An invasive probe for determining the morphological characteristics of walls of a lumen employs a real-time tracking means and an optical spectral measurement means. As the probe is advanced within the lumen, the real-time tracking means provides three-dimensional coordinates of the probe's position and orientation. Concurrent with probe localization, measurement of the spectral properties of the lumen wall are made by detecting the reflectance and/or absorption of light at the lumen wall. Both the probe position and the spectral measurement are sent to a data acquisition system which in turn provides an graphic or numeric display to the operator. Probe tracking can be performed with radio-frequency, magnetic resonance, ultrasonic techniques or the like. If desired, spectral measurements can be made in the visible, ultra-violet or infra-red spectral bands to provide optimized detection of chemical species of interest.