Phase contrast microscopy and fluorescence microscopy are the two pillars of modern biological imaging. Phase contrast reveals the morphology of the sample, while fluorescent labeling provides specificity to the process of interest. In both cases, the image is the average value of the measured signal. In this thesis, we propose to focus not on the average value, but on the fluctuations observed in phase contrast. This new contrast will be called Fluctuations Imaging. The fluctuations arise from the active and passive transport phenomena that characterize cellular machinery, and it can be assumed that the level of fluctuations is correlated with cellular activity. The objective of the thesis is to detect phase contrast fluctuations, quantify them, and link them to a process of interest using machine learning methods. The object of study will be lymphocyte activation, which is a critical parameter for monitoring rejection in certain patients with type 1 diabetes who have undergone islet transplantation. Fluctuations Imaging would enable tracking without labeling, simplifying the monitoring protocol. The expected work is (i) optimizing a phase contrast microscope to detect fluctuations, (ii) analyzing image sequences to quantify them, and (iii) implementing the developed method on various biological models, some of which will be pancreas-on-a-chip organs. This thesis, at the intersection of instrumentation, biophysics, and biology, is intended for a student with a background in optics, physics, or equivalent, with a good knowledge of image processing and a strong interest in applications in biology and health.