Step 2 of 9 · Core Curriculum

Modality Recognition: LM, IF, EM

Identify whether an image is light microscopy, immunofluorescence, or electron microscopy — and what kind of information each modality can provide.

Learner prompt

“What type of image am I looking at, and what kind of information can this modality provide?”

Light Microscopy (LM)

Stains include H&E, PAS, silver/Jones, and trichrome. Useful for structure, cellularity, sclerosis, fibrosis, crescents, vascular lesions, and tubulointerstitial injury.

Immunofluorescence / Immunohistochemistry (IF / IHC)

Useful for immune deposits and complement patterns. Panels typically include IgG, IgA, IgM, C3, C1q/C4, kappa/lambda, fibrinogen, albumin, and C4d where relevant.

Electron Microscopy (EM)

Useful for deposit localization, GBM abnormalities, foot process effacement, ultrastructural findings, and selected tubular/interstitial abnormalities.

Assessment items

  • Identify the imaging modality.
  • State what that modality is best suited to reveal.
  • Explain what additional modality would be needed to complete interpretation.