Search Results (962)

This article discusses advanced artificial intelligence (AI)-based strategies for the design and personalization of three-dimensionally (3D) fabricated hand exoskeletons, with a focus on adaptive, data-driven methodologies. It highlights the crucial role of intelligent personalization in improving user comfort, functional performance, and rehabilitation outcomes, particularly in medical and care settings. The proposed approach integrates biomechanical modeling, high-resolution 3D scanning, and machine learning (ML) algorithms to create exoskeleton systems tailored to the unique anatomical and motor characteristics of individual users. This article presents both a theoretical framework and practical implementation of AI-based adaptation, addressing key challenges such as precise anatomical fit, ergonomic optimization, and real-time responsiveness. Specific emphasis is placed on AI-based feedback mechanisms that enable continuous, dynamic adjustment of control parameters during device operation. Case studies illustrate the effectiveness of these techniques in improving performance and rehabilitation progress for individual users. By combining intelligent modeling, adaptive control, and additive manufacturing, this research advances the field of wearable robotics and points the way to more accessible, efficient, and fully personalized assistive technologies. Full article

Dental caries remains one of the most prevalent yet preventable non-communicable diseases worldwide, disproportionately affecting populations with limited access to dental care and persistent socioeconomic inequalities. Early-stage lesions frequently remain undetected because of their asymptomatic nature, inadequate screening infrastructure, and the absence of continuous monitoring technologies, resulting in preventable complications and increased healthcare costs. To address these challenges, this study proposes an Internet of Things (IoT)-enabled intraoral wearable sensing device (I-OWSD) for continuous, quantitative, real-time monitoring of biomarkers associated with caries progression. The proposed framework integrates intraoral wearable sensing, cloud-based telemedicine services, and artificial intelligence (AI)-assisted analytics to support preventive oral healthcare and remote clinical decision-making. Two primary contributions are presented. First, a fractional-order delay-type model (FODM) based on the Caputo–Fabrizio derivative is proposed to capture the memory-dependent and nonlocal dynamics of caries progression. Mathematical analysis establishes the model’s non-negativity, boundedness, existence, uniqueness, and stability properties. Second, a biocompatible intraoral sensor interface is designed to enable continuous data acquisition and secure wireless communication with digital health platforms. Simulation results based on the proposed FODM suggest that, under an estimated adoption rate of 67.49%, the I-OWSD framework could reduce caries prevalence by approximately 15% while improving opportunities for early intervention and preventive care. The findings demonstrate the potential of combining fractional-order modelling, wearable sensing, and AI-driven teledentistry to advance continuous oral health monitoring and preventive dental care. Full article

Gallium (Ga)-based liquid metal (LM) composites, particularly those based on eutectic gallium–indium (EGaIn) and related alloys, have emerged as a promising materials platform for soft and deformable energy storage owing to their unique combination of metallic conductivity, fluidic deformability, and adaptive interfaces. Despite rapid advances in LM-enabled devices, binders remain insufficiently understood and are still commonly regarded as passive structural components. Here, we present a comprehensive binder-centered perspective for LM composites, establishing the binder as a key regulator of electro-chemo-mechanical coupling, interfacial stability, transport behavior, and processability in soft energy systems. We show that tailored binder chemistries in Ga-based LM systems—including stretchable batteries, printable conductors, and soft electrochemical devices—govern LM droplet dispersion, suppress coalescence and leakage, and preserve conductive percolation under large deformation, while enabling room-temperature fabrication and printability through rheological regulation and interfacial wetting. Beyond mechanical confinement, emerging binder functionalities—including dynamic bonding, supramolecular interactions, ionically conductive networks, and reversible polymer architectures—enable self-healing interfaces, adaptive transport pathways, and robust adhesion in deformable devices. By integrating recent advances in stretchable batteries, flexible supercapacitors, printable electronics, and multifunctional soft energy systems, we establish a unified multiscale framework linking binder molecular design to device-level electrochemical and mechanical performance. We further discuss sustainability and manufacturing considerations, including recyclable polymer networks, low-temperature fabrication, and scalable processing strategies. Finally, we outline current challenges and future opportunities toward programmable binder systems with tunable viscoelasticity, interfacial reactivity, and adaptive functionality. This Review establishes binder-centered engineering as a key pathway for transforming LM composites from proof-of-concept materials into resilient, manufacturable, and multifunctional soft energy technologies for wearable, stretchable, and biointegrated electronics. Full article

