[Histonet] Decon disinfectant for Ultras

2013-12-10 Thread Sue Hunter
Has anyone used a disinfectant other than Lysol IC to do the decon on  the 
Ventana Ultras?
Thanks
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edumailto:shun...@beaumont.edu


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RE: [Histonet] Discontinuing Negative Reagent Controls for IHC

2013-12-10 Thread Sue Hunter
Beaumont Hospital, Royal Oak MI.  It's great!
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Monday, December 09, 2013 4:59 PM
To: Roger Heyna; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Discontinuing Negative Reagent Controls for IHC

Hartford Hospital, Hartford, CT

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs Assistant Director, Anatomic 
Pathology Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax
richard.car...@hhchealth.org


From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Roger Heyna 
[rhe...@lumc.edu]
Sent: Monday, December 09, 2013 3:47 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Discontinuing Negative Reagent Controls for IHC

I am putting together a list of facilities that have discontinued the use of 
negative reagent controls for IHC. After the CAP revised the requirement 
related to negative controls when polymer-based detection systems are used, we 
decided to investigate whether discontinuing the negative controls would be 
possible for our lab. It would be helpful to know what labs have done this 
successfully. If the labs that have discontinued the use of negatives could 
just respond in an email, I would appreciate it.

Also, if anyone has any thoughts pertaining to this change, they're certainly 
welcome.

Thank you,
Roger
Maywood, IL

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[Histonet] RE: CAP survey Question

2013-12-05 Thread Sue Hunter
We do the same process as Linda does here at Beaumont.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree Linda A
Sent: Wednesday, December 04, 2013 4:34 PM
To: 'Vickroy, Jim'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: CAP survey Question

We also have Ultras Jim.  We don't print out the run logs.  IHC personnel 
review the controls before they go to a pathologist in order to catch any 
problems.  The pathologists are supposed to review the controls associated with 
each case they sign out.  Our pathology report has a statement included that 
the negative and positive controls have stained appropriately.  By signing off 
on each case, the pathologist is attesting to the fact that he has indeed 
reviewed the controls...we do not police them.

So far, this works for us.

Linda A. Sebree
University of Wisconsin Hospital  Clinics IHC/ISH Laboratory
600 Highland Ave. 
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vickroy, Jim
Sent: Wednesday, December 04, 2013 2:51 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] CAP survey Question


For a long time I have had our IHC techs print out the run logs from each IHC 
run on the Benchmark Ultras.   The techs then check the slides to make sure the 
positive and negative controls have worked properly before the slides are sent 
to the individual pathologists.  The pathologists are also supposed to check 
the controls before looking at the patient slides.   Lately in the interest of 
reducing turnaround time I have been asked why we run the log reports and have 
a tech look over the controls before they send them to the pathologists since 
the pathologist will also evaluate the controls.   I have been doing this 
because I wanted the documentation that someone reviewed the controls each time 
an IHC stain was done.  I believe if the pathologists would document someplace 
that the control slides were reviewed before the patient slides were viewed 
then I could eliminate the techs looking over the controls also.   Problem is 
how are others documenting that the controls are reviewed?  Is this done by the 
techs, the pathologists, or both?  We of course have also used this data for 
quality assurance of our stains.   Thanks for your help.

Jim

James Vickroy BS, HT(ASCP)

Surgical  and Autopsy Pathology Technical Supervisor Memorial Medical Center
217-788-4046



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[Histonet] M2D2 and SMAD

2013-12-05 Thread Sue Hunter
Good morning
Does anyone have suggestions for antibodies for M2D2 and SMAD?  We have not 
been able to get these antibodies  to work for us on the Ventana Ultras.
If you do have suggestions, protocols and control tissue suggestions would also 
be appreciated.
Thanks
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edumailto:shun...@beaumont.edu


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[Histonet] RE: maintenance agreement for autostainer

2013-10-17 Thread Sue Hunter
Try Victor Wong,  Autostainer Technical Solutions  888-505-9545  cell 
646-378-9222   www.autostainertech.com
  Not sure if he is still in business,  he was located in New Windsor NY
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Zerfas, 
Patricia (NIH/OD/ORS) [E]
Sent: Thursday, October 17, 2013 1:07 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] maintenance agreement for autostainer

Do you or do you know someone that offers a service maintenance agreement for a 
10+ year old DAKO autostainer?

