Recognizing of artifacts during the analysis of histologic slides: a integrative review
DOI:
https://doi.org/10.33448/rsd-v10i15.23034Keywords:
Artifacts; Histology; Pathology; Slides.Abstract
The pathologist's work aims to diagnose a disease (pathology) through the analysis of tissue or organ fragments removed by biopsy procedures or surgery. This work is hampered by the frequent appearance of artifacts during the interpretation of histological slides, which can often lead to misdiagnosis of the investigated disease. Thus, an integrative review was carried out, guided by the question “What is there in the literature regarding the formation, interpretation and prevention of the appearance of artifacts?”. Data collection was performed on August 12, 2021, at the Virtual Health Library (LILACS and Medline) and National Center for Biotechnology Information (Pubmed) portals. A total of 26 articles were selected, where it was identified that the origin of artifacts can occur in the most diverse stages during the process of making histological slides. Therefore, it was shown that several are the steps that can lead in incorporating artifacts in the slides, such as: during the collection of the previous ones, tissue correction, preparation of blocks, tissue coloring, storage of the before as well as contamination of the slide during its process of assembly. Thus, facilitating the recognition of artifacts when reading histological slides, avoiding possible diagnostic errors.
References
Abuhaimed, A., Almulhim, A., Alarfaj, F., Almustafa, S., Alkhater, K., Yousef, M. & Menezes, R. (2020). Histologic Reliability of Tissues from Embalmed Cadavers: Can They be Useful in Medical Education? Saudi J. Med. Med. Sci., 8(3), 208-212. 10.4103/SJMMS.SJMMS_383_19
Chapman, C. (2019). Troubleshooting in the histology laboratory. Journal of histotechnology, 42(3), 137–149. 10.1080/01478885.2019.1640923
Chatzopoulos, K., Treeck, B., Venable, E., Serla, V., Wirth, T., Amirahmadi, F. & Lin, P. (2020). Formalin pigment artifact deposition in autopsy tissue: predisposing factors, patterns of distribution and methods for removal. Forensic Sci. Med. Pathol., 16(3), 435–441. 10.1007/S12024-020-00240-5
Correia, L. & Hubert, H. (2021). Manual Eletrônico Sobre Artefatos Durante a Preparação de Lâminas Histológicas, Porto Alegre, Brasil: Appris.
Erickson, Q., Clark, T., Larson, K., & Minsue, T. (2011). Flash freezing of Mohs micrographic surgery tissue can minimize freeze artifact and speed slide preparation. Dermatol Surg., 37(4), 503–509. 10.1111/J.1524-4725.2011.01926.X
Franchini, M., Zolfanelli, F., Gallorini, M., Giarrè, G., Fimiani, R., & Florio, P. (2015). Hysteroscopic polypectomy in an office setting: specimen quality assessment for histopathological evaluation. Eur. J. Obstet. Gynecol. Reprod. Biol., 189, 64–67. 10.1016/J.EJOGRB.2015.03.011
Hoerenz, P. (1981). The operating microscope. V. Maintenance and cleaning. Microsurgery, 2(3), 179–182. 10.1002/MICR.1920020304
Izadyyazdanabadi, M., Belykh, E., Zhao, X., Moreira, L. B., Gandhi, S., Cavallo, C., Eschbacher, J., Nakaji, P., Preul, M. C., & Yang, Y. (2019). Fluorescence Image Histology Pattern Transformation Using Image Style Transfer. Frontiers in oncology, 9, 519. 10.3389/fonc.2019.00519
Jadhav, K. B., Gupta, N., & Ahmed, M. B. (2010). Maltese cross: Starch artifact in oral cytology, divulged through polarized microscopy. Journal of cytology, 27(1), 40–41. 10.4103/0970-9371.66698
Jali, P. K., Donoghue, M., & Gadiwan, M. (2015). A rapid manual processing technique for resource-limited small laboratories. Journal of oral and maxillofacial pathology, 19(3), 306–314. 10.4103/0973-029X.174616
Johnson, K., & Hagen, G. (2020). Artifact-free whole-slide imaging with structured illumination microscopy and Bayesian image reconstruction. GigaScience, 9(4), 1–14. 10.1093/GIGASCIENCE/GIAA035
Klatt, E., Kumar, V., & Violin, K. (2010). Robbins & Contran: Perguntas e Respostas Em Patologia. Elsevier.
Kumaraswamy, K. L., Vidhya, M., Rao, P. K., & Mukunda, A. (2012). Oral biopsy: oral pathologist's perspective. J. Cancer. Res. Ther., 8(2), 192–198. 10.4103/0973-1482.98969
Marsch, A. F., Truong, J. N., McPherson, M. M., Junkins-Hopkins, J. M., & Elston, D. M. (2015). A Dermatopathologist's Guide to Troubleshooting Immunohistochemistry Part 1: Methods and Pitfalls. The American Journal of dermatopathology, 37(8), 593–603. 10.1097/DAD.0000000000000335
Mohan, K., Pai, S., Rao, R., Sripathi, H., & Prabhu, S. (2008). Techniques of immunofluorescence and their significance. Indian journal of dermatology, venereology and leprology, 74(4), 415–419. 10.4103/0378-6323.42898
Mota-Ramírez, A., Silvestre, F. J., & Simó, J. M. (2007). Oral biopsy in dental practice. Medicina oral, patologia oral y cirugia bucal, 12(7), E504–E510.
