The detection and quantification of apoptotic cells is ak ey process in cancer research, particularly during the screening of anticancer therapeutics and in mechanistic studies using preclinical models.I ntravital optical imaging enables high-resolution visualisation of cellular events in live organisms;h owever,t here are few fluorescent probes that can reliably provide functional readouts in situ without interference from tissue autofluorescence.W er eport the design and optimisation of the fluorogenic probe Apotracker Red for realtime detection of cancer cell death. The strong fluorogenic behaviour,h igh selectivity,a nd excellent stability of Apotracker Red make it ar eliable optical reporter for the characterisation of the effects of anticancer drugs in cells in vitro and for direct imaging of chemotherapy-induced apoptosis in vivo in mouse models of breast cancer.