3D MORPHOMETRY Quantification of Microvasculature by SEM and 3D Morphometry B. Minnich1, H. Bartel1, H. Leeb2, E.W.N. Bernroider3, W.D. Krautgartner4, A. Lametschwandtner1 1 Department of Vascular - and Performance Biology, Salzburg, Austria Institute of Statistics, University of Vienna, Vienna, Austria 3 Institute of Information Processing, Vienna, Austria 4 Department of Electron Microscopy and Digital Image Acquisition, Salzburg, Austria 2 Keywords: vascular corrosion castings, stereoscopy, myocardium S U M M A RY A new method for accurate dimensional and angular measurements enables for the first time quantitative measurements in resin casts of delicate microvascular networks not accessible by other methods (e.g. intravital light microscopy, confocal laser scanning microscopy). Here we briefly describe casting of the microvascular networks of the canine myocardium, analysis of vascular casts by scanning electron microscopy (SEM), digital acquisition of SEM stereopairs by slowscan framegrabbing and apply three-dimensional (3D) morphometry to measure cast vessel diameters, lengths, intervascular and interbranching distances using a recently introduced method. Results of 3D and 2D measurements are compared and the method is discussed in respect to its impact on the study of highly complex vascular networks of tissues and organs in health and disease. INTRODUCTION The cardiovascular system consists of a muscular pump (heart) and a set of hierarchically connected tubes (arteries, veins and capillaries) with internal diameters down to ~ 5 µm (capillaries). With few exceptions only, blood vessels form three-dimensional networks which primarily serve to transport oxygen, nutrients and hormones to and carbon dioxide, metabolites and heat away from the body cells. To adapt transport capacities to the needs of different tissues and organs the system is finely tuned by several mechanisms which narrow (constrict) or widen (dilate) arteries and/or veins and decrease or increase blood flow and blood pressure. Nowadays, low viscosity polymerising resins enable to fill (cast) the entire circulatory system after blood has been flushed out [1]. After all organic materials of and around blood vessels have been removed by maceration in strong alkali only the plastic vascular casts remain and can be inspected in great detail in the SEM after appropriate preparation. Resins replicate finest details of the inner (luminal) surface of blood vessels and so vascular casts reveal imprints of endothelial cell nuclei and endothelial cell borderlines on their surface which allow a straightforward identification Figure 1: Canine heart. Vascular corrosion casts. Arrows mark direction of blood flow. (a) Macroscopic frontal view. Bar = 2 cm. (b) Transverse section (LM) of the heart wall (from enboxed area in (a). Note supplying and draining coronary vessels (bottom) and the ventricular surface (s) (top). Asterisks mark "conductive bridges" fixing the cast to the specimen holder. Bar = 2 mm. (c) Myocardial capillary network (SEM). Note the undulating capillaries and the draining venule (v). Intercapillary distances outline the location of cardiomyocytes. (d) Intramyocardial arteriole with characteristic arterial surface imprint patterns, circular impressions of smooth muscle cells (small arrows) and "plastic strips" representing plastified smooth muscle cells (asterisks). SEM. c= capillaries. (e) Intramyocardial venule with circular impressions of smooth muscle cells (small arrows). SEM. (f) Intramyocardial venule with characteristic oval endothelial cell nuclei imprints (small arrows). SEM. (g) Coronary vein with valve (LM). s= valve sinus. Bar = 1 mm. (h) Venous valve (SEM). Detail view. Note the second valve at the entrance of the small venule (small arrows). of castings as arteries or veins (Fig 1) [2]. Capillaries can be diagnosed easily by their small diameter. Moreover, any narrowing of a vessel lumen by a single or groups of contracted vas- MICROSCOPY cular smooth muscle cells (sphincters) [3] or by