When bone samples are prepared for electron microscopy and tomography, the different processing steps have their own effect on tissue distortion, which might not be evident on conventional histomorphometry under an optical microscope. However, tissue distortion can be seen on the nano- scale. In my opinion, comparing osteoblast/osteocyte dimensions, widths and surface areas could be a method, but we can't really know the "exact" dimensions of live cells, except for high-resolution fluorescence microscopy using live cells. But cell dimensions would vary between different in vivo models used, and therefore having a "standard" for cell dimensions would not be a universally applicable idea! Also, fluorescence microscopy does not go down to the nano- scale. Considering osteoblasts are about 25 µm in size, differences of even 2-3 µm are not acceptable "error" limits for the nano- scale.

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