Thanks,

Patricia M. Zerfas
Building 28A, Room 112, MSC 5230
9000 Rockville Pike
Bethesda, MD  USA
301-496-4464
Fax 301-402-1068

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[Histonet] RE: manual IHC staining

2013-10-16 Thread Sue Hunter
Wow - I can't imagine wanting to go to manual staining for 20,000 slides per 
year.  That's about 80-100 per day.  We used to do manual staining but only 
about 20-40 slides per day.  Unless you are running a very limited panel of 
antibodies, you will be hopping to keep up with all the steps.  I wouldn't 
think you would be batching all slides in one run, so you will have timers 
going off all the time.  You or your techs will not have time to do anything 
else but stain, wash, apply reagents, wash, etc.
You might want to do some trial runs for timing, work flows etc before you make 
the decision to ditch the autostainer.
I would also consider consistency of staining , correct antibodies being added 
to the correct slides, and amount of reagents (no matter how careful you are, 
you will put more on than the stainer).
Just my thoughts.
We do 30-35,000 slides per year, we have three Ventana Ultras and they are busy 
all the time.  and so are my 2 techs.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Histology
Sent: Wednesday, October 16, 2013 12:47 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] manual IHC staining

Hi all-

 

Does anyone out there still do manual, offline IHC staining?  We currently do 
about 20,000 IHC slides per year and my boss would like to consider dropping 
the automatic stainers and doing them by hand. If you do manual staining, how 
long does it take, how much tech time is needed, and what about CAP 
inspections?  

 

Thanks in advance,

 

 

Mehndi Helgren

Dominion Pathology Laboratories

733 Boush St.

Suite 200

Norfolk, VA  23510

757-664-7901

hi...@pathlab.us

 

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[Histonet] Peggy Wenks award

2013-09-24 Thread Sue Hunter
For those of you who may not be attending the National Convention or did not 
hear, we at Beaumont are so proud to announce that  Peggy Amazing Wenk has 
won the J.B. McCormick Award.  This very prestigious award was presented by Dr. 
McCormick and was given to Peggy for her outstanding and exceptional service to 
the NSH.
Please join us in congratulating Peggy on this well deserved recognition and 
award.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edumailto:shun...@beaumont.edu


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RE: [Histonet] FISH enumeration

2013-09-09 Thread Sue Hunter
My techs do the scoring for the FISH testing.  We have a Leica Ariol system - 
the HER2 FISH are computer assisted, but the Urovysions are manually assessed.  
That may change with the new systems we are receiving.  My techs are 
exceptionally well trained in morphology - they sit with our director to learn, 
and are really really good. We do about 10 urovysions per week and sometimes as 
many as 30 pathvysions per week.  I have one or two techs on the FISH rotation 
each week.  The other techs step in as needed.  The pathologist circles the 
area on the HER2 IHC slide to be FISHed.  The Pathologists do come down to  the 
lab to see cases, but they rely on the techs.  The pathologists also look at 
all other criteria before signing out the case to make sure everything fits. We 
are also getting a new image hub so the saved images will be viewable by the 
pathologists - this will be a really nice addition to the reviewing process. I 
believe there are many laboratories where the cytotechs read out the urovsyions.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of joelle weaver
Sent: Saturday, September 07, 2013 10:22 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] FISH enumeration

 For any laboratories out there who perform in house FISH procedures, if you 
could share what personnel are responsible for doing the signal enumeration  
scoring? It would be helpful if you could describe the personnel's training and 
certification,  as well as an approximation of FTE's needed with some volumes. 
Do you do manual enumeration or use scanning software? 
Thanks for any input.





Joelle Weaver MAOM, HTL (ASCP) QIHC
 
 From: tmcne...@lmhealth.org
 To: thisis...@aol.com; histonet@lists.utsouthwestern.edu
 Date: Fri, 6 Sep 2013 05:45:41 -0400
 Subject: RE: [Histonet] Cell Block Preparation
 CC: 
 
 This is how we do it now.  In the old days, we used agar and to my mind, it 
 is still the best way when you have scant material.
 - Spin in a conical tube and pour off
 - Melt an agar slant (we get TSA slant from micro)
 - Pour the agar into the conical tube and spin for 5 minutes
 - The agar will re-solidify and whatever sediment there is will be 
 concentrated in the very tip of the cone
 - The agar will slide out of the centrifuge tube
 - Slice off the very tip and wrap in lens paper
 - Place the wrapped tip in a cassette and process as usual
 - Embed the specimen tip down and you are good to go...
 
 I still use this method today when I feel it necessary.  Works great.
 
 Tom McNemar, HT(ASCP)
 Histology Co-ordinator
 Licking Memorial Health Systems
 (740) 348-4163
 (740) 348-4166
 tmcne...@lmhealth.org
 www.LMHealth.org
 
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu 
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Ann Specian
 Sent: Thursday, September 05, 2013 12:45 PM
 To: histonet@lists.utsouthwestern.edu
 Subject: [Histonet] Cell Block Preparation
 
 
 I am getting complaints in regard to insufficient cell blocks.  We 
 currently spin, pour off the supernatant, retrieve the sediment and process 
 in lens paper.
 
 Does anyone have a more current technique which renders better cellularity?
 
 Also, do you know which renders a better cell block:  a fresh specimen, a 
 specimen fixed in Cytolyt or a specimen fixed in 10% NBF?
 
 Thanks,
 Ann
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 Thank you.
 
