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DIGITAL OFF-AXIS HOLOGRAPHIC MICROSCOPY: FROM CELLS VIZUALIZATION, TO PHASE SHIFT VALUES, ENDING WITH PHYSIOLOGICAL PARAMETERS EVOLUTION MONA MIHAILESCU1, IRINA A. PAUN1, EUGENIA VASILE1, ROXANA C. POPESCU2, ALEXANDRA V. BALUTA3, DIANA G. ROTARU3 1 Physics Department, Politehnica University from Bucharest, Romania E-mails: [email protected], [email protected] 2 Department of Life and Environmental Physics, Horia Hulubei National Institute of Physics and Nuclear Engineering, Magurele, Romania 3 Faculty of Medical Engineering, Politehnica University from Bucharest, Romania Received November 24, 2015 Digital off-axis holographic microscopy (DoHM) is a modern technique, which provides quantitative information about the samples in three dimensions. DoHM allows the analysis of living cells in their growth medium, without any kind of additional markers, leading to the values of many physiological parameters after processing the reconstructed images. This paper is a review about the research and development applications implying DoHM for the analysis of different biological samples: blood cells, yeast cells, neurons, cancer cells, and osteoblasts cells. The focus is on the values of the final physiological parameters, which can be determined with high accuracy in marker-free conditions, at the level of the single cell, such as refractive indices, hemoglobin content, dry mass, amplitude of the membrane fluctuations, cells elasticity, cells dimensions, rate of sedimentation, and transmembranar fluxes. Few aspects about the decoupling and focusing procedures are also summarized. This review addresses to students and researchers interested in real-time analysis of living cells in their natural environment. Key words: digital holographic microscopy, quantitative phase imaging, biological applications, neurons, blood cells, cancer cells, refractive index, dry mass, transmembranar fluxes, hemoglobin content. 1. INTRODUCTION Quantitative phase imaging techniques (QPITs) are included in the field of modern optical microscopy techniques, which provide images of the investigated sample and, at the same time, values for: 1) dimensions in planes perpendicular to the optical axis and 2) phase shift (PS) introduced by the sample in the optical path. Next, from the PS values are computed: the third dimension (along the propagation axis) and the refractive index of the sample. Rom. Journ. Phys., Vol. 61, Nos. 5–6, P. 1009–1027, Bucharest, 2016 1010 Mona Mihailescu et al. 2 Thus, QPITs are 4D imaging techniques offering answers to important biological questions, impossible to tackle with conventional optical imaging techniques, investigation of cells and tissues, in terms of morphology and structure dynamics, with nanoscale sensitivity along propagation axis, over temporal scales from milliseconds to days. The large family of QPITs includes: digital holography with a spatially partial coherent source [1], digital in-line holographic microscopy [2, 3], digital off-axis holographic microscopy (DoHM) [4], Hilbert phase microscopy [5], interferometric phase-dispersion microscopy [6], Fourier phase microscopy [7], quantitative phase microscopy [8], diffraction phase microscopy [9], asynchronous digital holography [10], phase shifting interferometry [11], spatial light interference microscopy [12], white light diffraction tomography [13]. In this review, we survey the applications of DoHM to investigate living biological specimens, which end with the values of physiological relevant parameters. DoHM is an optoelectronic technique, which allows real time measurements, full-field (phase and amplitude) at the level of single living cell, to obtain 3D morphological dimensions (length, width, height) and refractive index maps (from the PS values). It is a marker free, non-invasive, non-destructive technique, with nanometric resolution along the propagation axis. DoHM also allows full-field phase measurements, which provide simultaneous information from a large number of points on the sample, with the benefit to study both temporal and spatial behavior of the investigated biological systems. In DoHM, a single hologram, recorded in the experimental setup (no mechanical scanning needed), is used to numerically focus on the reconstructed object image at any distance, with nanometric resolution along the propagation axis [5, 14–16]. The success of digital holographic techniques began with the change of the recording media: from classical holographic plates to modern sensor of CCD or CMOS cameras [17]. Although the resolution of the digital sensors is still far from the resolution of holographic plates, they have the advantage of digitalizing images, which are transferred to a computer as an array of numbers, allowing further numerical operations to find the reconstructed images. Next, the hidden morphological