques, John D Bancroft, 4th edition;pg 585-
  639.
• Robbins and Cotran, PATHOLOGIC BASIS OF
  DISEASE, 8th edition.
• Cellular pathology technique, C.F.A. Culling, 4th
  edition;pg 603-620.
• Various internet sources.
Thank
you

More Related Content

Electron microscopy

  • 1. ELECTRON MICROSCOPY -Dr Ganga H
  • 2. Introduction • Transmission EM • Scanning EM • Preparation of tissue for EM • Diagnostic applications
  • 3. Introduction and History • The word microscope is derived from the Greek mikros (small) and skopeo (look at). • The light microscope -developed from the Galilean telescope during the 17th century. • Dutchman Antony van Leeuwenhoek (1632-1723) – simple microscope. • Discovered protozoa, spermatozoa, and bacteria, and classified red blood cells by shape.
  • 4. • The limiting factor in Van Leeuwenhoek’s microscope was the single convex lens. • Addition of another lens could magnify the image produced by the first lens. • This compound microscope – consisting of an objective lens and an eyepiece, a mirror or a source of light and a specimen table for holding and positioning the specimen.
  • 5. Resolution of the Human Eye • In sufficient light, the unaided human eye can distinguish two points 0.2 mm apart. • A lens or an assembly of lenses (a microscope) can be used to magnify this distance and enable the eye to see points even closer together than 0.2 mm.
  • 6. Types of microscopes • Three basic types: • Optical, charged particle (electron and ion), or scanning probe. • Electron and ion microscopes, use a beam of charged particles, and electromagnetic or electrostatic lenses • They can see features as small a tenth of a nanometer, such as individual atoms. • Scanning probe microscopes use a physical probe (a very small, very sharp needle) which scan over the sample in contact or near-contact with the surface. • These instruments are capable of atomic scale resolution
  • 7. • A modern light microscope - 1000x . • The resolving power of the microscope limited by the wavelength of the light used for illumination. • Using light with a shorter wavelength--a small improvement. • Using oil --- small improvement, but all together only brought the resolving power of the microscope to just under 100 nm.
  • 8. • In the 1920- accelerated electrons behave in vacuum much like light. • They travel in straight lines and have wavelike properties. • Wavelength is about 1,00,000 times shorter than that of visible light. • Electric and magnetic fields are used to shape the paths followed by electrons
  • 9. 1931-Ernst Ruska at the University of Berlin built the first transmission electron microscope (TEM) 1986- awarded the Nobel Prize for Physics
  • 10. • The first electron microscope used two magnetic lenses, and three years later he added a third lens and demonstrated a resolution of 100 nm, twice as good as that of the light microscope. • Today, electron microscopes have reached resolutions of better than 0.05 nm, more than 4000 times better than a typical light microscope and 4,000,000 times better than the unaided eye.
  • 12. Resolution of a microscope • Wavelength of the illumination source ( λ ) • The numerical aperture of the lens (N.A.) Limit of resolution = 0.61 λ/N.A. • The maximum value of N.A. for light microscope is approx. 1.4. therefore, that even the short blue light ( λ = 436 nm) of the visible spectrum will yield a resolution of only 190 nm. • The wavelength of an electron beam is about 100,000 times less than that of visible light and hence the resolution of an electron microscope is far superior to that of the light microscope.
  • 14. The Electron • An atom is made up of three kinds of particles – protons, neutrons, and electrons. • The electrons, which are about 1800 times lighter than the nuclear particles, occupy distinct orbits, each of which can accommodate a fixed maximum number of electrons. • When electrons are liberated from the atom-they behave like light.