The modernization of traditional Chinese medicine (TCM) is significantly impeded by the elusive material basis of its meridian system and by a lack of objective, quantitative diagnostic standards. Recent breakthroughs in photonic technologies and optoelectronic chips offer transformative paradigms to address these systemic bottlenecks. This review systematically evaluates the complete academic and engineering chain of “Photonic TCM,” spanning fundamental mechanisms, optical diagnostics, advanced therapeutics, and core chip-level technologies. Specifically, we analyze how ultra-weak photon emission (UPE), two-photon microscopy, and infrared thermography can objectify meridian dynamics and acupuncture pathways. For clinical translation, laser acupuncture has emerged as a robust, non-invasive modality for managing disorders such as chronic pain and insomnia, supported by cumulative evidence-based data. At the device level, vertical-cavity surface-emitting laser (VCSEL)-based photonic computing chips enable ultrafast herbal medicine recognition, while flexible optoelectronics and lab-on-a-chip systems lay the technical groundwork for wearable neuromodulation. Crucially, this review concludes that the Photonic TCM paradigm is transitioning from isolated clinical validation to integrated engineering implementation. We identify biological tissue scattering and parameter heterogeneities as the primary bottlenecks. To navigate these challenges, we propose that the field’s future should converge toward edge-computing-driven wearable closed-loop systems and multi-dimensional optical big data ecosystems. Ultimately, these technological trajectories will steer TCM from an empirical discipline toward a data-driven, precise, and standardized medical science. Full article

Stroke remains a leading cause of death and long-term disability worldwide, making prevention strategies a global health priority. Emerging technologies—including artificial intelligence (AI), wearable devices, digital health applications, and drone-assisted emergency systems—are increasingly being explored to improve stroke prevention and early management. In primary prevention, machine learning models can identify individuals at high risk of stroke using clinical and behavioral data with high reported predictive accuracy, although most models are derived from retrospective, single-center datasets and still require prospective external validation. Digital devices and wearable technologies enable continuous monitoring of cardiovascular risk factors and support behavioral interventions aimed at reducing vascular risk. In secondary prevention, AI-based tools are being developed to predict stroke recurrence, identify modifiable risk factors, and detect patients at risk of poor medication adherence. In the acute setting, AI-assisted neuroimaging platforms are already integrated into clinical and telestroke workflows, supporting rapid triage and treatment decisions. In parallel, drone-based emergency systems may contribute to improved outcomes by reducing prehospital delays and facilitating telemedicine-based triage in remote or resource-limited settings, although current evidence is derived largely from out-of-hospital cardiac arrest pathways rather than stroke-specific trials. Although advanced neurotechnological systems capable of real-time neurophysiological monitoring and closed-loop neuromodulation exist in other neurological disorders, their role in stroke prevention remains largely theoretical. Overall, these technologies offer promising opportunities to reshape the continuum of stroke prevention and care, but further validation, integration into clinical workflows, and evidence of real-world effectiveness are required before widespread implementation. Full article

With the rapid advancement of wearable technologies, high-performance flexible sensors have garnered significant research interest. This study presents a PAM-5 hydrogel characterized by exceptional tensile strain (425%), superior compressive modulus (325 kPa), and notable ionic conductivity (1.1 S/m), serving as a robust mechanical framework and electrical foundation for developing advanced sensors. The PNP-5 integrated hydrogel sensor fabricated from this material demonstrates an extensive sensing range (2–53 kPa), remarkable sensitivity, and rapid response time (~321 ms), with its outstanding performance attributed to the synergistic structural design. Furthermore, the sensor exhibits excellent durability, maintaining consistent voltage output (~6.5 mV) across 1000 compression cycles, confirming its long-term operational stability. Through real-time monitoring of physiological signals and biomechanical movements including finger bending, respiration, and grasping, combined with spatial pressure mapping experiments using a 5 × 5 array touchpad, the device’s potential applications in wearable sensing platforms and human–machine interface systems are effectively demonstrated. This self-powered hydrogel sensor not only advances the performance metrics of flexible electronic devices but also establishes a solid experimental basis for future development of intelligent materials in health monitoring and interactive technologies. Full article

