Senescence refers to a cellular state featuring a stable cell-cycle arrest triggered in response to stress. This response also involves other distinct morphological and intracellular changes including alterations in gene expression and epigenetic modifications, elevated macromolecular damage, metabolism deregulation and a complex pro-inflammatory secretory phenotype. The initial demonstration of oncogene-induced senescence in vitro established senescence as an important tumour-suppressive mechanism, in addition to apoptosis. Senescence not only halts the proliferation of premalignant cells but also facilitates the clearance of affected cells through immunosurveillance. Failure to clear senescent cells owing to deficient immunosurveillance may, however, lead to a state of chronic inflammation that nurtures a pro-tumorigenic microenvironment favouring cancer initiation, migration and metastasis. In addition, senescence is a response to post-therapy genotoxic stress. Therefore, tracking the emergence of senescent cells becomes pivotal to detect potential pro-tumorigenic events. Current protocols for the in vivo detection of senescence require the analysis of fixed or deep-frozen tissues, despite a significant clinical need for real-time Abbreviations 5-FU, 5-fluorouracil; AAH, atypical adenomatous hyperplasia, AIS adenocarcinoma in situ; ATM, ataxia-telangiectasia mutated; ATR, ATMand Rad3-related; B2M, b2-microglobulin; BAX, BCL2-associated protein X; BCL-2, B-cell lymphoma 2; BrdU, 5-bromo-2 0-deoxyuridine; C/ EBPb, CCAAT/enhancer-binding protein beta; CCF, cytoplasmic chromatin fragment; CDK, cyclin-dependent kinase; cfDNA, cell-free DNA; cGAS-STING, cyclic GMP-AMP synthase linked to stimulator of interferon genes; CHK, checkpoint kinase; CIS