High accuracy fluorescence-guided cryo-focused ion beam milling

Abstract Cryo–electron tomography (cryo-ET) is a powerful approach for visualizing macromolecular structures directly within cells, but its broader application is limited by the difficulty of reliably targeting specific structures during sample preparation. In particular, capturing small or rare objects within cryo–focused ion beam (cryo-FIB) milled lamellae remains a major bottleneck. Here, we present two fluorescence-guided cryo-FIB milling workflows that overcome key sources of targeting error and enable routine capture of structures across a broad range of spatial scales. For larger targets (>500 nm), we present an improved registration-based strategy combining FIB-milled fiducials with depth correction for refractive index mismatch. For smaller targets (150–500 nm), we implement real-time fluorescence guided milling on a commercially available cryo–FIB-SEM platform enabling consistent recovery of small, low-copy organelles such as centrosomes and primary cilia. Both workflows are implemented in a new open-source package fibsemOS and together expand the range of cellular structures accessible to cryo-ET and establish a broadly deployable framework for targeted in situ structural biology.