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Table 8 Summary of findings for the two outcomes from comparing perfusion fixation and immersion fixation identified in our review

From: Perfusion fixation in brain banking: a systematic review

Outcome

Number of studies

Number of brain samples

Overall effect

Quality of the evidence (GRADE)

Subjective histology quality

4 (1 randomized, 1 crossover)

116

Equal or superior histology quality in perfusion-fixed tissues when compared to immersion fixation of relatively large volumes of brain tissue

MODERATE

Long-term immunostaining quality

1

37

Slower long-term degradation of antigen staining quality for sensitive antigens in perfusion-fixed tissue

VERY LOW

  1. In the GRADE quality assessment system, there are four levels of quality: high, moderate, low, and very low