Category Archives: TECHNOLOGIES

FDA’s Proposed Policy in Companion Diagnostics

On July 12, 2011, the FDA released a new draft guidance on the development and review of companion diagnostics (CDx). I would encourage anyone working in anatomic pathology to review the draft, as it will have widespread impact on digital pathology companies, antibody providers, and anatomic pathologists in both private practices and large reference laboratories. The [...]

Fluorescence and brightfield in one whole slide image

The novel staining approach combines the multiplexing capabilities of fluorescence with the tissue context of brightfield whole slide scanning FLAGSTAFF, Ariz. — March 17, 2011 — Flagship Biosciences announced today a novel whole slide imaging approach called Bridge Staining™, that allows a brightfield background to be aligned and overlaid on a fluorescent image on the same [...]

Nuclear cytoplasm localization

We do a lot of projects involving comparing a protein’s expression in the nucleus versus cytoplasm. Many proteins show activation upon translocation from cytoplasm to nucleus. Below are some example steps that we perform to obtain a measurement of the ratio on a cell-basis. There are a wide number of variations to these approaches. The [...]

Conference Notes — Applied IHC Florida 2011 Day One

The fifth annual retreat kicked off on Monday in sunnny Miami Florida in a packed room of 120 pathologists. Every year this conference provides the most in-depth analysis and discussion of best practices in immunohistochemistry. Below are some notes on the first day: Conference started with a pretest of 20 questions, presenting various cases and [...]

White versus red pulp with fluorescence scanning

In this example we use multimodal scanning of a brightfield stained slide in both brightfield and fluorescence to better delineate red from white pulp in spleen. The two images are overlaid with image registration, showing fluorescence scanning is better than brightfield for a more clear differentiation of red/white pulp.  This aids in running more accurate [...]

Bridge Staining – Spleen and Kidney

Bridge Staining with Multimodal Scanning. In the images below each slide has been scanned once in brightfield and once in fluorescence, using dyes with multimodal scanning compatibility. The upper image is autofluorescence, in the lower image the DAPI has a very similar staining pattern to a fluorescence compatible hemotoxylin equivalent.

Kappa/lambda in lymphoma

Anti-kappa and anti-lambda detect surface light chain immunoglobulins on normal and neoplastic B-cells in human lymphoid tissue.  In normal lymphoid tissue the kappa and lambda cell ratio is approximately 2:1, but values in excess of that ratio indicate monoclonality caused by either a lymphoproliferative disorder or neoplasia such as lymphoma. The double stain antibody provided by [...]

Fluorescence scanning of tunica intima

Whole slide fluorescence scanning of arteries to quantitate the tunica intima.

Pan melanoma & Ki-67 Multiplex IHC

Quantification of proliferating nuclei with multiplexed IHC in between melanoma and melanocytic nevi.

Tissue-based proteomics meets digital pathology

New approach combining laser capture micro-dissection with digital pathology and histology pattern recognition