Recent Advances in Metal-Oxide Thin-Film Transistors: Flexible/Stretchable Devices, Integrated Circuits, Biosensors, and Neuromorphic Applications

: Thin-ﬁlm transistors using metal oxides have been investigated extensively because of their high transparency, large area, and mass production of metal oxide semiconductors. Compatibility with conventional semiconductor processes, such as photolithography of the metal oxide offers the possibility to develop integrated circuits on a larger scale. In addition, combinations with other materials have enabled the development of sensor applications or neuromorphic devices in recent years. Here, this paper provides a timely overview of metal-oxide-based thin-ﬁlm transistors focusing on emerging applications, including ﬂexible/stretchable devices, integrated circuits, biosensors, and neuromorphic devices. This overview also revisits recent efforts on metal oxide-based thin-ﬁlm transistors developed with high compatibility for integration to newly reported applications.

In addition to the traditional purpose of TFTs of display driving arrays, efforts have been made to implement integrated circuits (ICs) using metal-oxide TFTs. The extremely low leakage current and high uniformity enable circuits with a high level of integration [16,17]. Furthermore, a new type of electronic device using metal oxides has been developed recently [18,19]. Biosensors [20] and neuromorphic devices [21] based on metal oxides as the active layer have also been developed.
This paper provides an overview of metal-oxide TFTs-based applications and summarizes recent developments. Section 2 introduces the latest efforts in fabricating flexible and stretchable TFT devices. Section 3 classifies the results of the latest IC implementations based on the metal-oxide semiconductors, focusing on their circuit structures. Metal-oxidebased biosensors are also summarized in Section 4. Section 5 discusses the recent advances of neuromorphic devices using metal oxides with an emphasis on their application to synaptic behaviors and photo-induced neuromorphic properties. Section 6 discusses the opportunities and future directions in the metal-oxide-based TFTs.  [22] with permission from the Elsevier B.V.); (b) Schematic of thermal evaporation (adapted from [23] with permission from the Elsevier B.V.); (c) Schematic of ALD cycle (adapted from [24] with permission from the American Chemical Society); (d) Spin coating process of metaloxide TFTs via photonic curing (adapted from [25] with permission from the John Wiley and Sons); (e) Schematics of blade-coating setup and comparison of mobility according to channel layer thickness and number of layers (adapted from [26] with permission from the John Wiley and Sons); (f) Schematic image of the flexographic printing process (adapted from [27] with permission from the John Wiley and Sons); (g) Surface profiles of inkjet-printed In 2 O 3 single dots at substrate temperatures of 25, 47, 57 • C (adapted from [28] with permission from the American Chemical Society). metal-oxide semiconductors such as spin coating [25,[32][33][34][35], spray coating [26,36], blade coating [37,38], flexographic printing [27], and inkjet printing [28,39]. Most solution-based processes have advantages for manufacturing flexible and printable devices because of the low annealing temperature. Moreira et al. fabricated solution-based IGZO films with a 300 • C annealing process [40]. Song et al. demonstrated a flexible transistor by annealing ZnO at 200 • C [41]. Yarali et al. demonstrated high-k dielectrics Al 2 O 3 /ZrO 2 bilayer and In 2 O 3 /ZnO heterojunction channel layers-based transistor using spin coating and photonic process (Figure 1d) [37]. Wang et al. presented transistors based on IZO and IGZO using spray-combustion synthesis (SCS) [26]. Kirmani et al. demonstrated an In 2 O 3 semiconductor-based transistor using a blade-coating method. The reported charge mobility of TFT composed of a 4 nm-thickness double-stacked In 2 O 3 was 45.5 cm 2 V −1 s −1 (Figure 1e) [38]. Leppäniemi et al. used a flexographic printing process and in-nitrate precursor solution to form a nanocrystalline In 2 O 3 semiconductor layer (Figure 1f) [27]. Twyman et al. deposited In 2 O 3 on glass, PI, and PEN substrates using In(NO 3 ) 3 precursors, and replaced the annealing method with a xenon flash lamp photonic sintering method [42]. Lee et al. demonstrated an In 2 O 3 semiconductor-based transistor by inkjet printing [28]. Figure 1g shows surface profiles of single droplets according to various substrate temperatures. The droplets have different morphological characteristics depending on the temperature of the substrate. Table 1 summarizes the electrical characteristics of metal-oxide semiconductor by the fabrication process method.

