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.

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.

In this work, a silicon metasurface designed to support electromagnetically induced transparency (EIT) based on quasi-bound states in the continuum (qBIC) is proposed and theoretically demonstrated in the near-infrared spectrum. The metasurface consists of a periodic array of square slot rings etched in a silicon layer. The interruption of the slot rings by a silicon bridge breaks the symmetry of the structure producing qBIC stemming from symmetry-protected states, as rigorously demonstrated by a group theory analysis. One of the qBIC is found to behave as a resonance-trapped mode in the perturbed metasurface, which obtains very high quality factor values at certain dimensions of the silicon bridge. Thanks to the interaction of the sharp qBIC resonances with a broadband bright background mode, sharp high-transmittance peaks are observed within a low-transmittance spectral window, thus producing a photonic analogue of EIT. Moreover, the resonator possesses a simple bulk geometry with channels that facilitate the use in biosensing. The sensitivity of the resonant qBIC on the refractive index of the surrounding material is calculated in the context of refractometric sensing. The sharp EIT-effect of the proposed metasurface, along with the associated strong energy confinement may find direct use in emerging applications based on strong light-matter interactions, such as non-linear devices, lasing, biological sensors, optical trapping, and optical communications.

In this invited review, we provide an overview of the recent advances in biomedical photonic sensors within the last five years. This review is focused on works using optical-fibre technology, employing diverse optical fibres, sensing techniques, and configurations applied in several medical fields. We identified technical innovations and advancements with increased implementations of optical-fibre sensors, multiparameter sensors, and control systems in real applications. Examples of outstanding optical-fibre sensor performances for physical and biochemical parameters are covered, including diverse sensing strategies and fibre-optical probes for integration into medical instruments such as catheters, needles, or endoscopes.