Patent Application
20220065883
The present invention relates to a device for processing a biological sample hosted on a support, wherein the biological sample comprises at least one biological tissue included in a block of containment material, the device being of the type comprising:
Anatomical pathology is a branch of medicine dedicated to the study of human diseases through a macroscopic analysis of the organs or microscopic analysis of the tissues.
An anatomical pathology laboratory usually differs from traditional medicine laboratories because it shows a clear separation between the various areas, in each of which a specific phase of the process of preparation, and later of real analysis, of each sample takes place. The separation between one phase and another is therefore quite clear, as is the difference in duties and the high level of specialization of each operator.
Limiting the following discussion to the microscopic analysis of biological tissues, previously taken from a patient for example by biopsy and which are supposed to be transported at the laboratory entrance according to any of the known procedures, a particularly important phase is that of “embedding”, in which a containment material, for example paraffin, is poured into a support containing the portion of the tissue. Paraffin is a particular type of wax which, following an appropriate subsequent cooling, solidifies, thus facilitating the cutting operation of thin sections of tissue made later using a special tool, such as a microtome.
Each of these thin sections is then mounted on a laboratory glass (slide), possibly coloured (“staining”) and finally undergoes microscopic analysis.
The various tissue sections are manually positioned one by one on the respective laboratory slide, by an operator, for example through a pair of tweezers or a brush. This has two important consequences. Firstly, due to the thinness, each of said sections is extremely delicate and during the manual operation of transfer on the laboratory slide it can undergo deformations of various kinds, for example a compression, an elongation, a folding, an overturning or a combination of the same. Secondly, the orientation that each of the biological tissue sections assumes once positioned on the laboratory slide is extremely variable, so they are rotated relative to each other. This is particularly problematic because if a pathologist finds an alteration, for example a tumor cell, within a section of tissue, he would undoubtedly have an interest in investigating other sections of the same tissue in order to reconstruct, within the same, the possible evolution of a disease. Due to the problems of deformations and/or relative rotations described above, such operations would become particularly complicated.
A known possibility of overcoming this problem is to insert within the block of containment material, in a phase prior to the sectioning of the sample with the microtome, a reference material (“fiducial marker”) which substantially acts as an origin of a reference system by which to be able to relate the different sections of biological tissue to each other, regardless of their relative rotation. Basically, it is identified a portion inside the block of containment material where there is no biological tissue, at which a removal operation (“punching”) of a volume, typically cylindrical, of this containment material is carried out, for example through a syringe with a hollow needle pushed by a piston. The portion of the sample left empty is then filled with the insertion (“indexing”) of an identical volume of another material that acts as a reference, so as to appear clearly visible even later, on each of the tissue sections obtained by means of the use of the microtome.
It is understood that the shape of the inserted reference material can also be different from the cylindrical one, for example it can be characterized by a square, star, L-shaped base, or of any other known type. Furthermore, the nature of the material of which the reference is composed can be of various types: experimentally, the most used are natural polymers, such as agarose or chitosan, as well as some types of resins or synthetic polymers, such as polyacrylamide. It can also be envisaged the use of more than one reference material within the same block of containment material, to ensure an even greater precision and therefore a greater comparability between the various tissue sections obtained. Indeed, this basically corresponds to fixing different points of origin of the above-mentioned reference system.
Patents WO2006/031342 A2, WO2017/040671 A1 and WO2017/100373 A2 each include one or more of the features set forth above.
It is also necessary, in an initial phase or in any case prior to sectioning with the microtome, to acquire an image of the block of containment material with the biological tissue included within it, for example by means of a camera and possibly a lighting device, to facilitate the localization of a portion of the block where there is no biological tissue and which is therefore particularly suitable for the operation of removal of a volume of containment material for the following insertion of an identical volume of reference material.
Patent WO2018/094290 A1 and the article “Tissue arrays as fiducial markers for section alignment in 3-D reconstruction technology” (Bussolati et al., J. Cell. Mol. Med. 2005, 9 (2): 438-445) illustrate solutions wherein an initial acquisition system of the image of the block of containment material not yet sectioned is used, which allows to discriminate in advance the portions where there is no biological tissue and therefore to proceed with the removal of a volume of containment material at a portion of the block which is substantially pre-programmed. Furthermore, in the article cited above, a particular technique called “Tissue Microarray” is used which consists in the insertion of a reference material consisting of biological tissue—different from the biological tissue to be analyzed—instead of one of the above-mentioned materials.
