The Acuity Echo is the clinical, CE-Mark, MSOT (Multi-Spectral Optoacoustic Tomography). This system utilizes a unique handheld detector for the detection of optoacoustic signals emitted by laser excitation in the spectrum of 680-1300nm. Using a tunable laser, the MSOT acquires the acoustic signal emitted per wavelength excitation in a tomographic fashion. This allows the reconstruction of a 3D image that contains both anatomical and molecular information based on the absorbance spectrum of each material, such as tissue, oxygenated hemoglobin, deoxygenated hemoglobin, fat tissue, bone, near-infrared molecular markers (ICG), nanoparticles (GNR, GNP), and more. An image per wavelength is taken each 10th of a second enabling fast scanning of entire cross-sections for kinetics and biodistribution studies. For the anatomical image, a novel 3D ultrasound tomography is used to give an incredibly sharp image.