Preparation of diagnostic specimens for transmission electron microscopy
Several factors influence the selection of preparatory procedures for diagnostic TEM. These include variability of specimens, lack of accessibility to additional specimens, and the need for expeditious turn-around time and technical reliability. Specimens encountered in a diagnostic laboratory may include peripheral blood huffy coats and bone marrows, biopsies of liver, muscle, nerve, skin, kidney, lung and other organs, and a variety of tumors. It would be desirable for optimal preservation to employ a dehydration and embeddment schedule designed specifically for each specimen type, but such a practice in a diagnostic setting would seriously multiply the specimen handling steps and preclude simultaneous processing of different specimen types. Such a practice could also induce errors and increase the technical workload, which could have a negative effect on cost containment. Therefore, generalization of the preparatory schedule and selection of an embedding medium which will adequately preserve ultrastructural details for a wide range of specimens is appropriate.