  • 15. Types of electron microscope 1. Transmission electron microscopy : 2. Scanning electron microscopy:
  • 17. SEM
  • 19. Transmission Electron Microscope Principle • TEM is the direct counterpart of Light microscope • Involves passage of high velocity electron beam through specimen, thin enough to transmit 50% of the electrons • Transmitted electrons – focused by lens systems to form a 2 dimensional magnified image
  • 20. Analogy between LM & TEM • Arrangement & function of their components 1. Illuminating system – source & condensor 2. Imaging system – lenses to produce magnified image – objective & projector 3. Image translating system – Final image is viewed
  • 21. LM EM
  • 22. THE LIGHT MICROSCOPE v THE ELECTRON MICROSCOPE FEATURE LIGHT MICROSCOPE ELECTRON MICROSCOPE Electromagnetic Visible light Electrons spectrum used 390nm (red) – 760nm app. 4nm Maximum app. 200nm or 0.14nm resolving power 0.2micron Fine detail Maximum magnification x1000 – x1500 X 5,00,000 Radiation Tungsten or quartz High voltage (50kV) source halogen lamp tungsten filament Lenses Glass Magnets Interior Air-filled Vacuum Rigidly fixed, adjust Focus Lens is movable lens currents © 2007 Paul Billiet ODWS
  • 23. THE LIGHT MICROSCOPE v THE ELECTRON MICROSCOPE ELECTRON FEATURE LIGHT MICROSCOPE MICROSCOPE Human eye (retina), Fluorescent screen, Focussing screen photographic film photographic film Fixation formaldehyde Glutaraldehyde,OsO4 Embedding Wax Resin Sectioning Microtome Ultramicrotome slices - 20 000nm Slices - 50nm Whole cells visible Parts of cells visible Stains Water soluble dyes Heavy metals Support Glass slide Copper grid © 2007 Paul Billiet ODWS
  • 24. ELECTRON SOURCE • ELECTROMAGNETIC LENS SYSTEM • SAMPLE HOLDER • IMAGING SYSTEM.
  • 25. Electron source • The electron source consists of a cathode and an anode. • The cathode is a tungsten filament which emits electrons when being heated. • A negative cap confines the electrons into a loosely focused beam. • The beam is then accelerated towards the specimen by the positive anode.
  • 26. Electromagnetic lens system • The system allows electrons within a small energy range to pass through, so the electrons in the electron beam will have a well-defined energy. • 1. Magnetic Lens: Circular electro- magnets capable of generating a precise circular magnetic field. The field acts like an optical lens to focus the electrons. • 2. Aperture: A thin disk with a small (2-100 micrometers) circular through-hole. It is used to restrict the electron beam and filter out unwanted electrons before hitting the specimen.
  • 28. The Vacuum System • The electron beam must be generated in and traverse through the microscope column under a high vacuum condition. • The presence of air molecules will result in the collision and scattering of the electrons from their path. • In the electron microscope the vacuum is maintained by a series of highly efficient vacuum pumps. • THE VACUUM FACTOR: Biological material must be properly fixed and preserved
  • 29. Sample holder • The sample holder is a platform equipped with a mechanical arm for holding the specimen and controlling its position.
  • 31. Imaging system • The imaging system consists of another electromagnetic lens system and a screen. • The electromagnetic lens - two lens, one for refocusing the electrons after they pass through the specimen, and the other for enlarging the image and projecting it onto the screen. • The screen has a phosphorescent plate which glows when being hit by electrons.
  • 32. Image Formation in the TEM • The basis of image formation in the TEM is the scattering of electrons. • The scattering results in a shadow on the viewing screen or photographic film. • Material with high atomic numbers will cause more scattering and produce a deep shadow. Such material is termed "electron dense" and has high image contrast. • Biological material has low electron density and is known generally as "electron transparent". Hence, an inherent low contrast image is formed. • BIOLOGICAL MATERIAL must, therefore, be STAINED with heavy metal salts.
  • 34. THE SCANNING ELECTRON MICROSCOPE • To directly visualise the surface topography of solid unsectioned specimens. • Probe scans the specimen in square raster pattern. • The first scanning electron microscope (SEM) debuted in 1938 ( Von Ardenne) with the first commercial instruments around 1965. • Differs from TEM in construction & operational modes • TEM – information is obtained from transmitted electrons • SEM – majority is obtained from secondary, backscattered electrons & from X-rays.
  • 37. Thin Specimen Interactions • Incident electrons which are transmitted through the thin specimen without any interaction occurring inside the specimen- Unscattered Electrons. • The transmission of unscattered electrons is inversely proportional to the specimen thickness. • Areas of the specimen that are thicker will have fewer transmitted unscattered electrons and so will appear darker, conversely the thinner areas will have more transmitted and thus will appear lighter.
