Open Access Article
Hongyang Guo
a,
Zhuoru Huang
a,
Xiaojing Zhang
a,
Haoting Zhang
a,
Jiaying Sun
a,
Yuzi Zeng
a,
Yanjie Hu
b,
Yong Zhou
b,
Hao Wan
*ac and
Ping Wang
*ac
aBiosensor National Special Laboratory, Key Laboratory of Biomedical Engineering of Education Ministry, Department of Biomedical Engineering, Zhejiang University, Hangzhou, 310027, China. E-mail: wh1816@zju.edu.cn; cnpwang@zju.edu.cn
bDepartment of Respiratory Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016, China
cBinjiang Institute of Zhejiang University, Hangzhou, 310053, China
First published on 9th September 2025
Electrochemical gas sensors have attracted significant attention due to their high sensitivity and selectivity in detecting various gases. Recent advancements in microelectronics, materials science and computational technologies have driven the development of smart electrochemical gas sensors, enhancing their functionality with improved miniaturization, real-time data analysis, and remote monitoring capabilities. Furthermore, the integration of the internet of things, self-powered technologies and machine learning has expanded the potential of these sensors, enabling smart healthcare systems to adapt to complex and dynamic environments just as humans do. This paper reviews the basic sensing mechanisms, detection methods, recent developments of three types of electrochemical gas sensors and the related fabrication techniques. In addition, we further review their applications in three fields including air monitoring, breath analysis and microfluidic integration. Finally, current challenges, limitations, and future prospects are addressed, emphasizing the need for improved stability, selectivity, and energy efficiency to develop the next generation of electrochemical gas sensors.
Hongyang Guo received his B.E. degree of Electronic Science and Technology from Nanjing University of Information Science & Technology in 2024. Now he is a master student of biomedical engineering of Zhejiang University. His current research interests are focused on electrochemical gas sensors and the development of intelligent systems. |
Zhuoru Huang received her bachelor's degree in biomedical engineering from Zhejiang University, PR China in 2021. Now she is a Ph.D. student of biomedical engineering at Zhejiang University. Her work includes the research of chemical sensors and electrochemical gas sensors. |
Xiaojing Zhang received her B.E. degree of biomedical engineering in Zhejiang University, PR China in 2021. Now she is a Ph.D. student of biomedical engineering of Zhejiang University, PR China. Her research interests include surface acoustic wave sensors and biosensor instrument establishing for disease biomarker detection. |
Haoting Zhang received his B.S. degree in Intelligent Science and Technology from Northeast Electric Power University in 2019 and his M.S. degree in Electronic Information from Northeastern University in Shenyang, China, in 2023. He is currently pursuing his Ph.D. degree at the College of Biomedical Engineering and Instrument Science, Zhejiang University. His current research interests are focused on flexible/stretchable electronic devices, as well as self-driven sensors and systems. |
Jiaying Sun received her B.E. degree of biomedical engineering in Zhejiang University, PR China in 2022. Now she is a master student of biomedical engineering of Zhejiang University, PR China. Her research interests are gas sensors and the detection of disease markers in human exhaled gas. |
Yuzi Zeng is now an undergraduate student at Zhejiang University, working on electrochemical gas sensors. |
Yanjie Hu received her B.S. degree in internal medicine and Ph.D. degree in respiratory medicine from Zhejiang University, PR china in 2006, 2010, respectively. She is now the associate chief physician at the Run Run Shaw Hospital School of Medicine, Zhejiang University School of Medicine. |
Yong Zhou received his B.S. degree in clinical medicine and Ph.D. degree in respiratory medicine from Zhejiang University, PR china in 2001, 2007, respectively. Now he the chief physician of clinical medicine at Run Run Shaw Hospital, Zhejiang University School of Medicine. |
Hao Wan received his B.S. and Ph.D. degree in Biomedical Engineering from Huazhong University of Science and Technology, Wuhan, China and Zhejiang University, Hangzhou, China in 2010 and 2015, respectively. From 2015 to 2017, he worked as a postdoc in Electrical and Computer Engineering, Michigan State University, USA. Starting from 2017, he worked in the Department of Biomedical Engineering, Zhejiang University, China. His research interests are sensor microfabrication, electrochemical sensing and instrument development in environmental monitoring applications. |
Ping Wang received his B.E. degree, M.S. degree and Ph.D. degree of electrical engineering in Harbin Institute of Technology, PR china in1984, 1987, and 1992, respectively. Now he is a professor of Biosensors National Special Lab, Department of Biomedical Engineering of Zhejiang University, PR China. His research interests include biomedical sensors, chemical sensors and measurement. |
Beyond exogenous contaminants, endogenous volatile organic compounds (VOCs) generated by human metabolism have emerged as promising non-invasive biomarkers for disease diagnosis. More than 2000 VOCs have been identified in exhaled breath, spanning aldehydes, ketones, alcohols, hydrocarbons, and nitrogen- or sulfur-containing species.2 Their concentrations and profiles vary significantly with pathological conditions. For instance, elevated fractional exhaled nitric oxide (FeNO) is a clinically validated marker of eosinophilic airway inflammation in asthma and chronic obstructive pulmonary disease (COPD), while CO has been used as an indicator of smoking exposure and oxidative stress. In the context of cancer, oxidative stress–derived aldehydes and hydrocarbons have been consistently reported as potential markers of lipid peroxidation processes. Ketones such as acetone have been associated with altered glucose metabolism and may reflect systemic metabolic disorders. Moreover, microbial infections give rise to characteristic volatilomes, including sulfur-containing compounds, alcohols, and ketones, which can serve as discriminatory infection biomarkers.3 Collectively, these disease-specific alterations in breath VOC profiles highlight the promise of respiratory detection for non-invasive disease detection, clinical monitoring, and personalized healthcare strategies.
