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Clinical practitioners consider an abnormal cell metabolism as hallmark of carcinogenesis. Cellular energy metabolism is accessible by imaging of the fast autofluorescence decay of the endogenous fluorophore NADH. This technique is called metabolic fluorescence lifetime imaging (metabolic FLIM), best performed with multiphoton excitation and the rapid, precise and quantitative TCSPC technology from Becker&Hickl GmbH. However, conventional multiphoton FLIM microscopes rely on surface layer tissue access or excised tissue samples. Imaging inside the body for medical diagnostics is routinely accomplished with endoscopes. Here we present multiphoton metabolic FLIM of NADH performed through an endoscope, with significant applications in oncology and beyond.
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Julius Heitz, Lukas Braun, Dennis Eggert, Hauke Studier, Wolfgang Becker, Christian Betz, "Endoscopic multiphoton fluorescence lifetime imaging of NADH (Conference Presentation)," Proc. SPIE PC12384, Multiphoton Microscopy in the Biomedical Sciences XXIII, PC123840W (15 March 2023); https://doi.org/10.1117/12.2666398