Results obtained by the indirect zonal isotropic uniform random (IUR) estimation were compared with
those obtained by the direct point and interception counting methods on vertical (VS) or IUR sections in a
stereological study of bovine articular cartilage collagen fibrils at the ultrastructural level. Besides
comparisons between the direct and indirect estimations (direct IUR vs indirect IUR estimations) and
between different sampling methods (VS vs IUR sampling), simultaneous comparison of the 2 issues took
place (direct VS vs indirect IUR estimation). Using the direct VS method, articular cartilage superficial zone
collagen volume fraction (Vv 41%) was 67% and fibril surface density (Sv 0.030 nm2/nm3) 15% higher
(P<0.05) than values obtained by the indirect IUR method (Vv 25% and Sv 0.026 nm2/nm3). The same
was observed when the direct IUR method was used: collagen volume fraction (Vv 40%) was 63% and
fibril surface density (Sv 0.032 nm2/nm3) 21% higher (P<0.05) than those obtained by the indirect IUR
technique. Similarly, in the deep zone of articular cartilage direct VS and direct IUR methods gave 50 and
55% higher (P<0.05) collagen fibril volume fractions (Vv 43 and 44% vs 29%) and the direct IUR method
25% higher (P<0.05) fibril surface density values (Sv 0.025 vs 0.020 nm2/nm3) than the indirect IUR
estimation. On theoretical grounds, scrutiny calculations, as well as earlier reports, it is concluded that the
direct VS and direct IUR methods systematically overestimated the Vv and Sv of collagen fibrils. This bias
was due to the overprojection which derives from the high section thickness in relation to collagen fibril
diameter. On the other hand, factors that during estimation tend to underestimate Vv and Sv, such as profile
overlapping and truncation (‘fuzzy’ profiles), seemed to cause less bias. As length density (Lv ) and collagen
fibril diameter are minimally biased by the high relative section thickness, the indirect IUR method, based
on utilisation of these estimates, is here regarded as representing a ‘gold standard’. The sensitivity of these
3 methods was also tested with cartilage from an in vitro loading experiment which caused tissue
compression. In the superficial zone of articular cartilage Vv and Sv of collagen fibrils increased (P<0.05).
This difference in the stereological estimates was only detected by the indirect IUR estimation but not by the
direct VS or direct IUR methods. This indicated that the indirect IUR estimation was more sensitive than
the direct VS or direct IUR estimations. On the basis of these observations, the indirect zonal IUR
estimation can be regarded as the technique of choice in the electron microscopic stereology of cartilage
collagen.