Gas sensors mimic the human olfactory system and provide a practical means to detect both environmental gases and disease-related VOCs, thereby linking environmental exposure and clinical diagnostics. While conventional analytical tools such as gas chromatography-mass spectrometry offer excellent sensitivity and selectivity, they are constrained by high cost, bulky instrumentation, and operational complexity.4 Optical gas sensors are also suitable for trace gas detection but are limited by environmental interferences and technological complexity.5,6 In contrast, emerging gas sensor technologies combine portability, low power consumption, and real-time detection, making them highly suitable for healthcare applications. In particular, electrochemical sensors are highly attractive for integration into compact and wearable platforms, as they enable continuous monitoring of breath biomarkers through their low power demand, miniaturized form factor, and direct conversion of redox reactions into electrical signals.7 The development of high-performance gas sensors optimized for medical use therefore represents a critical step toward advancing early disease screening, precision diagnostics, and long-term health management.
In recent years, the concept of smart gas sensors has attracted growing attention, particularly in response to the increasing demand for precise, real-time, and personalized healthcare monitoring.8–10 Smart gas sensors integrate multiple technologies—such as the internet of things (IoT), self-powered technologies, and machine learning (ML)—to achieve advanced functionality. These technologies mirror certain biological processes: IoT reflects the way neural tissues transmit sensory signals to the brain, self-powered technologies resemble the body's ability to generate and sustain energy, and ML mimics the brain's capacity for cognition and decision-making. Through such integration, smart gas sensors move beyond simple detection to intelligent systems capable of processing, interpreting, and responding to complex gas information (Fig. 1). The rapid advancement of these technologies is driving a paradigm shift in gas sensing from traditional hardware-based devices to multifunctional intelligent platforms. Importantly, smart gas sensors have already shown promising results in healthcare applications, such as monitoring exhaled breath biomarkers and tracking physical signs in real time.11–13 Beyond healthcare, they are also being explored in air pollution monitoring,14–16 mine safety,17–19 drug control,20–22 and food safety.23–25 This integration of sensing, communication, and intelligence therefore represents a key step toward establishing gas sensors as indispensable tools for next-generation healthcare and environmental protection.
By integrating chemistry, electronics, and advanced materials, electrochemical gas sensors can demonstrate high-precision detection capabilities across a broad spectrum of applications,26 which means that combining electrochemical gas sensors with smart technologies can show strong development potential. In recent years, several reviews have been published on the topic of electrochemical sensors for gas detection and smart sensor systems. Zhang et al.27 introduced an enzyme-based electrochemical gas sensor, demonstrating how biomolecular recognition can be coupled with electrochemical transduction to achieve high selectivity in gas detection. From a system-level perspective, Zong et al.10 emphasized the development and application of smart gas sensors, focusing on how IoT integration, artificial intelligence algorithms, and multifunctional system designs are reshaping gas sensing into intelligent platforms capable of real-time analysis and decision-making. In parallel, Atkare et al.28 provided a perspective on 2D MXene-based materials for self-powered smart gas sensors, underscoring their potential for autonomous operation and stable performance without external energy input. Complementarily, Cao et al.29 reviewed triboelectric nanogenerator (TENG)-based human–machine interaction systems, exploring how the integration of TENGs with IoT architectures offers a sustainable route toward energy-autonomous sensing and interactive healthcare technologies. Finally, Banga et al.30 critically assessed advances in gas detection methodologies, including electrochemical and spectroscopic techniques, with a special focus on environmental and health-related monitoring, thus setting a broad context for the healthcare-oriented discussion of electrochemical gas sensors. While the above reviews have provided valuable insights into electrochemical gas sensors and smart sensing technologies, most remain limited in scope. They tend to emphasize specific aspects—such as individual sensing materials, isolated transduction mechanisms, or the prospects of a single technology—without offering a holistic view that integrates these dimensions. Consequently, although these works enrich our understanding of materials design, system integration, and intelligent functionalities, they do not provide a comprehensive overview of smart electrochemical gas sensors from the perspective of healthcare applications. Furthermore, even when applications are mentioned, the focus has largely been on domains such as environmental monitoring, food safety, or industrial detection, with only marginal attention paid to healthcare-related contexts. What is still missing is a multidimensional analysis that connects sensing principles, material strategies, system-level intelligence, and microfluidic integration, all framed explicitly around the needs of human health monitoring and disease diagnostics. In this review, we aim to fill this gap by systematically summarizing the working principles, signal transduction pathways, detection methods and related Fabrication techniques of smart electrochemical gas sensors, with a particular emphasis on their recent breakthroughs in healthcare-related scenarios. We further highlight strategies for enhancing selectivity, accuracy, and sensitivity through the integration of IoT, self-powered technologies, and ML algorithms. Special attention is given to emerging concepts such as remote and on-site gas sensing, where wireless communication and artificial intelligence enable air quality assessment, real-time breath monitoring and microchannel control (Fig. 2). Finally, we discuss the major challenges and limitations that remain in this field, as well as potential future directions that may drive the development of next-generation smart electrochemical gas sensors for healthcare.
