Adoring Jackson fans were massed outside the court in America as the highly anticipated case of Dr Conrad Murray finally began.
Deputy district attorney David Walgren displayed the picture that appeared to show tape or tubing over Jackson's face.
Prosecutor Mr Walgren said: "The evidence will show that Michael Jackson literally put his life in the hands of Conrad Murray. Michael Jackson trusted his life to the medical skills of Conrad Murray.
"The evidence will show that misplaced trust had far too high a price to pay... it cost Michael Jackson his life."
An incredible recording was played to the court in which the star slurred his speech and was clearly under the influence of drugs.
Dr Murray is accused of giving the troubled star a lethal dose of the surgical anesthetic propofol and then failing to monitor him as he died from what a coroner labelled "acute propofol intoxication".
The physician's lawyers claim Jackson - a chronic insomniac - was so desperate for sleep he drank the drug, which he called 'milk' while the doctor wasn't looking.
Mr Walgren said the recording showed Dr Murray knew what impact his treatment was having on the singer.
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