However, while using an image acquisition system of the block, the identification of the precise portion wherein to actually remove a volume of containment material is still left to the operator in these cases. The dimensions of biological tissue included in the containment material vary indeed from case to case (in shape, size, orientation) and therefore the exact point in which to carry out such operation cannot always be the same. Obviously, the acquisition of the image helps the operator to identify the portion where there is no biological tissue, wherein the operation can be carried out, but the final decision on the precise point in which to make the removal of the volume of containment material is taken in a sense immediately by the operator himself. This situation may lead to errors in doing the operation.
The object of the present invention is to overcome the aforementioned drawbacks, implementing in particular a device of the type indicated at the beginning of this description, wherein the risk of lapping the biological tissue during the removal step of a volume of material from the block of containment material is reduced.
A further object of the invention is to provide a device of the type indicated at the beginning of this description, which ensures reproducibility and operational continuity over time.
A further object of the invention is to provide a device of the type indicated at the beginning of this description, which is of simple and cheap manufacture.
In order to achieve one or more of the aforesaid objects, the invention relates to a device for processing a biological sample hosted on a support, wherein the biological sample comprises at least one biological tissue included in a block of containment material, the device comprising:
The device is characterized in that:
(a) removal of a predefined volume of the block of containment material in correspondence with the aforesaid portion, and
(b) insertion of at least one reference material in replacement of the volume of the block of containment material which has been removed.
In the aforesaid embodiment, the identification of a portion of the block of containment material where there is no biological tissue is automated, so the risk of making errors is limited. Furthermore, also the removal of a predefined volume of the block of containment material and the insertion of a reference material in the block to replace such removed volume is completely automated. This minimizes the possibility of making errors and damaging the biological tissue included within the block of containment material, thus obtaining a more secure and fast processing procedure of the biological sample.
Preferably, the device object of the present invention further comprises a microtome placed downstream of the operator apparatus and able to section the biological sample in which the at least one reference material has been inserted into at least two sections of biological sample.
In the preferred embodiment, the device object of the present invention further comprises:
Preferably, the block of containment material is a paraffin block.
Preferably, the reference material is selected among composites based on microparticles/nanoparticles of barium titanate, zinc oxide, nanoclays, cellulose nanofibrils and other particles which guarantee a sufficient optical contrast between reference material and block of containment material, natural or synthetic polymers, such as agarose, chitosan, gellan gum, polyacrylamide, polyurethane, beeswax, candelilla wax and paraffin with added dye. More preferably, the reference material is selected among beeswax, candelilla wax and paraffin with added dye. In the preferred embodiment, the reference material is beeswax.
Preferably, the image acquisition system further comprises an illuminator and at least one mirror oriented in such a way as to allow the acquisition by said image acquisition system of an identification code which is present on the support.
The invention also relates to a method for processing a biological sample hosted on a support, wherein the biological sample comprises at least one biological tissue included in a block of containment material, the process comprising the steps of:
The method is characterized in that:
(a) removal of a predefined volume of the block of containment material in correspondence with the aforesaid portion, and
(b) insertion of at least one reference material in replacement of the volume of the block of containment material which has been removed.
Preferably, the method object of the present invention further comprises the steps of:
In the preferred embodiment, the method object of the present invention further comprises the steps of:
In the above described embodiment, it is evident how the method object of the present invention allows, thanks to the integration of the signals S3 and S4, to be sure of the position of the section of biological tissue which is being analyzed, compared to the whole biological tissue initially included in the paraffin block, even when the reference material is removed during the sample processing steps. This allows to perform all the necessary treatments on the biologic tissue section without having to worry if such treatments could be harmful to the reference material.
Preferably, the block of containment material is a paraffin block.
In the preferred embodiment, the reference material is selected among composites based on microparticles/nanoparticles of barium titanate, zinc oxide, nanoclays, cellulose nanofibrils and other particles that guarantee a sufficient optical contrast between reference material and block of containment material, natural or synthetic polymers, such as agarose, chitosan, gellan gum, polyacrylamide, polyurethane, beeswax, candelilla wax and paraffin with added dye.
