DYNAMIC CELL IMAGING™ Resources

An ongoing educational resource from CellTivity Scientific. Explore what DYNAMIC CELL IMAGING™ (DCI) is, how it works, what it reveals in freshly excised tissue, and the clinical images, studies and presentations behind it.

Van Gogh system displaying a DYNAMIC CELL IMAGING heat map

What is DYNAMIC CELL IMAGING™?

DYNAMIC CELL IMAGING™ (DCI) is CellTivity Scientific’s proprietary imaging technology for assessing freshly excised tissue at the point of care. Instead of showing only the shape of cells, DCI captures the residual microscopic movement inside living cells, a signature of intracellular and metabolic activity, and displays it as a color “heat map.”

Highly active cells stand out from the surrounding normal tissue, giving proceduralists a real-time view of what they have sampled. Because DCI requires no cutting or staining, the biopsy is left unchanged for final pathology and next-generation sequencing (NGS). DCI powers the Van Gogh™ system.

Intended use: An FDA Class I in-vitro diagnostic medical device.

How DCI works and what it visualizes

Four steps, from a fresh biopsy to an easy-to-interpret map of cellular activity, in about 102 seconds on average.

01 — Capture

Image the fresh biopsy

A specialized phase-contrast microscope uses an advanced form of Michelson interferometry to image the freshly excised sample as it is, with no cutting or staining.

02 — Measure

Detect intracellular activity

DCI captures the residual microscopic movements inside living cells, a signal of metabolic activity, up to 150 µm below the tissue surface.

03 — Visualize

Render a metabolic heat map

Activity is overlaid on cell shape and size as a color heat map, making highly active cells distinct from normal alveolar-parenchymal tissue.

04 — Assess

Interpret and preserve

Proceduralists confirm Lesion in Tool and assess adequacy. Images can be viewed in DCI or HistoView, with virtual slices, and the sample goes on intact to pathology.

Where DCI fits in medical imaging

Metabolic activity already drives medical decisions every day. PET scans image it across the whole body, and since Otto Warburg’s work in the 1920s we have known that cancer cells reprogram their metabolism to support uncontrolled growth. Until now, tissue-based assessment could not see that activity at the cellular level. DCI works like a tissue-based PET scan of the biopsy itself.

Approach
What it shows
Scale
Timing
PET scan
Metabolic activity (glucose uptake)
Whole body / organ
Before the procedure
Contrast CT
Anatomy, lesion size and location
Organ / lesion
Before and during the procedure
Routine histology
Cell morphology in thin, stained sections of a limited portion of the sample
Cellular
Up to five days
DYNAMIC CELL IMAGING™
Intracellular metabolic activity plus morphology, in unaltered fresh tissue up to 150 µm deep
Cellular (micron level)
At the point of care, about 102 seconds on average

Clinical imaging examples

DCI heat maps from real fine-needle aspiration, lymph node and tissue biopsies, showing metabolic activity at the micron level. Each example shows the DCI heat map (left) alongside the HistoView rendering of the same sample (right).

FNA Biopsy 1
FNA Biopsy
FNA Biopsy 5
FNA Biopsy
Lymph Node Biopsy 01 - 1
Lymph Node Biopsy 01
Lymph Node Biopsy 01 - 5
Lymph Node Biopsy 01
Lymph Node Biopsy 02 - 1
Lymph Node Biopsy 02
Lymph Node Biopsy 02 - 4
Lymph Node Biopsy 02
Tissue Biopsy 1
Tissue Biopsy
Tissue Biopsy 7
Tissue Biopsy

Results with DCI

Results reported with DYNAMIC CELL IMAGING™ on the Van Gogh™ system. The 2026 ROPE pilot study also reported 88% patient-level concordance using DCI.

95
%

Concordance with final path

Data on File (UPMC)
102
sec

Average time for results

LCI Data
100
%

Of sample is usable by pathology

LCI Data
vangogh

Van Gogh: Empowering Bronchoscopy with Lesion in Tool Insight

Dr. Stephen Kovacs, DO, FCCP - UPMC

Key terms

A short glossary of the scientific and clinical concepts behind DCI.

DYNAMIC CELL IMAGING™ (DCI)

CellTivity Scientific’s proprietary technology that captures intracellular movement in freshly excised tissue and displays it as a metabolic heat map, overlaid on cellular morphology.

Heat map

The color-coded DCI image. Cells with higher metabolic activity appear brighter, so highly active cells stand out from normal tissue.

HistoView

An alternate viewing mode that renders the same Van Gogh™ capture in a format resembling conventionally stained histology, so findings can be read alongside the DCI heat map.

Virtual slices

Optical sections created digitally from the same capture, letting reviewers see up to 150 µm into the sample without physically cutting it.

Lesion in Tool (LiT)

Confirmation, during the procedure, that the biopsy tool has sampled the target lesion.

Biopsy adequacy

Whether a sample contains enough tissue for pathology and molecular testing such as next-generation sequencing (NGS).

ROSE

Rapid On-Site Evaluation: a cytology assessment performed during the procedure to judge whether a sample is adequate.

ROPE

Proceduralist-directed Rapid On-Site Pathologic Evaluation: on-site assessment performed by the proceduralist using DCI.

Warburg effect

Otto Warburg’s 1920s observation that cancer cells rely on glycolysis for energy, an early sign that cancer reprograms cellular metabolism.

D-FF-OCT

Dynamic full-field optical coherence tomography: the label-free, interferometric imaging approach studied in the published DCI literature.

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