Electrochemical sensors typically consist of an electrolyte and a three-electrode system. Electrolytes are categorized as liquid electrolyte,34,35 gel electrolyte36,37 and solid electrolytes38,39 according to their physical state. The electrolyte not only provides an ion-conducting pathway but also significantly influences sensitivity, detection limit, and stability. For example, Singh et al.35 demonstrated that electrolyte engineering directly governs performance: adding diols (ethylene glycol, 1,2- and 1,3-propanediol) to the RTIL [C2mim][NTf2] increased NH3 solubility and reduced viscosity, thereby enhancing amperometric sensing. Dong et al.40 built an all-solid-state electrochemical sensing platform using a Na4Zr2Si3O12 (NZS) solid electrolyte and solid-state reference electrode; the device, prepared by high-temperature solid-state synthesis (400 °C, 40 MPa), showed robust operation in aqueous and simulated seawater with strong linearity (R2 > 0.99), broad detection ranges, and low detection thresholds for pH. Zhong et al.41 systematically compared gel electrolytes—hydrogels, eutectogels, and iongels—for OECTs and showed that a eutectogel (poly(glycerol-1,3-diglycerolate diacrylate) + choline chloride/1,3-propanediol DES) delivered the best transient and steady-state performance and superior durability, giving higher ECG signal amplitudes and SNR under continuous operation (5 h) and in daily measurements over 30 days. Moreover, a typical three-electrode system, including a working electrode (WE), an opposing electrode (CE) and a reference electrode (RE). The WE is where the target reaction occurs and is commonly composed of materials such as glassy carbon or metal electrodes. The CE is responsible for completing the electrical circuit and is typically made from inert materials, such as platinum or graphite, to ensure it does not directly affect the measurement outcome. The RE provides a stable and known reference potential, allowing for precise determination of the WE potential, with common types including the saturated calomel electrode and the silver/silver chloride (Ag/AgCl) electrode.42 During electrochemical gas detection, the target gas diffuses to the surface of the WE, where oxidation or reduction reactions take place, leading to changes in the electrical signal. Electrochemical gas sensors often employ various sensing elements, including noble metal nanomaterials (such as platinum and gold),43,44 conductive polymers (such as polyaniline and polypyrrole),44,45 MOS nanomaterials (such as ZnO and SnO2),46,47 and carbon-based materials (such as graphene oxide (GO) and carbon nanotubes (CNT)).48,49 These sensing elements typically exhibit advantages such as high specific surface area, excellent catalytic activity, and good electrical conductivity, facilitating gas molecule adsorption and reaction on the WE surface, thereby enhancing the sensor's response and recovery speed.50,51 Moreover, the sensing electrode consists mainly of sensitive and three-electrode system including transduction elements. The sensitive element directly contacts and reacts with the target substance, providing selective recognition and response capability for the substance under test. The role of the transduction element is to convert the non-electrical information generated by the sensitive element into an electrical signal that is easy to measure and process. By designing different sensitive elements, the selectivity of different substances can be improved, and the study of different conversion elements helps to overcome the application obstacles of sensors. Fig. 3 is a schematic illustration of an electrochemical gas sensor with a three-electrode configuration (WE, CE, RE). Gas molecules diffuse to the working electrode, where redox reactions occur. The resulting electrochemical signal is transmitted through the electrolyte and recorded as a measurable current or potential.
CV applies a triangular waveform linear potential scan signal to the electrode surface while recording the current response during the potential sweep. When the potential reaches the oxidation or reduction potential of the target gas, a corresponding electrochemical reaction occurs, generating oxidation and reduction peaks.52 By analyzing parameters such as peak current magnitude and peak potential position, qualitative and quantitative analysis of the target gas can be performed. Since different gases undergo redox reactions at distinct potentials on the electrode surface, oxidation and reduction peaks characteristic of each gas appear in the cyclic voltammogram when gas molecules react on the WE. The peak positions can be used for the qualitative identification of gas species. Additionally, under specific conditions, the oxidation or reduction peak current in the cyclic voltammogram shows a proportional relationship with the gas concentration, enabling the quantitative determination of gas concentration from the peak current. CV is frequently employed for screening and optimizing sensor-sensitive materials, facilitating the evaluation of material modification effectiveness. When developing new gas sensors, CV is used to examine the response characteristics of various sensing materials to the target gas, guiding the selection of the optimal sensing material.
