Abstract. Intrinsic two-photon excited fluorescence ͑TPEF͒ and second-harmonic generation ͑SHG͒ signals are shown to differentiate between normal and neoplastic human esophageal stroma. It was found that TPEF and SHG signals from normal and neoplastic stroma exhibit different organization features, providing quantitative information about the biomorphology and biochemistry of tissue. By comparing normal with neoplastic stroma, there were significant differences in collagen-related changes, elastinrelated changes, and alteration in proportions of matrix molecules, giving insight into the stromal changes associated with cancer progression and providing substantial potential to be applied in vivo to the clinical diagnosis of epithelial precancers and cancers. A number of optical spectroscopic and imaging techniques have widely been used for the in vivo, real-time detection of epithelial precancers and cancers.1 However, most studies focus only on the epithelium to analyze morphological, structural, and architectural changes that accompany development of epithelial precancers.2 Recently, it has been recognized that stromal biology is also altered significantly with various pathological processes.2 However, there is a lack of utilizing the alterations in the stroma as an intrinsic indicator of disease states, which can extract quantitative information about the biomorphology and biochemistry and can provide a new means to improve early detection of neoplastic changes.Multiphoton microscopy has several advantages over traditional confocal microscopy, providing high-resolution images at increased imaging depths, minimal out-of-plane absorption, and inherent optical sectioning.3 It is well suited for the observation of unstained samples based on intrinsic sources of nonlinear signals, 4 such as two-photon excited fluorescence ͑TPEF͒ and second-harmonic generation ͑SHG͒. It also has been used for in vivo cancer imaging.
3Our primary goals in this study are to investigate the intrinsic TPEF and SHG signals in epithelial stroma and to extract biomorphologic and biochemical features for potential tissue diagnosis.The multiphoton system used in this study has been described previously. 4 Briefly, it is an Axiovert 200 microscope ͑Zeiss LSM 510 META͒ equipped with a mode-locked femtosecond Ti:sapphire laser ͑Coherent Mira 900-F͒. The polarization of laser light is the linear polarization. To suppress TPEF signals from collagen, the excitation wavelength at 850 nm was used in this work. 4 An oil immersion objective ͑ϫ63 and NA= 1.4͒ was employed. The META detector was used to detect all signals in backscattered geometry. The average laser power at the sample was 5 mW. In this study, all images were 512ϫ 512 pixels. The images were obtained at 2.56 s per pixel. In this work, considering that the surface of the sections is not absolutely flat and that the signals in the surface of sections is not absolutely maximal, we defined a depth of 0 m, referring to the position where the multiphoton signals of reflection from the interfac...