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By locating an elemental species at high spatial resolution and with subcellular context, and subsequently quantifying it on an absolute scale, new information about cellular function can be revealed. Such measurements have not as yet been realised with existing techniques due to limitations on spatial resolution and inherent difficulties\u00a0in detecting elements present in low concentrations. In this paper, we use scanning transmission electron microscopy (STEM) to establish a methodology for localising and quantifying high\u2010<jats:italic>Z<\/jats:italic> elements\u00a0in a biological setting by measuring elastic electron scattering. We demonstrate platinum (Pt) deposition within neuronal cell bodies following\u00a0in vivo\u00a0administration of the Pt\u2010based chemotherapeutic oxaliplatin to validate this novel methodology. For the first time, individual Pt atoms and nanoscale Pt clusters are shown within subcellular structures. Quantitative measurements of elastic electron scattering are used to determine absolute numbers of Pt atoms in each cluster. Cluster density is\u00a0calculated on an atoms\u2010per\u2010cubic\u2010nanometre scale, and used to show clusters form with densities below that of metallic Pt. By considering STEM partial scattering cross\u2010sections, we determine that this new approach to subcellular elemental detection may be applicable to elements as light as sodium.<\/jats:p><jats:p><jats:bold>LAY DESCRIPTION<\/jats:bold>: Heterogeneous elemental distributions drive fundamental biological processes within cells. While carbon, hydrogen, oxygen and nitrogen comprise by far the majority of living matter, concentrations and locations of more than a dozen other species must also be tightly controlled to ensure normal cell function. Oxaliplatin is a first\u2010line and adjuvant treatment for colorectal cancer. However, pain in the body's extremities (fingers and toes) significantly impairs clinical usage as this serious and persistent side effect impacts on both patient cancer care and quality of life. Annular dark\u2010field (ADF) imaging in the scanning transmission electron microscope (STEM) provides an image with strong atom\u2010number contrast and is sufficient to distinguish between different cell types and different organelles within the cells of the DRG. We also show that Pt may be imaged at the single atom level and be localised at very high resolution while still preserving a degree of ultrastructural context. The intrinsic image contrast generated is sufficient to identify these features without the need for heavy metal stains and other extensive processing steps which risk disturbing native platinum distributions within the tissue. We subsequently demonstrate that by considering the total elastic scattering intensity generated by nanometre\u2010sized Pt aggregations within the cell, the ADF STEM may be used to make a measurement of local concentration of Pt in units of atoms per cubic nanometre. We further estimate the minimum atomic number required to visualise single atoms in this setting, concluding that in similar samples it may be possible to detect species as light as sodium with atomic sensitivity.<\/jats:p>","DOI":"10.1111\/jmi.13410","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T05:18:06Z","timestamp":1744694286000},"page":"36-48","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Subcellular localisation and identification of single atoms using quantitative scanning transmission electron microscopy"],"prefix":"10.1111","volume":"299","author":[{"given":"A. A.","family":"Sheader","sequence":"first","affiliation":[{"name":"Department of Physics University of Oxford  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Vizcay\u2010Barrena","sequence":"additional","affiliation":[{"name":"Centre for Ultrastructural Imaging King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. A.","family":"Fleck","sequence":"additional","affiliation":[{"name":"Centre for Ultrastructural Imaging King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. J. L.","family":"Flatters","sequence":"additional","affiliation":[{"name":"Wolfson Centre for Age\u2010Related Diseases Institute of Psychiatry Psychology and Neuroscience King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. 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