  • 38. Elastic Interactions • No energy is transferred from the electron to the sample. The electron either passes without any interaction or is scattered by electrostatic with the positive potential inside the electron cloud. • These signals are mainly exploited in TEM and electron diffraction.
  • 39. Inelastic scattering: Primary electrons hit electrons of the specimen atom Energy is transferred from the primary electron to the specimen Emission of electrons and radiation
  • 42. • After the impingement of the primary electrons on the specimens, secondary electrons as well as other forms of radiation are emitted. • But only the secondary electrons will be collected by the signal detector. • In the detector these electrons strike a scintillator and the light produced is converted to electric signals by a photomultiplier. • The electric signal is then amplified and displayed on the cathode ray tube (CRT).
  • 43. • In the SEM the electron beam is rapidly scanned back and forth in an orderly pattern across the specimen surface. • It is a composite of many individual image spots similar to the image formed on the TV screen. • The SEM has a specimen stage that allows the specimen to move freely so that the surface of the specimen can be viewed from all angles.
  • 44. The focused electron beam is moved from one pixel to another. At every pixel, the beam stays for a defined time and generates a signal (e.g.secondary electrons) which are detected, amplified and displayed on a computer screen
  • 45. Image magnification in SEM – A smaller area is scanned with the same number of pixels. – The scanned pixels are smaller
  • 46. TEM vs SEM TEM SEM 6 lenses – C1, C2, objective, 3 3 lenses – 2 condensor, 1 projector objective High accelerating voltage - low accelerating voltage penetration Not complicated Specimen Stage – complicated X & y axis X,Y,Z-axis, tilting, rotating
  • 47. Contrast formation in TEM Absorption of electrons Scattering of electrons Diffraction and phase contrast
  • 48. Contrast formation in TEM • Biological specimen consist of light elements: Absorption contrast weak Scattering contrast weak LOW CONTRAST Phase contrast weak • Contrast enhancement required: – Treatment with heavy metals (Ur, Pb, Os)! – Heavy metals attach differently to different components
  • 49. Thin section of alga stained with heavy metals (Ur, Pb)
  • 50. Contrast formation in SEM (using SE and BSE) • Different number of electrons from different spots of the specimen – Based on topography of the specimen – Based on composition of the specimen
  • 51. Uniform layer of heavy metal on specimen surface Primary electron beam Platinum
  • 52. SCANNING TRANSMISSION ELECTRON MICROSCOPY (STEM) • This is a recent technological advance in the field of Electron Microscopy. • The beam of electrons scans the specimen, as it does in scanning electron microscopy. • However, it is the transmitted electrons that are collected and amplified and form an image on a cathode ray tube. • The small spot size of the beam allows different areas of the specimen to be discriminated and analyzed. • A major use of STEM is in X-ray analysis which allows the elemental composition of the specimen to be mapped.
  • 53. Specimen preparation for electron microscopy Steps include  Specimen procurement  Fixation  Tissue processing and sectioning  Staining
  • 54. SPECIMEN PROCUREMENT Tissue preserved in glutaraldehyde. Tissue must be representative of the disease. Areas that show - degeneration, necrosis, haemorrhage must be avoided.
  • 55. Drying of the surface must be avoided. Tissue must be properly fixed. The suitability of the tissue can be confirmed by a frozen section or touch preparation.
  • 56. • Fixation : most commonly used are osmium tetroxide, glutaraldehyde and paraformaldehyde. • Dehydration : acetone or ascending concentration of alcohol, 5-15 min in each concentration. • Use of dimethyoxypropane for rapid dehydration. • Clearing agent: propylene oxide.
  • 57. • Embedding media : methacrylate and epoxy resins • These medias infiltrate well and help in thin sectioning • Blocks are transferred to suitable capsule containing fresh resin and these capsules are transferred to incubator for polymerization.
  • 58. Processing schedule Fixation: • Glutaraldehyde 2.5% at 4° C for 1-4 hrs. • Wash in buffer. Post fixation treatment: • 1% osmium tetroxide at 4°C for 1 hr. • Wash in water.
