The visualisation of living tissues at microscopic resolution is attracting
attention in several fields. In medicine, the goals are to image healthy a
nd diseased tissue with the aim of providing information previously only av
ailable from biopsy samples. In basic biology, the goal may be to image bio
logical models of human disease or to conduct longitudinal studies of small
-animal development. High-frequency ultrasonic imaging (ultrasound biomicro
scopy) offers unique advantages for these applications. In this paper, the
development of ultrasound biomicroscopy is reviewed. Aspects of transducer
development, systems design and tissue properties are presented to provide
a foundation for medical and biological applications, The majority of appli
cations appear to be developing in the 40-60-MHz frequency range, where res
olution on the order of 50 mu m can be achieved. Doppler processing in this
frequency range is beginning to emerge and some examples of current achiev
ements will be highlighted. The current state of the art is reviewed for me
dical: applications in ophthalmology, intravascular ultrasound, dermatology
, and cartilage imaging. Ultrasound biomicroscopic studies of mouse embryon
ic development and tumour biology are presented. Speculation on the continu
ing evolution of ultrasound biomicroscopy will be discussed. (C) 2000 World
Federation for UltraSound in Medicine & Biology.