FT-IR is an emerging modality for label-free biochemical imaging of tissue sections, with the potential to have an important role in improving the current standard of diagnosis in pathology. The current gold standard for pathology requires tissues to be biopsied, fixed in formalin, embedded in paraffin, sectioned multiple times, and stained with multiple stains. A highly trained pathologist has to subjectively visually assess the tissue structure and cellular morphology to determine a diagnosis. Here we show how to collect high-resolution IR images from the same type of sections and discuss some of the computational approaches to examine chemical differences between cell types and disease states.
The critical steps within this protocol are to ensure that the tissues are very carefully focused and that the system is well calibrated to ensure very high quality spectroscopic data. The care when setting up the system is particularly critical when working with high magnification objectives. To aid in troubleshooting, the following list covers some of the potential difficulties encountered;
Problem: Low IR intensity when imaging in reflection. Solution: Check IR slide orientation as the reflective coating may be on the wrong side of the slide.
Problem: Low signal/Red warning sign in Lancer Control. Solution: Cool detectors with LN2. Liquid nitrogen is required for the FPA detectors to function and requires periodically being topped up.
Problem: Velocity error/movement errors. Solution: Reset spectrometer and reduce vibrations. Vibrations will cause the moving mirror in the interferometer to be disturbed.
Problem: Water vapor spikes in data. Solution: Increase purge on system and protect sample from air.
Problem: Invalid centerburst. Solution: Find centerburst again.
Problem: Low flux difference in transmission, even though focused. Solution: Adjust bottom condenser. This will occur as the IR light is not being focused to a point on the sample.
In this paper, we have focused on how to acquire high definition IR images of tissues in either transmission or transflectance mode. The nature of FT-IR imaging, is that there are multiple modifications that can be made to the data acquisition, such as, type of substrate, fixation technique, sample thickness, spectral resolution, interferometer mirror speed etc. The effect of these parameters has been discussed in extensive detail recently 4,5,17,51.
There are a number of modifications that can be made to the imaging system including imaging in ATR mode10,24,26 and using nanoscale thermal approaches52,53 to allow for high resolution IR imaging. The main limitation with high resolution IR imaging is that the tissues must be carefully prepared and thin enough for IR to pass through (typically 4 μm thickness). In addition, transmission and reflectance FT-IR imaging requires the samples to be dry due to the absorbance of IR by water. However, FT-IR imaging has significant advantages over other techniques, in that it can very rapidly image large areas of tissue while deriving rich and detailed biochemical information. Other similar techniques that derive biochemical information in a label-free fashion include Raman spectroscopy, however the time of data acquisition is much slower to acquire images. New Raman imaging approaches are emerging including Stimulated Raman scattering (SRS) and Coherent Antistokes Raman scattering (CARS); however, they have access limited spectral range or single frequency imaging.
The advances in speed of data acquisition, spatial resolution, and availability of computational approaches have been of tremendous value in making FT-IR imaging a more feasible approach for translation as a new imaging tool in pathology. The recent advances in spatial resolution have been particularly important for tissue pathology due to key cell types not being resolvable using conventional FT-IR imaging systems. The recent paper by Reddy et al. showed how to model an ideal system to obtain the optimal spatial resolution of an FT-IR imaging system5. The kidney tissue example presented in this paper demonstrates the importance of higher spatial resolutions in order to extract biochemical information from glomerular structures (Figure 3 and Figure 5). In the future, new advances in Quantum Cascade Lasers as very bright IR light sources54-57, 3D spectral imaging58, and breakthroughs in the field of nanoscale IR technologies52,53,59,60 hold exciting new avenues of research that may have huge implications in the future of tissue imaging.
We have presented examples of applications in liver and kidney disease where there is a need for additional biochemical information that can be of diagnostic value. The Spectral Pathology Lab in the Department of Pathology at the University of Illinois at Chicago is focused on the translation of IR imaging technologies towards improving disease diagnosis and improved prediction of patient outcome. FT-IR imaging may overcome some of the current limitations in pathology practice where quantitative and objective information is required. In particular, future work is focused on identifying areas in current pathology practice where current techniques fail to provide adequate diagnostic sensitivity or provide limited information. A clear need exists in improving the current practice of pathology and towards giving more information to the pathologist about a patient’s disease status, which may be achievable using high-definition FT-IR imaging.