  • 59. Dehydration 50% alcohol 5-15 min 70% alcohol 5-15 min 90% alcohol 5-15 min Absolute alcohol 5-15 min Absolute alcohol 5-15 min Absolute alcohol 5-15 min Clearing Propylene oxide 15 min Propylene oxide 15 min Impregnation Epoxy resin 45-60min Polymerization at 60°C 24hrs
  • 60.  When formalin fixed tissue used – area that is likely to be fixed from outer surface to be chosen.  Paraffin blocks-the corresponding light microscopic section should be examined so that best portion of the tissue can be mapped.  However paraffin embedded tissue is never satisfying for an electron microscopist because of considerable distortion.
  • 61.  Certain types specimens require special processing unlike surgical specimens. These include- 1. Percutaneous renal biopsies- 1-2mm pieces from both the ends of the core are fixed to ensure cortical glomeruli are represented in tissue .
  • 62. Aspirate directly expressed into glutaraldehyde with gentle agitation and kept for fixation 2.FNAB Filtration of the fixed specimen through 20µm mesh screen Cells washed with pelleted buffer and processed as for solid tissue
  • 63. 3.Bone marrow aspirate Centifugation of Gentle Layering Disk is gently heparinized of fixative on the transferred and aspirate in buffy coat and further processed haematocrit tube fixation
  • 64. 4.Core biopsies of bone Challenging as decalcification causes severe damage to cells. Fixation in glutaraldehyde Soft marrow dislodged with fine needle under a dissecting microscope Processed in routine fashion
  • 65. 5.Body fluids Non • Centrifugation& • Fixation in glutaraldehyde hemorrhagic fluids Hemorrhagic • Erythrocytes removed fluids with brief hemolysis. • Rinsing in buffer and fixation
  • 66. TISSUE SECTIONING Preparation of thick or semithin sections: After the tissue has been embedded in plastic resin The blocks are embedded into sections at a thickness of approximately 1µm.
  • 67. And these are stained with methylene blue or toulidine blue and Examined to verify that blocks selected are representative of the disease process
  • 68. Thin sections are used for ultrastructural study-50nm thickness. These very thin sections are necessary-poor penetrating properties of electron beam. Ultramicrotomes are used for thin sectioning
  • 69. STAINING • Staining done using heavy metals such as uranium and lead
  • 70. Diagnostic applications  As a rule the pathologist performing the EM should come to presumptive diagnosis from Clinical history and light microscopic findings before performing the ultra structural studies.
  • 71. Electron microscopy Ultrastructural diagnosis of Ultrastructure of non tumour tumors biopsy
  • 72. Non tumor biopsies Tumor diagnosis • Epithelial tumors • Diseases of kidney • Mesothelioma • Metabolic storage diseases • Melanoma • Respiratory tract biopsies • Hematopoietic and • Skeletal muscle diseases lymphopoietic tumors • Infectious agents • Soft-tissue tumors • Cutaneous diseases • Central nervous system • Peripheral nerve biopsies tumors • Small round cell tumors
  • 73. .
  • 74. Renal biopsies Aided in classification of renal disease in particular & better understanding of the pathogenesis of glomerular disease
  • 75. a. Detailed study of glomerulus- epithelial cell, endothelial cells, basement membrane & mesangium. b. Best method - to evaluate the thickness and the structure of glomerular basement membrane. c. Aids in identifying the exact location of immune- complex deposits within glomerulus.