CA is classified as a constant voltage technique, where a fixed potential is applied to the electrode, and the current response is monitored over time.52 In a chronoamperometric experiment, applying a potential step to the electrode triggers an electrochemical reaction at the electrode surface, leading to changes in the reactant concentration near the electrode and establishing a concentration gradient that drives mass diffusion. Under diffusion control, the measured current can serve as a quantitative indicator of the target gas concentration, following the Cottrell equation:
, where i is the current (A), n is the number of electrons transferred in the electrode reaction, F is the Faraday constant, A is the electrode area (cm2), D is the diffusion coefficient of the reactant, c0j is the bulk concentration of the reactant (mol cm−3), and t is time (s). CA is particularly well-suited for real-time and continuous monitoring due to its fast response, straightforward data processing, and high sensitivity, allowing the detection of subtle current variations and facilitating the effective measurement of low-concentration gases.
EIS involves applying a small-amplitude sinusoidal voltage (or current) and measuring the response signal of the electrode system, which follows an approximately linear relationship. This method provides impedance information while minimizing disturbances to the studied surface.53 After obtaining the impedance data, impedance spectrum analysis is performed. Common impedance spectra include the Bode plot and the Nyquist plot. By analyzing these spectra, key electrical parameters of the sensor, such as resistance, capacitance, and inductance, can be determined, along with critical information regarding electrode reaction kinetics and diffusion processes. This analysis serves as a valuable basis for a deeper understanding of the reaction mechanisms and performance of electrochemical systems.
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| Fig. 4 (a) Schematic diagram of the hydrogen sensor modified with Pt/C/Nafion and the CV and CV detection results. Inset: Magnified cyclic voltammetry region highlighting the oxidation (≈0.4 V) and reduction (≈0.17 V) peaks of hydrogen under anaerobic conditions, confirming the quasi-reversible redox process. Reprinted with permission from ref. 54. Copyright 2022 Elsevier. (b) Schematic diagram of the H2O2 sensor based on a copper redox mediator and the CV detection results. Reprinted with permission from ref. 55. Copyright 2023 Elsevier. (c) Schematic diagram and detection results of the high-sensitivity H2S sensor based on 1D Pt NTs. Inset: Enlarged response/recovery segment of the amperometric curve for 0.8 ppb H2S, showing ultrafast T90 (0.75 s) and T10 (0.86 s) behavior based on ultrathin Pt nanotube electrodes. Reprinted with permission from ref. 56. Copyright 2021 Elsevier. | ||
Potentiometric electrochemical sensors typically measure open-circuit voltage (OCV) to determine the concentration of target gases by detecting variations in electrode potential.57 When the sensor is exposed to an environment containing the target gas, the gas molecules diffuse to the WE surface and reach equilibrium. The hydrogen (H2) between the WE and the RE is then measured using a voltmeter, providing information about the gas concentration.
The working principle of potentiometric sensors is based on the Nernst equation:
![]() | (1) |
• E is the electrode potential (V), representing the potential value under specific conditions,
• E0 is the standard electrode potential (V), which is a constant specific to the electrode reaction under standard conditions (298.15 K, 1 mol L−1 concentration, 100 kPa gas pressure),
• R is the gas constant,
• T is the absolute temperature (K),
• n is the number of electrons transferred in the electrode reaction,
• F is the Faraday constant.
Molino et al.58 developed a novel potentiometric CO2 electrochemical sensor based on a composite membrane of polymer of intrinsic microporosity (PIM-1) and 18-diazabicyclo[5.4.0]undec-7-ene imidazolate (DBU-imidazolate). The high surface area and gas permeability of PIM-1, combined with the chemical affinity and ion-exchange properties of DBU-imidazolate, significantly enhance the CO2 sensitivity and selectivity. Zhang et al.59 proposed a potentiometric H2 sensor based on ZnO porous cages. By controlling the amount of cetyltrimethylammonium bromide (CTAB) added during the synthesis of ZnO porous cages, the size and average pore diameter can be tuned to optimize the gas-sensing performance. Under optimal conditions, the sensor exhibited a response signal of 10.6 mV to 0.3 ppm H2 at 450 °C, demonstrating excellent selectivity and reproducibility.
