Background. The ability of rat pancreatic islets to revascularize afte
r transplantation was examined via in vitro and in vivo imaging of the
microvasculature using laser scanning confocal microscopy (LSCM). Met
hods. Cultured or cryoprocessed islets were transplanted at the renal
subcapsular site in rats. At various time intervals after transplantat
ion, three-dimensional imaging of the graft was performed by LSCM. In
vitro studies were conducted via microvascular corrosion casting of th
e grafted kidney in situations where it was difficult to obtain in viv
o confocal data due to surgical complications. The vascular morphology
of the islet grafts was evaluated quantitatively via digital image an
alysis algorithms to determine the morphology of the neovascular ingro
wth and the rate of revascularization. Results. In cultured islet graf
ts, the initiation of angiogenesis was observed within 1 week, charact
erized by the presence of capillary sprouts, tortuous vessels, and blo
od vessels with blind ends. The revascularization of the graft was typ
ically completed within 2 weeks and could be distinguished as a networ
k of completely perfused blood vessels consisting of intertwining capi
llaries, with surrounding arterioles and venules. The angiogenesis pro
cess in cryopreserved islet grafts required a longer time period to in
itiate (similar to 2 weeks), and the revascularization was completed i
n 1 week after the initiation. Conclusions. These results successfully
demonstrate the potential of the described in vivo and in vitro LSCM
techniques to measure the angiogenesis process in pancreatic islet gra
fts.