Ultrasound-Enhanced Chemical Tissue Clearing of Large Specimens for 3D Microscopy: A Rapid and Accessible Method Using Standard Laboratory Equipment

While the recently developed tissue clearing protocols pathoDISCO and activeDISCO significantly accelerate the clearing of large tissue specimens through active chemical dehydration using 2,2-dimethoxypropane, the final step of refractive index (RI) matching with viscous organic solvents as dibenzyl ether (DBE) remains restricted by slow passive diffusion. To overcome this bottleneck, we applied 40 kHz ultrasound using a standard, cost-effective laboratory bath to significantly enhance the diffusion kinetics of the clearing medium into large specimens. Our investigation on multi-centimeter-sized porcine muscle and human earlobe samples demonstrates that 40 kHz acoustic oscillations generated by a standard ultrasound cleaning device not only accelerate the clearing process but also yield superior and stable long-term optical transparency. We also tested 1 MHz high-frequency ultrasound but it offered no kinetic advantages and tended to induce tissue micro-fractures, an artifact we have not observed at 40 kHz at comparable energy levels. We therefore propose that standard 40 kHz ultrasound baths, ubiquitous in laboratories for cleaning purposes, represent an ideal and accessible tool for optimizing solvent-based tissue clearing.