The working principle of impedance-based electrochemical sensors relies on gas adsorption/desorption and charge transfer processes. In this process, gas molecules adsorb onto the sensing layer of the electrochemical gas sensor, causing changes in the impedance of the sensing layer. EIS is the most commonly used technique for detecting impedance-based electrochemical gas sensors. The interaction of different gases with the sensing material results in varying changes in electrical parameters, allowing for the detection of gas type and concentration through impedance spectral shifts. An impedance-type nitrogen dioxide (NO2) sensor based on a porous NiO–YSZ mixed conductor layer was designed by Ma et al.60 By adjusting the YSZ/NiO ratio within the porous layer, the morphology and electron-ion conduction properties of the layer can be optimized, thus improving the sensor's response characteristics. Meng et al.61 developed an impedance-type NH3 sensor using YSZ as a solid electrolyte and NiFe2O4 as the sensing material. By modulating the NiFe2O4 loading and calcination temperature, the sensing performance was optimized. This special sensor, operating at 600 °C, demonstrates advantages such as short recovery time, high sensitivity, and good repeatability, while also exhibiting excellent anti-interference capability against CO2, CH4, H2, NO2, and NO. Zhang et al.62 reported a Pd-doped rGO/ZnO–SnO2 nanocomposite hydrogen sensor that achieved ultrafast response and recovery times in addition to a very low detection limit. Specifically, the device responded to 100 ppm H2 within 4 s and recovered within 8 s at 380 °C, with a detection limit as low as 50 ppb. The authors attributed these short time constants to the synergistic effects of reduced graphene oxide (rGO), ZnO–SnO2 heterostructures, and Pd nanoparticles, which together enhanced charge transfer and surface reaction kinetics. This case highlights that, beyond sensitivity and selectivity, response and recovery times are critical parameters for practical gas sensing, as they determine how quickly a sensor can detect leaks, return to baseline, and be reused. The study demonstrates how heterostructure engineering and catalytic additives can substantially accelerate adsorption–desorption dynamics, thereby underscoring the importance of recovery time in sensor design for safety and healthcare monitoring.
Photolithography provides sub-micrometer resolution and wafer-level uniformity, making it indispensable for the fabrication of interdigitated electrodes (IDEs) and multiplexed sensing arrays. By integrating functional films on lithographically defined IDEs, reproducible current paths and low baseline drift can be achieved, which is crucial for miniaturized electrochemical gas sensors. Belal et al.63 reported spray-printed ZnO thin films onto lithographic IDEs, demonstrating a remarkable NO2 response of 5298% at 100 ppm and 150 °C. Similarly, functionalized MWCNTs@ZnO composites deposited on lithographic IDEs exhibited room-temperature NO2 sensing with 80% response and fast dynamics, underscoring the synergy between high-resolution patterning and spray deposition.64
Screen printing is one of the most mature and scalable approaches, widely used for printing working, counter, and reference electrodes onto ceramic or polymer substrates. Its main advantages include low cost, high throughput, and the ability to handle a broad range of inks. Belal et al.65 systematically reviewed the progress of screen-printed gas sensors, highlighting their integration with hybrid processes such as spin coating, drop casting, and inkjet printing, and discussing their potential coupling with IoT, AI, and self-powered technologies to expand application fields. Despite limitations in resolution, screen printing remains a key technology for fabricating disposable and flexible electrochemical sensors.
Inkjet printing offers maskless, digital deposition with high spatial precision, enabling selective modification of electrodes. Belal et al.66 developed a layer-by-layer inkjet-printed δ-MnO2/graphene hybrid IDE platform, achieving stable flexible micro-supercapacitors with controlled porosity and conductivity. In another study, Bayoumy et al.67 employed microdrop inkjet printing of graphene/GO inks to fabricate interdigitated supercapacitors, obtaining high areal capacitance (195.1 F m−2) and long cycling stability, which highlights the role of IDE finger dimensions in enhancing ion transport. Taulo et al.68 further demonstrated that inkjet printing of SnO2/NS-rGO nanocomposites onto flexible IDEs enabled low-temperature CO detection (response 13.4 at 110 °C, compared to 1.88 for pristine SnO2 at 230 °C), with fast response/recovery and mechanical robustness under bending, illustrating its potential for wearable gas sensors.
Spray-printed methods are effective for rapidly producing porous and large-area sensing layers on both rigid and flexible substrates. Belal et al.63 fabricated ZnO nanosheet films via spray printing on lithographic IDEs, which exhibited high NO2 sensitivity and good reproducibility. In a related work, functionalized MWCNTs@ZnO composites deposited by spray printing demonstrated stable NO2 detection at room temperature with fast dynamics, emphasizing the ability of spray coating to integrate functional nanomaterials with patterned electrodes.64 Compared with other methods, spray printing is particularly advantageous in forming hierarchical porous films that promote gas diffusion and catalytic activity.