Background/Objectives: Artificial intelligence (AI) offers a promising approach for detecting and classifying symptom severity in patients with Parkinson’s disease (PD). The objective was to provide an overview of AI methods performance used for this classification through a systematic review and meta-analysis conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Methods: The Google Scholar, IEEE Xplore, PubMed/MedLine, and ScienceDirect databases were searched for the period 2015–2025. The studies included were original, peer-reviewed studies written in English that addressed an AI method based on machine learning (ML) or deep learning (DL) for the classification of PD patients. The dataset used had to be “Gait in Parkinson’s Disease,” in which the severity of disease symptoms was assessed using the Hoehn and Yahr (H&Y) scale. Studies had to report at least one of the five performance metrics: accuracy, sensitivity, specificity, precision, and F1 score. Two reviewers independently selected articles, assessed the risk of bias using PROBAST (Prediction Model Study Risk of Bias Assessment Tool), and extracted data. The logit-transformed values were pooled separately by performance metrics and by severity level using a random-effects model. Cochran’s Q test, the I² statistic, and inter-study variability (τ²), computed using the generalized inverse variance method with the restricted maximum likelihood model, were used to assess heterogeneity. Forest plots with 95% confidence intervals were used to present the results. Possible causes of heterogeneity were explored using a subgroup analysis (ML vs. DL) and a sensitivity analysis. Finally, publication bias (Egger’s test) and the certainty of the evidence (using GRADE—Grading of Recommendations Assessment, Development, and Evaluation) were assessed to verify the generalizability of the results. Results: Among the 257 unique records, 12 studies were included. The methods demonstrated very high overall performance (>92%): accuracy (96.4%, 95% CI: 95.9–96.9%), specificity (97.7%, 95% CI: 97.3–98.1%), sensitivity (94.0%, 95% CI: 92.7–95.2%), precision (93.4%, 95% CI: 92.0–94.6%), F1 score (92.1%, 95% CI: 90.6–93.4%). Accuracy, specificity, and precision were high for all H&Y levels. However, the more advanced the symptoms, the lower the sensitivity (97.3% for H&Y0 vs. 92.1% for H&Y3). ML models achieved the best results for classifying healthy patients (H&Y0: 95.7% to 98.2%), while DL approaches performed better for classifying higher severity levels (>92%). Heterogeneity and inter-study variability were moderate (I²: 40–50% and τ²: 0.3–0.4) for precision and F1 score, and high (I² > 90% and τ² > 0.6) for accuracy, specificity, and sensitivity. The GRADE analysis revealed low-quality evidence for precision and F1 score and very-low quality for accuracy, specificity, and sensitivity. Conclusions: Thus, AI-based wearable gait assessment devices show great promise in terms of aiding clinical decision-making and treatment personalization. However, further research using a rigorous methodology (PROBAST) is needed to ensure the generalizability of the results and the clinical viability of the proposed solutions. Full article

