Associated with changes in the level of physiological activity in neur
onal tissue are changes in the intrinsic optical properties of the tis
sue. As a consequence, it is possible to optically monitor neuronal ac
tivity without the use of dyes or other contrast-enhancing agents. Suc
h optical techniques have been applied in the laboratory for more than
50 years. Recent developments in near-infrared spectroscopy and intra
operative optical imaging have suggested a number of clinically import
ant applications of this technology. This article provides an overview
of what is known about the physiological correlates and underlying me
chanisms associated with activity-evoked optical changes in neuronal t
issue.