Cellular transformation is associated with a number of phenotypic, cell biological, biochemical and metabolic alterations. The detection and classification of morphological cellular abnormalities represents the foundation of classical histopathology and remains an important mainstay in the clinic. More recently, significant effort is being expended towards the development of noninvasive modalities for the detection of cancer at an early stage, when therapeutic interventions are highly successful. Methods that rely on the detection of optical signatures represent one class of such approaches that have yielded promising results. In our study, we have applied two spectroscopic imaging approaches to systematically identify in a quantitative manner the fluorescence and light scattering signatures of subcellular abnormalities that are associated with cellular transformation. Notably, we find that tryptophan images reveal not only intensity but also localization differences between normal and human papillomavirus immortalized cells, possibly originating from changes in the expression, 3D packing and organization of proteins and protein-rich subcellular organelles. Additionally, we detect alterations in cellular metabolism through quantitative evaluation of the NADH, FAD fluorescence and the corresponding redox ratio. Finally, we use light scattering spectroscopy to identify differences in nuclear morphology and subcellular organization that occur from the nanometer to the micrometer scale. Thus, these optical approaches provide complementary biomarkers based on endogenous fluorescence and scattering cellular changes that occur at the molecular, biochemical and morphological level. Since they obviate the need for staining and tissue removal and can be easily combined, they provide desirable options for further clinical development and assessment. ' 2007 Wiley-Liss, Inc.Key words: cancer biomarkers; noninvasive imaging; cancer diagnosis; spectroscopy; fluorescence; light scattering; HPV; cervical cancer Clinical cancer detection has relied heavily on the use of simple stains to visualize and classify morphological cellular abnormalities. The development of more sophisticated probes to evaluate specific oncogenic events continues to revolutionize early detection of various cancers. Nevertheless, a simple morphological evaluation of exfoliated cervical epithelial cells, the Papanicolaou (''Pap'') smear has been exceedingly useful for detection of precancerous cervical lesions and may have saved more lives than any other commonly used cancer screening procedure. Many of the more sophisticated diagnostic tests involve physical removal of suspect tissue or other invasive or physically unpleasant procedures. Hence, the development of rapid, noninvasive methods is of paramount importance for successful early detection. Relatively simple spectroscopic procedures are available to measure alterations in a number of cellular parameters and may be well suited for this purpose.Indeed, optical spectroscopy and imaging techniques exhib...