Flexible Device
The interest in flexible electronic transistors is increasing due to the demands of individual consumers. Flexible substrates, such as polyimide (PI), polyethylene terephthalate (PET), polyethylene naphthalate (PEN), polytetrafluoroethylene (PTFE), and polydimethylsiloxane (PDMS) are used instead of the conventional rigid substrates to realize flexible electronics. However, since flexible substrates generally have lower thermal resistance than that of rigid substrates (i.e., silicon and glass), it is relatively difficult to implement stable transistor operation [46][47][48][49]. Metal-oxide semiconductors that can be processed at low temperatures (<350 • C) and offer stable electrical performance are promising active materials for flexible transistors. Therefore, an amorphous metal-oxide semiconductor-based transistor is capable of large-area and low-temperature processing, making it possible to fabricate a device on a plastic-based substrate [50][51][52]. This section introduces an oxide semiconductor-based flexible electronic device.
Hwang et al. fabricated an In 2 O 3 -based flexible transistor on a PEN substrate (Figure 2a) [53]. The device showed a charge mobility of 3.14 cm 2 /Vs and a subthreshold voltage of 158 mV/decade despite the bending test. In addition, the device had a stable I on/off ratio of 10 9 or higher under bias stress. Recently, inkjet printing technology has been used to manufacture transistor arrays and integrated circuits with high electrical performance and high resolution with a low-cost process [54]. Kim et al. produced flexible semiconductors by depositing an In 2 O 3 semiconductor on PI substrates using inkjet printing technology [55]. Under the condition of a bending radius of 3.5 mm (tensile strain 0.03%), the mobility (5 cm 2 /Vs) and I on/off ratio (10 5 ) were measured using a bending test. The electrical properties of the device were retained despite the repeated bending tests.  [53] with permission from Springer Nature); (b) Image of the IGTO TFTs and their bending test procedure; (c) Transfer characteristics for the IGTO TFTs (adapted from [56] with permission from American Chemical Society); (d) BTS (VGS = ±20 V at 60 • C) time evolution of the threshold voltages for the ε = 0.19% (circle) and 0.93% (square) cases in a vacuum and air ambient; (e) Vth shift after 10,000 s BTS for different strain and ambient conditions (adapted from [57] with permission from Taylor & Francis). Hur et al. fabricated an indium gallium tin oxide (IGTO) transistor using a H50UV hybrid dielectric film on a PI/Polydimethylsiloxane (PDMS) substrate (Figure 2b,c) [56]. High insulating characteristics of the hybrid gate dielectric films were improved significantly with the reduction of residual hydroxyl groups due to the combination of highly ionic hafnium oxide by a UV treatment. Accordingly, a film having excellent interfacial matching with the IGTO channel layer and a high density was produced. As a result, the device using the hybrid dielectric film had a high mobility up to 25.9 cm 2 /Vs and an I on/off ratio of more than 10 7 . Furthermore, the device showed stable transistor operation even in the bending test repeated 100 times under a radius of curvature of 1 mm. Jung et al. reported a flexible indium gallium zinc oxide (IGZO) thin-film transistor on a PI substrate (Figure 2d,e) [57]. Compared to conventional amorphous silicon, the device had a mechanically flexible property as well as a high mobility up to 12.5 cm 2 /Vs with ε = 0.19%, and low process temperature and uniformity. In the bias temperature stress (BTS) condition, the device was subjected to tensile strain while applying a gate voltage of ± 20 V at 60 • C for 10,000 s in the same negative and positive conditions. In addition, comparison measurements were taken in a 100 mTorr vacuum and an air environment (relative humidity: 30%) to analyze the influence of the air exposure. The V th increased from −0.5 to −0.97 V as the strain changed from 0.19% to 0.93% in a vacuum ambient. When measured in air, after positive bias temperature stress (PBTS) the device with ε = 0.19% and ε = 0.93% showed a V th shift of 0.65 V and 4.96 V, respectively.

