We evaluated the proportion of classic plaques among all of the senile
plaques in four Alzheimer brains (frontal, temporal, occipital and hi
ppocampal areas) by the usual method of two-dimensional analysis using
a single methenamine silver-stained section and three-dimensional ana
lysis using a set of serial sections. Three-dimensional analysis showe
d the number and percentage of classic plaques to be 2-5 times greater
than those revealed by two-dimensional analysis. In the hippocampal a
rea of one case, no classic plaques were found by two-dimensional anal
ysis but three-dimensional analysis showed that some classic plaques w
ere present. From these findings, it is suggested that three-dimension
al analysis using serial sections is indispensable for subclassifying
senile plaques.