atherosclerotic plaques and any widening of vessels (e.g. aneurysms, outpouchings in tumour blood vessels) are reliably replicated AND A N A LY S I S • M AY 2 0 0 1 27 (Fig 1). Until very recently, SEM studies on vascular casts were mostly descriptive. Some investigations applied planimetry, point counting (stereology) or grey level image analysis to gain quantitative data on vessel diameters, lengths or vascular densities [4-8]. As these techniques neglected the spatial extension of blood vessels they underestimated distances. Now techniques are available which allow morphometry of three-dimensional networks of cast blood vessels [9-12]. These methods are PC-based and allow quantitative measurements of vessel diameters, vessel lengths, intervascular and interbranching distances as well as branching angles in space. They use digitised stereopaired SEM images with a defined tilt (e.g. 6˚) [10]. Data can now be subjected to statistics and any significant difference between vascular networks can be shown. M AT E R I A L S A N D M E T H O D S Vascular castings The heart of a dog terminated at the end of a clinical experiment was excised, plastic tubings were inserted into coronary arteries via the stump of the cut aorta, and tied in place. Then the coronary circulation was flushed with warm heparinised saline (1000 IE/1000 ml; 37˚C) to remove the blood. After clear reflux from the stumps of the cut caval vein, 40 ml of a polymerising resin, Mercox-Cl-2B (Ladd Research Inc., Burlington, VT, USA), diluted 4+1 (v+v) with monomeric methylmethacrylate (MMA)(containing 1.25 g of paste MA per aliquots of 20 ml MMA) were injected with manual pressure by hand-held syringes. For further processing of injected specimen and vascular casts, i.e. tempering, maceration, cleaning, drying, mounting, sputtering, we refer to previous work [13-14]. Figure 2: Point setting in the stereopaired images for calculation of the third dimension (Z) using the parallax. Screenshot of the measurement dialog showing intervascular distance and vessel diameter measurements on SEM stereopairs of the canine heart. Scanning Electron Microscopy Vascular casts were examined with an SEM (Stereoscan 250, Cambridge Instruments, Cambridge, U.K.) at an accelerating voltage of 10 kV, a working distance of 10 mm and a spot size of 5 or 6. Qualitative aspects The dense three-dimensional vascular network of the canine heart (Fig 1a-c) was excellently casted. Upon inspection by SEM, the surfaces of vascular casts revealed the characteristic endothelial cell nuclei imprint patterns enabling a clear identification of arteries (Fig 1d) and veins (Figs 1e,f). Circular narrowings resulting from impressions of contracted vascular smooth muscle cells were found in arteries (Fig 1d) and veins (Fig 1e). Valves were present on coronary and intramyocardial veins (Figs 1g,h). Courses of individual vessels could be followed over long distances and branching patterns and connectivities could be studied in great detail. Digital Imaging Stereopaired images with a tilt angle of 6˚ around the x-axis were acquired using a slow scan frame grabber (Orion 5.10; E.L.I. sprl. Brussels, Belgium) with an initial resolution of 3840 x 3840 pixels and an image depth of 8 bits (256 grey levels). Generally, images then were reduced to 480 x 480 pixels. This resolution was sufficiently high for subsequent 3D morphometry. 3D Morphometry Stereopaired images were imported into the newly developed PC-based software (3D Morphometry, Minnich and Muska OEG, Salzburg, Austria) which allowed exact measurements of distances (vessel diameters, intervascular and interbranching distances) and branching angles in 3D space. The method is based on the calculation of space co-ordinates using the 28 MICROSCOPY AND parallax. It considers also the projection mode (central or parallel) used during SEM work (Fig 2). Measuring was done by marking corresponding points of interests (e.g. outline of a vessel diameter) in the stereopaired images using the PC`s input device (Fig 2). The