Quantifying the tissue shrinkage caused by sample preparation for micro-ct and LSFM

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1 Quantifying the tissue shrinkage caused by sample preparation for micro-ct and LSFM J. Goyens 1,2, J. Buytaert 1, D. De Greef 1, P. Aerts 2,3 and J. Dirckx 2 1 University of Antwerp, Laboratory of BioMedical Physics, Groenenborgerlaan 171, B-2020 Antwerp, Belgium 2 University of Antwerp, Laboratory of Functional Morphology, Universiteitsplein 1, B-2610 Antwerp, Belgium 3 University of Ghent, Department of Movement and Sport Sciences, Watersportlaan 2, 9000 Ghent, Belgium Aims Micro Computed Tomography (micro-ct) and light sheet fluorescence microscopy (LSFM) are often used tomographic methods for imaging macroscopic samples with histological detail. It is even possible to image multiple tissue types simultaneously (e.g. bone, muscle, nerve and fat tissue). However, micro-ct requires staining with heavy elements (and thus fixation and sometimes dehydration) to distinguish soft tissue. LSFM also involves fixation, dehydration and staining, and additionally requires decalcification and clearing. In both preparation methods, the sample is prone to shrinkage, which is often not mentioned, let alone quantified. Therefore, our aim is to quantify and compare tissue shrinkage of 3 micro-ct stains (PTA, IKI and I2E) and the LSFM preparation in bone, muscle and brain tissue. Method To quantify sample shrinkage, we had to scan the specimens twice: once before (fresh, as a reference), and once after specimen preparation. Obviously, imaging fresh tissues with micro- CT is difficult, hence the need for staining. Therefore, we chose to scan single-tissue samples. With careful optimization of the micro-ct scan parameters, we were able to visualize the outer boundaries of the soft tissue samples. This is sufficient to determine sample volume. Since LSFM is simply impossible on unprepared samples, these specimens were visualized by micro-ct as well, both before and after specimen preparation. In total, we collected 96 micro-ct datasets: 2 scans (pre and post staining) of 4 preparations methods on 4 tissue types, which we repeated on 3 different animals to acquire some statistics. Tissue samples Bone, muscle, nerve and fat are the four main animal tissue types. We excluded fat from this study, as it is not compatible with the specimen preparation methods. The other tissues were harvested from 10 male New Zealand White rabbits (12 weeks old). All animal manipulations in this work were performed in accordance with Belgian legislation and the directives set by the Ethical committee on Animal Experimentation of our institution (University of Antwerp, Belgium). They were housed in cages with food and water ad libitum in our animal facility. We collected muscle samples of about 7x7x7mm from the hamstring posterior thigh muscles. Next, a brain sample, a bone shard of the middle ear bulla wall and the incus (the second and middle of the middle ear ossicles) were harvested. We included incus bones in the study because of their small size which may make them prone to shrinkage and because they are part of our main line of research. However, since the incus is very fragile, we also included a more rigid bone shard of the middle ear bulla. Micro-CT imaging The samples were scanned with a new SkyScan 1172 X-ray micro-computer tomograph weeks at the facilities at the VUB (Vrij Universiteit Brussel, Belgium). For each sample, we manually optimized the scan parameters (voltage, current, filter and magnification) for good X-

