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260    Cha pte r  Ei g h t


        conditions. Nonlinear enhancement effects such as CARS and stimu-
                                       70
        lated Raman scattering microscopy  will improve the sensitivity
        which is the key to collect Raman images at real-time video-time
        frame rates. These techniques will not only provide label-free chemi-
        cal contrast in biomedical imaging of tissue, but also of single cells.
        The diffraction limit of light can be overcome by coupling Raman
        spectroscopy with near-field microscopy. The most promising tech-
        nique is TERS which combines signal enhancements in the close
        vicinity of metal nanoparticles and AFM tips for excitation and far-
        field microscopy for effective detection.
            A major obstacle for the broader dissemination of Raman-based
        methods in the medical field is their technical complexity. Therefore,
        user-friendly Raman instruments are another important requirement.
        Besides the Raman systems for the detection and classification of
        microorganisms (see section “Excitation in the Visible Wavelength
        Range”), other Raman systems have been introduced for skin stud-
        ies, e.g., to detect carotenoid levels (Pharmanex, United States) or to
        record depth concentration profiles (River Diagnostics, The Nether-
        lands).  Although in its early stages, these developments clearly
        demonstrate that Raman spectroscopy has the potential to be fully
        accepted as a complementary diagnostic tool for rapid and nondestruc-
        tive in vitro, ex vivo, and in vivo analyses of tissues, cells and bacteria.


   Acknowledgments
        Financial support of the European Union via the Europäischer Fonds
        für Regionale Entwicklung (EFRE) and the “Thüringer Kultusminis-
        terium (TKM)” (project: B714-07037) is highly acknowledged.



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