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RE: [Histonet] Losing tissue on IHC slides

2013-07-29 Thread Sue Hunter
Good Morning
Another thing to try is different slides.  We have had issues with bad 
batches/lots of slides - even the Fisher Superfrost plus.  Especially if your 
purchasing department buys in quantity and then stores the slides in hot 
warehouses. This seems to  negate the charge on the slides - but in an 
inconsistent way.  You can have bad slides mixed with good ones in the same 
box.  Even if you don't want to change vendors, trying a different kind of 
charged slide would eliminate bad slides as part of the problem.  And just an 
FYI- we do our control slides the same way you do, (and use tap water) so I 
don't think that is your problem. We are using the cheaper Fisher Superfrost 
plus slides and they seem to work as well as the full priced ones.  We cut our 
immuno sections at 3um.
I know how frustrating this can be - I feel your pain!
Good luck!
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu

 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Deloris Carter
Sent: Friday, July 26, 2013 5:09 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Losing tissue on IHC slides

Hi all,
I'm looking for some troubleshooting help.  In the last couple of months we've 
been having an increasing trend in losing tissue from our IHC slides.  We use a 
Ventana Benchmark XT.  PM is done on it quarterly.  The problem seems to be 
with the patient tissue, not the control tissue.  We use Fisherbrand Superfrost 
Plus slides, picking up the control by dipping the top end of the slide to 
avoid double dipping.  We use tap water in the waterbaths which I know could 
cause an issue, but that's the way it's always been done here, so there's been 
no change to that part of the procedure. (We did try using DI water, but it 
didn't make any difference.
Tissue still fell off of slides.) We do use DI water to mix the bulk 
reagents.The control slides may sometimes have been cut for a longer than 
recommended time, but that part of the procedure hasn't changed either, same 
process as always.  If we run separate slides for control and patient tissue, 
we get much better results, but still have some tissue loss.  I can't say it's 
all of our tests, but it is a steadily worsening problem.
I'm going through tons of reagent, and I can't seem to nail down the problem.  
Ventana rep said to try DI water, don't double dip, try adhesive slides (which 
didn't really make any difference that we could tell).  I would appreciate any 
suggestions Deloris Carter Shawnee Mission Medical Center 
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[Histonet] RE: Her-2 antibody

2013-06-12 Thread Sue Hunter
We have a Bond Max and run mainly ER/PR and ISH stains on that.  After Leica 
loaded in a new version of software in October we started having problems like 
that too.  Seems you have to have all 10 spots on the tray filled with a slide 
- doesn't have to be programed, just a slide and cover tile for the weight.  We 
also were doing a workaround with a Vantage label under the Leica label and 
found out that the two label thickness interferes with the movement of the 
cover tile (sometimes...but not always), which was affecting our staining.  
Even a regular slide label under the Leica label will cause a problem.  We 
finally have gone to entering a case, printing the labels but not putting them 
on the slides, cutting the sections and then putting the labels on the slide 
for positive patient identification.  Not ideal, and I worry a lot about case 
mix ups, but that is what is working to get consistent staining here.  As they 
say, The Enemy of Good is Better.  Wish Leica had not made it better!  It was 
working very nicely before.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Robert Fauck 
[CCDHB]
Sent: Tuesday, June 11, 2013 1:05 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Her-2 antibody

Hi All
 
We here in wellington Hospital New Zealand having some problem with the
Her-2 ( Lieca, NCL-L-CBE-356 )
 
Top half of the slide ( control or Test tissue) are strongly positive but if we 
put the control tissue on the bottom half it is week to negative!
 
Does any one has the same problems with your Her-2, it is done on a Leica Bond 
(Max) III.
 
Much appreciated for any suggestions, also from Leica Technical specialists.
 
Regards,
Robert Fauck
Wellington hospital, NZ


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http://www.ccdhb.org.nz

(1C_S1)
 
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[Histonet] RE: Her-2 antibody

2013-06-12 Thread Sue Hunter
We have contacted Leica several times, had the machine calibrated/aligned many 
times, and that is what we have been told.  It seems to hold true as with only 
one label we have no problems.  Also, after the upgrade, we saw the problem a 
lot when we only ran one or two slides on a tray.  The magic number seems to be 
4 slides to get acceptable staining, but Leica suggests we load it up.   We had 
never had a problem until the upgrade in software.
Sue

-Original Message-
From: Houston, Ronald [mailto:ronald.hous...@nationwidechildrens.org] 
Sent: Wednesday, June 12, 2013 10:59 AM
To: Sue Hunter; Robert Fauck [CCDHB]; histonet@lists.utsouthwestern.edu
Subject: RE: Her-2 antibody

Never had any such problems with either the Max or the Bond IIIs in the 6+ 
years we have had them(no matter how many labels are on the slide - we have had 
three labels on a slide with no problems at all), unless of course your tissue 
extends to the rim of the covertile - then what would you expect?
You certainly do not need to have all 10 spaces filled on the tray. 
Suggest you contact Leica service as it seems as though your machine needs 
calibrated and realigned

Ronnie Houston, MS HT(ASCP)QIHC
Anatomic Pathology Manager
ChildLab, a Division of Nationwide Children's Hospital www.childlab.com