Stretchable Device
A stretchable device is considered as a next-generation electronic device in which the electrical characteristics of the device are maintained despite being stretched or bent [58]. The stretchable technology easily reduces the lifespan and destroys the device structure as the physical stress applied to the device is considerably larger than the conventional flexible technology that bends or rolls. Most of previous studies have focused on developing mechanically stable devices when physical deformation, such as using flexible substrates, modifications in the device structure, and tuning in materials, to realize highly robust devices with stretchability [59]. In this context, this chapter introduces metal-oxide semiconductor-based stretchable electronic devices. Jang et al. reported an IGZO-based TFT with a wavy-dimensional structure using a PI film (Figure 3a,d) [60]. The IGZO-based TFT showed excellent device operation robustness under compression/stretch conditions with a strain of 40%. In addition, as a result of comparison according to the thickness of the PI film (2 and 0.9 µm), the thinner the film, the more stable the operation when stretching. Park et al. implemented a stretchable active matrix with a novel fabrication technique [61]. After producing all the other components on a rigid substrate, they used a photolithography-based technique to form liquid metal wiring interconnects. Highly conductive and intrinsically flexible liquid metal interconnects can be integrated monolithically with TFT arrays. The fabricated stretchable TFTs had no deformation during elongation up to 40% in the semiconductor region and no deformation after elongation of 20% in the electrode region. At higher tensile strains, some cracks began to appear. The device was manufactured in a 4 × 4 matrix, and it operates stably, even at a maximum strain of 40%, and the threshold voltage and mobility were maintained unchanged. Cantarella et al. fabricated a wrinkled surface on PDMS, implementing a TFT and circuit based on IGZO, and induced stretching in random directions (Figure 3b,c,e) [62]. To fabricate a corrugated surface, the elastomeric surface showed a similar thickness to that of the silica layer in proportion to the oxidation time. This process resulted in surface wrinkling. As a result, it was possible to bend up to 13 µm and maintain its electrical properties while stretching up to 5%, as shown in the Figure 2c. Cracks formed when bent more than 5%, as shown in Figure 2e. No degradation in performance was observed, even when attached to an artificial wrist.  [60] with permission from American Chemical Society); (e) Crack formation near its channel region in strain values above 5% (scale bar: 50 µm) (adapted from [62] with permission from American Chemical Society); (f) Stretching simulation without and with an organic passivation layer; (g) Horizontal equivalent (Von Mises) stress distributions in the stretched state (adapted from [63] with permission from American Chemical Society); (h) Photograph of device surface under a mechanically stretching situation; (i) Transfer characteristics of the stretchable TFTs when pre-strain values were varied up to 60%; (j) Variations in MW and SS as a function of pre-strain value (adapted from [64] with permission from American Chemical Society).
Han et al. reported the electrical characteristics of flexible transistors by stacking IGZO on a PI substrate and implemented stretching simulations for two cases (with or without organic passivation layer) (Figure 3f,g) [63]. In this simulation, even after 10,000 cycles repeated stretching tests at 30% extension, there was no change in the electrical properties in either case. Furthermore, the organic passivation layer reduced the mechanical stress applied to the IGZO. An examination of the change in stress applied to the upper surface of IGZO revealed a decrease in stress at the center from 30.7 to 17.4 MPa. Based on the observed result, it is indicated that the organic passivation film enables the reduction of the mechanical stress applied to the inorganic material layer under both bending and stretching conditions. Kim et al. fabricated a charge trapping memory thin-film transistor (CTM TFT) with a wavy-dimensional structure using IGZO and zinc oxide (ZnO) (Figure 3h-j) [64]. IGZO was used as the channel layer, and ZnO was used as the channel trap layer. The wavydimensional structure allows the device to withstand significant mechanical strain by reducing the applied strain force. As a result, the CTM TFT had a wide memory window of 23.8 V and obtained a large switching current ratio of 10 6 with a short program pulse of 1 µs. In addition, the transistor showed excellent stretching durability over 150,000 times through optimization of process conditions even at an elongation of 50%. Sim et al. attempted to improve the flexibility by fabricating indium zinc oxide (IZO) TFTs with an open mesh configuration, similar to a kirigami structure [65]. The manufactured IZO TFT had a mobility and threshold voltage of 2.24 cm 2 /Vs and 4.4 V, respectively. When IZO TFT was stretched, the mechanical elasticity was obtained up to 30%, and stable device operation was achieved. In addition, the ultra-thin thickness and open mesh geometry allowed firm adhesion to human skin without the need for additional adhesives. They could withstand rinsing in water and washing with soap.