and structural parameters of the samples can be computed. This change in recording media, also allows fast speed holograms recording, which implies: (1) minimum isolation from mechanical vibrations and (2) the ability to track fast processes. Due to digital processing of the holograms, aberration compensation is possible [18, 19]. Although other reviews appeared in the literature, the majority of them are only addressing principles and methods of DoHM [20–22], or are focusing on other specific applications, like: three dimensional profiling and tracking [23], imaging of complex fluids [24], MEMs/ MOEMs device inspection [25]. However, there are several recent reviews that follow biological applications of DoHM [26, 27]. Here we emphasize the link between holographic images and parameters with clinical relevance. Because there are many commercial softwares used for the 3 Digital off-axis holographic microscopy 1011 reconstruction of the holograms, this review will focus on what is possible to do on the reconstructed images, starting from the values contained in the PS maps, which cannot be obtained in classical optical microscopy, or in electron microscopy. This paper is organized as follows. The basic principles of general holography and associated processes from the experimental setup and numerical image reconstruction to the phase shift value maps are presented in Sec. 2. The specific procedures for focusing and decoupling are also explained in Sec. 2 on the basis of some new approaches used by different research groups. In Sec. 3, a survey of the DoHM applications on different cell types is presented, along with results for parameters correlated to the cells behavior, in situations which otherwise cannot be investigated, or are investigated using marker-based techniques. Useful values for these parameters are tabulated in Sec. 4. 2. FROM VISUALIZATION TO PHASE SHIFT VALUE MAPS DoHM implies all steps from classical holography: recording and reconstruction of the hologram. The recording step is experimental, based on the Mach-Zehnder interferometer, because it offers flexibility in the geometrical arrangement [28]. For biological samples, which are transparent for visible wavelengths, the transmission geometry was chosen. One microscope objective is needed in the object beam, in order to magnify the investigated samples, which have dimensions in the micrometers range. To match the wavefront curvature for both beams on the CCD sensor, another identical microscope objective must be inserted in the reference beam (or other similar optical components to expand it). After the fascicles passage through the second beam splitter, they are offset by an angle, so that the hologram contains fringes and the interfringe can be changed for needs in the experimental setup. Also, in the hologram are present the diffraction maxima and minima coresponding to the sample details. The experimentally recorded holograms are numerically converted to Fourier domain in order to obtain their angular spectrum [29, 30]. Due to the off-axis configuration, in the Fourier domain is possible to obtain separately the +1, 0 and the –1 orders (in the digital in-line holographic microscopy, all these are overlapped) and only the +1 order is considered further, because it corresponds to the real image. Thus, the twin image is removed and the image of the reconstructed object is more accurate. It is obtained by simulating the backward propagation using Fresnel transform or Fresnel-Fourier transform [31], at a given distance [32, 33]. As a result, it is obtained an array of complex numbers containing separately the amplitude Ax, y and PS x, y as images of the sample [34]. Latter on, when we will generally talk about both cases (amplitude or phase), we will denote the matrix as f x, y . In Fig. 1, it is shown a sketch with the main steps followed 1012 Mona Mihailescu et al. 4 from the experimental hologram, to values of different parameters, in the general case where both amplitude and phase informations are relevant. Usually, the resolution in the transversal dimension is slightly under 1μm, depending on the used wavelength. To improve it, few methods were proposed, starting from the changes in the experimental setup, using time and angular multiplexing [35], or using a dynamic phase grating [36]. Fig. 1 – General sketch with the steps from the experimental hologram to physiological parameters. 