Photodynamic therapy (PDT) is a promising therapy against cancer. Even though it has been investigated for more than 100 years, scientific publications have grown exponentially in the last two decades. For this reason, we present a brief compendium of reviews of the last two decades classified under different topics, namely, overviews, reviews about specific cancers, and meta-analyses of photosensitisers, PDT mechanisms, dosimetry, and light sources. The key issues and main conclusions are summarized, including ways and means to improve therapy and outcomes. Due to the broad scope of this work and it being the first time that a compendium of the latest reviews has been performed for PDT, it may be of interest to a wide audience.
Photodynamic therapy (PDT) is a cancer treatment with strong potential over well-established standard therapies in certain cases. Non-ionising radiation, localisation, possible repeated treatments, and stimulation of immunological response are some of the main beneficial features of PDT. Despite the great potential, its application remains challenging. Limited light penetration depth, non-ideal photosensitisers, complex dosimetry, and complicated implementations in the clinic are some limiting factors hindering the extended use of PDT. To surpass actual technological paradigms, radically new sources, light-based devices, advanced photosensitisers, measurement devices, and innovative application strategies are under extensive investigation. The main aim of this review is to highlight the advantages/pitfalls, technical challenges and opportunities of PDT, with a focus on technologies for light activation of photosensitisers, such as light sources, delivery devices, and systems. In this vein, a broad overview of the current status of superficial, interstitial, and deep PDT modalities—and a critical review of light sources and their effects on the PDT process—are presented. Insight into the technical advancements and remaining challenges of optical sources and light devices is provided from a physical and bioengineering perspective.
An adaptive-focus lens is a device that is capable of tuning its focal length by means of an external stimulus. Numerous techniques for the demonstration of such devices have been reported thus far. Moving beyond traditional solutions, several new approaches have been proposed in recent years based on the use of liquid crystals, which can have a great impact in emerging applications. This work focuses on the recent advances in liquid crystal lenses with diameters larger than 1 mm. Recent demonstrations and their performance characteristics are reviewed, discussing the advantages and disadvantages of the reported technologies and identifying the challenges and future prospects in the active research field of adaptive-focus liquid crystal (LC) lenses.
In this work, a novel all-dielectric metasurface made of arrayed circular slots etched in a silicon layer is proposed and theoretically investigated. The structure is designed to support both Mie-type multipolar resonances and symmetry-protected bound states in the continuum (BIC). Specifically, the metasurface consists of interrupted circular slots, following the paradigm of complementary split-ring resonators. This configuration allows both silicon-on-glass and free-standing metasurfaces and the arc length of the split-rings provides an extra tuning parameter. The nature of both BIC and non-BIC resonances supported by the metasurface is investigated by employing the Cartesian multipole decomposition technique. Thanks to the non-radiating nature of the quasi-BIC resonance, extremely high Q-factor responses are calculated, both by fitting the simulated transmittance spectra to an extended Fano model and by an eigenfrequency analysis. Furthermore, the effect of optical losses in silicon on quenching the achievable Q-factor values is discussed. The metasurface features a simple bulk geometry and sub-wavelength dimensions. This novel device, its high Q-factors, and strong energy confinement open new avenues of research on light-matter interactions in view of new applications in non-linear devices, biological sensors, and optical communications.
Photonic crystal fibers (PCFs) are a special class of optical fibers with a periodic arrangement of microstructured holes located in the fiber’s cladding. Light confinement is achieved by means of either index-guiding, or the photonic bandgap effect in a low-index core. Ever since PCFs were first demonstrated in 1995, their special characteristics, such as potentially high birefringence, very small or high nonlinearity, low propagation losses, and controllable dispersion parameters, have rendered them unique for many applications, such as sensors, high-power pulse transmission, and biomedical studies. When the holes of PCFs are filled with solids, liquids or gases, unprecedented opportunities for applications emerge. These include, but are not limited in, supercontinuum generation, propulsion of atoms through a hollow fiber core, fiber-loaded Bose–Einstein condensates, as well as enhanced sensing and measurement devices. For this reason, infiltrated PCF have been the focus of intensive research in recent years. In this review, the fundamentals and fabrication of PCF infiltrated with different materials are discussed. In addition, potential applications of infiltrated PCF sensors are reviewed, identifying the challenges and limitations to scale up and commercialize this novel technology.
Photodynamic therapy (PDT) is an increasingly popular dermatological treatment not only used for life-threatening skin conditions and other tumors but also for cosmetic purposes. PDT has negligible effects on underlying functional structures, enabling tissue regeneration feasibility. PDT uses a photosensitizer (PS) and visible light to create cytotoxic reactive oxygen species, which can damage cellular organelles and trigger cell death. The foundations of modern photodynamic therapy began in the late 19th and early 20th centuries, and in recent times, it has gained more attention due to the development of new sources and PSs. This review focuses on the latest advancements in light technology for PDT in treating skin cancer lesions. It discusses recent research and developments in light-emitting technologies, their potential benefits and drawbacks, and their implications for clinical practice. Finally, this review summarizes key findings and discusses their implications for the use of PDT in skin cancer treatment, highlighting the limitations of current approaches and providing insights into future research directions to improve both the efficacy and safety of PDT. This review aims to provide a comprehensive understanding of PDT for skin cancer treatment, covering various aspects ranging from the underlying mechanisms to the latest technological advancements in the field.