Tissue Microarrays: Creation and Analysis (Online CE Course)

Authors: Galina Khramtsova, MD, PhD, MS, HTL(ASCP)CM and Andrey Khramtsov, MD, PhD, MS, PA(ASCP)CM
Reviewer: Hari D. Patel, MBA, BAS, HT(ASCP)CM

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Continuing Education Credits

P.A.C.E.® Contact Hours (acceptable for AMT, ASCP, and state recertification): 1 hour(s)
Approved through 9/30/2027
Approved through 9/30/2027

Objectives

  • Describe the background of tissue microarray technology.
  • Explain tissue microarray applications.
  • Describe the basic principles of tissue microarray design and construction.
  • Define essential equipment and tools related to the tissue microarray.
  • Describe the advantages and disadvantages of tissue microarray application.
  • Explain the basic principles of tissue microarray quality control and analysis.
  • Identify the requirements of the College of American Pathologists pertaining to tissue microarrays.

Course Outline

Click on the links below to preview selected pages from this course.
  • Overview of Tissue Microarrays
      • Introduction
      • Brief Historical Overview of Tissue Microarrays
      • True or False: Tissue microarray planning, generation, and interpretation involves only pathologists.
  • Applications of Tissue Microarrays
  • Tissue Microarray Design
      • Tissue Microarray Design
      • Table 1: Types of Tissue Microarrays
      • Table 2: Types of Special Rare TMAs
      • Key Design Considerations for Tissue Microarray Planning
      • Layout of the Array
      • True or False: Small format training TMAs are often used as controls in immunohistochemical staining.
  • Construction of the Microarray
  • Regulatory Requirements
      • Current CAP Requirements for Tissue Microarrays
      • Biorepository and Anatomic Pathology Checklists Requirements for Tissue Microarrays
  • Conclusion
  • References
      • References

Additional Information

Level of Instruction: Intermediate
Intended Audience: Histology technologists, histotechnicians, pathologists' assistants, and other interested laboratory professionals. It would be beneficial for those working with surgical pathology specimens, tissue blocks, and constructing TMAs. This course is also appropriate for histology students and pathology residents.
Author Information:
Galina F. Khramtsova, MD, PhD, MS, HTL(ASCP)CM, earned her MD and PhD degrees at the St. Petersburg State I.I. Mechnikov Medical Academy. She also holds an MS degree in biology from St. Petersburg State University. She worked for many years in the field of molecular pathology and research. Currently, she is working as a senior scientist in the Department of Medicine at the University of Chicago and is involved in the research and training of rotating medical students, residents, and fellows in medical laboratory science. 
Andrey I. Khramtsov, MD, PhD, MS, PA(ASCP)CM, earned his MD and PhD degrees at the St. Petersburg State Medical Academy. He was a staff pathologist in various hospitals and universities in Russia and as a senior scientist at the University of Chicago. He also holds an MS degree from the Pathologists' Assistant Program at the Rosalind Franklin University of Medicine and Science. Currently, he is working in the Department of Pathology and Laboratory Medicine at Ann & Robert H. Lurie Children's Hospital of Chicago and is involved in the training of medical students, residents, and fellows. 
The authors have no conflict of interest to disclose.
Reviewer Information: Hari D. Patel, MBA, BAS, HT(ASCP)CM, is the Anatomic Pathology Training Coordinator for NeoGenomics in California, where he develops comprehensive training programs that produce highly skilled, certified histotechnologists. His laboratory career began in the U.S. Navy, serving as a Hospital Corpsman and Histopathology Technician, including leadership roles at high-volume military medical centers and representing the histology profession as a subject matter expert. His experience in healthcare operations, process improvement, and staff development continues in the Navy Reserve. He holds an MBA in Healthcare and a Bachelor of Applied Science in Health Sciences.
Course Description: Modern tissue microarray (TMA) is a histological method that involves relocating tissue cores from standard donor blocks and re-embedding them into a single recipient block at precisely defined locations. TMAs are increasingly used as quality assurance tools in diagnostic immunohistochemistry, biomarker validation for precision medicine, biobanking, and translational research.