The musculoskeletal system is an integral part of the
human body.
Currently, most skeletal muscle research is conducted through conventional
histological sections due to technological limitations and the structure
of skeletal muscles. For studying and observing bones and muscles,
there is an urgent need for three-dimensional, objective imaging technologies.
Optical tissue-clearing technologies seem to offer a novel and accessible
approach to research of the musculoskeletal system. Using this approach,
the components which cause refraction or prevent light from penetrating
into the tissue are physically and chemically eliminated; then the
liquid in the tissue is replaced with high-refractive-index chemicals.
This innovative method, which allows three-dimensional reconstruction
at the cellular and subcellular scale, significantly improves imaging
depth and resolution. Nonetheless, this technology was not originally
developed to image bones or muscles. When compared with brain and
nerve organs which have attracted considerable attention in this field,
the musculoskeletal system contains fewer lipids and has high levels
of hemoglobin, collagen fibers, and inorganic hydroxyapatite crystals.
Currently, three-dimensional imaging methods are widely used in the
diagnosis and treatment of skeletal and muscular illnesses. In this
regard, it is vitally important to review and evaluate the optical
tissue-clearing technologies currently employed in the musculoskeletal
system, so that researchers may make an informed decision. In the
meantime, this study offers guidelines and recommendations for expanding
the use of this technology in the musculoskeletal system.