2.1. PROCEDURES TO FIND THE FOCUSED IMAGE As a consequence of using scalar diffraction theory in Fresnel approximation, the numerical reconstruction is sensible to the distance where the focused object image is formed, but it does not provide any criterion to find the distance where the reconstructed image is focused. DoHM permits subsequent numerical focusing by varying of the propagation distance. Determining the optimal propagation distance for a sharply focused image is of particular importance. First, a criterion to detect the focusing plane, based on the analysis of the amplitude images [37], was proposed, using the invariant properties of the energy E and complex amplitude under the propagation: the effective propagated amplitude modulus has a global lower bound which is independent of d: B A( x, y )dxdy M d . This integrated amplitude is minimum for pure amplitude object and maximum for pure phase object, when the focusing distance, d, is reached. Different details are visible at different heights (Fig. 2). Fig. 2 – Images reconstructed at two distances, from the same hologram, to visualize details from different heights in a MG63 cell and surrounding environment. 5 Digital off-axis holographic microscopy 1013 Other criterias are based on: (1) an algorithm to maximize the sharpness metric related to the sparsity of the signal’s expansion in distance-dependent wavelet-like Fresnelet bases [38], (2) analysis of the gray value distribution; sharp structures in a focused image result in a higher contrast than in a smooth defocused image. The image contrast is statistically quantified by the variance (VAR) of the histogram of the gray level VAR 1 NxNy f ( x, y) f 2 where Nx and Ny are the image dimension and f is the mean value calculated on the whole image (amplitude or phase) [39], (3) squared gradient algorithm (SGA) and Laplacian filtering algorithm [40], (4) integrated modulus amplitude in the case of amplitude object [41], (5) high-pass filtered complex amplitudes with the aim of obtaining minimum values for both types of objects when the focusing plane is reached [42], (I ) (6) Tamura coefficient, T where I and I represent the (I ) image gray-level standard deviation and mean, respectively. I represents the values of every pixel from the region of interest of the reconstructed images (which are converted in gray level images) [43, 44]. It has the intrinsic advantage of finding a single focus-value without ambiguity, in the entire reconstruction volume, by finding the distance where the calculated coefficient, T, for that image is minimal. Using this capability of DoHM to track cells in 3D environment with quantitative information on all axes, a simple method to measure cell motility was developed and tested on many cellular lines [45]. The information between the cells volume and their speed was correlated for L929, L56Br-Cl and MDA-MB231 cell lines. 2.2. PROCEDURES TO DECOUPLE INFORMATION ABOUT HEIGHT AND REFRACTIVE INDEX In given experiments, the values for cell height and refractive index in each point (x, y), strating with the PS values, are needed separately. A method which can be applied for cells attached on substrates [46] implies two holograms recording of the same cell surrounded succesively by two media with slightly different values for refractive indices. After the reconstruction process, two PS maps, 1 x, y and 2 x, y , are obtained, depending on the cell height hc x, y and refractive index nc x, y in each point: 2 nc x, y nsm1 hc x, y 1 x, y (1) 1014 Mona Mihailescu et al. 2 x, y 2 6 nc x, y nsm2 hc x, y (2) where is the laser wavelength, n sm1 and n sm2 are the refractive indices for each surrounding medium. The PS is calculated for a beam which travels through the cell and one which travels outside the cell (very close to its edge). The solutions of this system provide the height values and the refractive index values in each point. At the end, we can conclude that values for length, width, height (3D morphological distances 3D-MD) and the refractive indices are available from the reconstructed images, being used as an indicator of physical density or chemical concentration (mainly of protein content), which are the starting point for further calculations of different parameters with biological relevance. The living cells morphology was observed with 40 nm resolution for height and half micrometer for transversal dimensions [4, 47]. For technical reasons, the described procedure is not suitable for fast processes; another approach is to record the same hologram at two different wavelengths, when adding a highly dispersive agent (dye) to the surrounding medium. From the hologram reconstruction, two matrices are available, having values for optical path difference OPD1 ( x, y ) 1 1 x, y and OPD 2 ( x, y ) 2 2 x, y , 2 2 corresponding to both wavelengths. Assuming that [48]: – for intracellular medium: nc ( ) nH 2O ( ) c DMCc (3) – for extracellular medium: nsm ( ) nH 2O ( ) DYE ( )C DYE r Cr (4) where c is a constant known as the specific refraction increment related to the intracellular content, DMCc is the dry mass concentration, n H 2O ( ) is the water dispersion, DYE is the specific refraction increment related to the dye, C DYE is the dye concentration, r mean refractive index increments of ions and metabolites, C r their concentration. By