program stored planar co-ordinates (Xleft / Yleft and Xright / Yright), calculated the corresponding Z-co-ordinates using the parallax, and applied trigonometric functions in order to calculate marked distances or branching angles. Data were comfortably transferred into spreadsheet programs (e.g. MS Excel) by dynamic data exchange (DDE). R E S U LT S Quantitative aspects Using 3D morphometry we were able to measure structural parameters of myocardial blood vessels (means ± SEM), namely diameters (luminal): capillaries 5.79 ± 0.24 µm, venules 14.41 ± 2.79µm, arterioles: 10.69 ± 1.07µm; interbranching distances: venules 22.93 ± 2.29µm, arterioles: 28.52 ± 1.52µm, and intervascular distances: venules 12.14 ± 0.72µm. Branching angles were not measured A N A LY S I S • M AY 2 0 0 1 in these specimens. Measuring distances (e.g. lengths of vessels) on single micrographs, here referred to as 2D morphometry, resulted - due to the high depth of focus of SEM images - in up to 44.47% underestimation of true lengths when compared with multiple lengths measurements available in the 3D morphometry system (Fig 4). The multiple lengths measurement tool in our system proved particularly useful when measuring lengths of the undulating intramyocardial capillaries (Fig 1c). CONCLUSIONS SEM of microvascular corrosion casts was introduced as a purely qualitative method to describe the fine distribution of blood vessels within tissues and organs [1]. In combination with modern three-dimensional morphometry techniques [9-12] it has become a quantitative method to measure vessel parameters. Extensive Monte Carlo experiments and reproducibility tests revealed a very low measurement error (1 ± 0.5%; Fig 3) and found that the dimension of measured structures relative to the width of the measurement field (fv) is a critical factor [10]. This strongly contrasts with measurements in 2D where errors of up to 58% may occur [15]. This accuracy of 3D measurements together with advances in specimen preparation and improvements in injection technology now make SEM of microvascular corrosion castings applicable to the study of microvascular beds of a wide range of tissues and organs during development, juvenile, adult and aged states, both under physiological or pathological conditions. Presently, few studies only use this method to demonstrate the vascular beds of tumours [16-17]. Better knowledge of the 3D arrangement of tumour blood vascular networks can greatly contribute to a better understanding of tumour blood circulation and therapies based upon it. 3D MORPHOMETRY The technique finally allows us to prove if postulated optimality principles for the construction of vascular networks [18] match the real situation in the circulatory system and other fluid transporting systems [19-20]. REFERENCES 1. Murakami T. Application of the scanning electron microscope to the study of the fine distribution of the blood vessels. Archivum Histologicum Japonicum 32, 445-454, 1971. 2. Miodonski A. et al. Rasterelektronenmikroskopie von Plastik-Korrosions-Präparaten: morphologische Unterschiede zwischen Arterien und Venen. Beiträge Elektronenmikroskopischer Direktabbildungen von Oberflächen (BEDO) 9, 435-442, 1976. 3. Aharinejad S. et al. Scanning and transmission electron microscopy of venous sphincters in the rat lung. Anatomical Record 233, 555-568, 1992. 4. Kratky R.G. et al. Quantitative measurement from vascular casts. Scanning Microscopy 3, 937-943, 1989. 5. Nelson A.C. Study of rat lung alveoli using corrosion casting of the lung. A state-of-the-art review. Scanning Microscopy 1, 1733-1747, 1987. 6. Schraufnagel D.E. Microvascular corrosion casting of the lung. A state-of-the-art review. Scanning Microscopy 1, 1733-1747, 1987. 7. Zeindler C.M. et al. Quantitative measurements of early atherosclerotic lesions on rabbit aortae from vascular casts. Atherosclerosis 76, 245-255, 1989. 8. Zeith R. et al. Eine Methode zur quantitativen rasterelektronenmikroskopischen Analyse des myokardialen Kapillarnetzes anhand von Korrosionspräparaten. Beiträge Elektronenmikroskopischer Direktabbildungen von Oberflächen (BEDO) 17, 203-208, 1984. 