Further features and advantages of the invention will become apparent from the following description with reference to the attached drawings, given purely by way of non-limiting example, in which:
The term “biological tissue” as used in the present description refers to a group of structurally similar cells, associated by function. In one embodiment, the biological tissue is a tissue from a mammal, preferably a human.
The term “containment material” as used in the present description refers to a material suitable for including one or more biological tissues in such a way as to facilitate their following processing. In the preferred embodiment, the containment material in which the biological tissue is included is paraffin.
In
As visible in particular in
It is to be intended that the biological sample can also include more than one biological tissue 3 included in the block of containment material 2. Furthermore, in the embodiment shown in
Furthermore, in the embodiment shown the block of containment material 2 is a paraffin block, but it is to be understood that it can be of any other type of known material which is suitable for use in order to include a biological tissue 3 for the following processing thereof, for instance the block of containment material 2 can comprise polymers such as glycol methacrylate, methyl methacrylate, agarose, chitosan and polyacrylamide or beeswax and candelilla wax. The embedding of the biological tissue 3 within the block of containment material 2 is performed according to any one of the techniques already known in the prior art for this purpose. As visible in
As can be seen in
In the illustrated example, an electronic processing unit 7, programmed to receive and process a first signal S1 that is emitted by the optical detector 5, is associated to the image acquisition system 4. It is to be understood that it is possible that more than one signal S1 is emitted by the optical detector 5. In particular, the signal S1 is indicative of the image acquired by the optical detector 5. In the preferred embodiment, the electronic processing unit 7 comprises an “automatic detection strategy” algorithm, capable of distinguish, on the basis of the signal S1, the positions in the space of the image acquired by the optical detector 5 which are occupied by the biological tissue 3 from the positions in the space of the image where the biological tissue 3 is not present.
As can be seen in
In the present description and in the appended drawings the construction details of the operator apparatus 9 and of the operating head 90 are not illustrated, since these details can be made in any known way and do not fall, taken alone, within the scope of present invention. The elimination of these details from the drawings also makes the latter simpler and easier to understand. For example, the operator apparatus could be in the form of a Cartesian robot or a multi-axis manipulator robot, and the operating head 90 could be equipped with both a punching tool 91 and an insertion device 92 (as described below) and could be positioned from time to time to activate the punching tool or the insertion device.
The operator apparatus 9 is associated with an electronic controller E, which is configured to receive a second signal S2 emitted by the electronic processing unit 7 on the basis of the signal S1 coming from the optical detector 5. In particular, the second signal S2 is indicative of the position in the space of a portion of the block of containment material 2 where there is no biological tissue 3. The electronic controller E is configured and programmed to control the operator apparatus 9 on the basis of the second signal S2 to position the operating head 90 in correspondence with the portion of the block of containment material 2 where there is no biological tissue 3 and subsequently to make the operating head 90 perform the following operations in order:
(a) removal of a predefined volume of the block of containment material 2 in correspondence with the aforesaid detected portion, and
(b) insertion of a reference material 10 in replacement of the volume of the block of containment material 2 which has been removed.
In the preferred embodiment, the operator apparatus 9 positions the operating head 90 in correspondence with the aforementioned portion of the block of containment material 2 where there is no biological tissue 3, moving it both along the aforementioned xy plane and along the z axis. However, in a different embodiment, the operating head 90 is already correctly positioned along the xy plane, so that it is positioned only by moving it along the z axis.
In the embodiment shown, the removal of the predefined volume of the block of containment material 2 is carried out by means of a punching tool 91 while the insertion of the reference material 10 is carried out by means of any known insertion device associated with the operating head 90, for example a syringe 92 with a hollow needle pushed by a piston.
As can be seen in particular in
In the preferred embodiment, the reference material 10 comprises wax in its various forms, i.e. beeswax, candelilla wax or paraffin with an added dye. However, the reference material 10 can also be of a different type, for example it can comprise a polymer such as barium titanate microparticle/nanoparticle composites, zinc oxide, nanoclays, cellulose nanofibrils and other particles that ensure enough optical contrast between reference material 10 and block of containment material 2, natural or synthetic polymers, such as for example agarose, chitosan, gellan gum, polyacrylamide, polyurethane.