solving the system, for the cell height and refractive index, the equations are [49]: hc ( x, y ) OPD1 ( x, y ) OPD 2 ( x, y ) , DYE (2 ) DYE (1 )C DYE nc1 ( x, y) OPD1 ( x, y) DYE (2 ) DYE (1 )C DYE OPD1 ( x, y) OPD 2 ( x, y) (5) nsm1 . Another approach is to use intensity measurements [50]. The absorbance in each point, A'(x, y), for a liquid solution in terms of molar extinction coefficient, , can be 7 Digital off-axis holographic microscopy 1015 computed in accordance with Lambert-Beer law, based on experimental measurements of the incident, I0, and transmitted, I, intensities by the sample: I ( x, y ) hc ( x, y ) C ( x, y) A' ( x, y) log (6) M I0 where M is the molar mass (g/mol) and C ( x, y) is the density of sample in each 2 point. The Eq. 1 can be written as x, y C x, y nH 2O nsm hc x, y . One can observe that, in the last two equations, the unknown values are hc x, y and C x, y and, by solving, both values can be provided: M A' ( x, y) n water n sm , C x, y hc x, y ( x, y ) C ( x, y) (7) 2 M A' ( x, y ) 3. FROM PHASE SHIFT VALUE MAPS TO PHYSIOLOGICAL PARAMETERS Generally, biological specimens, such as living cells and their intracellular constituents, are mostly transparent in the visible range (they are phase objects) and therefore problematic for conventional bright-field microscopy. For this reason, in medical laboratories, routine analysis are based on the chromatographic agents or fluorescent markers (for example, Papanicolau test for cervical cells, peripheral blood smear, histopathological evaluation of biopsy samples, microscopic examination of bacteria, etc.). To avoid these external interventions, different standard techniques were developed: phase contrast microscopy, differential interference contrast, which gives a 3-D perception of the object, but only the information about dimensions in planes transversal to the propagation axis. Because cameras and detectors can only measure intensity, interferometric methods are employed to obtain the phase information [1–13]. In 2005, Marquet et al. from Ecole Polytechnique Fédérale Lausanne, Switzerland claimed the first DoHM images of cells in natural environment [4]. These first results, illustrating highquality images of live neurons, demonstrated the potential of DoHM to become an useful tool in cell biology, involving living specimens, being a label-free, minimally invasive, and highly sensitive method to visualize and measure subtile, fast changes in the physical and physiological states of cells and tissues in specific processes [51]. 1. Blood cells. For blood cells (BCs) analysis in DoHM, a simple procedure is usually used: a droplet of the harvested blood is sandwiched between cover slips, with no additional preparation [52]. 1016 Mona Mihailescu et al. 8 To study the red BCs rate of sedimentation, a physiological solution containing (mM): NaCl 145, glucose 10, morpholinoethane sulfonic acid/Tris_hydroxymethyl_aminomethane _MES/Tris_10, pH 7.4 at room temperature, was prepared [53]. In such conditions, the sedimentation velocity was determined to be 3.23 ± 0.07 mm/h. These are possible due to the capability of DoHM to record the unfocused holograms without mechanical scanning and then to reconstruct the infocus cell image using adequate software. This procedure is faster than the classical procedures. Another advantage is the fact that, by using DoHM, the shape and dimensions of the investigated cells are available from the same image. The assumption of optical homogeneity of red BC was used [54, 55] and justified by the known fact that red BCs content mainly consists in hemoglobin solution; they represent a particular type of structure without nuclei and organelles. Using the refractive index of the cell and the surrounding plasma of 1.40 and 1.34, respectively [56], a highly dynamic process of hemoglobin flow out of the cell during hemolysis was investigated with subnanometer path-length sensitivity at the millisecond time scales and measurements revealed that the cell volume decreased by 50% in less than 4s [57]. The PS values, available from the reconstructed images, allow calculating other clinically important red BCs parameters, including the mean corpuscular volume (MCV), the mean corpuscular hemoglobin concentration (MCHC), as a ratio between mean corpuscular hemoglobin (MCH) and MCV, where MCH is: MCH 10 S c 2 Hb (8) and Hb is the hemoglobin refraction increment (1.96x10-3 dl/g at wavelength 633 nm) and Sc is the projected area. Parameters, such as red BCs radius, height, volume, refractive index, shape, gradient from the weight center and hemoglobin content are important characteristics to identify their type, function after storage, membrane fluctuation, membrane permeability [58–61]. The red BCs membranes are a composite of a fluid lipid bilayer and a triangular network of semiflexible filaments (spectrin). By measuring the area