“…1, with 21,952 individually addressable multimodal pixels with a 13-µm center-to-center pixel pitch fully integrated into a 2.91 mm × 1.28 mm active sensing area, achieving both single-cell resolution and tissuelevel field-of-view (FoV). Each pixel supports four multifunctional modalities, including three multi-modal sensing modalities, (1) full array (FA) or fast scan (FS) voltage recording (VR) to investigate cellular electrical activity and ion concentration [17,42,43], (2) bright/dim optical detection (OD) to examine cell morphology and transparency [51,53], and (3) 2-/4-point impedance sensing (ZS) imaging to track cell adhesion and contractility [14,43,47,[54][55][56], as well as a cellular actuating modality in the form of single-cell/tissuelevel biphasic current stimulation (BCS) to achieve cell electrical stimulation, controlled charge delivery, and membrane electroporation [17,57]. Each modality can be reconfigured for different functionalities with adjustable scan rates versus FOV in VR to operate as FA, which analyzes the whole active area, or FS, which enables the recording of sharp electrophysiological changes, variable reset periods in OD to accommodate bright or dim lighting, programmable selection of pixels in ZS to permit 2-or 4-point ZS, and configurable stimulation area in BCS to excite selective single cells in a culture or collectively a tissue sample.…”