  • 76. Renal B opsy D agnosi s U i i sual l y R equi r i ng El ect r on M cr oscopy i Minimal change nephropathy Post-infectious glomerulonephritis Membranoproliferative glomerulonephritis Membranous nephropathy Dense deposit disease Diabetic nephropathy—early morphological changes (GBM thickening) Fibrillary glomerulonephritis Focal-segmental glomerulosclerosis—early recurrence in renal allograft
  • 77. Algorithm of Interpretation of Ultrastructural Findings: Discrete Immune-Type Electron-Dense Deposits Present COMBINED INTRAMEMBRANOUS SUBENDOTHELIAL, (Usually Combined SUBEPITHELIAL, SUBEPITHELIAL with Mesangial) SUBENDOTHELIAL MESANGIAL AND MESANGIAL Membranous GN Dense deposit disease MPGN IgA Lupus (WHO nephropathy classes III and IV) Lupus (WHO class V) GN related to Lupus (WHO class Henoch- MPGN type III endocarditis, deep- III and IV) Schönlein seated abscesses purpura Postinfectious GN Cryoglobulinemic Lupus (WHO GN related to GN (microtubular class II) endocarditis, substructure) C1q deep-seated nephropathy abscesses Rare other forms of mesangioprolif erative GN
  • 78. Algorithm of Interpretation of Ultrastructural Findings: No Discrete Immune-Type Electron-Dense Deposits Present Subendothelial Fluffy Electron- Finely Granular Fibrillary/Microt Normal GBM Diffusely Abnormal GBM Lucent Material Deposits ubular Deposits Minimal change Diffuse thinning All forms of Monoclonal Amyloidosis, disease, FSGS thrombotic immunoglobuli fibrillary GN, Thin GBM disease, early microangiopathies, n deposition cryoglobulinemic including malignantdisease GN, diabetic hypertension glomeruloscleros Alport syndrome is, collagen type Diffuse thickening III glomerulopathy Diabetes, hypertension, long-standing ischemia (also wrinkling) Diffuse lamellation /splitting Alport syndrome
  • 79. Minimal change disease Extensive foot process effacement.
  • 82. Membranoproliferative glomerulonephritis TYPE 1 TYPE 2
  • 83. Storage disorders  Deposition - lipid and glycogen can be visualized in biopsies of skin, brain, rectum, muscle, nerve, spleen, lymph nodes , bone marrow, heart and kidney.  Gaucher’s disease- abnormal glucocerebroside accumulation in reticuloendothelial cell of liver,spleen,lymph nodes, and bone marrow.
  • 84. Gaucher disease involving the bone marrow A, Gaucher cells with abundant lipid-laden granular cytoplasm. B, Electron micrograph of Gaucher cells with elongated distended lysosomes.
  • 85. Ganglion cells in Tay-Sachs disease. A, Under the light microscope, a large neuron has obvious lipid vacuolation. B, A portion of a neuron under the electron microscope shows prominent lysosomes with whorled configurations
  • 86. Niemann -Pick disease • Accumulation of sphingomyelin in lysosomes.. • Electron microscopy- engorged secondary lysosomes contain membranous cytoplasmic bodies resembling concentric lamellated myelin figures called zebra bodies
  • 87. Viral & other infections • Body fluids, skin blister fluid, curetting from warty skin lesions, surgically resected, PM specimens • Size 20-300nm • Negative staining- 4% PTA
  • 88. A, Adenovirus, an icosahedral nonenveloped DNA virus with fibers. B, Epstein-Barr virus, an icosahedral enveloped DNA virus. C, Rotavirus, a nonenveloped, wheel-like, RNA virus. D, Paramyxovirus, a spherical enveloped RNA virus. RNA is seen spilling out of the disrupted virus
  • 91. Respiratory Tract Biopsies  EM helps in studying several abnormalities of ciliary structure.  That is abnormalities in structure, number and pattern of microtubules that compose the axoneme of the cilium.
  • 92. • Abnormal fine structure of cilia is seen in ciliary dysfunction, such as immotile cilia syndrome
  • 93. Skeletal Muscle Biopsies  Alterations that can be studied under EM are relatively non specific.  Inclusions within myofibrils - lysosomal and non lysosomal storage disorders.*Fabry’s,Pompe’s+  Congenital multicore disease - disaaray of myofibrils
  • 95. Fabry’s Disease Deficiency of alfa galactosidase and accumulation of glycosphingolipids Concentric intracytoplasmic inclusions
  • 96. Ultrastructure of Tumors • Electron microscopy is an useful adjuvant techniques in the diagnosis and understanding of neoplasms. • Electron microscopy along with immunohistochemistry is more helpful than EM alone.
  • 97. Indications • Confirming the light microscopic diagnosis of a neoplasm. • Differentiating primary neoplasms from metastatic neoplasms. • Evaluating metastatic tumors of unknown primary origin. • Evaluating histologically undifferentiated malignant neoplasms.