9. Malkusch W. et al. A simple and accurate method for 3-D measurements in microcorrosion casts illustrated with tumor vascularization. Analytical and Cellular Pathology 9, 69-81, 1995. 10. Minnich B. et al. 3-dimensional morphometry in scanning electron microscopy: A technique for accurate dimensional and angular measurements of microstructures using stereopaired digitized images and digital image analysis. Journal of Microscopy 195, Figure 3: Accuracy of the 3D method. Results from Monte Carlo experiments. (a) Simulation of lengths measurements (uniform distribution; central perspective projection; n = 5,000) (b) Simulation of angular measurements with 15°, 30°, 60°, 90°, and 120° angles (uniform distribution; central perspective projection; n = 25,000). Note that errors in measurements increase exponentially if the length of a measured structure (respectively the side lengths of a triangle enclosing the measured angle as well as the angle itself) decreases in a linear manner relative to the field width of the SEM view (% fv). This figure was published in [10] and is reproduced with the permission of the copyright holder. 23-33, 1999. 11. Komatsu F. et al. Measurement of geometrical dimensions using scanning electron microscopy. Journal of Electron Microscopy 48, 407-415, 1999. 12. MeX, Alicona GdBr, Berchtesgaden, Germany, 1999. 13. Lametschwandtner A. and Weiger T. Scanning electronmicroscopy of vascular corrosion caststechnique and applications: updated review. Scanning Microscopy 4, 889-941, 1990. 14. Aharinejad S. and Lametschwandtner A. Microvascular corrosion casting in scanning electron microscopy. Springer Verlag, Berlin-Wien, pp 380, 1992. 15. Minnich B. and Lametschwandtner A. Length measurements in micro-vascular corrosion castings- 2D versus 3D-morphometry. Scanning 22, 173 – 177, 2000. 16. Konerding M.A et al. Evidence of characteristic vascular patterns in solid tumours: quantitative studies using corrosion casts. British Journal of Cancer 80, 724-732, 1999. 17. Konerding M.A. et al. Impact of fibroblast growth factor-2 on tumor microvascular architecture. A tridimensional morphometric study. American Journal of Pathology 152, 1607-1616, 1998. 18. Murray C.D. The physiological principle of minimum work applied to the angle of branching of arteries. Journal of General Physiology 9, 835-841, 1926. 19. LaBabera M. Optimality in biological fluid transport systems. Contemporary Mathematics 141, 565-585, 1993. 20. LaBarbera M. Principles of design of fluid transport systems in zoology. Science 249, 992-1000, 1990. ACKNOWLEDGEMENTS The authors are grateful to Ms. Synöve Tholo for technical and Mr. Andreas Zankl for photographic assistance and to the Royal Microscopical Society for copyright permission (Fig 3). Author’s details: Mag.Dr. Bernd Minnich, Department of Vascular- and Performance Biology, Institute of Zoology, University of Salzburg, Hellbrunnerstr. 34, A-5020 Salzburg, Austria. Tel: +43 (0)662 8044 5607, Fax: +43 (0)662 6389 5697. Email: [email protected] Figure 4: Comparison of lengths measurements using (a) 3D-morphometry – anaglyphic (red/green) image (ComServ, Minnich & Muska OEG, Salzburg, Austria) and (b) 2D-morphometry (Optimas 6.5 Image analysis software, Media Cybernetics L.P., Carlsbad, CA, USA). Three examples of multiple lengths measurements showed the following results: Length 1 (7 segments): 49.72 µm (3D) vs. 48.60 µm (2D); Length 2 (6 segments): 72.48 µm (3D) vs. 40.20 µm (2D); and Length 3 (9 segments): 61.96 µm (3D) vs. 55.42 µm (2D). The amount of measurement error in 2D varies from 2.25 % (Length 1), 10.55 % (Length 3) to 44.47 % (Length 2) according to the spatial extension of the vessels measured. DIDYOUENJOYTHISARTICLE ? ODYOUHAVE T AOPIC YOUCOULDWRITE ABOUT ? IRCLE C READER ENQUIRY NO. 336 ORVISIT OUR WEBSITE : www.microscopy-analy MICROSCOPY AND A N A LY S I S • M AY 2 0 0 1 29
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