Maintaining an intact tumor environment is critical for quantitation of receptor-ligand engagement in a targeted drug development pipeline. However, measuring receptor-ligand engagement in vivo and non-invasively in preclinical settings is extremely challenging. We found that quantitation of intracellular receptor-ligand binding can be achieved using wholebody macroscopic lifetime-based Förster Resonance Energy Transfer (FRET) imaging in intact, live animals bearing tumor xenografts. We determined that FRET levels report on ligand binding to transferrin receptors conversely to raw fluorescence intensity. We then established that FRET levels in heterogeneous tumors correlate with intracellular ligand binding but strikingly, not with ubiquitously used ex vivo receptor expression assessment. Hence, MFLI-FRET provides a direct measurement of systemic delivery, target availability and intracellular drug delivery in intact animals. Here, we have used MFLI to measure FRET longitudinally in intact animals for the first time. MFLI-FRET is well-suited for guiding the development of targeted drug therapy in heterogeneous intact, live small animals.The most potent drugs are useless if they are not able to engage their targets in living systems. The majority of failed clinical trials are due to the lack of translation of in vitro data of drug-target engagement into intact living organisms. Therefore a main issue in drug development is to quantify target engagement in a non-invasive manner in longitudinal preclinical studies in live animals. There are two main approaches to estimate drug binding in animal studies: ex vivo invasive methods, e.g. biochemical, radiotracers, flow cytometry, and immunohistochemistry analysis, and measuring binding of the drug to plasma proteins. The latter proved to be a poor indication of drug efficiency (true target engagement) in vivo 1 . Traditional in vivo imaging platforms, including PET, lack the ability to discriminate between unbound and receptor-bound macromolecules 2,3 . Especially in the case of cancer pre-clinical models, where the enhanced permeability and retention (EPR) effect, that results from the aberrant leaky microvasculature and inadequate lymphatic drainage of solid tumors, leads to the accumulation of exogenously added protein ligands and antibodies at the tumor region 4 . Therefore, establishing macroscopic colocalization of labeled ligand or antibodies within the tumor region does not guarantee or even indicate actual ligand-or antibody-target engagement in the tumor cells.Fluorescence lifetime imaging of Forster Resonance Energy Transfer (FLIM FRET) has found numerous powerful applications in the biomedical field 5 . FLIM quantifies FRET occurrence by estimating the reduction of the fluorescence lifetime of the donor fluorophore when in close proximity (2-10nm) to one or more acceptor fluorophores 5,6 . However, to date, FLIM FRET has been confined to microscopic techniques and its translation to the in vivo pre-clinical paradigm is just beginning. Herein, we introduce M...