Importantly, the true impact of these fabrication routes lies in their ability to engineer electrode patterns. Interdigitated structures with optimized finger width and spacing minimize diffusion barriers and reduce ohmic losses, enabling faster response and higher sensitivity. Porous or 3D microstructures achieved through spray or inkjet techniques expand the electrochemically active surface area, thereby lowering detection limits. Moreover, selective printing (e.g., depositing catalytic or selective membranes only on the WE) enhances gas selectivity in complex mixtures. Recent advances clearly show that purposeful electrode pattern design, empowered by appropriate fabrication strategies, is essential for translating electrochemical principles into robust, miniaturized gas sensors for next-generation healthcare and environmental monitoring.66,69
Technological advances have enabled the mass production of inexpensive electrochemical sensors capable of measuring air pollution gas concentrations with relatively high accuracy. IoT modules are ideal for integration into these low-cost sensors, and deploying multiple sensor nodes in high-risk environments or urban areas can facilitate large-scale gas detection networks.75,76 However, traditional client–server and cloud-based data management systems are vulnerable to single points of failure, centralized data management issues, and other system weaknesses. To address these challenges, Gao's team77 developed a new IoT-based monitoring system (WG-IoT-MS) that effectively monitors and simulates CO2 and N2O emissions in agricultural water bodies, reducing monitoring costs by approximately 60%. This advancement tackled the challenges of cost and portability in simultaneously monitoring water quality and greenhouse gas emissions in rice paddy fields.
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| Fig. 5 (a) Four working modes of TENG. Reprinted with permission from ref. 88. Copyright 2022 Wiley. (b) and (c) TENGs utilizing PTFE and nylon as triboelectric films. Reprinted with permission from ref. 89 and 91. Copyright 2021, 2023 Elsevier. (d) Mxene Nfs and CA-NFs based TENG integrated into a smart shoe insole. Reprinted with permission from ref. 92. Copyright 2022 American Chemical Society. (e) PVA/AG NFs based wind-driven TENG. Reprinted with permission from ref. 93. Copyright 2021 Elsevier. (f) Wave-driven TENG with ECTFE film and ionic hydrogel electrodes. Parts (i)–(viii) show the charge transfer mechanism of TENG. Reprinted with permission from ref. 94. Copyright 2022 Elsevier. (g) Respiration-driven TENG using Ti3C2Tx MXene/NH2-MWCNTs. Reprinted with permission from ref. 95 Copyright 2022 Elsevier. (h) Lever-type triboelectric respiration sensors. Reprinted with permission from ref. 96. Copyright 2023 Elsevier. (i) Alveolus-inspired membrane sensor. Reprinted with permission from ref. 97. Copyright 2020 American Chemical Society. (j) TENG-based wireless gas sensor system reprinted with permission from ref. 98. Copyright 2021 Elsevier. | ||
Polymers such as PTFE, nylon, and latex are commonly used as triboelectric film materials. For example, in the TENG-powered NH3 sensor proposed by Wang et al.,89 PTFE and nylon were used as the two triboelectric films (Fig. 5b). Another NH3 sensor was powered by a TENG based on PTFE and latex.90 Su et al.91 developed a self-powered gas sensor array driven by a Maxwell displacement current (Fig. 5c), designed for wireless, passive respiratory analysis and exhaust emission monitoring. The relative rotation between PTFE rotator and nylon stator generates a time-varying electric potential in the entire space with a period of π/2, resembling the displacement effect. Due to their softness and flexibility, nanofiber materials are also commonly used as triboelectric layers in wearable gas sensors. Sardana et al.92 synthesized an electrospun TENG using highly electronegative and conducting MXene nanofibers (NFs) paired with biodegradable cellulose acetate NFs (CA-NFs) as triboelectric layers, achieving a sufficient power density (∼1361 mW m−2 MΩ−1). By embedding a triboelectric pair in the smart insole, the TENG harvests kinetic energy from footfall motion to power an MXene/TiO2/cellulose-NFs heterojunction-based sensor and LED indicators for NH3 leakage detection (Fig. 5d). Wang et al.93 fabricated a wind-driven TENG based on poly(vinyl alcohol)/Ag nanofiber films for human respiration and movement stimulation monitoring (Fig. 5e). By integrating four TENGs with a high-performance Ti3C2Tx MXene/tungsten oxide nanofiber-based NO2 gas sensor, this multifunctional self-powered detection system can trace the source of harmful gases. Additionally, Wang et al.94 constructed a liquid–solid TENG with ECTFE film and ionic hydrogel electrodes to harvest wave energy for marine environmental monitoring, derived from the contact electrification between water and ECTFE (Fig. 5f).
For a self-powered active gas sensor that functions both as an energy generator and a gas sensor, at least one of the triboelectric layer materials or electrode materials must possess gas-sensing properties. Wang et al.95 introduced a respiration-driven TENG using Ti3C2Tx MXene/NH2-MWCNTs for self-powered detection of exhaled gas and disease diagnosis. The MXene/NH2-MWCNTs composite, serving as both the friction layer and electrode of the TENG, is sensitive to formaldehyde (HCHO) gas, resulting in varying output voltages when exposed to different HCHO concentrations (Fig. 5g). To improve the output sensitivity of triboelectric respiration sensors (TRSs), Liu et al.96 designed a lever-type TRS (Fig. 5h). By adjusting the length ratio of the power arm to the resistance arm, they modulated the contact-separation distances between dielectrics, resulting in a TRS that exhibits flow sensitivity during oral/nasal respiration. Additionally, an in situ self-assembled Fe2+ doped polypyrrole (FPPy) sensing film was selected as one of the back electrodes of the triboelectric layers due to its selective reaction between Fe2+ and H2S. Consequently, the developed TRS is also capable of detecting H2S in exhaled gases. Su et al.97 developed an alveolus-inspired membrane sensor (AIMS) that converts the mechanical inflating and deflating of gases in a latex film into electrical signals (Fig. 5i). When combined with gas-sensing materials, it enables both NO2 detection and continuous monitoring of breathing behavior. Another example is the TENG-based wireless gas sensor system (TWGSS)98 used for food quality evaluation (Fig. 5j). The NH3-sensing conductive wood, chemically modified and incorporated with CNTs, exhibits excellent mechanical flexibility and gas adsorption capacity due to its porous structure.