700 Children's Drive
Columbus, OH 43205
(P) 614-722-5450
(F) 614-722-2899
ronald.hous...@nationwidechildrens.org
www.NationwideChildrens.org

One person with passion is better than forty people merely interested.
~ E.M. Forster



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sue Hunter
Sent: Wednesday, June 12, 2013 10:42 AM
To: Robert Fauck [CCDHB]; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Her-2 antibody

We have a Bond Max and run mainly ER/PR and ISH stains on that.  After Leica 
loaded in a new version of software in October we started having problems like 
that too.  Seems you have to have all 10 spots on the tray filled with a slide 
- doesn't have to be programed, just a slide and cover tile for the weight.  We 
also were doing a workaround with a Vantage label under the Leica label and 
found out that the two label thickness interferes with the movement of the 
cover tile (sometimes...but not always), which was affecting our staining.  
Even a regular slide label under the Leica label will cause a problem.  We 
finally have gone to entering a case, printing the labels but not putting them 
on the slides, cutting the sections and then putting the labels on the slide 
for positive patient identification.  Not ideal, and I worry a lot about case 
mix ups, but that is what is working to get consistent staining here.  As they 
say, The Enemy of Good is Better.  Wish Leica had not made it better!  It was 
working very nicely before.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Robert Fauck 
[CCDHB]
Sent: Tuesday, June 11, 2013 1:05 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Her-2 antibody

Hi All
 
We here in wellington Hospital New Zealand having some problem with the
Her-2 ( Lieca, NCL-L-CBE-356 )
 
Top half of the slide ( control or Test tissue) are strongly positive but if we 
put the control tissue on the bottom half it is week to negative!
 
Does any one has the same problems with your Her-2, it is done on a Leica Bond 
(Max) III.
 
Much appreciated for any suggestions, also from Leica Technical specialists.
 
Regards,
Robert Fauck
Wellington hospital, NZ


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information intended for the sole use of the addressee(s). Any use, 
redistribution, disclosure, or reproduction of this message, except as 
intended, is prohibited. If you received this email in error, please notify the 
sender and remove all copies of the message, including any attachments. Any 
views or opinions expressed in this email (unless otherwise stated) may not 
represent those of Capital  Coast District Health Board.

http://www.ccdhb.org.nz

(1C_S1)
 
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RE: [Histonet] Direct Immunofluorescence on Benchmark XT/Ultra

2013-04-22 Thread Sue Hunter
We run our DIF on our old Lab Vision stainer because it is easier and cheaper.  
The Ultra ready to use Abs are very expensive and there is no negative control. 
 As far as we can find out, there is no prep kit that you can use with the 
fluorescence protocols to make your own.  Ventana's solution is to put your 
negative slide in a coplin jar filled with buffer and then add that to your 
slide tray when you are done.
We have the same issue with our Bond Max stainer - you have to use a detection 
kit for everything on the Bond so Leica's solution is to sell you a kit really 
cheap where you only use one solution and  throw the rest away. Very expensive.
Since neither one of these solutions is an acceptable one for us, we still do 
them the oldway and are very happy. I would think that unless you are running 
a really large number of cases, even doing them by hand is preferable to 
running them on the Ultra.
Just my opinion.
Sue


Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu






-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mel John del 
Barrio
Sent: Monday, April 22, 2013 12:49 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Direct Immunofluorescence on Benchmark XT/Ultra

Hi  All
 
Anyone in the group utilises the Benchmark for DIF's? What sort of controls do 
you use to validate the assay ? What problems  you have encountered?
 
 
Thanks
 
MJ
 
 


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[Histonet] RE: Out of my comfort zone...

2013-04-03 Thread Sue Hunter
Sarah
The proteinase K does a lot more than break the formalin linkages.  To isolate 
the RNA or DNA you have to break up the cell membranes, nuclear membranes and 
all the other proteins in the cellular matrix to isolate the nucleic acids.  I 
don't think an antigen retrieval solution will do any of that.  We use a kit 
from Qiagen that is very easy to use.   Also, if you haven't done much RNA 
work, remember that there are RNAses everwhere.  Wear gloves, wipe down your 
microtome with RNAse away or some other such product. Use a clean blade. 
Discard the first couple of cuts from your block.  Too many fingers have 
touched them.  We usually cut 10um sections for our extractions.  Use clean 
water in your waterbath - fresh just for your RNA tissues.  We keep slide boxes 
separate for RNA work so bare fingers don't touch them. As for how many 
sections - it depends on how much message you will be looking for.  You will 
have to try your method to find out.If you cut curls for extractions, we 
use 10um curls.   Use disposable plastic tubes as these are mostly RNAse free.  
We routinely isolate sufficient quantities of good RNA from FFPE tissues, but 
you still need to use good RNA technique.
If you are making up your own master mixes and primer mixes, be sure to use 
RNAse free water.
Good luck
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sarah Dysart
Sent: Tuesday, April 02, 2013 5:36 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Out of my comfort zone...