Transparent Device
Metal-oxide semiconductors, such as IGZO, ZnO, zinc tin oxide (ZTO), and tin monoxide (SnO), offer attractive and potential possibilities for transparent electronic devices. Most metal-oxide semiconductors have high optical transmittance in the visible region because of the wide bandgap at more than 3 eV [66,67]. This optically superior metal-oxide semiconductor material can be applied to various industrial technologies, such as smart windows, wearables, transparent displays, and has been actively studied. The analysis of the transmittance of metal-oxide semiconductor TFT is summarized in Table 2. This chapter introduces a transparent transistor with metal-oxide semiconductors.
To utilize metal-oxide -semiconductor transistors as transparent display backplane devices, it is necessary to use a metal-oxide-semiconductor material and a material with high optical transmittance for the electrode and insulating film layer, respectively [68]. Lee et al. reported a transparent phototransistor using a three-layer heterojunction metaloxide semiconductor based on Al: InZnSnO/InZnO/Al: InZnSnO. Figure 4a shows a schematic diagram of an AlZTO/IZO/ALZTO TFT. ITO was used as the source, drain, and gate electrodes, and SiO 2 was used as the insulating layer. Figure 4b shows a transmission electron microscopy (TEM) image of all the layers used for the three-layer heterojunction metal-oxide semiconductor TFT. Figure 4c presents a phototransistor array with a 300 pixels per inch (PPI) resolution and 80% optical transmittance [69].
In addition, a metal-oxide semiconductor transistor was applied to transparent flexible substrates, such as PDMS, PI, and PET [70][71][72]. Transparent and flexible transistors bring freedom from morphological limitations caused by conventional rigid substrates and are applied to foldable, flexible, and portable electronic devices. Yoon et al. reported an IGZObased deep ultraviolet (DUV) photodetector using a CPI and PET substrate. Figure 4d presents a schematic diagram of a transparent and flexible device that uses an ITO electrode. The DUV photodetector fabricated on the PET and CPI substrates showed superior optical transmittance of approximately 70% when the wavelength of light was 600 nm (Figure 4e). As shown in Figure 4f, an 8 × 8 IGZO TFT array fabricated on a PET substrate performed a mechanical bending test and exhibited stable electrical operation at a bending radius of r = 1.4 mm [73]. The use of representative metal-oxide semiconductors containing indium, such as IGZO, ITO, and IZO, are limited due to their environmental issues (i.e., toxicity), scarcity of indium, and high cost of indium. Therefore, there has been considerable research on transparent metal-oxide semiconductor electronic devices using low toxicity and abundant materials. Alshammari et al. reported a process system in which the gate, source, drain, semiconductor, and insulating film layer constituting the transistor were all made of a hafnium zinc oxide (HZO) (Figure 4g) [74]. This study used HZO, which consists of zinc and hafnium with relatively low toxicity. The conductivity of HZO was controlled by the composition ratio of the two chemical precursors (DEZ) (C 2 H 5 ) 2 Zn and (TDMAH) C 8 H 24 HfN 4 . All layers of the HZO-based TFTs were confirmed by high-resolution electron microscopy ( Figure 4h). Figure 4i shows the transmittance of the conducting HZO film in the visible region and has high optical transmittance of approximately 90%.

Inverter
An inverter is a logic element in which output voltage has a value opposite to the input voltage and is the most basic circuit for designing a logic circuit [84][85][86]. A complementary metal-oxide-semiconductor (CMOS) inverter logic device consists of one n-type metal-oxide semiconductor (NMOS) as a pull-down operation and one p-type metal-oxide semiconductor (PMOS) as pull-up operation (Figure 5a). Most metal-oxide semiconductors, such as IGZO, ZTO, and ZnO, exhibit typical n-type characteristics. On the other hand, there are fewer p-type oxide semiconductor materials for implementing the PMOS [87]. Owing to the limitations of these semiconductor materials, research to implement inverters with only n-type oxide semiconductors is being actively conducted [88]. The four circuit schemes were reported: (1) zero-VGS, (2) diode-load, (3) Pseudo-D, and (4) Pseudo-E (Figure 5d-g). This chapter introduces an inverter based on a metal-oxide semiconductor.
Nayak et al. controlled the concentration of OH groups in the gate dielectric to control the carrier polarity and accordingly implement controllable n-type and p-type TFTs with the CMOS inverter circuit (Figure 5b) [89]. Tin oxide was used for both the n-type and p-type TFTs; the semiconductor properties were controlled by modulating the concentration of OH groups in the gate dielectric. ALD-Al 2 O 3 operating in depletion mode exhibited p-type transistor characteristics, and SD-Al 2 O 3 operating in enhancement mode exhibited n-type characteristics. The resulting CMOS inverter showed a typical inverter response and a gain of~3 v/v. Although the gain was low, it illustrates the novel approach of the co-formation of n-type and p-type channel layers.  (Figure 5j) [92]. The fabricated TFT had a mobility of 15.04 cm 2 /Vs and a high I on/off ratio (>10 8 ). The voltage gain of the inverter was 58 v/v at an operating voltage of 6 V. This high voltage gain was similar to other inverters based on a SiO 2 gate dielectric but had a significantly lower operating voltage. This material has significant potential for display applications in low power consumption electronics [93].
A pseudo inverter is more complicated than a zero-VGS inverter but has higher noise immunity and a larger output swing. Hu et al. fabricated a TFT based on ITO stabilized ZnO and implemented a pseudo-NMOS inverter [94]. ITO-stabilized ZnO exhibited excellent spatial uniformity, air stability, repetitive switching characteristics, and consistent electrical performance. The pseudo-NMOS inverter had a delay time of 1.6 µs when the operating voltage was 5 V and a delay time of 0.8 µs when the operating voltage was 10 V. Two-input and three-input XOR gates were also implemented. When the operating voltage was 10 V, the two-input XOR gate had a delay time of 2.25 µs, and the three-input XOR gate had a delay time of 3.47 µs. This inverter will be used with other logic circuits to perform more complex functions.