Background: The management of diabetic foot disease and knee osteoarthritis (OA) with smart orthotics holds significant importance during the early stages of these conditions, given their potential consequences, including functional impairment, chronic pain, and economic burden. Real-time monitoring of plantar foot pressure enables early detection of abnormal force distribution and gait biomechanics, allowing for the redirection of forces away from affected ulcers or arthritic joints. This is the first systematic review to synthesise clinical evidence for smart orthotics technology with real-time plantar pressure sensor biofeedback across both diabetic foot ulcer prevention and knee osteoarthritis management simultaneously. A search of the PROSPERO register confirmed no existing registration covers this specific combination. Objectives: To examine the clinical evidence for the use of standard and smart orthotics in the prevention and management of diabetic foot ulcers (DFUs) and knee OA, and to evaluate their impact on plantar pressure redistribution, ulcer recurrence, pain, biomechanics, and economic burden. Eligibility criteria: Studies published in English involving human adult participants (≥18 years) with a clinical diagnosis of diabetes mellitus (at risk of DFU or with peripheral neuropathy) or knee OA, where the intervention involved any orthotic device or smart/intelligent insole with clinical outcomes reported, were included. Studies on healthy individuals only, those not reporting participant age, and non-weight-bearing protocols not differentiated from weight-bearing were excluded. Information sources: Five databases were searched: CINAHL (EBSCO Information Services, Ipswich, MA, USA), PubMed Advanced (National Library of Medicine, Bethesda, MD, USA), Wiley Online Library (John Wiley & Sons, Hoboken, NJ, USA), Cochrane Library (Cochrane Collaboration, London, UK), and Google Scholar (Google LLC, Mountain View, CA, USA). Searches were completed in May 2026. Methods: We conducted a comprehensive literature review. This review was structured and reported with reference to the PRISMA 2020 statement (Preferred Reporting Items for Systematic Reviews and Meta-Analysis; University of Ottawa, Ottawa, ON, Canada) to guide transparency of reporting. It does not constitute a full Cochrane-style systematic review; risk of bias assessment was applied to key included studies and GRADE (Grading of Recommendations Assessment, Development and Evaluation; McMaster University, Hamilton, ON, Canada) certainty ratings were applied informally and narratively rather than as formal per-outcome evidence profiles. Five databases were searched yielding 92,637 records. After removal of 398 duplicates by Rayyan, 92,239 records remained. A subsequent automated keyword-based relevance filter applied within Rayyan (Rayyan AI, Doha, Qatar), prior to human screening, excluded 84,572 records that did not contain any terms related to orthotics, diabetic foot, or knee osteoarthritis, yielding 7667 records for human title/abstract screening. A narrative synthesis approach was adopted owing to the heterogeneity of study designs and outcome measures across included studies, which precluded meta-analysis. This review was not prospectively registered. A complete list of all 78 included studies, including those not individually discussed in the results and discussion. Results: The available clinical studies report promising findings for orthotics and smart orthotics in pain reduction, ulcer prevention, and potential reduction in economic burden, though conclusions are limited by small sample sizes, heterogeneity, and predominantly open-label designs. Recent research found that orthotics can be used to alter the gait pattern that influences knee OA by reducing excessive force on the affected joint. A randomised controlled trial demonstrated an 80% relative risk reduction in DFU recurrence (RR = 0.20; 95% CI: 0.06–0.79; p = 0.022), with absolute event rates of 6.3% in the intervention group versus 30.8% in controls (ARR = 24.5%); a second trial reported a 71% reduction in ulcer incidence over 18 months; and a third randomised controlled trial demonstrated statistically significant plantar pressure reduction (p < 0.01) in patients with diabetic neuropathy. Conclusions: The available evidence suggests that orthotics may be associated with improved pressure redistribution, reduced ulcer incidence, and benefit in the management of knee OA. Although the number of studies directly comparing smart orthotics with standard orthotics remains limited, the limited comparative studies suggested that smart orthotics showed promising results in reducing ulcer incidence, providing the patient with real-time feedback to offload via their electronic devices. These findings, while preliminary, highlight the potential of smart orthotic technology as an adjunct to standard orthotic care in reducing the overall burden of diabetic foot disease and knee osteoarthritis. Limitations: The primary methodological limitation of this review is the open-label design of all included smart orthotic trials, which precludes participant blinding and introduces performance bias. However, this limitation is structural and inherent to the wearable technology field—analogous to surgical trials—and is substantially mitigated by the use of objective primary outcome measures (plantar pressure and ulcer recurrence) across the three included RCTs, the consistency of effect direction across independent RCTs conducted in different countries, and a narrative sensitivity analysis confirming robustness of findings (Risk of Bias Across Studies Section). Formal per-outcome GRADE evidence profiles were not produced; overall certainty of evidence was assessed narratively with reference to GRADE domains and is judged to be low to moderate for smart orthotics in DFU prevention and low for knee OA management, consistent with the Level 2–3 evidence base and open-label study designs. Future adequately powered, multi-site RCTs with standardised outcome reporting, minimum 24-month follow-up, and integrated health economic modelling are the highest priority to extend these preliminary findings. Registration: This review was not prospectively registered. Full article

Integrating neural and muscular signals into wearable robotics enables adaptive assistance during real-world tasks. This study proposes a multimodal neural interface for passive exoskeletons that combines electroencephalography (EEG) and electromyography (EMG) signals to classify motor gestures and estimate real-time cognitive and muscular effort, supported by finite-element-based biomechanical modeling. The system was implemented on the Ottobock Shoulder X passive exoskeleton© and validated using synchronous EEG–EMG acquisition via the LiveAmp platform©, a commercially available platform that was not developed specifically for this study. A hybrid CNN–LSTM architecture with deep fusion was employed to enhance robustness and responsiveness under realistic operating conditions. This study proposes a multimodal neural interface for the software-level adaptive assistance of passive upper-limb exoskeletons. While the physical device maintains a static mechanical profile, the proposed digital framework achieves adaptation by interpreting the user’s physiological and motor states. Ten healthy participants performed three functional tasks (screwing, moving the box, and lifting the box) under five assistive conditions. Finite element modeling (FEM) was used to characterize the torque–angle relationship of the passive exoskeleton and to support the interpretation of experimentally observed assistive torque profiles. The FEM model, used as an offline biomechanical analysis tool to aid in the interpretation of experimental results, has not been integrated into the real-time control loop. Results showed an average classification accuracy of 90%, an F1-score of 0.85, and inference latency below 180 ms, confirming real-time applicability. Cognitive indices such as the Cognitive Load Index (CLI) and Frontal Asymmetry Index (FAI) enabled adaptive modulation of assistance strategies without requiring active actuation, thereby preserving the device’s intrinsic passive nature. Comparative torque analysis highlighted the ergonomic benefits of passive systems in mid-range postures, while Finite Element Method (FEM) supported analysis clarified their limitations under highly dynamic loads compared to active solutions. These findings advance multimodal brain–machine interfaces for wearable robotics by integrating physiological sensing, deep learning, and biomechanical modeling, offering a safe, energy-efficient, and adaptive approach with potential rehabilitation, occupational ergonomics, and human–robot applications. Full article

