R ecent cancer therapy efforts have focused on efficient and targeted tumor cell killing and hypoxia reduction (1,2). Adoptive cell therapy has emerged as the fourth pillar of cancer therapy, offering specific eradication of hematologic cancers. Therapeutic cell engineering is now being used to target solid tumors, which are proving to be more challenging (3,4). Roadblocks include tumor-induced immunosuppression and inefficient cell trafficking as well as poor tumor penetration and persistence (4,5). Importantly, these characteristics may be predictive of therapeutic outcome. Tumor mechanisms of immunosuppression generate chronic inflammation and hypoxia in the vicinity of the tumor, which result in increased tumor angiogenesis, recurrence, and malignant progression (1,6). Effector cells in the tumor microenvironment can induce cell killing, and we hypothesize that tumor oximetry is altered as an indirect consequence of these apoptotic processes. Recent advances in noninvasive imaging and biosensor probe technologies enable the noninvasive, real-time observation of the intracellular partial pressure of oxygen (Po 2) during T cell-mediated immunotherapy. Moreover, perfluorocarbon (PFC) exhibits weak molecular cohesion, enabling gas dissolution (7). This intrinsic property was first exploited in the 1990s (8) using emulsified PFC to form biocompatible and injectable oxygen-laden blood substitutes and breathing liquids (9,10). Gas dissolved in fluorinated emulsions is not bound to the carrier but rather is exchanged with the local environment (11). Dissolution of oxygen in PFC lowers the fluorine 19 (19 F) spin-lattice relaxation time (T1) (10,12). The T1 varies linearly with the absolute Po 2 , which is calculated from a linear calibration curve (13-16). Thus, one can exploit the intracellular PFC label, with its intrinsic Po 2 sensing properties, to perform cell-specific oximetry in vivo (15,16).