Ring Oscillator
A ring oscillator is a circuit component in which an odd number of inverters are configured in a ring structure, and the output of the last inverter is feedback to the first inverter. When 'HIGH' is input, 'LOW' is output, and vice versa. As this operation is repeated through feedback, it oscillates between the two voltage levels representing 'HIGH' and 'LOW' [95]. The main purpose of the ring oscillator is to measure the effects of voltage and temperature on a chip and is used mainly to generate a clock signal [96]. Table 3 summarizes the analysis of the ring oscillator made of a metal-oxide semiconductor.
Lahr et al. fabricated a three-stage ring oscillator composed of a ZTO-based metalsemiconductor field-effect transistor (MESFET) (Figure 6a) [97]. Using the Schottky diode FET logic (SDFL) method, the level shift of the output signal was promoted so that the series connection of the inverters could be cascaded successfully. The mobility of the fabricated ZTO MESFET was reported to 1.8 cm 2 /Vs, and the threshold voltage was −0.6 to −0.3 V. In the ring oscillator VDD = 3 V, the maximum oscillation frequency was 451 kHz, and the delay time was 277 ns. Kim et al. fabricated an inverter and a five-stage ring oscillator by combining n-type ZTO and p-type single-wall carbon nanotubes (SWCNTs) (Figure 6c,e) [99]. Both n-type and p-type are solution processable and were deposited by inkjet printing. Among them, the mobility of ZTO TFT was 4.4 cm 2 /Vs, and the I on/off ratio was 2.6 × 10 6 . The output signal showed a relatively high oscillation frequency, reaching 714 kHz at VDD = 8 V. Hence, the complementary circuit technology could operate in air. With a delay time of 140 ns, this is the fast-ring oscillator circuit.
Jin et al. implemented a water-soluble TFT using IGZO and a five-stage ring oscillator (Figure 6d) [98]. The mobility of the transistor was 10 cm 2 /Vs, the I on/off ratio was 2 × 10 6 , and the manufactured ring oscillator was measured to 5.67 kHz at VDD of 19 V based on water-soluble thin-film transistors. The fabricated transistor showed complete circuit dissolution, starting with the disassembly of the polyvinyl alcohol (PVA) substrate within 30 min in di water. This suggests the possibility of environmentally absorbable technology.

NAND, NOR Gate
Computing devices, such as smartphones and tablet computers, can be realized by the miniaturization of transistors and the implementation of integrated circuits. Logic gates are essential elements for enabling these computing devices, with the NAND gate and NOR gate being the most basic [104]. The NAND gate is a circuit in which '0' is the output only when both input values are '1', and '1' in all other cases (Figure 7a). The NOR gate is a circuit that outputs '0' only when both input values are '1', and '1' in all other cases (Figure 7c) [105].
Honda et al. fabricated flexible CMOS using the n-type IGZO and p-type CNTs. They confirmed the operation of the NAND and NOR gates (Figure 7b,d) [106]. The I on/off ratio of the IGZO TFT was ≥10 5 , and the mobility was 5.5 cm 2 /Vs. The CNTs TFT had an I on/off ratio of more than 10 4 and a mobility of 2.2 cm 2 /Vs. In the NAND and NOR gates, the input voltages were 0 V and 5 V, and are indicated as '0' and '1', respectively. (Figure 7e). The same logical value was obtained even under the bending condition of r = 2.6 mm compared to the flat case. Few flexible CMOS NAND and NOR operations have been reported, but this study has demonstrated the flexible CMOS NAND and NOR operations. Liu et al. reported NAND and NOR circuits using only ZnO nanorod materials [108]. Unlike the basic CMOS mechanism, the piezoelectric field-effect transistor (PFET) controls on/off with the strain of the substrate. It is indicated as a logic '0' in the compressed state, and a logical '1' in the stretch state. An inverter can be implemented by stacking ZnO and electrode equally above and below the Kapton substrate. In addition, NAND and NOR circuits were fabricated using the two fabricated devices. As a result, the output was '0' when the strain was less than 0.8%, and close to '1' when it was not. Accurate circuit operation was realized. A characteristic is that the response time was determined by the ratio of the mechanical signals rather than electrical signals. Finally, XOR, multiplexer (MUX), and demultiplexer (DEMUX) were all realized. This increases the possibility of future applications of micro-electro-mechanical system (MEMS) devices by constructing circuits using only a single material.
Microprocessors are at the cire of all electronic devices, including smartphones, cars, routers, and smart objects. Biggs et al. recently fabricated a flexible core (PlasticARM) with a 32-bit central processing unit (CPU), system-on-chip (SoC), and CPU peripherals using IGZO TFTs (Figure 7f,g) [107]. The plasticARM contained 18,334 NAND gates, making it a complex FlexIC built with metal-oxide TFTs on a flexible substrate. The output was 12 times higher than previously reported integrated circuits [15,109]. In addition, compatibility allowed piggybacking of conventional software/tool support, such as compilers. This will pave the way for developing flexible, low-cost, smart integrated systems that will enable the 'Internet of Everything' over the next decade.

