Accurate diagnosis and treatment of tumors, one of the top global health problems, has always been the research focus of scientists and doctors. Near-infrared (NIR) emissive semiconducting polymers dots (Pdots) have demonstrated bright prospects in field of in vivo tumor fluorescence imaging owing to some of their intrinsic advantages, including good water-dispersibility, facile surface-functionalization, easily tunable optical properties, and good biocompatibility. During recent years, much effort has been devoted to developing Pdots with emission bands located in the second near-infrared (NIR-II, 1000–1700 nm) region, which hold great advantages of higher spatial resolution, better signal-to-background ratios (SBR), and deeper tissue penetration for solid-tumor imaging in comparison with the visible region (400–680 nm) and the first near-infrared (NIR-I, 680–900 nm) window, by virtue of the reduced tissue autofluorescence, minimal photon scattering, and low photon absorption. In this review, we mainly summarize the latest advances of NIR-II emissive semiconducting Pdots for in vivo tumor fluorescence imaging, including molecular engineering to improve the fluorescence quantum yields and surface functionalization to elevate the tumor-targeting capability. We also present several NIR-II theranostic Pdots used for integrated tumor fluorescence diagnosis and photothermal/photodynamic therapy. Finally, we give our perspectives on future developments in this field.

We present an optimized method for producing semiconducting polymer dots using a water–ethanol mixed antisolvent during nanoprecipitation. Compared to conventional Pdots made with pure water as the antisolvent, these newly produced Pdots exhibit simultaneously enhanced fluorescence efficiency and stability of particle size and emission spectra. These findings should be mainly attributed to an improved core–shell Pdots nanostructure formed by a sequential nanoprecipitation process. It offers Pdots a purer, more compact, and hydrophobic inner core, coated with a greater number of hydrophilic polyethylene glycol shells. This viewpoint is further reinforced by Förster energy-transfer efficiency in a fluorescence donor-acceptor Pdots system. The novelly prepared Pdots can better encapsulate small-molecular cargoes and more efficiently bioconjugate to targets. Consequently, it demonstrates improved specific immunofluorescence staining of microtubule structures in living cells.