The subcellular, cellular and tissue/tumour interactions with non-toxi
c photosensitizing chemicals plus non-thermal visible light (photodyna
mic therapy (PDT)) are reviewed. The extent to which endothelium/vascu
lature is the primary target is discussed, and the biochemical opportu
nities for manipulating outcome highlighted. The nature of tumour dest
ruction by PDT lends itself to imaging outcome by MRI and PET.