In the preferred embodiment, the removed volume of the block of containment material 2 is cylindrical in shape, so that before the insertion of the volume of reference material 10, a cylindrical groove 101 is present in the block of containment material 2, as visible in
In the preferred embodiment, the device 1 further comprises a microtome (not shown) located downstream of the operator apparatus 9. The microtome is arranged to section the biological sample wherein the reference material 10 has been inserted into a plurality of sections of biological sample. It is to be understood that the microtome can be of any type known in the prior art and suitable for the purpose and that the number, thickness and dimensions of the obtained biological sample sections can be variable. Furthermore, the shape of the biological sample sections can also be of different types, i.e. square, rectangular, triangular, irregular. In one embodiment, the obtained biological sample sections are all equal to each other. In a different embodiment, the obtained biological sample sections are different from each other for one or more of the above-mentioned parameters.
In the preferred embodiment, downstream of the microtome there is a second image acquisition system 14 comprising a second optical detector 15 in which, after having positioned on a laboratory slide 12 a section of biological sample obtained by means of the microtome, an image of said section of biological sample is acquired, thus obtaining an image shown in
It is to be understood that the second optical detector 15 can be of any known type, for instance a camera or a video camera. Furthermore, in the embodiment illustrated in
In the embodiment shown in
A second electronic processing unit 17, programmed to receive and process a third signal S3 and a fourth signal S4 which are emitted by the second optical detector 15, is associated with the second image acquisition system 14. In particular, the signal S3 is indicative of the image of the section of biological sample, while the signal S4 is indicative of the image of the corresponding section of only biological tissue 3. It is to be understood that even more than a third signal S3 and a fourth signal S4 can be emitted by the second optical detector 15, for instance in the case in which more than one image of the section of biological sample and more than one image of the corresponding section of only biological tissue 3 are acquired at the second image system 14.
The invention also relates to a method for processing a biological sample hosted on a support 20, wherein the biological sample comprises a biological tissue 3 included in a block of containment material 2, comprising the steps of:
(a) removal of a predefined volume of the block of containment material 2 in correspondence with the aforesaid detected portion, and
(b) insertion of a reference material 10 in replacement of the volume of the block of containment material 2 which has been removed.
Preferably, the method further comprises the steps of:
In the preferred embodiment, the method further comprises the steps of:
It is to be understood that the processing necessary to perform a staining of the biological tissue 3 can be carried out using any method known for the purpose, using any type of known coloring material and coloring apparatus.
It is to be understood that the above method, in each of the described embodiments, can be carried out using any of the embodiments of the device 1 and of the biological sample described above.
In the preferred embodiment in which a cylindrical volume of containment material 2 is removed (and replaced by the reference material 10), once the following sectioning has been carried out by means of the microtome, the position of the reference material 10 in the xy plane of the section of biological sample obtained has a fixed distance from the sectioned biological tissue 3. In this case, the height on the z axis (to identify, for each different section of biological sample, which is the corresponding point of the biological tissue 3 in height) can be obtained indirectly, knowing the thickness of each cut and the number of cuts performed by the microtome. Both of this information is known, adjustable by the operator and can be reported on a bar code accompanying the support 20 which initially contains the block of containment material 2.
In an alternative embodiment, wherein the shape of the volume of removed containment material 2 and therefore of the inserted reference material 10 is variable in height or asymmetrical (for example a pyramid with a triangular base or a cone), the height along the z axis to which a specific section of biological sample can be traced back is obtained directly, by observing the difference between the various sections of the reference material 10 and knowing the thickness of the sections obtained by means of the microtome.
In the following, a description will be provided concerning the use of the preferred embodiment, shown in
As can be seen in
The camera 5, on the basis of the acquired image, generates and sends a first signal S1 to an electronic processing unit 7 associated with the image acquisition system 4. The electronic processing unit 7 comprises an “automatic detection strategy” algorithm able to discern, on the basis of the signal S1, the positions in the space of portions of the paraffin block 2 where there is biological tissue 3 from the positions in the space of portions of the paraffin block 2 where the biological tissue 3 is not present. On the basis of the first signal S1, the electronic processing unit 7 generates a second signal S2, indicative of the position into space of a portion of the paraffin block 2 where there is no biological tissue 3.