Biosensors Applications
Recently, the development of intelligent biosensors that effectively monitor human biological conditions, such as viruses, diabetes, and cancer is important [110][111][112]. The biosensor is a system that transduces a response between the target material and selective receptor into the signal to confirm the presence of the target material. Parameters, such as real-time monitoring, sensitivity, and reproducibility, are important indicators determining the performance of a biosensor. The transistor-type biosensor effectively detects the presence or absence of the target material by changing the conductivity with the presence of functional groups or receptors in the semiconductor channel [113]. This chapter presents diverse biosensors that applied metal-oxide semiconductors with excellent electrical properties, high electron mobility, and strong chemical resistance.
Rim et al. fabricated an In 2 O 3 -based ultra-thin conformal biosensor using simple solution processing (Figure 8a-c) [114]. The In 2 O 3 -based field-effect transistor (FET) showed a mobility of 20 cm 2 /Vs and a high I on/off ratio (>10 7 ). The biosensor measured the concentrations of Ph and D-glucose, while the self-assembled monolayer of NH 2 -terminated silane acted as a pH sensor. When the pH was measured from 9.0 to 5.5 at 0.5 intervals, the drain current response increased with decreasing pH. In addition, a change was observed when the concentration of D-glucose was measured from 100 µM to 4 mM. The proposed device was attached stably to artificial skin and artificial eyes with rough surfaces.
The stability problem of biosensors made from aptamers with high thermal resistance and chemical stability has attracted interest [115,116]. Agarwal et al. reported a ZnO-based transistor that could detect cardiac troponin-T (cTnT) as a biomarker of cardiovascular disease. The channel of the bare ZnO transistor was immobilized in the order of 3-Aminopropyltriethoxysialne (APTES), glutaraldehyde, streptavidin, and biotinylated troponin-T aptamer. Three-dimensional Kelvin probe force microscopy (KPFM) was performed to measure the potential variations of the functionalized device surface (Figure 8d). In addition, the transfer curve and output curve modulated by the biomolecule interactions of the functionalized ZnO transistor were measured (Figure 8e). The variations in electrical characteristics in the two sets of ZnO transistors were measured by drop-casting the analytes. The current level of troponin-T was higher than that with streptavidin and aptamer, highlighting its potential as a sensor for the qualitative detection of cardiovascular disease [117].  [114] with permission from the American Chemical Society); (d) The 3D KPFM image of bare ZnO surface, aptamer biofunctionalized surface, aptamer interacting with Troponin-T protein, aptamer biofunctionalized surface interacting with HigG protein; (e) Output and transfer characteristics of a two-set ZnO transistor (adapted from [117] with permission from the Elsevier B.V.).
The streptavidin-biotin complex system is useful for purifying or detecting proteins. Chen et al. fabricated an IGZO thin-film transistor-based biosensor with integrated microfluidic channels (Figure 9a,b) [118]. The binding interaction of the streptavidin-biotin complex was analyzed by monitoring the transient response of the transistor current with this biosensor. Figure 9c presents a graph of sampling the drain current every 10 s when a streptavidin-biotin mixed solution was added at VDS = 5 V, VGS = 10 V at 60 s. In the first current increase, the diffusion case of biotin was detected. The diffusion case of streptavidin was detected in the second current increase. The last increase in current was detected in a complex of the two substances.
Wang et al. fabricated an IGZO TFT-based biosensor with gold pads using a malateaspartate shuttle. The IGZO biosensor detected the biochemical reaction between NADH and NAD+ (Figure 9d,e) [119]. In the proposed device, a gold pad was placed on an IGZO TFT, and 8-mercaptooctanoic acid (8-MOA), ethyl dimethylaminopropyl carbodiimide (EDC)/N-Hydroxysuccinimide (NHS), and NH 2 functional groups were added sequentially. Subsequently, the sensor was functionalized when washing unbound molecules to detect the target proteins and ligands. NADH was almost oxidized to NAD+ during the sensing process, and OAA was reduced, causing a change in current. When the linker captured the NAD+ molecule, negative carriers were induced in the IGZO channel, which contributed to the increase in drain current. This led to a better method for identifying the reaction states while providing higher sensitivity than optical spectroscopy.

