Heather, 
Short answer: if you do a good trichrome on normal muscle tissue you'll be fine.

Ragged red fibers describe muscle that has abnormal concentrated areas of 
mitochondria - they show as large red areas within the muscle fiber. However, 
if you do a normal muscle and can see the mitochondria staining red, then you 
will also be able to see the mitochondrial concentrations on diseased fibers. 

Doing this stain well requires excellent frozen muscle tissue, which means snap 
freezing in methyl butane cooled by liquid nitrogen. If you haven't done that 
procedure I suggest reviewing this video on youtube:

http://www.youtube.com/watch?v=W4Wk7iSJJZs


Tim Morken
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center
tim.mor...@ucsfmedctr.org



-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hart, Heather
Sent: Wednesday, December 12, 2012 2:33 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Modified Gomori Trichrome

I have request to implement this stain for frozen muscle in OCT blocks.  The 
pathologist is looking for demonstration of ragged red fibers, however it is my 
understanding (very limited) that this (in this circumstance) is a diagnostic 
stain and the tissue on hand that I will be using for development will be 
normal with no RRF present.   I am unable to discern what type of tissue to use 
as a positive control, outside of muscle diseased specimen.  Any suggestions 
and/or working methods would be greatly appreciated.

Heather Hart, MLT (ASCP)

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