2 ray contrast while keeping the scanning time short. The latter was necessary to minimize shrinkage inside the scanner, as the temperature easily reaches 30 C. To further avoid or at least minimize dehydration and shrinkage during scanning, we placed the samples in a closed-off custom-made Plexiglass container. In this small container, the specimen was placed on a synthetic foam island, surrounded by water to saturate the atmospheric humidity. Micro-CT staining Immediately after micro-ct scanning of the fresh samples, the samples were fixated in 10% formalin. To visualize soft tissue with micro-ct, it has to be doped by heavy chemical elements, that enhance the X-ray absorption. We chose for three widely accepted and implemented micro-ct stains: phosphotungstic acid (PTA), iodine in absolute ethanol (I2E) and aqueous iodine with potassium iodide (IKI, one formulation of Lugol s solution) 1. PTA has been used already for many years in histological staining and electron microscopy 2. Traditionally, it is used in 100% ethanol, however, we used a 100% aqueous solution to minimize possible additional shrinkage caused by dehydration, which also works well (Metcher, personal communication). For I2E, we first dehydrated the sample with a graded ethanol series (30%, 60%, 90%, 100% and 100%, each for at least a day) before staining. The aqueous IKI staining was used in a 3% (1% iodine I2 + 2% potassium iodide) instead of the 0.3% mentioned in Metscher et al., for a better accordance with other literature 3,4 and the I2E mass concentration (1%). LSFM staining The fixated samples were made transparent and fluorescent using the standard preparation procedure for LSFM 5, consisting of decalcification by 10% EDTA, dehydration by a graded ethanol series (30%, 60%, 90%, 100% and 100%, the same series as for the I2E staining), clearing in a graded Spalteholtz fluid series and staining by immersion in a fluorescent dye (Rhodamine B isothiocyanate 5x10 4 mg/ml for at least a day). Segmentation We derived sample volumes from the micro-ct datasets in the dedicated software package Amira (FEI Visualization Sciences Group). First, we selected the voxels belonging to the sample with automatic grey-scale thresholding. Subsequently, we visually inspected and improved this automatic segmentation manually. Although very time consuming, the additional effort results in more realistic results. This is especially the case in difficult, noisy, blurred and/or deformed image data 6,7, such as those of our fresh and LSFM-prepared soft tissue samples. Finally, a 3D model of the selected voxels was generated (see Fig. 1) from which the volume could be calculated. The manual correction possibly introduces a human (operator) bias in the segmentation process. To assess this inter-operator variability, 4 samples (one incus, one bone shard, one brain and one muscle) were analyzed by three operators. Figure 1: Three-dimensional mesh models of the unstained micro-ct scans of incus bone (A), bulla bone shard (B), hamstring muscle sample (C) and brain tissue sample (D).

3 Results and discussion Though micro-ct imaging of unstained (fresh) tissue is difficult, the optimization of the scan parameters for single-tissue samples enabled us to determine the outer boundaries (see Fig. 1). (Average) volume shrinkage The average volume shrinkage and standard deviation per preparation method and tissue type is presented in Figs. 2 and 3. Figure 2 shows that the water-based stainings (PTA and IKI) cause the least amount of shrinkage. Further, PTA outperforms IKI and is therefore the preferred staining method to perform morphometric measurements, though it still causes substantial shrinkage on soft tissues: average volume shrinkage of (10 ± 3)% for muscle (corresponding to 3.6% isometric linear shrinkage) and (27 ± 2)% for brain tissue (corresponding to 10.1% isometric linear shrinkage). However, the PTA molecule is larger than those of IKI, and therefore its penetration depth is limited 8. Figure 2: The average volume shrinkage per preparation method and per tissue type is presented with error bars for the standard deviation. Independent of the preparation method, the soft tissue samples are prone to shrinkage, while calcified (bone) tissue does not shrink (see Fig. 3). Within the soft tissues, brain is more delicate than muscle. The excessive shrinkage in the muscle and brain samples in the I2E and LSFM methods (> 55%) is probably caused by dehydration by ethanol. Both tissue types contain lipids that may get dissolved by ethanol Therefore, although LSFM has its benefits (histological quality, real-time sectioning, high-resolution etc.), one should be aware of the major volume (and thus linear) shrinkage. Micro-CT thus offers a powerful alternative, when combined with the appropriate stain. Segmentation: variability between operators The accuracy and operator dependency of (manual) segmentations are often debated. We compared segmentations of the same sample by three operators. Over the four tissue types, the average relative standard deviation is only 0.8%. The segmented volumes of the bone shards show the highest variation, but still the relative standard deviation is only 1.4%.