With the rapid advancement of portable wearable electronics, flexible supercapacitors have ushered in new development opportunities. In recent years, MXene and its composites have demonstrated potential as advanced supercapacitor electrode materials due to their outstanding theoretical capacitance, specific surface area, conductivity, hydrophilicity, and mechanical flexibility. This review traces the development of MXene and summarizes common synthesis strategies, with a focus on the effects of different preparation methods on its structure and properties. Departing from previously reported work, this review draws from the practical requirements of flexible supercapacitors to conduct an in-depth analysis of the key factors influencing the charge storage, rate capability, cycling life, and mechanical flexibility of the devices. It summarizes common design strategies for MXene composites currently used to enhance device performance. Additionally, this study analyzes key challenges facing MXene-based electrode materials, including issues such as self-stacking of layers, insufficient oxidation stability, limited energy density, and structural degradation under complex deformation conditions. Mitigation strategies are summarized, including optimizing synthesis methods and constructing composite systems integrating carbon materials, conducting polymers, and transition metal compounds. Finally, future research directions for MXene in flexible energy storage are explored, emphasizing the need to achieve a balance between performance and manufacturability through synergistic regulation at structural design, interfacial engineering, and device levels. This review aims to provide theoretical guidance for the development of practical MXene-based wearable energy storage devices. Full article

The increasing demand of digital technologies and their integration with wearable health devices provides an efficient trigger for next-generation wearable healthcare devices for long-term physiological monitoring. The advancement of energy harvesting mechanism, nanomaterial-based sensor fabrication and their integration with digital technologies have emerged as a promising solution for transforming future of digital health. This study provides a comprehensive summary and framework for wearable self-powered electronic devices, enabling continuous, battery-free health monitoring and advancing the development of sustainable, next-generation digital healthcare systems. This review paper presents a broad and detailed overview of current technologies and sensors advancement in developing low-power wearable, self-powered electronic devices suitable for healthcare applications. The importance and reliable use of key energy harvesting approaches including triboelectric, piezoelectric, thermoelectric, and photovoltaic approaches are systematically presented which focused on development of energy efficient wearable devices. This review further examines the low-power circuit design strategies for flexible electronics focusing personalized healthcare monitoring. Current challenges and limitations related to advanced manufacturing of wearable health devices focusing on large-scale deployment are also analyzed. Finally, the key future research directions are outlined for advancing a next-generation intelligent digital health system. Full article

Computer vision (CV) has significantly advanced in object detection and multi-object tracking; however, its application to modeling safety-critical social behaviors for blind and low-vision (BLV) individuals remains limited. In particular, sustained behaviors such as stalking—characterized by persistent proximity and trajectory consistency—have not been systematically addressed within wearable assistive systems. To investigate this gap, we first conducted a formative user study combining semi-structured interviews and behavioral observations to identify safety concerns and wearable design requirements among BLV participants. The findings reveal recurring concerns regarding prolonged following behaviors and highlight the importance of privacy-preserving, socially unobtrusive device configurations. Guided by these insights, we develop a shoulder-slung wearable system integrating dual-camera sensing with an edge-based vision processing pipeline. We reformulate stalking detection as a temporal behavioral persistence problem built upon multi-object tracking (MOT). Leveraging FairMOT for identity-preserving tracking and monocular depth estimation for spatial modeling, we introduce an online temporal persistence-based risk scoring mechanism that accumulates proximity and directional consistency over time. The complete pipeline operates in real time on an embedded platform without cloud dependency. By bridging user-centered design and behavior-oriented visual inference, this work demonstrates how MOT outputs can be extended beyond identity preservation to support temporally coherent safety assessment in wearable assistive contexts. Full article