So...I have been asked to do some micro-dissection on some slides and then do 
downstream RT/PCR on them.  My molecular knowledge doesn't go much out of the 
world of IHC so...here is my question...

Has anyone ever substituted Citrate Buffer pH6 (or whatever HIER solution you 
are using) for proteinase K for use in RNA isolation and then later PCR?  Does 
this work?  The main question is will the HIER step take off the formalin 
linkage from the nucleic acids, or just the protein?

One last thing is what else goes into these solutions other than Citrate Buffer 
and Tween?  I haven't made it up in forever, I have just been ordering it from 
companies...I know...lazy...

Thanks

Sarah Goebel-Dysart, BA, HT(ASCP), QIHC (ASCP) Histotechnologist Mirna 
Therapeutics
2150 Woodward Street
Suite 100
Austin, Texas  78744
(512)901-0900 ext. 6912

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[Histonet] RE: Out of my comfort zone...

2013-04-03 Thread Sue Hunter
Hello
Just wanted to add one more thing - we actually use a dedicated pyrex dish 
(maybe 6x10 inches) for our water bath for RNA sections.  We use warm tap 
water, but you can put it in the microwave for a short bit if it needs to be 
warmer.  You can spray the dish with RNAse away and wipe before filling with 
water.
Sue

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sarah Dysart
Sent: Tuesday, April 02, 2013 5:36 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Out of my comfort zone...

So...I have been asked to do some micro-dissection on some slides and then do 
downstream RT/PCR on them.  My molecular knowledge doesn't go much out of the 
world of IHC so...here is my question...

Has anyone ever substituted Citrate Buffer pH6 (or whatever HIER solution you 
are using) for proteinase K for use in RNA isolation and then later PCR?  Does 
this work?  The main question is will the HIER step take off the formalin 
linkage from the nucleic acids, or just the protein?

One last thing is what else goes into these solutions other than Citrate Buffer 
and Tween?  I haven't made it up in forever, I have just been ordering it from 
companies...I know...lazy...

Thanks

Sarah Goebel-Dysart, BA, HT(ASCP), QIHC (ASCP) Histotechnologist Mirna 
Therapeutics
2150 Woodward Street
Suite 100
Austin, Texas  78744
(512)901-0900 ext. 6912

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[Histonet] RE: Immunofluorescence on FFPE skin

2013-03-19 Thread Sue Hunter
Hi Erin
We do direct immunofluorescence staining on FFPE kidney biopsies but instead of 
microwave antigen retrieval, we use proteinase K  (20mg/ml  Qiagen Cat # 19131) 
diluted 1/10 in Tris buffered saline  for 20 minutes at Room Temp.  We also 
incubate with the antibody (1/5 dilution) for 90 minutes. Don't remember if our 
student tried using the microwave (it was a student project) but I would 
certainly give it a try.  There really is no difference with the wattage for a 
microwave - the trick is to get the solution boiling - THEN start your timing 
for retrieval.  We do our AR for our FISH testing for 20 minutes at half power 
after it comes to a boil.  This allows the solution to keep at near boiling 
temp but not to over flow the container when it comes back to a boil.  The 
timing for using a pressure cooker would have to be validated - now you are 
adding an additional parameter of pressure to factor in to bring the solution 
to a boil. 
Good luck - hope it works for you.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Martin, Erin
Sent: Monday, March 18, 2013 2:28 PM
To: histonet
Subject: [Histonet] Immunofluorescence on FFPE skin

Hello all,



My pathologist gave me a copy of Immunofluorescence with Dual Microwave 
Retrieval of Paraffin-Embedded Sections in the Assessment of Human Renal Biopsy 
Specimens from the American Journal of Clinical Pathology.  He said that the 
same principle should work on skin and he would like to be able to do IF on 
fixed tissue in addition to our usual cryostat sections.  Has anyone else read 
the paper who might be willing to give me some basic advice to try working it 
out?  Is a microwave necessary (paper's method uses 2 different wattage 
settings) or is there a way to use HIER in waterbath or pressure cooker?



Thanks in advance,

Erin



Erin Martin, Histology Supervisor
UCSF  Dermatopathology Service
415-353-7248

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[Histonet] RE: SOS EGFRV3

2013-03-15 Thread Sue Hunter
Billie
The last I heard (several years ago), this antibody was originally produced at 
a university  - Duke maybe?  They considered marketing it but then decided not 
to.  I do not know of any other antibody for this mutation.  We have a RT-PCR 
assay for it, but are not using it as there was no interest by our clinicians.  
If you ever find an antibody, please let me know.  I would be interested in 
trying it also.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Zimmerman, 
Billie
Sent: Thursday, March 14, 2013 2:39 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] SOS EGFRV3

Does anyone perform this particular clone of EGFR?? Thanks in advance for your 
help.