of the projected surface, cell volume and mean corpuscular hemoglobin variations at different osmolality, it was possible the computation of the shear modulus (μN/m) in the interval 100–800 mOsm [62]. By simultaneously computing, for the same population, of few parameters: the area of the projected surface, cell volume, sfericity coefficient (the ratio between the red BCs height on ridge and in concavity) [63], information about the red BCs elasticity on three axis were statistically correlated. As a consequence of these elastic properties, red BCs show spontaneous cell membrane fluctuations (CMF) [64, 65]: 9 Digital off-axis holographic microscopy CMF x, y D ( x, y ) 2 nc nsm 1017 (9) where D x, y is the deviation phase map expressed in degrees (computed from a reference value). CMF having medium fluctuation amplitude of 47 nm, are heterogeneously distributed on the cellular surface and seem to correlate with the biconcave equilibrium shape of erythrocytes. For ethanol-fixed red BCs, an amplitude much smaller, of 5 nm was observed [65]. The capability of DoHM for three-dimensional tracking was extensively used in hematology to measure the blood flow with high spatial and temporal resolutions in a volume, to characterize red BCs trajectories and their 3D velocity profile [66, 67]. Yi et al. [68] described a procedure to automatically test and compare the red BCs characteristics for new and stored samples, which included steps like image binarization, generation and combination between the internal and external markers, application of watershed algorithm, a procedure which currently requires a time-consuming manual examination by skilled personnel. These red BCs’ biophysical parameters, noninvasively monitored by DoHM, are clinically relevant parameters that can be used as diagnostic tools (e.g. involved in the anemia classification). Also, a promising direction in the study of white blood cells [52] is to replace the classical procedure used in differential white blood count, which is based on chromatographic agents. 2. Yeast cells. The quantitative-PS map, associated with a living cell, is linked to the cell’s dry mass density, i.e., its non-aqueous content. Thus, DoHM has the ability to quantify cell growth with femtogram sensitivity and without contact [69]. In 2009, Rappaz et al. studied the dry mass production during the cell cycle in wild type yeast cells, exploiting the relationship proved more than 50 years ago [48] between the PS and dry mass (DM) of cell, as an indicator of protein production (proportional with the refractive index): DM 10 2 Sc ds 10 Sc 2 (10) where is the mean PS introduced by the whole cell, S c is the projected cell surface and is a constant known as the specific refraction increment related to the intracellular content (usually 1.8-2.1 x 10-3 m3/kg when considering a mixture 1018 Mona Mihailescu et al. 10 of all components of typical cell [48]). The DM (nonaqueous material) is defined as the weight of the cell when water has evaporated and which mainly depends on protein concentration. Monitoring the evolution of yeast cells using DoHM [69], the stages of the Sc and DM in the cell growth and division has been highlighted: 1) Sc linearly increases till 20 min before division, then stagnation followed by linear increasing, 2) DM concentration abrupt increasing during last 20 min before division, constant within 40 min after division [70]. Using the same expression for dry mass, in the case of red BCs, the specific refraction increment, , is associated with the hemoglobin content. Its value for wavelengths around 633 nm is 0.00196 dl/g [46, 71]. In order to evaluate the RBC properties during storage on long terms, an important parameter, which includes the hemoglobin concentration and also the information about morphological changes, is mean corpuscular hemoglobin surface density MCHSD MCH . In Sc the case of stored RBCs, [59], it was observed that: 1) the Sc area is constant during the first 30 days and then decreases, 2) the values are constant during the first 30 days and decrease after this period, 3) the MCHSD is constant during the first 30 days and increases after. For all these three parameters measured during storage interval, the standard deviation increases, which shows an increasing nonhomogeneity in RBCs population and hence the possibly of altering their functionality, substantially changes. 