4 Figure 3: The average volume shrinkage per preparation method and per tissue type is presented with error bars for the standard deviation. Conclusion Staining is necessary when imaging soft tissue simultaneously with bone with tomographic techniques. Specimens treated with stains and accompanying preparation steps (e.g. fixation and dehydration) are prone to shrinkage and deformations. However, this shrinkage is often neglected or underestimated. To our knowledge, we are the first to quantify shrinkage caused by stains for micro-ct and LSFM. These results, accepted for publication in Microscopy and Microanalysis, show that substantial shrinkage is to be expected. All methods cause considerable shrinkage of soft tissues, but aqueous stains perform better than ethanol-based stains. Sample shrinkage should therefore be taken into account when making morphometric measurements or models based on stained specimens. The best performing stain tested, is aqueous PTA, though its penetration depth should be considered. Furthermore, the results showed to be independent of the operator. Acknowledgements Jan Buytaert and Daniel De Greef are both financially supported by the Research Foundation Flanders with a fellowship. Jan Buytaert furthermore acknowledges VOCATIO for its support. Jana Goyens is financially supported by a grant (ID BOF UA a) from the Research Council of the University of Antwerp. The use of the SkyScan 1172 system, located at the VUB facilities, was made possible by the support of the Hercules Foundation. Brian Metscher and Egon Heiss are thanked for their welcome insights References: 1. Metscher, B. D. MicroCT for comparative morphology: Simple staining methods allow high-contrast 3D imaging of diverse non-mineralized animal tissues, BMC Physiology, 9(11), 1 14, Metscher, B. D. MicroCT for developmental biology: a versatile tool for highcontrast 3D imaging at histological resolutions, Developmental Dynamics, 238(3), , Degenhardt, K., & Wright, A. Rapid 3D phenotyping of cardiovascular development in mouse embryos by micro-ct with iodine staining, Circ Cardiovasc Imaging, 3(3), , 2010.

5 4. Gignac, P., & Kley, N. Methodological Refinements to Using Lugol s Iodine as a Contrast Agent in X-ray Micro-CT Imaging, In Society for Integrative and Compartive Biology annual meeting (p. 83.5), Voie, A. H. Imaging the intact guinea pig tympanic bulla by orthogonal-plane fluorescence optical sectioning microscopy, Hearing Research, 171(1-2), , Buytaert, J. A. N., Salih, W. H. M., Dierick, M., Jacobs, P., Dirckx, J. J. J., & Structures, T. Realistic 3D computer model of the gerbil middle ear, featuring accurate morphology of bone and soft tissue structures, Journal of the Association for Research in Otolaryngology, 12(6), Salih, W., Buytaert, J. A. N., Aerts, J. R. M., Vanderniepen, P., Dierick, M., & Dirckx, J. J. J. Open access high-resolution 3D morphology models of cat, gerbil, rabbit, rat and human ossicular chains, Hearing Research, 284, 1 5, Pauwels, E., Van Loo, D., Cornillie, P., Brabant, L., & Van Hoorebeke, L. An exploratory study of contrast agents for soft tissue visualization by means of high resolution X-ray computed tomography imaging, Journal of Microscopy, 250, 21 31, Christie, W. Preparation of lipid extracts from tissues, In W. Christie (Ed.), Advances in lipid methodology (pp ), Oily Press, Maciá-Botejara, E., Morán-Penco, J. M., Espín-Jaime, M. T., Botello-Martínez, F., Salas-Martínez, J., Caballero-Loscos, M. J., & Molina-Fernández, M. Brain lipid composition in rabbits after total parenteral nutrition with two different lipid emulsions, Nutrition, 29(1), 313 7, Vourazeris, J. D., Lawless, M. W., Markert, R. J., Stills, H. F., & Boivin, G. P. Semitendinosus muscle fatty infiltration following tendon harvest in rabbits, Journal of Orthopaedic Research, 31(8), , 2013.

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