Billie Zimmerman MT(ASCP)QIHC

706-721-5617/3630


Augusta State University and Georgia Health Sciences University have 
consolidated to become Georgia Regents University. Effective January 9, 2013, 
my email address has changed to bzimm...@gru.edu. Please update your address 
book to reflect this change.
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RE: [Histonet] RE: SOS EGFRV3

2013-03-15 Thread Sue Hunter
Thanks for the update.
sue

From: Jim Burchette [mailto:jburc...@gmail.com]
Sent: Friday, March 15, 2013 11:02 AM
To: Sue Hunter
Cc: Zimmerman, Billie; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: SOS EGFRV3


Sue, you are correct, EGFR v III was developed at Duke by Dr Darell Bigner.
BA, you can reach him at 929-684-5018. Email is 
big...@duke.edumailto:big...@duke.edu
I ran this antibody when I was there. Email me for IHC specifics.
Best, JB
On Mar 15, 2013 9:25 AM, Sue Hunter 
shun...@beaumont.edumailto:shun...@beaumont.edu wrote:
Billie
The last I heard (several years ago), this antibody was originally produced at 
a university  - Duke maybe?  They considered marketing it but then decided not 
to.  I do not know of any other antibody for this mutation.  We have a RT-PCR 
assay for it, but are not using it as there was no interest by our clinicians.  
If you ever find an antibody, please let me know.  I would be interested in 
trying it also.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146tel:248-898-5146
shun...@beaumont.edumailto:shun...@beaumont.edu



-Original Message-
From: 
histonet-boun...@lists.utsouthwestern.edumailto:histonet-boun...@lists.utsouthwestern.edu
 
[mailto:histonet-boun...@lists.utsouthwestern.edumailto:histonet-boun...@lists.utsouthwestern.edu]
 On Behalf Of Zimmerman, Billie
Sent: Thursday, March 14, 2013 2:39 PM
To: histonet@lists.utsouthwestern.edumailto:histonet@lists.utsouthwestern.edu
Subject: [Histonet] SOS EGFRV3

Does anyone perform this particular clone of EGFR?? Thanks in advance for your 
help.


Billie Zimmerman MT(ASCP)QIHC

706-721-5617/3630


Augusta State University and Georgia Health Sciences University have 
consolidated to become Georgia Regents University. Effective January 9, 2013, 
my email address has changed to bzimm...@gru.edumailto:bzimm...@gru.edu. 
Please update your address book to reflect this change.
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[Histonet] RE: CD68

2013-03-13 Thread Sue Hunter
We use Ventana's ready to use for the Ultra, but it is clone KP1.  You can get 
the same clone in a concentrate from Cell Marque.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy Schmitt
Sent: Wednesday, March 13, 2013 9:52 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] CD68

Good Morning!
CD68 (for the BOND)is backordered until May and I am looking for 
recommendations - Cellmarque or Biocare?   Is there something better?
I appreciate your input.
Nancy
Dubuque, IA




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[Histonet] RE: Antibody IDH1

2013-03-04 Thread Sue Hunter
We use Dianova's antibody at a 1:100 dilution on the Ultra.  CC1 cell 
conditioning for 40 minutes, antibody for 32 minutes - no heat.  We use 
Optiview detection system. No amp.  Make sure you are using the correct type of 
brain tissue for a control - most oligodendrogliomas should be positive, altho 
there are a few with other mutations.  Remember that this antibody only picks 
up the R132H point mutation.  This occurs in about 70% of oligos so it is 
possible that you happened to pick one that was positive for one of the other 
mutations.  Perhaps try a few different patient tissues.

Sue


Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Zimmerman, 
Billie
Sent: Friday, February 22, 2013 4:21 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Antibody IDH1

Does anyone perform this antibody?? We can't get it to work on the Ventana 
Ultra.  PhenoPath in Seattle performs it on the Dako autostainer using a small 
size polymer detection kit.  I would appreciate any input.

Thanks,

Billie Zimmerman


Augusta State University and Georgia Health Sciences University have 
consolidated to become Georgia Regents University. Effective January 9, 2013, 
my email address has changed to bzimm...@gru.edu. Please update your address 
book to reflect this change.
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RE: [Histonet] IgG4

2013-02-26 Thread Sue Hunter
We use Cell Marques Mouse monoclonal (clone MRQ-44)  Cat# 367M-16 at a 1:200 
dilution on the Ultra. We are using the Optiview detection kits.
CC#1-24 min
Option 5 - 12 min
Antibody - 24  min  
OV Linker 8 min
Multimer 8 min
H2O2 +DAB 8 min
OV copper 4 min
Hematozylin II  8min
bluing  4 min

We only test FFPE tissues.
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Susan Foreman
Sent: Monday, February 25, 2013 2:57 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IgG4

Has anyone worked up IgG4 on the Ventana Benchmark Ultra?  What vendor?  

 

How about running it on fresh frozen sections?  FITC?  Vendor?