Similar to TENGs, piezoelectric nanogenerators (PENGs) are widely used technologies for converting mechanical energy into electrical energy. PENG relies on the property of piezoelectric materials to generate electric fields upon deformation. This piezoelectric effect is suitable for self-powered sensor applications in dynamic environments with vibrations or human motion. To optimize energy harvesting, piezoelectric materials are often integrated with flexible substrates to form microelectromechanical systems (MEMS). In the study by Zhang et al.,99 a flexible piezoelectric nanogenerator was developed using a 2D single-layer MoS2 flake on PET. The Au-MoSe2 composite-based ammonia sensor with the MoS2 PENG exhibited an enhanced response (Va/Vg = 29 at 100 ppm NH3). Furthermore, the sensor demonstrated a rapid response and recovery time of 18 s and 16 s, respectively, when exposed to 20 ppm NH3. Photovoltaic energy harvesting converts light into electrical energy via the photoelectric effect, where light generates electron–hole pairs in a photoelectric semiconductor material that are separated by an internal electric field, producing current. In low-light environments, the generated energy is typically stored in supercapacitors or batteries to ensure continuous sensor operation. In the work of Niu et al.,100 a photovoltaic self-powered NO2 gas sensor was developed using a vertical MoS2 (n-type)/GaSe (p-type) heterojunction. The sensor demonstrated outstanding performance in detecting NO2, including rapid response and recovery times and high selectivity in both biased and self-powered modes. Notably, the limit of detection (LOD) for NO2 was as low as 20 ppb in the fabricated photovoltaic self-powered gas sensor. Thermoelectric energy harvesting is based on the Seebeck effect, where a temperature gradient across a thermoelectric material drives charge carriers from the hot end to the cold end, creating a potential difference that results in current generation.
Current commercial VOC detectors suffer from cross-sensitivity and low repeatability. The introduction of ML methods allows for feature extraction from the data to classify different types of VOCs and their mixtures. Huang et al.118 proposed a species-selective detection method for VOCs using electrochemical cells based on ionic liquid (IL) electrolytes. Linear discriminant analysis (LDA) was used to extract and classify the measured voltammograms. Zhang's team119 developed a wearable mask for detecting and identifying VOCs. During the analysis and identification steps, PCA and KNN were employed for dimensionality reduction, feature extraction, VOC recognition, and concentration prediction, with results demonstrating high accuracy (Fig. 6a). Tombel et al.120 applied five supervised ML algorithms to predict VOC classification using an initial dataset: KNN, RF, SVM, logistic regression (LR), and ANN. They found that RF and KNN models showed higher accuracy, and that selecting the simplest features from the steady-state stage was sufficient for gas classification. Similarly, Gupta et al.121 found that RF and KNN models demonstrated better accuracy in predicting normal breathing versus respiratory failure across multiple model comparisons.
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| Fig. 6 (a) Parallel coordinate plots of 12 parameters extracted from all VOC gas response measurements. Reprinted with permission from ref. 119. Copyright 2024 Wiley. (b) Safety monitoring system and the BP-NN network architecture.123 (c) Schematic of the hybrid sensor detector combined with ML algorithms. Reprinted with permission from ref. 132. Copyright 2024 Elsevier. | ||
ANNs are a ML approach that enables the learning and classification of data patterns. The multi-layer perceptron (MLP) is a type of feedforward neural network model that maps multiple input datasets to a single output dataset. Chen et al.122 developed an electronic nose system for online breath analysis based on a graphene sensor array and the MLP model. This system used the MLP model to perform pattern recognition of the responses of different gases on the graphene array, demonstrating that the method could effectively detect and analyze volatile compounds in exhaled breath. Li et al.123 designed a collaborative strategy based on sensor integration and ML algorithms for the precise detection of NH3 and NO2 gases. They employed the BP-NN algorithm for qualitative gas analysis and used partial least squares (PLS) regression analysis for quantitative prediction (Fig. 6b). Besides, Sun et al.124 conducted an analysis and comparison of various artificial intelligence algorithms for the real-time monitoring of volatile compounds in urine. They found that the convolutional neural network (CNN) model performed best in extracting local features, mining global training features, and classifying spatial vectors. Liu et al.125 proposed a feasible approach for selectively detecting chemical mixtures using a single non-selective sensor. By applying ML models, specifically a recurrent neural network (RNN) with gated recurrent units (GRU), the study successfully learned the response signals of a C2H2–C2H4 mixture, enabling the prediction of mixture composition from overlapping signals, thus providing new ideas for intelligent detection.126–128 Heng et al.129 designed an artificial intelligence-assisted sensor system for detecting acetone and ethanol. The sensor array, consisting of various metal oxide (MOx) sensors, was exposed to acetone and ethanol to generate a dataset for training and testing a multi-input CNN. This study confirmed that the deep learning model CNN is more effective at capturing dynamic interactions between sensors and acetone and ethanol compared to traditional ML methods such as LDA, KNN, and SVM.