Surface engineering strongly influences the performance, reliability, and safety of medical and biomedical devices, yet failures often originate at interfaces rather than in bulk materials alone. This review addresses the fragmented evidence base linking coating selection, interphase design, qualification testing, advanced characterization, and data-driven durability analysis. The objective is to provide an integrative, failure-mode-based framework for implants, reusable instruments, inhalation systems, diagnostics, wearables, and implantable electronics. A narrative synthesis of the peer-reviewed literature in coatings, biomaterials, electrochemistry, reliability, standards, and materials informatics was conducted, with qualitative tables used only when protocols were too heterogeneous for numerical pooling. The review compares physical vapor deposition (PVD), chemical and plasma-enhanced chemical vapor deposition (CVD/PECVD), atomic layer deposition (ALD), sol–gel/organically modified silica (ORMOSIL) hybrids, plasma polymers, parylene, bioactive or antimicrobial surfaces, and electronic encapsulation strategies. The main finding is that no universally superior coating exists; reliable performance depends on matching architecture and characterization to the dominant failure pathway, substrate compliance, geometry, sterilization or physiologic exposure, and the standards-constrained endpoint. The review further shows how electrochemical diagnostics, interfacial mechanics, multiphysics models, survival/reliability statistics, and carefully governed AI workflows can be combined to support service-life prediction and decision-oriented qualification. Full article

Sensor-based human activity recognition (HAR) plays a fundamental role in healthcare monitoring, sports analytics, and ambient-assisted living. Although deep learning has substantially advanced HAR performance, two practical issues still limit its real-world deployment: (i) the distribution shift caused by changes in users or sensor placements can degrade generalization, and (ii) the quadratic $\mathcal{O}\left(L^2\right)$ complexity of standard self-attention hinders efficient long-sequence modeling on resource-constrained wearable devices. To address these issues, we propose DSHformer, which is an accuracy-oriented HAR framework that combines compact channel–temporal encoding with locality-sensitive hashing (LSH)-based attention. Specifically, DSHformer (i) employs a low-parameter patch-based graph-attention encoder to jointly model latent relationships among sensor channel–temporal dynamics; (ii) introduces a trainable prototype pool together with a multi-layer decomposition network to improve intra-class compactness and inter-class separability via prototype alignment; and (iii) introduces a decomposition-stable LSH-based attention mechanism tailored for HAR, whose core design couples prototype-guided feature decomposition with locality-sensitive hashing to ensure that semantically related tokens remain consistently grouped in the same hash bucket even after decomposition-induced attenuation. The mechanism thereby operates at $\mathcal{O}(LlogL)$ attention complexity on longer sensor sequences. Extensive experiments on five public benchmarks (WISDM, UCI-HAR, PAMAP2, Opportunity, and UniMiB-SHAR) show that DSHformer achieves accuracies of 98.6%, 93.7%, 98.4%, 88.5%, and 96.6%, respectively, achieving competitive or superior performance compared with both Transformer variants and HAR-specific baselines under the adopted benchmark protocols. Ablation studies further confirm the complementary contribution of each component. Full article

Bionic sensors are emerging as powerful analytical platforms driving the development of next-generation detection technologies, particularly for small molecule sensing in complex environmental and biological systems. However, accurate and selective detection of small molecules remains fundamentally challenging due to their low molecular weight, limited structural specificity, and strong interference from complex matrices. This review provides a comprehensive overview of recent advances in bionic sensor technologies, focusing on how the integration of synthetic biology, nanomaterials, and artificial intelligence (AI) addresses these limitations. Key biorecognition elements, including enzymes, antibodies, aptamers, and molecularly imprinted polymers, are examined for their suitability in small molecule sensing applications. Advances in nanomaterials such as graphene, carbon nanotubes, quantum dots, and MXenes are discussed in relation to signal transduction enhancement, sensitivity improvement, and device miniaturization. In parallel, the roles of AI and machine learning in signal denoising, adaptive calibration, and molecular fingerprinting for complex datasets are highlighted. Applications in wearable and implantable biosensors, environmental monitoring, and food safety are analyzed, emphasizing real-time detection of metabolites, pollutants, and toxins. Key challenges associated with AI-driven systems, including scalability, cost, data reliability, and ethical concerns, are also discussed. Emerging trends such as hybrid sensing platforms, self-powered biosensors, and secure data integration frameworks are presented as future directions. This review aims to provide a problem-driven perspective on how next-generation bionic sensors can overcome current limitations and enable robust small molecule detection in real-world applications. Full article