Ultrasonic imaging is frequently used in medical diagnosis to differen
tiate normal and tumour tissues, Here we investigate if distinct types
of cell death can be discriminated through the use of ultrasound biom
icroscopy. By using a well-controlled system in vitro, we demonstrate
that this imaging modality can be used to differentiate living cells,
dead cells and cells that have died by programmed cell death or apopto
sis, The results indicate a greater than twofold ultrasound backscatte
r signal from apoptotic cells in comparison to viable cells, whereas h
eat-killed cells exhibit an intermediate level of ultrasound backscatt
er, The results have potential implications in the study of disease-re
lated biological processes involving apoptosis. (C) 1997 World Federat
ion for Ultrasound in Medicine & Biology.