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Advances in Biosensor Technologies for Modern Healthcare: A Systematic Review of Clinical Applications, Wearable Systems, and Future Perspectives

William Bulubellemowei Debekeme, Ebiowei Henry Alpha, Obiora Emeka OkoyeOkoye, Tarila Amakoromo

Greener Journal of Biomedical and Health Sciences, 2026

Abstract

Introduction: Biosensors enable rapid, sensitive detection of biological analytes and continuous physiological monitoring, while nanotechnology, flexible electronics, artificial intelligence, and connected medical-device platforms are accelerating decentralized and personalized healthcare.

Methodology: A systematic review was conducted using PubMed/MEDLINE, Scopus, Web of Science Core Collection, ScienceDirect, IEEE Xplore, and Google Scholar for literature published from January 2015 to March 2026. The search identified 1,436 database records and 46 additional records; after duplicate removal and screening, 118 studies met the eligibility criteria and were synthesized narratively in accordance with PRISMA 2020.

Results: Electrochemical biosensors remained the most widely deployed platform because of affordability and portability, while optical, piezoelectric, field-effect transistor, microfluidic, and nanotechnology-enabled biosensors demonstrated important clinical applications. Wearable biosensors integrated with intelligent analytics and connected-device platforms supported continuous monitoring and predictive alerts. Graphene-based sensors, CRISPR-assisted diagnostics, and implantable biosensors showed strong potential for precision medicine.

Conclusion: Clinical translation remains limited by biofouling, manufacturing cost, regulatory complexity, cybersecurity, and inadequate implementation in resource-constrained settings. Future research should prioritize…

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