The signal S2 is then sent to an electronic controller E which, in turn, controls an operator apparatus 9, located downstream of the image acquisition system 4, which comprises an operating head 90. More specifically, the electronic controller E controls the operator apparatus 9 to move the operating head 90 first along an xy plane, parallel to the transport surface defined by the automatic conveyor, and then along a z axis perpendicular to the transport surface defined by the automatic conveyor, in order to position the operating head 90 in correspondence with the portion of the paraffin block 2 where there is no biological tissue 3 identified thanks to the “automatic detection strategy” algorithm. Once positioned, the operating head 90 removes a predefined paraffin volume from the paraffin block 2 by means of the punching tool 91, associated with the operating head 90, thus leaving an empty volume 101 in correspondence with the paraffin block 2. Later, the operating head 90 inserts a reference material 10 comprising beeswax into the paraffin block 2, replacing the predefined volume of paraffin which has been removed. The insertion of beeswax 10 takes place thanks to the syringe 92, having a hollow needle and a piston to push the reference material 10 to be inserted through the hollow needle.
After the insertion of the reference material 10, the biological sample is sectioned by means of a microtome (not shown) placed downstream of the image acquisition system 4, thus obtaining a plurality of sections of biological sample. Each of the obtained biological sample sections comprises the reference material 10, which allows to orient the different sections of biological sample between them, allowing the overall reciprocal orientation to be reconstructed. Each of the obtained biological sample sections further comprises the section of the paraffin block 2 and the section of the biological tissue 3.
Each of the biological sample sections thus obtained is subsequently positioned on a respective laboratory slide 12, which is then brought to a second image acquisition system 14, located downstream of the microtome. In this location, a second illuminator 16 irradiates the biological sample section positioned on the laboratory slide 12 with a light radiation and a second camera 15 acquires an image of the biological sample section. The camera 15, on the basis of the acquired image, generates and sends a third signal S3 to a second electronic processing unit 17 associated with the second image acquisition system 14. The signal S3 is indicative of the image of the acquired biological sample section.
Later, it is performed the necessary processing for a staining of the biological tissue 3, which is useful for better visualizing the biological structures of interest during the subsequent microscopic analyses. This step involves the removal of the paraffin block 2 (“de-paraffinization”) from the laboratory slide 12. Furthermore, the reference material 10 is also at risk of being removed from the laboratory slide 12 during processing.
In the event that the reference material 10 has been removed, the laboratory slide 12—on which the section of only biological tissue 3 is now positioned—is again transported in correspondence with the second image acquisition system 14, in which it is acquired an image of the section of only biological tissue 3 repeating the above mentioned operations. The camera 15, on the basis of the image of the section of only biological tissue 3 acquired, generates and sends a fourth signal S4 to the second electronic processing unit 17 associated with the second image acquisition system 14. The signal S4 is indicative of the image of the section of only biological tissue 3 acquired. The second electronic processing unit 17 processes and integrates the signals S3 and S4 to identify the virtual position 10′ of the reference material 10 on the image of the section of only biological tissue 3. This operation is carried out by superimposing the image of the section of biological sample, comprising both the biological tissue 3 and the reference material 10, with the image comprising the section of only biological tissue 3.
As it is evident from the above description, the device for processing a biological sample object of the present invention allows not only to automatically detect the exact position of the block of containment material where there is no biological tissue, in which to insert the reference material, regardless of the different shapes, sizes and orientations of the biological tissue included within the block of containment material, but also to carry out the insertion of the reference material within the biological sample in a completely automatic way. The automation of such insertion allows to minimize the risk of human errors and maximizes the reproducibility of the operations, as well as speeding up the entire biological sample processing procedure.
Furthermore, studies and experiences conducted by the Applicant have shown that, thanks to the presence of the second image acquisition system, the device object of the present invention also allows to precisely identify the virtual position of the reference material, in the event that it is removed during the processing steps of the biological sample which are necessary to prepare it for microscopic analyses. This allows to be always sure of the precise position of the analyzed biological tissue section with respect to the other biological sample sections obtained by means of the microtome.
Of course, without prejudice to the principle of the invention, the construction details and the embodiments may vary widely with respect to what is described and illustrated purely by way of example, without thereby departing from the scope of protection of the present invention, as defined in the annexed claims.
Furthermore, all the solutions equivalent to that explicitly claimed fall within the scope of protection of the present invention. For example, it is considered equivalent a solution wherein the reference material is placed within a mold (which in this case acts as a support for the biological sample) containing the biological tissue before the containment material is poured into the mold.
| Number | Date | Country | Kind |
|---|---|---|---|
| 102020000020974 | Sep 2020 | IT | national |