Olivas, A. D., Setia, N., Weber, C. R., Xiao, S. Y., Villa, E., Chapman, C. G., Siddiqui, U. D., Waxman, I., Hart, J., & Alpert, L. (2021). Histologic changes caused by injection of a novel submucosal lifting agent for endoscopic resection in GI lesions. Gastrointestinal endoscopy, 93(2), 470–476. 10.1016/j.gie.2020.06.056
Paknezhad, M., Loh, S.Y.M., Choudhury, Y. et al. (2020). Regional registration of whole slide image stacks containing major histological artifacts. BMC Bioinformatics, 21(1), 1–20. 10.1186/S12859-020-03907-6
Pantanowitz, L., Michelow, P., Hazelhurst, S., Kalra, S., Choi, C., Shah, S., Babaie, M., & Tizhoosh, H. R. (2021). A Digital Pathology Solution to Resolve the Tissue Floater Conundrum. Archives of pathology & laboratory medicine, 145(3), 359–364. 10.5858/arpa.2020-0034-OA
Petrak, L., & Waters, J. (2014). A practical guide to microscope care and maintenance. Methods in cell biology, 123, 55–76. 10.1016/B978-0-12-420138-5.00004-5
Ramos-Vara J. A. (2011). Principles and methods of immunohistochemistry. Methods in molecular biology (Clifton, N.J.), 691, 83–96. 10.1007/978-1-60761-849-2_5
Rech, R. R., Giaretta, P. R., Brown, C., & Barros, C. S. L. (2018). Gross and histopathological pitfalls found in the examination of 3,338 cattle brains submitted to the BSE surveillance program in Brazil. Pesquisa Veterinária Brasileira, 38(11), 2099–2108. 10.1590/1678-5150-PVB-6079
Redmayne, N., & Chavez, S. L. (2019). Optimizing Tissue Preservation for High-Resolution Confocal Imaging of Single-Molecule RNA-FISH. Current protocols in molecular biology, 129(1), E107. 10.1002/cpmb.107
Reggiani, L., Manta, R., Manno, M., Conigliaro, R., Missale, G., Bassotti, G., & Villanacci, V. (2018). Optimal processing of ESD specimens to avoid pathological artifacts. Techniques in coloproctology, 22(11), 857–866. 10.1007/S10151-018-1887-X
Satturwar, S., Rekhtman, N., Lin, O., & Pantanowitz, L. (2020). An update on touch preparations of small biopsies. Journal of the American Society of Cytopathology, 9(5), 322–331. 10.1016/J.JASC.2020.04.004
Shashikala, P., Sreevidyalatha, G., Nandyal, S., & Umapathy, G. (2017). Familiar trespassers in histopathology: An obstacle in diagnosis? A single-blind study. Indian journal of pathology & microbiology, 60(4), 524–527. 10.4103/IJPM.IJPM_241_17
Sy, J., & Ang, L. (2019). Microtomy: Cutting Formalin-Fixed, Paraffin-Embedded Sections. Methods in molecular biology (Clifton, N.J.), 1897, 269–278. 10.1007/978-1-4939-8935-5_23
Taqi, S., Sami, S., Sami, L., & Zaki, S. (2018). A review of artifacts in histopathology. Journal of Oral and Maxillofacial Pathology, 22(2), 279. 10.4103/jomfp.JOMFP_125_15
Ward, J., & Rehg, J. (2014). Rodent immunohistochemistry: pitfalls and troubleshooting. Veterinary pathology, 51(1), 88–101. 10.1177/0300985813503571
Wick, M. (2019). The hematoxylin and eosin stain in anatomic pathology-An often-neglected focus of quality assurance in the laboratory. Seminars in diagnostic pathology, 36(5), 303–311. 10.1053/J.SEMDP.2019.06.003
Whittemore R, & Knafl K. (2005). The integrative review: updated methodology. J Adv Nurs., 52(5), 546-53. 10.1111/j.1365-2648.2005.03621.x
Yagi, Y., Riedlinger, G., Xu, X., Nakamura, A., Levy, B., Iafrate, A. J., Mino-Kenudson, M., & Klepeis, V. E. (2016). Development of a database system and image viewer to assist in the correlation of histopathologic features and digital image analysis with clinical and molecular genetic information. Pathology international, 66(2), 63–74. 10.1111/pin.12382
Zaorsky, N., Patil, N., Freedman, G., & Tuluc, M. (2012). Differentiating Lymphovascular Invasion from Retraction Artifact on Histological Specimen of Breast Carcinoma and Their Implications on Prognosis. Journal of Breast Cancer, 15(4), 478. 10.4048/JBC.2012.15.4.478
Zheng, Y., Jiang, Z., Zhang, H., Xie, F., Shi, J., & Xue, C. (2019). Adaptive color deconvolution for histological WSI normalization. Computer Methods and Programs in Biomedicine, 170, 107–120. 10.1016/J.CMPB.2019.01.008
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Lidia Luz Correia; Diego Henrique Terra; Carolina Sturm Trindade; Helena Terezinha Hubert Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.