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A major frontier in medical imaging is the ability

to explore whole human organs at microscopic

resolution – detail that is unattainable with

standard tools such as CT, MRI, or biopsies. Enabled

by the exceptional energy and coherence of ESRF-

EBS X-rays, a revolutionary technique is now

overcoming this barrier, with profound implications

for improving diagnostics, treatment, medical

training, and biomedical research.

Developed at ESRF-EBS flagship beamline BM18,

hierarchical phase-contrast tomography (HiP-CT)

provides non-destructive, 3D imaging of entire

human organs, zooming down to individual cells

with micron-level resolution – a capability that

was previously impossible. Bridging the long-

standing gap between radiology and pathology,

this breakthrough approach has already revealed

microscopic vascular damage in lungs affected

by COVID-19, reshaped understanding of cardiac

conduction disorders, and is being integrated into

cancer diagnostics.

HiP-CT has also inspired the Human Organ Atlas,

an open-science image repository hosting over

200 healthy and diseased organ datasets, now

available to researchers worldwide. Co-led by

University College London and the ESRF, and uniting

over 50 international research groups, the project

has attracted funding from the Chan Zuckerberg

Initiative, the UK Medical Research Council, the

Wellcome Trust, and the German Federal Ministry

of Health.

With plans to expand to thousands of organs,

HiP-CT and the Human Organ Atlas are poised to

transform biomedical imaging, redefining the future

of healthcare.

REVOLUTIONISING

BIOMEDICAL IMAGING

10 I ESRF-EBS: SCIENCE THAT SERVES

EBS SCIENCE

Imaging intact human organs with

local resolution of cellular structures

using hierarchical phase-contrast

tomography CL Walsh et al Nat

Methods 18 15321541 2021

Multidimensional Analysis of the

Adult Human Heart in Health and

Disease Using Hierarchical Phase

Contrast Tomography J Brunet et al

Radiology 3121 e232731 2024

Threedimensional cinematic renderings from hierarchical phasecontrast

tomography HiPCT at ESRF beamline BM18 of control left and diseased

right hearts in anatomic orientation show that in the healthy heart the

coronary arteries remain close to the epicardial surface while in the diseased

heart they are lifted away by epicardial fat Image courtesy of ref 2

CONTROL HEART DISEASED HEART

10 mm 10 mm

The Himalaya Project

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