  • 98. • Subtyping sarcomas • Subtyping lymphomas and leukemias • Evaluating neoplasms with unusual features such as crystalloid inclusions.
  • 99. Squamous cell carcinoma Well differentiated squamous cell carcinoma  Abundant cytokeratin filaments.  Frequent desmosomes between cells.
  • 100. Well differentiated squamous cell carcinoma- frequent desmosomes
  • 101. Poorly differentiated squamous cell carcinomas Reduction in cytokeratin filaments Reduction in desmosomes Diminution in organelles Loss of basal lamina
  • 102. Adenocarcinoma Microvilli – short, stubby, prominent microfilament,& glycocalcyeal vesicles. Few desmosomes and cytokeratin filaments. Intracytoplasmic mucin or glycogen deposits Tight junctional complexes
  • 105. Adenocarcinoma small intestine– demonstrates tight junctional complex, mucin granules and luminal microvilli are typical .
  • 106. Adenocarcinoma of colon- shows micrvilli, dense core rootlets below and rounded glycocalyceal bodies in the villi
  • 107. Ultastructure Of Mesotheliomas EM helps in differentiating mesotheliomas from adenocarcinoma.
  • 108. Mesothelioma and Adenocarcinoma • Mesotheliomas are characterized by having long, narrow, branching microvilli with a length to width ratio of around 10-16:1 ,-on free surfaces of cells. • By contrast, adenocarcinomas have short, stubby microvilli with core rootlets.
  • 109. Electron microphotograph of malignant mesothelioma-long thin non intestinal type of microvilli devoid of glycocalyx and actinic rootlets.
  • 110. Ultrastructure of Melanoma Helpful in diagnosing melanomas -not express anti-S-100 or the HMB-45 monoclonal antibody. In such cases identification of premelanosomes or melanosomes hallmarks the diagnosis of melanoma.
  • 111. Melanosomes –cytoplasmic organelles where melanin is produced.  There are four stages in development.
  • 114. • Immunostaining remains the main stay. • However EM is helpful –immunostaining is equivocal or negative.
  • 115. • Ultrastructural findings of leukemias and lymphomas 1. Nuclear pockets 2. Absence of intercellular attachment 3. Lack of endoplasmic reticulum 4. Cytoplasm filled with free ribosomes 5. Sparse mitochondria 6. Lipid droplets in large cell lymphomas
  • 116. 7. Immunoblastic transformation- the cisternae of the endoplasmic reticulum become abundant and organised. 8.Birbeck granules in Langerhans cells- are endocytic organelles that transport antigens from receptors on cell surface to interior to fuse with saccules of the golgi complex producing racket like configuration.
  • 117. Burkitt's lymphoma Numerous nuclear projections (np), polar aggregation of mitochondria (m), sparse endoplasmic reticulum (er)
  • 118. Histiocytosis X • Mononuclear langerhans cells with curved nucleus & an abundant cytoplasm • Birbeck granules in the cytoplasm
  • 119. Spindle cell tumors • Fibrosarcomas- abundant rER, collagen formation • Leiomyosarcomas – myofibrils & focal densities • Spindle cell SCC- tonofibrils & occasional desmosomes
  • 120. Fibrosarcomas- abundant rER, collagen formation
  • 121. Smooth muscle cell tumours- poorly developed ER , myofibrillary filaments attached to focal densities
  • 123. • Diffuse sheets not classified by other means • Myofilaments of skeletal muscle in embryonal or alveolar rhabdomyosarcoma • Lakes of glycogen in Ewing’s tumour • Distinctive cytoplasmic processes in neuroblastoma
  • 125. Embryonal RMS – cytoplasm showing haphazardly arranged abortive cross striations
  • 126. Neuroblastoma Cytoplasmic processes wrapping around a neuroblastoma cell
  • 127. Neuroendocrine tumours • Neuro secretory vacuoles in cytoplasm • Spherical , ovoid • Electron dense centre surrounded by a clear lucent halo enclosed in distinct membrane. • Carcinoids, APUD, chemodactoma, medullary ca thyroid
  • 129. • Classification of various cellular conformations of the CNS is difficult when trying to distinguish glial and neuronal elements using only light microscopy and immunohistochemistry. • Electron microscopy often plays a pivotal role in diagnosis because it can provide accurate diagnosis when immunohistochemical studies are equivocal or negative.
