Decalcificati ON& Dehydration: By: Riman Mustafa Ibrahim

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DECALCIFICATI

ON &
DEHYDRATION 
BY: RIMAN MUSTAFA IBRAHIM 
It’s a procedure where by calcium or lime
salts are removed from tissues after
fixation 

This step is important to ensure the


DECALCIFICATI normal cutting of section and to prevent
ON  the obscuring of microanatomical detail
caused by bone dust .

 Specimen that require decalcification are


like bone , teeth and tuberculous lung .
• Calcium can be removed by the
use of the following agents:

1. Acids 
TYPES OF 2. Chelating agents 
DECALCIFYI 3. Ion exchange resins 
NG AGENT  4. Electrical ionization 
1)ACIDS 

They are the most


They are stable ,
widely used agents
easily available and
for routine
inexpensive
decalcification for
compared to other
large amounts of
agents 
bony tissue .
the most commonly
used and very rapid
1) Nitric Acid
producing minimal
distortion .
Some acids that
can be used for
decalcification  It can be used as either
Recommended simple solution or
concentration is 5-10% combined with other
agents 
NITIRC ACID 

01 02 03 04
A) 10% Aqueous B) Perenyi's fluid – C) Formol – nitirc D) Phloroglucin-
nitric acid  decalcifier and tissue acid –produce less Nitric acid – most
softner  tissue distortion and rapid decalcifying
good nuclear agent 
staining 
It's good for nuclear staining
but can cause great tissue
distortion 
2)
HYDROCHLORIC
ACID 
Von Ebner's Fluid : 
Moderately rapid Recommended
Good cytological
decalcifying No washing out  for small pieces
staining
agent  of bone 
Safer to handle , lesser tissue distortion and
better nuclear staining 

Recommended for routine decalcification of


post mortem research tissue 

3) FORMIC Can be used as fixative and decalcifying agent 


ACID 
Recommended when immunohistochemical
staining is needed

Requires to be neutralized 
5) Sulfuric Acid – very
4) Trichloroacetic acid –
weak decalcifying solution 
has a good nuclear staining
suitable only for minute
Other acidic and no washing out 
pieces of bone 

decalcifying 7)Citric acid –Citrate


agents  6) Chromic Acid
( Fleming's fluid ) - can be
buffer solution ph4.5 -
permits excellent  nuclear
used as both fixative and
& cytoplasmic staining 
decalcifying agent , yet its
and doesn’t produce any
corrosive and carcino genic
tissue distortion .
It combines with calcium ions and other salts to form weak
complexes and facilitate removal of calcium salt 

Most common chelating agent is EDTA 

2) CHELATING Recommended for immunohistochemical and enzyme staining


AGENT 
Excellent for electron microscopy 

Not recommended for urgent biopsy


Removes calcium ions form formic acid
containing decalcifying solutions 

3) ION 20 to 30x the volume of the tissue 

EXCHANG Cellular details are well preserved and permits


E RESIN excellent staining results 

It's very slow and degree of decalcification


cannot be measured by chemical method 
Utilizes electricity , where in positively
charged calcium ions are attracted to a
negative electrode and subsequently removed
from decalcifying solution 

ELECTROPHORE Time is shorten cause of the heat and


SIS electrolytic reaction 

Idle for small bone fragment 


1) Concentration and volume 

FACTORS
INFLUENCUNG More concentrated acid solution
RATE OF decalcify bone more rapidly but is
DECALCIFICATI more harmful to the tissue 
ON 

The recommended ratio of fluid to


tissue volume is 20:1 
2) Temperature 

FACTORS INFLUENCI
NG
 RATE OF
 DECALCIFICATION 

Optimum
temperature is a
room temp range
of  18C-30C
3) Agitation 

Mechanical agitation and moving of tissue in solution


influences fluid exchange , accelerates the rate of diffusion
and speed up decalcification process

FACTORS INFLUENCUNG R 4) Size of specimen 


ATE OF DECALCIFICATION 

Increase in size and consistency of tissue require longer


period to complete decalcification 

Ideal time required is 24-48 hours 


There are 3 ways to measure the extend of decalcification

Measure the 1)Physical or Mechanical Test

extend of Done by touching or bending the tissue with the fingers to


determine the consistency of tissue 
decalcificatio
n This method can disrupt soft tumor from the bone or cause
false positive leading to potential miss diagnosis 

Small calcified foci may not be detected  


This is the most ideal, most sensitive and
most reliable method due to its ability to
detect the smallest focus of calcium .

2) X-
RAY/RADIOLOGICAL It’s the most expensive method 
METHOD

It's not recommended for mercuric –


chloride fixed tissue due to its radio-
opacity which will interfere with the correct
interpretation of the plate 
Detection of calcium
It’s the simplest ,
in acid solution by
reliable and
precipitation of
convenient method

3)
insoluble calcium
used for routine
hydroxide or
purposes 
calcium oxalate 

CHEMICA
L Solution used : The decalcifying

METHOD Ammonium
hydroxide ,
concentrated and
fluid is changed
every 24-48 hrs and
the chemical test is
saturated aqueous performed on the
ammonium oxalate  discarded fluid 
This step is done to remove the decalcifying agent after
decalcification is completed 

Acid can be removed from tissues or neutralized chemically


by immersing the decalcified bone for several hours in either 

POST-
DECALCIFICATI A) saturated lithium carbonate solution
ON 
B) 5-10%aqueous sodium bicarbonate 

Adequate water rinsing can usually be accomplished in


30mins for small samples and 1-4 hrs for large specimen
Hard tissues which
are liable to damage Perenyi's fluid: may
the microtome act as both
knives may require decalcifying agent
tissue softener aside and tissue softener
from decalcification 

TISSUE
SOFTNER  Molliflex : tissue
immersed in it may 
2% HCl or 1%
appear swollen and
Hydrochloric acid in
soapy yet it doesn't 
70% alcohol 
affect normal
processing 
THE END 
THANK YOU :) 

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