3. Neurons. The mechanisms involved in the glutamate neurotransmitter and glutamate N-Methyl-D-aspartate (NMDA) receptors, at single neuron level, is interesting in the understanding of the synaptic plasticity and memory functions [72]. By real time monitoring of the absolute cell volume using DoHM, the steps associated with water influx in the cell (dilute intracellular content and decrease the PS) and outflow (concentrate the intracellular content and increase the PS) were highlighted on primary mouse cortical neurons in culture 1) biphasic, 2) reversible decrease, and 3) irreversible decrease responses [73]. These indicate, respectively, a low level, a high level, and an “excitotoxic” level of NMDA activation. Moreover, furosemide and bumetanide, two inhibitors of sodium-coupled and/or potassium-coupled chloride movement, strongly modify the PS, suggesting an involvement of two neuronal co-transporters, NKCC1 (Na_K_Cl) and KCC2 (K_Cl), in the genesis of the optical signal. In a recent study, Pavillion et al. [74] correlated the calcium dynamics with phase measurements, in order to evaluate the neuron viability [75, 76, 49]. The osmotic membrane water permeability was calculated starting from values 11 Digital off-axis holographic microscopy 1019 measured in the reconstructed object images from experimental holograms, and its value is 0.00764 cm/s [49]. Equations similar with 3 and 4 can be written nc n H 2O c DM and V n f nH 2O f DMC f , which characterize the refractive index of the cell and of the surrounding media. In the condition of transmembranar water fluxes, an accumulation of DM appears in the cells, whose behavior in time leads to changes in the cell refractive indices, which can be written as: nc (t ) nc 0 f C f V (t ) V0 m(t 0 ) V (t ) V (t ) . The refractive index associated with the transmembranar flux is similarly defined and calculated as [49]: n f (t ) nc (t ) V (t ) nc (t 0 ) V (t 0 ) . V (t ) V (t 0 ) Using the decoupling procedure [77], it was determined: the swelling factor 1.76±0.31, projected surface area (187±41 μm2 normal and 200±43 μm2 hypotonic), cell volume (806±70 μm3 normal and 1419±129 μm3 hypotonic). As a consequence of water influx, the refractive index decreases from 1.3847±0.0003 to 1.3645±0.0003. 4. Cancer cells. Human breast adenocarcinoma cell line, MCF-7 were studied using DoHM, determining the cells height (approx. 12 μm) and its refractive index, as a map highlighting the cell morphology including the cell body, protrusions and lamellipodia, the refractive index of the nucleus, having grater values than the refractive index of the surrounding cell material [78]. In G3S2 cells derived from human breast carcinoma were observed changes of the cells dry mass within a deliberately chosen interval showing its motility and its non-uniform spatial distribution, having high values around the whole cell border, rather than normal central compactness [79]. Investigations of living pancreas tumor cells (Patu8988T) were carried out [80] to find the influence of protein content in the refractive index and height values. The same team, using DoHM, investigated drug-induced changes in pancreas tumor cells [80]. The same cell line was investigated in terms of PS 1020 Mona Mihailescu et al. 12 values, at different time intervals, after Taxol addition in the culture media, showing that it firstly induces morphological rounding and increase in cell height. The final cell collapse is precisely detected by a significant decrease of the PS [81] or a decrease of five times in area being highlighted after 500 min, accompanied by a sharp peak of the volume increasing twice from 8000 to 16000 μm3 [82, 83]. It is crucial to understand the cellular mitosis in cancer diseases. Using DoHM, it was clearly established that the area decreases for the mother cell, but its height increases, while the volume is approximately constant before division; after division, both mother and daughter cells area increases, while their height decreases [82]. A cytotoxicity assessment was successfully demonstrated on HeLa cells, using DoHM, which can highlight the morphological and local biomolecules (proteins and nucleic acids) [84], in good agreement with the classical analysis. 5. Osteoblasts MG63 cells. Using DoHM, long-time observations are possible for cells in natural environment on different substrates: flat polypirollebased [85], or 3D micropatterned scaffolds with different geometries [86]. Using the decoupling procedure, were calculated: the height of the 3D micropatterned scaffolds of 10 – 20 μm (measurements unavailable using atomic force microscopy which is limited at 10 micrometers in depth), the height of the polymeric flat substrates (under 1 micrometer range), the refractive index of the polymeric materials and of the cells (separated on cytoplasm and nucleus regions) [87]. The observations during several days are possible, because in DoHM the cells are investigated in their natural environment. Regular placing of the structure walls tends to be a guiding model for the cells spatial orientation, observations important in tissue engineering design. Other studies on cells-substrates interaction were possible using DoHM: red blood cells and HT-1080 fibrosarcoma sedimentation on collagen substrates [53], stem cells on 3D micropatterned polymeric scaffolds obtained using matrix assisted pulsed lased evaporation [88], cells motility in interaction with microfibers [89], cancer cells cultures in matrix gels as scattering media [90], cells in flexible substrate which distortions measure their traction force values [91]. 