  • 130. Meningioma • Long,interdigitating cellular processes • Numerous cytoplasmic filaments • Prominent desmosomes
  • 131. Filgree pattern of the curving strands of attenuated cells- extracranial meningioma
  • 132. Disadvantages 1. EM is not economical- stable high voltage supply, vaccum system etc 2. Findings unlikely to influence treatment, IHC n LM together are confirmatory . 3. Tissue preparation is tough 4. Only a small proportion of neoplasm can be studied 5. Misinterpretation of non- neoplastic elements belonging to the tumor
  • 133. Conclusion Currently the use of EM is limited for the expense and lack of surgical pathologists to interpret EM findings . Still it provides unique insight into the structure of some tumors and renal pathologies. So better to use it selectively in study and diagnosis of human diseases and research areas and correlating the findings with LM findings and IHC results.
  • 134. Recent advances • One of the latest developments in electron microscopy is the environmental scanning electron microscope (ESEM), which enables soft, moist and/or electrically insulating materials to be viewed without pre-treatment.
  • 135. Hammar [2002] has succinctly summarized the current diagnostic status for IHC and EM: “ There are no immunohistochemical features that are absolutely specific 100% at this time in diagnosing a neoplasm. There are a number of ultra structural features of neoplasm that are 100% or nearly 100% specific in diagnosing certain neoplasms."
  • 136. References • Theory and practices of histopathological techniques, John D Bancroft, 4th edition;pg 585- 639. • Robbins and Cotran, PATHOLOGIC BASIS OF DISEASE, 8th edition. • Cellular pathology technique, C.F.A. Culling, 4th edition;pg 603-620. • Various internet sources.

Editor's Notes

  1. From the dawn of science there has been an interest in being able to look at smaller and smaller details of the world around us. Biologists have wanted toexamine the structure of cells, bacteria, viruses, and colloidal particles. Materials scientists have wanted to see inhomogeneities and imperfections in metals, crystals, and ceramics.In geology, the detailed study of rocks, minerals, and fossils on a microscopic scale provides insight into the origins of our planet and its valuable mineral resources.
  2. For example, try looking at a newspaper picture, or one in a magazine, through a magnifying glass. You will see that the image,is actually made up of dots too small and too close together to be,separately resolved by your eye alone. The same phenomenon will be observed on an LCD computer display or flat screen TV when magnified to reveal the individual “pixels” that make up the image
  3. Optical microscopes are the ones most familiar to everyone. They use visible light and transparent lenses to see objects as small as about one micrometer (one millionth of a meter), such as a red blood cell (7 μm) or a human hair (100 μm).
  4. With visible light it was impossible to resolve points in the object that were closer together than a few hundred nanometers
  5. similar to the way glass lenses are used to bend and focus visible light.
  6. In the 1920s, it was discovered that accelerated electrons behave in vacuum much like light. They travel in straight lines and have wavelike properties, with a wavelength that is about 100,000 times shorter than that of visible light. Furthermore, it was found that electric and magnetic fields could be used to shape the paths followed by electrons similar to the way glass lenses are used to bend and focus visible light. Ernst Ruska at the University of Berlin combined these characteristics and built the first transmission electron microscope (TEM) in 1931. For this and subsequent work on the subject, he was awarded the Nobel Prize for Physics in 1986. The first electron microscope used two magnetic lenses, and three years later he added a third lens and demonstrated a resolution of 100 nm, twice as good as that of the light microscope. Today, electron microscopes have reached resolutions of better than 0.05 nm, more than 4000 times better than a typical light microscope and 4,000,000 times better than the unaided eye.
  7. The positively charged protons and neutral neutrons are held tightly together in a central nucleus. Negatively charged electrons surround the nucleus.Normally, the number of protons equals the number of electrons so that the atom as a whole is neutral. When an atom deviates from this normal configuration by losing or gaining electrons, it acquires a net positive or negative charge and is referred to as an ion.
