Over the past few decades, significant attention has been paid to the biomedical applications of terahertz (THz) technology. Nowadays, THz spectroscopy and imaging have allowed numerous demanding problems in the biological, medical, food, plant and pharmaceutical sciences to be solved. Among the biomedical applications, the label-free diagnosis of malignant and benign neoplasms represents one of the most attractive branches of THz technology. Despite this attractiveness, THz diagnosis methods are still far from being ready for use in medical practice. In this review, we consider modern research results in the THz diagnosis of malignant and benign neoplasms, along with the topical research and engineering problems which restrain the translation of THz technology to clinics. We start by analyzing the common models of THz-wave–tissue interactions and the effects of tissue exposure to THz waves. Then, we discuss the existing modalities of THz spectroscopic and imaging systems, which have either already been applied in medical imaging, or hold strong potential. We summarize the earlier-reported and original results of the THz measurements of neoplasms with different nosology and localization. We pay attention to the origin of contrast between healthy and pathological tissues in the THz spectra and images, and discuss the prospects of THz technology in non-invasive, minimally invasive and intraoperative diagnosis, as well as in aiding histology. Finally, we review the challenging problems of THz diagnosis, as well as attempts to solve them, which should bring THz technology much closer to medical practice. This review allows one to objectively uncover the benefits and weaknesses of THz technology in the diagnosis of malignant and benign neoplasms.

We have developed a method of terahertz (THz) solid immersion (SI) microscopy for continuous-wave reflection-mode imaging of soft biological tissues with a sub-wavelength spatial resolution. In order to achieve strong reduction in the dimensions of the THz beam caustic, an electromagnetic wave is focused into the evanescent field volume behind a medium with a high refractive index. We have experimentally demonstrated a 0.15λ-resolution of the proposed imaging modality at λ = 500 μm, which is beyond the Abbe diffraction limit and represents a considerable improvement over the previously-reported arrangements of SI imaging setups. The proposed technique does not involve any sub-wavelength near-field probes and diaphragms, thus, avoiding the THz beam attenuation due to such elements. We have applied the developed method for THz imaging of various soft tissues: a plant leaf blade, cell spheroids, and tissues of the breast ex vivo. Our THz images clearly reveal sub-wavelength features in tissues, therefore, promising applications of THz SI microscopy in biology and medicine.

To date, the terahertz (THz) frequency range has found wide applications in many fields ranging from condensed matter physics^{1 – 4} and material science^5,6 to gas sensing^{7 – 9} and pharmaceutical industry¹⁰ as well as various security^{11 – 16} and biomedical^{17 – 22} applications. All of these require high-sensitive and broadband THz instruments, in particular, efficient operation in real time and at room temperature.^23,24

In this paper, we report on an approach for shaping the spectra of THz pulse generation in photoconductive antennas (PCAs) by frequency-dependent impedance modulation. We introduce a theoretical model describing the THz pulse generation in PCAs, and accounting for impedances of the photoconductor and of the antenna. Additionally we account a detector response for comparative analysis with experimental data. In order to showcase an impact of frequency-dependent impedance modulation on the spectra of THz pulse generation, we applied this model to simulating broadband PCAs with log-spiral topology. Finally, we fabricated two different log-spiral PCAs and characterized them experimentally using the THz pulsed spectroscopy. The observed results demonstrate agreement between the theoretical model and experiment, justifying the potential of shaping the spectra of THz pulse generation in PCAs by modulation of frequency-dependent impedances. This approach makes it possible to optimize PCA performance and thus accommodes the needs of THz pulsed spectroscopy and imaging in fundamental and applied branches of THz science and technology.