 

Many Thanks for your input,

Susan

 

 

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RE: [Histonet] Enquiry about blood removal from frozen tissue sections

2012-12-11 Thread Sue Hunter
You could try hydrogen peroxide - it wil get rid of the heme in the RBCs which 
is probably giving you the background.  I would try a 1:10 dilution (or higher) 
 of the H2O2 (in PBS) that you usually get from the store/pharmacy - undiluted 
will probably bubble too much and lift off the tissue.  You will have to try 
dilutions and time - usually 10 minutes is good, but with a diluted solution 
you may need to go longer.  Then wash the slides in PBS to get rid of the H2O2.
Good Luck
Sue
Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of girish cm
Sent: Tuesday, December 11, 2012 12:00 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Enquiry about blood removal from frozen tissue sections

Hello,

 I would like to know whether any methods (other than cold PBS
wash) or products are available to remove the blood components from frozen 
tissue sections. My application is antibody targeted spectroscopic imaging in 
which the blood components are providing background noise.

Thanking you,

Regards
--
Girish C M
Senior Research Fellow
Amrita Centre for Nanoscience  Molecular Medicine Amrita Institute of Medical 
Sciences  Research Centre Cochin, Kerala
India-682 041
Ph: 9645095045
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RE: [Histonet] RNA isolation form stained slides

2012-11-02 Thread Sue Hunter
Have you tried to extract the RNA from the tissue without the stain- just to 
test your method?  I am not familiar with the mechanics of the stain but you 
might be denaturing the RNA.  Also are you sure there is enough message in the 
area you are trying to extract to get enough RNA?  Maybe you need more material.

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa Orsini
Sent: Friday, November 02, 2012 5:43 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RNA isolation form stained slides







Hello,

I need to extract RNA for a RT-PCR after Laser MicroDissection on xGal stained 
slides.

I tried using sections from unfixed frozen organs. I fixed the sections in 
EtOH70% for 10min and then I stained them with xGal for 3h at 37°C.
After air drying I cut out with the LCM and extract RNA with the PicoPure kit 
from Applied Biosystem. So far I didn't manage to get enough RNA. 

I tried to add RNase inhibitors to all the solutions but it didn't help.

 

Any idea/suggestion?

Do someone think it would be better to do a LacZ antibody staining on FFPE 
sections and extract RNA with an appropriate kit? The RNase would they be less 
active?

 

Thank in advance for any help you can give me J Vanessa

  
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[Histonet] RE: Billing 88342

2012-07-03 Thread Sue Hunter
It is my understanding that you can only bill for one 88342 on a specimen - 
technical or professional, even if you perform the same stain on multiple 
blocks of that specimen.  For A1, A2, A3 etc you can only charge once.  For A1, 
B1, C1, etc you may charge a 88342 per specimen.

Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu

Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor A. Tobias
Sent: Tuesday, July 03, 2012 12:43 PM
To: 'HISTONET'
Subject: [Histonet] Billing 88342

Looking for other opinions from those who do consult/referral work.

If a client sends in a request for a single antibody done on multiple blocks on 
a single specimen, do you bill the client for each tech component ? The client 
will do the interpretation.

What happens in the above scenario if the request is to bill the patient? 
Knowing you get reimbursed for one, do you eat the other charges are make the 
client select the one block?

We have run numbers on potential lost revenue and the number is significant.

Victor


Victor Tobias HT(ASCP)
Clinical Applications Analyst
Harborview Medical Center
Dept of Pathology Room NJB244
Seattle, WA 98104
vtob...@u.washington.edumailto:vtob...@u.washington.edu
206-744-2735
206-744-8240 Fax
=Privileged, confidential or 
patient identifiable information may be contained in this message. This 
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error, do not read, disclose, reproduce, distribute, disseminate or otherwise 
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RE: [Histonet] Fluorescence-filters

2012-06-06 Thread Sue Hunter
We recently installed a LED light source on our fluorescence scope that our 
pathologists use for reading IF on kidneys and skins.  They love it.  No more 
having to warm up the bulb, not turning it off too soon,  or my nightmare - 
leaving it on overnight.  The bulb is supposed to last a really long time and 
gives off a nice bright light.

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Emily Sours
Sent: Tuesday, June 05, 2012 7:32 PM
To: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Fluorescence-filters

Can you do fluorescence with LED?
(That may be a stupid question, as I always thought LED was just for 
brightfield).

Emily

You see a peanut, day's off to a good start; you witness some soil it's a 
jamboree for Vince Noir.
--Howard Moon, in Charlie, The Mighty Boosh 
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RE: [Histonet] HistoBath, HistoChill, Clini-RF

2012-04-10 Thread Sue Hunter
Can you use the 3M freezing fluid in a histobath instead of isopentane?

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
abri...@brightinstruments.com
Sent: Tuesday, April 10, 2012 6:46 AM
To: Bob Richmond; histonet-boun...@lists.utsouthwestern.edu; Histonet
Subject: Re: [Histonet] HistoBath, HistoChill, Clini-RF

Dear Bob,

I would just like to point out that the recommended freezing fluid for the 
Bright Clini-RF Rapid -80c tissue freezer is 3M's Novec HFE-7100 not 7000 as 
you state. 

