Yonsei Med J.  2017 Sep;58(5):1055-1060. 10.3349/ymj.2017.58.5.1055.

Proposal Guidelines for Standardized Operating Procedures of Brain Autopsy: Brain Bank in South Korea

Affiliations
  • 1Department of Pathology, Chonnam National University Medical School, Gwangju, Korea. mclee@jnu.ac.kr
  • 2Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3Department of Neurology, School of Medicine, Ajou University, Suwon, Korea.
  • 4Department of Neurology, Pusan National University Hospital, Busan, Korea.
  • 5Department of Neurology, Chonnam National University Medical School, Gwangju, Korea.
  • 6Department of Neurology, School of Medicine, Brain Science and Engineering Institute, Kyungpook National University, Daegu, Korea.
  • 7Division of Brain Diseases, Center for Biomedical Sciences, Korea National Institute of Health, Osong, Korea.
  • 8Department of Forensic Medicine, Pusan National University School of Medicine, Yangsan, Korea.
  • 9Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ylsuh76@skku.edu

Abstract

To obtain an in-depth understanding of brain diseases, including neurodegenerative diseases, psychiatric illnesses, and neoplasms, scientific approach and verification using postmortem human brain tissue with or without disease are essential. Compared to other countries that have run brain banks for decades, South Korea has limited experience with brain banking; nationwide brain banks started only recently. The goal of this study is to provide provisional guidelines for brain autopsy for hospitals and institutes that have not accumulated sufficient expertise. We hope that these provisional guidelines will serve as a useful reference for pathologists and clinicians who are involved and interested in the brain bank system. Also, we anticipate updating the provisional guidelines in the future based on collected data and further experience with the practice of brain autopsy in South Korea.

Keyword

Dementia; neuropathology; guideline; standardization

MeSH Terms

Autopsy/*standards
Brain/*pathology
Dissection
*Guidelines as Topic
Humans
Immunohistochemistry
Republic of Korea
*Tissue Banks

Figure

  • Fig. 1 Illustration showing where to collect the core and additional blocks listed in Table 1.


Cited by  1 articles

The Brain Donation Program in South Korea
Yeshin Kim, Yeon-Lim Suh, Seung Joo Kim, Moon Hwan Bae, Jae Bum Kim, Yuna Kim, Kyung-Chan Choi, Gi Yeong Huh, Eun-Joo Kim, Jung Seok Lee, Hyun Wook Kang, Sung-Mi Shim, Hyun Joung Lim, Young Ho Koh, Byeong-Chae Kim, Kyung-Hwa Lee, Min-Cheol Lee, Ho-Won Lee, Tae Sung Lim, William W. Seeley, Hee Jin Kim, Duk L. Na, Kyung Hoon Lee, Sang Won Seo
Yonsei Med J. 2018;59(10):1197-1204.    doi: 10.3349/ymj.2018.59.10.1197.


Reference

1. Bigio EH. Making the diagnosis of frontotemporal lobar degeneration. Arch Pathol Lab Med. 2013; 137:314–325.
Article
2. Vonsattel JP, Del Amaya MP, Keller CE. Twenty-first century brain banking. Processing brains for research: the Columbia University methods. Acta Neuropathol. 2008; 115:509–532.
Article
3. Ross BM, Knowler JT, McCulloch J. On the stability of messenger RNA and ribosomal RNA in the brains of control human subjects and patients with Alzheimer's disease. J Neurochem. 1992; 58:1810–1819.
Article
4. Bahn S, Augood SJ, Ryan M, Standaert DG, Starkey M, Emson PC. Gene expression profiling in the post-mortem human brain--no cause for dismay. J Chem Neuroanat. 2001; 22:79–94.
Article
5. Hyman BT, Phelps CH, Beach TG, Bigio EH, Cairns NJ, Carrillo MC, et al. National Institute on Aging-Alzheimer's Association guidelines for the neuropathologic assessment of Alzheimer's disease. Alzheimers Dement. 2012; 8:1–13.
Article
6. Montine TJ, Phelps CH, Beach TG, Bigio EH, Cairns NJ, Dickson DW, et al. National Institute on Aging-Alzheimer's Association guidelines for the neuropathologic assessment of Alzheimer's disease: a practical approach. Acta Neuropathol. 2012; 123:1–11.
Article
7. Hyman BT, Trojanowski JQ. Consensus recommendations for the postmortem diagnosis of Alzheimer disease from the National Institute on Aging and the Reagan Institute Working Group on diagnostic criteria for the neuropathological assessment of Alzheimer disease. J Neuropathol Exp Neurol. 1997; 56:1095–1097.
Article
8. Thal DR, Rüb U, Orantes M, Braak H. Phases of A beta-deposition in the human brain and its relevance for the development of AD. Neurology. 2002; 58:1791–1800.
Article
9. Thal DR, Rüb U, Schultz C, Sassin I, Ghebremedhin E, Del Tredici K, et al. Sequence of Abeta-protein deposition in the human medial temporal lobe. J Neuropathol Exp Neurol. 2000; 59:733–748.
Article
10. Braak H, Alafuzoff I, Arzberger T, Kretzschmar H, Del Tredici K. Staging of Alzheimer disease-associated neurofibrillary pathology using paraffin sections and immunocytochemistry. Acta Neuropathol. 2006; 112:389–404.
Article
11. Braak H, Braak E. Neuropathological stageing of Alzheimer-related changes. Acta Neuropathol. 1991; 82:239–259.
Article
12. Mirra SS, Heyman A, McKeel D, Sumi SM, Crain BJ, Brownlee LM, et al. The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part II. Standardization of the neuropathologic assessment of Alzheimer's disease. Neurology. 1991; 41:479–486.
Article
13. Lowe J, Kalaria R. Dementia. In : Love S, Perry A, Ironside J, Budka H, editors. Greenfield's neuropathology. 9th ed. London: CRC Press;2015. p. 858–973.
14. McKeith IG, Dickson DW, Lowe J, Emre M, O'Brien JT, Feldman H, et al. Diagnosis and management of dementia with Lewy bodies: third report of the DLB Consortium. Neurology. 2005; 65:1863–1872.
Article
15. Uchikado H, Lin WL, DeLucia MW, Dickson DW. Alzheimer disease with amygdala Lewy bodies: a distinct form of alpha-synucleinopathy. J Neuropathol Exp Neurol. 2006; 65:685–697.
16. Mackenzie IR, Neumann M, Bigio EH, Cairns NJ, Alafuzoff I, Kril J, et al. Nomenclature and nosology for neuropathologic subtypes of frontotemporal lobar degeneration: an update. Acta Neuropathol. 2010; 119:1–4.
Article
17. Mackenzie IR, Neumann M, Baborie A, Sampathu DM, Du Plessis D, Jaros E, et al. A harmonized classification system for FTLD-TDP pathology. Acta Neuropathol. 2011; 122:111–113.
Article
18. Montine TJ, Larson EB. Late-life dementias: does this unyielding global challenge require a broader view. JAMA. 2009; 302:2593–2594.
Article
19. Glasel JA. Validity of nucleic acid purities monitored by 260nm/280nm absorbance ratios. Biotechniques. 1995; 18:62–63.
20. Barbas CF 3rd, Burton DR, Scott JK, Silverman GJ. Quantitation of DNA and RNA. CSH Protoc. 2007; 2007:pdb.ip47.
Article
21. Mueller O, Lightfoot S, Schroeder A. RNA integrity number (RIN)-standardization of RNA quality control. accessed on 2006 January 31. Available at: http://gene-quantification.net/RIN.pdf.
Full Text Links
  • YMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr