In the last decades, fiber Bragg gratings (FBGs) have become increasingly attractive to medical applications due to their unique properties such as small size, biocompatibility, immunity to electromagnetic interferences, high sensitivity and multiplexing capability. FBGs have been employed in the development of surgical tools, assistive devices, wearables, and biosensors, showing great potentialities for medical uses. This paper reviews the FBG-based measuring systems, their principle of work, and their applications in medicine and healthcare. Particular attention is given to sensing solutions for biomechanics, minimally invasive surgery, physiological monitoring, and medical biosensing. Strengths, weaknesses, open challenges, and future trends are also discussed to highlight how FBGs can meet the demands of nextgeneration medical devices and healthcare system.

Fiber Bragg Grating (FBG) sensors are among the most popular elements for fiber optic sensor networks used for the direct measurement of temperature and strain. Modern FBG interrogation setups measure the FBG spectrum in real-time, and determine the shift of the Bragg wavelength of the FBG in order to estimate the physical parameters. The problem of determining the peak wavelength of the FBG from a spectral measurement limited in resolution and noise, is referred as the peak-tracking problem. In this work, the several peak-tracking approaches are reviewed and classified, outlining their algorithmic implementations: the methods based on direct estimation, interpolation, correlation, resampling, transforms, and optimization are discussed in all their proposed implementations. Then, a simulation based on coupled-mode theory compares the performance of the main peak-tracking methods, in terms of accuracy and signal to noise ratio resilience.

During recent decades, minimally invasive thermal treatments (i.e., Radiofrequency ablation, Laser ablation, Microwave ablation, High Intensity Focused Ultrasound ablation, and Cryo-ablation) have gained widespread recognition in the field of tumor removal. These techniques induce a localized temperature increase or decrease to remove the tumor while the surrounding healthy tissue remains intact. An accurate measurement of tissue temperature may be particularly beneficial to improve treatment outcomes, because it can be used as a clear end-point to achieve complete tumor ablation and minimize recurrence. Among the several thermometric techniques used in this field, fiber optic sensors (FOSs) have several attractive features: high flexibility and small size of both sensor and cabling, allowing insertion of FOSs within deep-seated tissue; metrological characteristics, such as accuracy (better than 1 °C), sensitivity (e.g., 10 pm·°C⁻¹ for Fiber Bragg Gratings), and frequency response (hundreds of kHz), are adequate for this application; immunity to electromagnetic interference allows the use of FOSs during Magnetic Resonance- or Computed Tomography-guided thermal procedures. In this review the current status of the most used FOSs for temperature monitoring during thermal procedure (e.g., fiber Bragg Grating sensors; fluoroptic sensors) is presented, with emphasis placed on their working principles and metrological characteristics. The essential physics of the common ablation techniques are included to explain the advantages of using FOSs during these procedures.

This article is focused on reviewing the current state-of-the-art of optical fibre pressure sensors for medical applications. Optical fibres have inherent advantages due to their small size, immunity to electromagnetic interferences and their suitability for remote monitoring and multiplexing. The small dimensions of optical fibre-based pressure sensors, together with being lightweight and flexible, mean that they are minimally invasive for many medical applications and, thus, particularly suited to in vivo measurement. This means that the sensor can be placed directly inside a patient, e.g., for urodynamic and cardiovascular assessment. This paper presents an overview of the recent developments in optical fibre-based pressure measurements with particular reference to these application areas.

Fiber Bragg Gratings (FBGs) are one of the most popular technology within fiber-optic sensors, and they allow the measurement of mechanical, thermal, and physical parameters. In recent years, a strong emphasis has been placed on the fabrication and application of chirped FBGs (CFBGs), which are characterized by a non-uniform modulation of the refractive index within the core of an optical fiber. A CFBG behaves as a cascade of FBGs, each one reflecting a narrow spectrum that depends on temperature and/or strain. The key characteristic of CFBGs is that their reflection spectrum depends on the strain/temperature observed in each section of the grating; thus, they enable a short-length distributed sensing, whereas it is possible to detect spatially resolved variations of temperature or strain with resolution on the order of a millimeter over the grating length. Based on this premise, CFBGs have found important applications in healthcare, mechanical engineering, and shock waves analysis, among others. This work reviews the present and emerging trends in CFBG sensors, focusing on all aspects of the sensing element and outlining the application case scenarios for which CFBG sensors have been demonstrated.

Magnetic Fe₃O₄ nanoparticles (NPs) and their surface modification with therapeutic substances are of great interest, especially drug delivery for cancer therapy, including boron-neutron capture therapy (BNCT). In this paper, we present the results of boron-rich compound (carborane borate) attachment to previously aminated by (3-aminopropyl)-trimethoxysilane (APTMS) iron oxide NPs. Fourier transform infrared spectroscopy with Attenuated total reflectance accessory (ATR-FTIR) and energy-dispersive X-ray analysis confirmed the change of the element content of NPs after modification and formation of new bonds between Fe₃O₄ NPs and the attached molecules. Transmission (TEM) and scanning electron microscopy (SEM) showed Fe₃O₄ NPs’ average size of 18.9 nm. Phase parameters were studied by powder X-ray diffraction (XRD), and the magnetic behavior of Fe₃O₄ NPs was elucidated by Mössbauer spectroscopy. The colloidal and chemical stability of NPs was studied using simulated body fluid (phosphate buffer—PBS). Modified NPs have shown excellent stability in PBS (pH = 7.4), characterized by XRD, Mössbauer spectroscopy, and dynamic light scattering (DLS). Biocompatibility was evaluated in-vitro using cultured mouse embryonic fibroblasts (MEFs). The results show us an increasing of IC₅₀ from 0.110 mg/mL for Fe₃O₄ NPs to 0.405 mg/mL for Fe₃O₄-Carborane NPs. The obtained data confirm the biocompatibility and stability of synthesized NPs and the potential to use them in BNCT.