Best regards

Alan Bright
www.brightinstruments.com
Sent from my BlackBerry(r) wireless device

-Original Message-
From: Bob Richmond rsrichm...@gmail.com
Sender: histonet-boun...@lists.utsouthwestern.edu
Date: Mon, 9 Apr 2012 09:16:23
To: Histonet@lists.utsouthwestern.eduhistonet@lists.utsouthwestern.edu
Subject: [Histonet] HistoBath, HistoChill, Clini-RF

Terri Bishop at SPScientific sent me an e-mail about HistoChill, a frozen 
section freezing bath that replaces the discontinued HistoBath.
Terri didn't feel it was appropriate for a vendor to post this directly on 
HistoNet, so I am. You can contact Terri Bishop at terri.bis...@spscientific.com

HistoChill has been available for about a year. You can see the brochure at 
http://www.spscientific.com/Air-Stream-/-Baths-/-Chillers-/-Traps-/-Probes.aspx

I'm pleased that they are specifically recommending using 3M's non-flammable 
perfluorocarbon HFE-7000 coolant, and not isopentane or acetone. (I feel like 
I've struck a blow for lab safety!)

As has been noted on HistoNet before, Hacker Instruments offers Alan Bright's 
Clini-RF, a competing product.

I have no commercial connection with any of the companies I've mentioned, and I 
have no personal experience with either instrument.

Bob Richmond
Samurai Pathologist
Knoxville TN

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[Histonet] RE: Leica Bond IHC Platform

2012-04-05 Thread Sue Hunter
We have a Bond Max in my lab and love it!  It has been very dependable and easy 
to use . We also have three Ventana Ultras and two Lab Visions.  We originally 
got the Bond for EBV and Kappa/Lambda in-situ but also do our hormone receptors 
and a few other immunos on it.  Our pathologists felt the signal obtained with 
the DAB on the in-situ slides was superior to the NBT of the Ventana slides.  
The one draw back that Ventana will talk about is that you have three racks of 
ten slides - each rack is independent of the others, but not the continual load 
of the Ultras.  You also cannot mix pretreatments on each rack because of 
timing/heating issues.  But we have not found either of these two issues to be 
a problem for us.  The Bond III is supposed to be even faster than the Bond Max 
but haven't looked at that.
Sue

Sue Hunter
Supervisor, Advanced Diagnostics
Beaumont Health Systems
Royal Oak MI 48073
248-898-5146

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Wellen, 
Terrence D. :LPH Lab
Sent: Wednesday, April 04, 2012 8:06 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Leica Bond IHC Platform


Does anyone have any experience with this product?


Terrence Wellen HT(ASCP)
Legacy Good Samaritan Hospital
Portland, OR

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[Histonet] RE: Leica Bond IHC Platform

2012-04-05 Thread Sue Hunter
I've only been told that the Bond III could do a run in, say 3 hours, where the 
Bond Max might be done in 4.(don't take these times as true - just as an 
example).  We love the ability to do a delayed start so the slides are done 
when we come in  the next morning - especially the in-situ slides that take 
longer than the immunos.
sue

-Original Message-
From: Rathborne, Toni [mailto:trathbo...@somerset-healthcare.com] 
Sent: Thursday, April 05, 2012 10:51 AM
To: Sue Hunter; Wellen, Terrence D. :LPH Lab; histonet@lists.utsouthwestern.edu
Subject: RE: Leica Bond IHC Platform

We have the Bond III. No complaints. I'm not sure what to compare to regarding 
speed, but we can do 4 runs a day if necessary. This does not include an 
overnight run, which we do as needed.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sue Hunter
Sent: Thursday, April 05, 2012 9:24 AM
To: Wellen, Terrence D. :LPH Lab; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Leica Bond IHC Platform

We have a Bond Max in my lab and love it!  It has been very dependable and easy 
to use . We also have three Ventana Ultras and two Lab Visions.  We originally 
got the Bond for EBV and Kappa/Lambda in-situ but also do our hormone receptors 
and a few other immunos on it.  Our pathologists felt the signal obtained with 
the DAB on the in-situ slides was superior to the NBT of the Ventana slides.  
The one draw back that Ventana will talk about is that you have three racks of 
ten slides - each rack is independent of the others, but not the continual load 
of the Ultras.  You also cannot mix pretreatments on each rack because of 
timing/heating issues.  But we have not found either of these two issues to be 
a problem for us.  The Bond III is supposed to be even faster than the Bond Max 
but haven't looked at that.
Sue

Sue Hunter
Supervisor, Advanced Diagnostics
Beaumont Health Systems
Royal Oak MI 48073
248-898-5146

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Wellen, 
Terrence D. :LPH Lab
Sent: Wednesday, April 04, 2012 8:06 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Leica Bond IHC Platform


Does anyone have any experience with this product?


Terrence Wellen HT(ASCP)
Legacy Good Samaritan Hospital
Portland, OR

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