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Tissue Clearing and Its Application in the Musculoskeletal System
Yan-Jing Zhan1, Shi-Wen Zhang1,2, SongSong Zhu1,2
1State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
ACS Omega
|January 23, 2023
Summary
Optical tissue-clearing offers advanced 3D imaging for musculoskeletal research, overcoming limitations of traditional methods. This review evaluates its potential and provides guidelines for broader application in skeletal and muscle studies.
Area of Science:
- Biomedical Engineering
- Anatomy
- Histology
Background:
- Traditional histological sections limit 3D musculoskeletal research.
- A need exists for advanced 3D imaging of bones and muscles.
- Optical tissue-clearing presents a novel approach for musculoskeletal investigation.
Purpose of the Study:
- To review and evaluate optical tissue-clearing technologies for musculoskeletal research.
- To provide guidelines for applying these technologies to bones and muscles.
- To inform researchers on informed decision-making for musculoskeletal imaging.
Main Methods:
- Physically and chemically eliminating refractive components in tissues.
- Replacing tissue liquid with high-refractive-index chemicals.
- Utilizing optical tissue-clearing for 3D reconstruction at cellular/subcellular scales.
Main Results:
- Optical tissue-clearing enhances imaging depth and resolution.
- Musculoskeletal tissues present unique challenges (low lipids, high hemoglobin, collagen, hydroxyapatite) compared to neural tissues.
- The technology allows for detailed 3D visualization of musculoskeletal structures.
Conclusions:
- Optical tissue-clearing is a promising technology for musculoskeletal research.
- Adaptations are needed to address the specific composition of bones and muscles.
- Guidelines are provided to facilitate the expanded use of this technique in the musculoskeletal field.