6. Tissues. From the PS values of cryostat colonic sections of 7 μm constant thickness and colitic C57Bl/6 WT mice, it was concluded: the refractive indices values for healthy tissue are in the range from 1.375 to 1.382, while the lowest refractive index value for colitis altered tissue (1.354) is well correlated with the refractive indices of cells with high water content [92]. 13 Digital off-axis holographic microscopy 1021 4. PHYSIOLOGICAL PARAMETERS VALUES Table 1 Physiological parameters values CELL TYPE PARAMETER red blood cells diameter red blood cells surface red blood cells volume red blood cells red blood cells red blood cells red blood cells MCH MCHC refractive index sedimentation velocity amplitude of membrane fluctuation osmotic membrane water permeability red blood cells red blood cells VALUE mean value 7.7 ± 0.5 μm interval 6–8 μm 46.7 ± 5.9 μm interval 30-80 fl mean value 83.3 ± 13.7 fl 29.9 ± 4.4 pg/cell 362 ± 40 g/l 1.418 ± 0.012 3.23 ± 0.07 mm/h 47 nm SOURCE [60, 94] [60, 94] [57, 60, 94] [94] [94] [94] [53] [65] 0.0052 cm/s [49] red blood cells mean corpuscular hemoglobin surface density 0.70 ± 0.11 pg/ μm2 after 8 days and 1.28 ± 0.26 pg/μm2 after 57 days of storage [59] red blood cells shear modulus 6–12 μN/m [62] red blood cells cytosol viscosity 1–12 mPa.s yeast cell division dry mass concentration 0–64–0.74 pg/μm2 neuron osmotic membrane water permeability 0.00764 cm/s neuron volume 1671±1116 μm3 pancreatic tumor cell refractive index pancreatic tumor cell thickness MG 63 cells refractive index PaTu 8988T 1.38±0.016 PaTu 8988T pLXIN E-Cadherin 1.39±0.022 PaTu 8988T 23±1 μm PaTu 8988T pLXIN E-Cadherin 7±1 μm ncytoplasm Healthy cryostat colonic sections and colitic C57Bl/6 WT mice refractive index nnucleus =1.3584±0.0073 and [62] [69] [49] [49] [80] [80] [86] = 1.3795±0.0063 1.375-1.382, compared with 1.354 [92] 1022 Mona Mihailescu et al. 14 5. CONCLUSIONS Digital holographic microscopy is a marker-free technique which can be used to analyze living biological samples (transparent in visible light) in their natural environment (beside the electron microscopy where only deshidrated cells can be visualized). The progress introduced by the DoHM technique is the fact that quantitative information is available in all three dimensions. Besides the classical optical microscopy (phase contrast, differential interference contrast), which is capable to visualize the cells in 3D but without any value along the propagation axis, in DoHM, the phase shift values provide information about the height of the cell and about its refractive index, as a map in each point (x, y). These values are then used to compute many interesting parameters in biology or medicine. Another advantage of DoHM is the fact that in the experimental setup, no scanning is required, besides techniques like: atomic force microscopy or confocal microscopy. One hologram, acquired in fraction of seconds, contains all the information about the sample. These allow fast processes analysis which monitors live biological specimens. Altogether, these three advantages can be found only at phase imaging techniques based on interference or holography which leads to new important information about cell, impossible to track using other conventional microscopic techniques. This paper contains a short review of the principal algorithms employed in the focalization process necessary in the reconstruction stage and in the decoupling procedures for height and refractive index. But the focus is to point out as many parameters available after processing the digital images, which are not available using other microscopic techniques. In this review, we demonstrated the capability of the DoHM as a marker-free technique which crosses the borders of simple imaging technique and delivers values about many morphological and structural parameters at the level of single cell, such as 3D dimensions, projected surface, volume, eccentricity, refractive index, dry mass, transmembranar fluxes, mean corpuscular volume, amplitude of the cell membrane fluctuations, cell elasticity, rate of sedimentation, and viability rate. These are arguments for researchers from biology, medicine, environment, biochemistry, biophysics, and material science, to use DoHM in the analysis of their complex samples. Acknowledgement. This work was supported by a grant of the Romanian Authority for Scientific Research and Innovation, CNCS-UEFISCDI, project number PN-II-RU-TE-2014-4-2534 (contract number 97 from 01/10/2015). 15 Digital off-axis holographic microscopy 1023 REFERENCES 1. F. Dubois, L. Joannes, and J. C. 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