Neuromorphic Application by Electrical Operation
The need for an unprecedented transistor system to replace the conventional Von Neumann architecture is emerging because of the limitations of high integration and efficiency of transistors. Among the promising replaced system, the implementation of transistors by a neuromorphic structure that mimics the structure of human neurons and synapses has garnered interest [120]. Although the human brain comprises approximately 100 billion neurons and a trillion synapses, the human brain system shows efficient power consumption compared to the conventional Von Neumann system [121]. In addition, the human brain has superior processing capability in complex cogitation information processing ability than a Von Neumann system. Hence, it is expected that neuromorphic devices can derive similar performance. This chapter describes a metal-oxide semiconductorbased synapse transistor among neuromorphic devices highlighted as a next-generation transistor architecture.
The synaptic transistors require a low current signal for efficient energy consumption. Metal-oxide semiconductors, such as IGZO, have high mobility (>10 cm 2 V −1 S −1 ) and low off current (<0.1 nA) characteristics suitable for neuromorphic devices [122][123][124]. Cho et al. reported about 0.269 fJ low energy consumption synaptic transistors applying the IZO/IGZO double-layer structure of an amorphous oxide semiconductor to mimic the plasticity of synapses. The gate electrode is considered a pre-synapse, and the semiconductor layer-source/drain electrode is considered the post-synapse region. In the conductivity of semiconductors considered as the weight of the synapse, the proton act as a medium, inducing a weight change. As a result, the drain current performs the plasticity of the synapse. The synaptic transistor was operated in a similar environment to the human brain (temperature 25 • C, relative humidity 50%). The proposed synaptic transistor had a low energy consumption of 0.269 fJ when performing a spike operation [125].
Kim et al. demonstrated ferroelectric thin-film transistor (FeTFT) with metal-ferroelectricsemiconductor (MFS) structure using the hafnium oxide and IGZO. The FeTFT represents the potential of synapse transistors by inducing variation in the channel conductance of IGZO with respect to the polarization state of hafnium oxide. Figure 10a represent the potentiation and depression characteristics through conductance modulation of FeTFT which condition at linearity (A p , −0.8028; A d , −0.6979) and G max /G min ratio > 10. To perform artificial neural network (ANN) simulation, a two-layer multilayer perceptron (MLP) (400 input neurons, 100 hidden neurons), and 10 output neurons were used (Figure 10b). The FeTFTbased synapse transistor has a pattern recognition accuracy of 91.1%, which is similar to ideal neuromorphic device with and accuracy of 91.1% [126].
Several studies have evaluated additional materials for the oxide semiconductorbased devices to enhance the performance of artificial synaptic transistors [127]. Park et al. presented a synaptic transistor with a heterojunction structure made from an oxide semiconductor IGZO and reduced graphene oxide (rGO) with high mobility and stability. The height of the Schottky barrier formed between IGZO and rGO was adjusted to the gate voltage that induced lower power consumption and improved the dynamic range. The long-term potentiation (LTP) transmits repetitive signals between the synapses resulting in efficient signal transduction by strengthening the connection among the synapses. Figure 10d,e show that the spike changed when a positive gate voltage and a negative gate voltage were applied to the synaptic transistor, respectively. Long-term potentiation was observed when a positive gate voltage. On the other hand, long-term depression (LTD) occurred after applying a negative voltage. Figure 10f shows 20 consecutive positive and negative voltage spikes. The gradually changed current levels of the spike were caused by modulating the Schottky barrier height between IGZO and rGO. In addition, Figure 10g shows the 20 consecutive spikes pulses that operate for repetitive 760 cycles without degradation [128].

