Steve, I agree with your whole thing. And our pathologist fought against plastic for years simply due to the fact it scratches easily and we are constantly pulling and filing slides for various needs. However, when we decided to go to scanning slides wet mounting media was never going to work - takes too long to dry and any gloppiness on the slide gums up the scanner. And no one is going to wait a day or more for their slides to be scanned when the purpose is to do remote diagnostics in real time.
We started with frozens several years ago and worked out a lot of details (hand- applied). Then started scanning control slides in histology a couple years ago to allow remote sign off of those. This year we started slowly moving various types of specimens to plastic and scanning. Then when Covid hit and everyone had to work remotely we went in for scanning everything. Luckily we had enough scanning capacity to do that. So far it has worked well. For diagnostics the scanned slide is fine 99 or more percent of the time. Occasionally we get problem scans and a slide has to be viewed manually. Actually the biggest problem has been network bandwidth to review images from home - often too slow. Currently we are still sending the slides to the pathologists office, but most of the time they are not looked at and end up going to storage. We expect to move to simply scanning and storing and may never touch the slide again - the images can be used for all teaching, conferences, etc. So the scratch problem is solved in that way. Glass will probably always be better than plastic for photography, but the vast majority of diagnostic slides in practice are never photographed. We'll see within the year if various pathologists want recut with glass coverslipping expressly for photography for articles and books. Tim Morken Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center -----Original Message----- From: Steve McClain via Histonet <histonet@lists.utsouthwestern.edu> Sent: Wednesday, August 05, 2020 8:41 PM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Histonet Digest, Vol 201, Issue 3 Update info. on old topic? Tim, Paula and Jeanine I have little experience w slide scanning, yet I have captured nearly 1.8M slide images, mostly on film coverslipped slides. One year ago we switched back to glass. 1) I suspect what Tim describes may be due to the fact that the refractive index of film differs from glass. We used film for nearly 20 years and for 4 years I could never get a sharp high power image. This was most noticeable when using 40x lens designed for glass cover slips. About 16 years ago, we found an Olympus 40x lens w a correction collar allowing for adjustment/ focusing suitable for coverslips of different thickness but useful also with either film or glass. The lens was expensive ($3600 if memory serves me). See https://urldefense.proofpoint.com/v2/url?u=https-3A__www.edmundoptics.com_p_olympus-2Duplxapo-2D40x-2Dobjective-2Dwith-2Dcorrection-2Dcollar_43026_&d=DwIF-g&c=iORugZls2LlYyCAZRB3XLg&r=7cy9qXFa73jDX2Iixpjkq1XlWAfHgLLHm33agI_sCKA&m=IZq7sglnD7BZh6tQuwuXoW8Xdke6Vv0QQ-hNSDBkFzk&s=B_LEPrG8dgAhhmRiptOVT5tukWNA5pNLY1iJ7AYW5do&e= Perhaps the scanner manufacturer has a similar solution? 2) we were especially diligent (mono-maniacal) about using fresh reagents to keep water out of the last clearing reagent step-film has a nasty reputation for delaminating over time and pulling the sections off the glass. Several major academic centers have years and hundreds of thousands of slides now completely useless due to delamination. 3) film has problems with certain specimens routinely (bone and toenails and the thick cornified layer on volar skin) not cover slipping well leaving bubbles and 'cornflakes' or brown spots over the tissue. Cornflake artifact also occurs w water in the last reagent and may be seen on obscenely humid days. 4) film scratches readily when you stack slides or file them too tightly. Film Slides can be filed immediately after exam. Glass generally needs to wait 2 days before filing or one can glue up a brick of slides by filing too soon. 5) Film is faster and dries faster but glass is sharper and produces better images for my purposes (we switched back to glass 1 year ago- and the Leica model works perfectly well) 6) our old SCA film coverlipper generated more fumes than the new Leica. However all new instruments produce less fumes than older models. 7) glass coverslips are better stored in a desiccator/dry environment, before use. 8) This will sound stupid, yet not all coverslips of clean.- most (3/4) cheap coverslip glass is dirty and cannot be used in our lab where most/every slide is imaged. To determine this pick up an entire stack of coverslips and look through them. If they look clear-good to go; if they appear cloudy, find a new supplier. 9) glass coverslippers are finickyabout viscosity and volume of the mounting media. Once dialed in, we didn't change media and use one brand and only one. 10) Not all film coverslip rolls are satisfactory either. We had the best luck w Brand S film and did not switch. Hope these observations help. Steve Steve A. McClain, MD 631-361-4000 Cell 631-926-3655 Good morning! I need to provide some information to my team about film vs. glass coverslipping. I have a lot of positive info. regarding film but are any cons? And I need to come up wit the pros of glass over film. Anyone with extended experience have some current information for me? Message: 3 Date: Wed, 5 Aug 2020 13:00:37 I am interested in this too, with my main question being the quality of digital images from film coverslipped slides. Paula Keene Pierce, BS, HTL ------------------------------ Message: 6 Date: Wed, 5 Aug 2020 15:38:14 +0000 From: "Morken, Timothy" <timothy.mor...@ucsf.edu> To: "Sanders, Jeanine (CDC/DDID/NCEZID/DHCPP)" <j...@cdc.gov> Cc: Histonet <histonet@lists.utsouthwestern.edu> Subject: Re: [Histonet] Update info. on old topic? Message-ID: <byapr05mb57039195dfe1e6c67b67b1f7e7...@byapr05mb5703.namprd05.prod.outlook.com> Content-Type: text/plain; charset="us-ascii" Hi Jeanine! We are using film coverslipping exclusively now and scanning all slides. We moved to film because it dries almost instantly and can be scanned right away. It has worked very well. The only issues, and not specific to film coverslipping, are that some slides with low contrast sometimes are out of focus. That is primarily IHC slides with low contrast counter stain and low contrast specific staining. Tim Morken Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center -----Original Message----- From: Sanders, Jeanine (CDC/DDID/NCEZID/DHCPP) via Histonet <histonet@lists.utsouthwestern.edu> Sent: Wednesday, August 05, 2020 5:40 AM To: 'histonet@lists.utsouthwestern.edu' <histonet@lists.utsouthwestern.edu> Subject: [Histonet] Update info. on old topic? Good morning! I need to provide some information to my team about film vs. glass coverslipping. I have a lot of positive info. regarding film but are any cons? And I need to come up wit the pros of glass over film. Anyone with extended experience have some current information for me? Thanks very much, Jeanine Sanders, BS, _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.utsouthwestern.edu_mailman_listinfo_histonet&d=DwIF-g&c=iORugZls2LlYyCAZRB3XLg&r=7cy9qXFa73jDX2Iixpjkq1XlWAfHgLLHm33agI_sCKA&m=IZq7sglnD7BZh6tQuwuXoW8Xdke6Vv0QQ-hNSDBkFzk&s=pTaSonGU5ViUyGn6QIotezGywaH86AIMC_o7xiiSZ7Q&e= _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
