An apparatus for detecting circulating tumor cells is provided. A support system for mounting on a patient is provided. An imaging system is attached to the support system. The imaging system comprises a transmitter and receiver system for generating and transmitting signals into the patient and receiving signals from the patient and a controller. The controller comprises a processor and computer readable media. The computer readable media comprises computer readable code for transmitting signals into the patient, computer readable code for receiving signals from the patent, and computer readable code for providing in vivo circulating tumor cell imaging agent data from the received signals from the patient.