  8. The transmission electron microscope (TEM) was the first type of Electron Microscope to be developedPasses a beam of electrons through the specimen.The electrons detected on a fluorescent screen on which the image is displayed.Thin sections of specimen -as electrons have to pass through the specimen for the image to be produced.This is the most common form of electron microscope and has the best resolution [0.2nm] .
  9. The electron beam from the electron gun can be focussed and defocussed by a series of electro- magnetic lenses. Similar to the light microscope, the "Condenser Lenses" concentrate the beam onto the specimen. Electrons passing through the specimen will be focussed by the "Objective" &"Intermediate" lenses to form an intermediate image.The "Projector lens" enlarges this image into a final image on the fluorescent viewing screen at the bottom of the microscope column.Each lens is basically a circular electro-magnet. A variable electric current through the lens will produce a magnetic field of variable strengths which will deflect or bend the electron beam passing through
  10. caused by collisions between the beam electrons and the atoms of the specimen
  11. Specimen interaction is what makes Electron Microscopy possible. The energetic electrons in the microscope strike the sample and various reactions can occur as shown below. The reactions noted on the top side of the diagram are utilized when examining thick or bulk specimens (SEM) while the reactions on the bottom side are those examined in thin or foil specimens (TEM).
  12. The incident electron is then scattered "backward 180 degrees- backscaterred electron.Sec electron- Caused by an incident electron passing "near" an atom in the specimen, near enough to impart some of its energy to a lower energy electron (usually in the K-shell). This causes a slight energy loss and path change in the incident electron and the ionization of the electron in the specimen atom. This ionized electron then leaves the atom with a very small kinetic energy (5eV) and is then termed a "secondary electron". Each incident electron can produce several secondary electron.Auger Electrons-Caused by the de-energization of the specimen atom after a secondary electron is produced. Since a lower (usually K-shell) electron was emitted from the atom during the secondary electron process an inner (lower energy) shell now has a vacancy. A higher energy electron from the same atom can "fall" to a lower energy, filling the vacancy. This creates and energy surplus in the atom which can be corrected by emitting an outer (lower energy) electron; an Auger Electron.
  13. Mass absorption contrastOn passing through matter, a beam of electrons is gradually attenuated. The degree of attenuation increases with the thickness of the specimen and its mass, so variations of mass and thickness across the sample give rise to contrast in the image.Diffraction contrastDiffraction of electrons from Bragg planes causes a change in their direction of travel. Hence, contrast can arise between adjacent grains or between different regions near the core of a dislocation.Phase contrastScattering mechanisms often cause a change in the phase of the scattered electrons, as well as a change in direction. Interference between electrons of different phase which are incident on the same part of the image will cause a change in intensity and give rise to contrast.
  14. Biological material (light elements):Only few electrons escape from specimenAlmost no contrast, similar contrast everywhere on specimenBlurred image (electrons from “large” volume)Contrast enhancement important & needed:Localization of the signal to the surfaceCoating of biological specimen with thin heavy metal layer (a few nm)Reducing acceleration voltage
  15. Electron microphotograph showing myelin figure (´ 10,000) and Zebra body-inset (´ 15,000) (Uranyl acetate and lead citrate stain).
  16. he typical ciliary axoneme consists of 2 central microtubules surrounded by 9 microtubular doublets. Each doublet has an A subunit and a B subunit attached as a semicircle. A central sheath envelops the 2 central microtubules, which attach to the outer doublets by radial spokes.The outer doublets are interconnected by nexin links, and each A subunit is attached to 2 dynein arms that contain adenosine triphosphatase; one inner arm and one outer arm. The primary function of the central sheath, radial spokes, and nexin links is to maintain the structural integrity of the cilium, whereas the dynein arms are responsible for ciliary motion.
  17. Mitochondrial myopathy, ultrastructure. A large number of enormous mitochondria can be seen in the intermyofibrillar network of this myofiber. These mitochondria are larger than entire sarcomeres. Normal mitochondria are much smaller than sarcomeres.
  18. The four stages of melanosome development are shown in the upper panels. Note the dense bilayered coat (arrowhead) and intraluminal vesicles (arrow) of stage I melanosomes, the proteinaceous fibrils (arrow) of stage II, and the melanin deposition (black) in stages III and IV.