Neuromorphic Application by Photonic Operation
Among the neuromorphic devices that mimic the efficient structure of the human brain, the optical synaptic devices studied have attracted recent interest [19,129,130]. Photo synaptic transistors that are applied with human visual mechanisms have attractive characteristics, such as low power consumption and real-time visual image processing [131]. As a result, photo synapse transistors are the next-generation semiconductor transistors suitable for Internet of Things (IoT) networks and image sensors that generate large amounts of data. Nian et al. reported a photo synapse transistor that mimicked the human visual system. The light that reflects the object passing through the human eye changes the photoreceptors of the visual nervous system. Photosensitive synapses that change the photoreceptors generate and inhibit the short-term post-synaptic currents by taking over-stimulation from the presynaptic neurons. According to this mechanism, the spike generated by the post-synapse current changes the weight of the synapse and causes plasticity of the synapse [132]. This chapter introduces a synaptic transistor based on a metal-oxide semiconductor.
Kim et al. presented a photonic synapse transistor that uses a metal-oxide semiconductor IGZO and ferroelectric HfZrO x layer. The short-term potentiation (STP), LTP, and paired-pulse facilitation (PPF) of the proposed phonic synapse transistor were realized as a response to an applied optical stimulus. The common PPC behavior of IGZO was considered by the ionization of oxygen vacancies. The conductivity of IGZO was increased by optical stimulation, and the increased conductivity decayed with time ( Figure 11a). The ionization of oxygen vacancies by optical stimulation generated electrons. The excess generated electrons were released into the bulk IGZO and increased the conductance. In addition, the recombination and neutralization of V o 1+ and V o 2+ occur, resulting in the slow decay of conductance (Figure 11b). The similarity between the photoelectron generation and recombination mechanism and the Ca 2+ influx and expulsion mechanism mimics the function of synaptic devices. Figure 11c,d show the biological synaptic structure and the signal transmission mechanism by the synapse. The Ca 2+ influx induces an action potential when a certain stimulus reaches the presynaptic membrane. Subsequent release of neurotransmitters can strengthen and weaken the synaptic transitions. On the other hand, changes in the synaptic responsivity persist for a short time because Ca 2+ is released to the presynaptic membrane [133].
Wu et al. demonstrated an IGZO-based artificial synaptic TFT which is performing essential behavior of synaptic devices such as PPF, paired-pulse facilitation (PPF), excitatory postsynaptic current (EPSC), short-term memory (STM), and long-term memory (LTM). In addition, the plasticity of synapses was changed by the composition ratio of IGZO film. Figure 11e shows a typical memory model presented by Atkinson-Shiffrin that describes STM and LTM behavior. The changed frequency of UV light pulse stimulation irradiated on IGZO-based synaptic TFT mimics the rehearsal of the human brain to convert STM to LTM. When IGZO-based synaptic TFTs were irradiated with UV light pulses of 0.1 Hz and 0.5 Hz, STM and LTM behaviors were achieved, respectively (Figure 11f). Figure 11g shows the increased synaptic weights with identical photonic simulation [134]. Hong et al. reported a neuromorphic active pixel image sensor array (NAPISA) chip that uses an IGZO/IZO heterojunction-structured metal-oxide semiconductor and ferroelectric layer. The IZO back-channel layer was deposited using a solution process, and the IGZO front-channel layer was deposited by sputtering. Figure 11h presents a schematic diagram of an 8 × 8 NAPISA chip in which each pixel consists of one transistor and a phototransistor, respectively. Figure 11i shows photocurrent mapping images of an 8 × 8 NAPISA chip applied using a pulsed light stencil projection method. In the potentiation mode, the visual information became more apparent as the number of photo spikes increased. By contrast, the depression mode makes visual information indistinct with more photo spikes [135].

Conclusions
In summary, this review revisits recent progresses in metal-oxides-based emerging devices. While conventional silicon-based devices suffer from its limited form factor, difficulty in large-area processing, and complicated manufacturing process, the metal oxides are considered to obtain various functionality such as flexibility, transparency, and so on. Based on the merit mentioned above, the metal-oxide semiconductors are achieving various technological developments: (i) flexible and stretchable devices, (ii) integrated circuits, (iii) biosensors, and (iv) neuromorphic devices. Each technology still has challenges. Here are the summarized the pros and cons as follows: 1.
In recent years, the development of metal-oxide-based TFTs with flexible and stretchable characteristics has been actively studied. However, there are still limitations of insufficient durability of the electronic device due to harsh physical deformation.
To be successful in practical applications, it is necessary to develop devices that can withstand further extreme mechanical stress.

2.
The implementation of integrated circuits based on the metal oxides has been extensively developed. In particular, the recent demonstration of the ARM core is a remarkable achievement. However, a complementary circuit must be developed for reducing a static leakage current and power consumption, and accordingly the development of p-type metal oxides is highly required.

3.
The interest of biosensor devices using metal-oxide semiconductors is focused. However, the number of selectable materials that capable of binding to target biomaterials are limited. Additionally, it is necessary to make efforts to solve reproducibility and reliability issues for the practical application of biosensor devices.

4.
Many efforts are being made for the development of neuromorphic devices using the metal oxides. However, cycle-to-cycle variations and uniformity are still considered the biggest challenges for practical applications. Efforts to overcome this need to be made before it can be applied as a more practical artificial intelligence system.
As mentioned above, there are still limitations that need to be overcome, but it is currently under active research and development with respect to synthesis, device structure, and fabrication process in the metal-oxide TFT, so it is expected that practical application verification would gradually take place. Based on this overview and summary, we believe that metal oxides will become one of the cores of future electronic devices as current efforts utilize the potential advantages of the metal oxides and overcome the aforementioned difficulties.

Conflicts of Interest:
The authors declare no conflict of interest.