ML techniques can be applied not only in the data post-processing stage to compensate for sensor performance deficiencies and improve the selectivity of target gases, but also in the pre-processing stage to address interference caused by environmental factors. The performance of GO-based VOC sensors, for example, is influenced by changes in relative humidity (RH) in the surrounding environment. To mitigate RH interference, Lim et al.130 compared two deep learning networks, transformer and LSTM, and found that both models could accurately predict a 1% change in relative humidity, with the transformer model performing better. This technology helps calibrate gas sensors developed in the laboratory within a typical humidity range. Additionally, detecting target gases in open environments requires careful consideration of the measurement environment, as the physical properties of gas molecules are highly influenced by external factors such as wind speed. To address the multi-condition gas classification problem, Lee et al.131 designed a novel deep learning network called ‘MCGCN’, which uses a shared feature extraction module (SFEM) for efficient feature extraction and a new loss function consisting of combined classification loss and individual condition loss for training. It achieves high accuracy (99.15% ± 0.41) while reducing the model parameters by a factor of 15 compared to previous methods. In another study, gas sensor arrays combined with ML models show significant development potential. Ku et al.132 proposed combining three different sensor principles: semiconductor metal oxide (SMO) sensors, electrochemical (EC) sensors, and photoionization detection (PID) sensors to create a hybrid sensor array. By integrating ML, this array can rapidly respond to and identify hazardous gas leakage environments in chemical plants. This research highlights the deep integration of sensor technology and ML, offering new ideas for the development of intelligent sensing systems. It is significant for advancing sensor technology and promoting the application of artificial intelligence in various fields (Fig. 6c).
Nitrogen dioxide (NO2) is a major component of air pollution, primarily resulting from industrial emissions, transportation, and residential combustion processes. Long-term exposure to NO2 can lead to respiratory diseases such as bronchitis, pulmonary edema, and asthma. Therefore, highly sensitive and selective NO2 sensors are crucial for air quality monitoring. Zhang et al.39 presented an ultra-sensitive NO2 sensor that operates at room temperature (RT), based on K2Fe4O7 solid electrolyte and Ni-MOF|N2 sensing electrode (SE). The sensor operates on the mixed potential principle (MPSE), where the potential signal is determined by the electrochemical reaction of the target gas. By controlling O2 vacancies and the unsaturated coordination state of Ni ions, the sensor's selectivity for NO2 is enhanced, providing a 31-fold improvement over NO. The sensor is integrated into an IoT terminal, enabling remote monitoring and information sharing. Ali et al.133 proposed a low-cost sensor node based on LoRaWAN, capable of measuring CO, NO2, and particulate matter (PM), calibrated using ML to improve accuracy. The development of such low-cost electrochemical sensors offers new possibilities for air quality monitoring. While these sensors may not match the accuracy of traditional devices, their low cost and potential for large-scale deployment make them valuable complements to conventional monitoring systems. However, low-cost sensors are not only limited by inherent sensing accuracy but also affected by environmental factors (such as temperature and humidity) and sensor drift over time, leading to a decline in measurement accuracy. As a result, research on various calibration methods has become a key research focus in recent years.30,134 Christakis and colleagues75 investigated the effect of sensor aging on measurement accuracy and proposed a correction formula to address this issue. The team set up a wireless sensor network (WSN) consisting of three sensor nodes in downtown Athens, Greece, with each node equipped with electrochemical sensors for monitoring NO2 and ozone (O3) concentrations. The sensor data were compared with official monitoring stations to assess accuracy. The team continued to focus on optimizing low-cost electrochemical air quality sensors for measuring O3 and NO2, proposing a new correction method based on quadratic polynomial regression the following year. The corrected data showed better alignment with official reference instrument data, enhancing the feasibility of low-cost sensors in real-world applications.135 Interestingly, portable environmental sensors can also serve as diagnostic tools for patients with COPD.136 COPD is a chronic disease that affects the respiratory system, and its symptoms can be exacerbated by environmental factors such as air pollution. Timely prediction of COPD symptom deterioration can help doctors make more accurate diagnoses. A prediction model combining probabilistic latent component analysis (PLCA) and linear dynamic systems (LDS), known as PLCA-LDS, was proposed by the Kolozali team to predict changes in patient symptoms. Experimental results showed that the new model achieved a 4–20% improvement in accuracy over the RF model in predicting COPD symptoms. This study is the first to demonstrate the feasibility of using personal air pollution exposure data to predict COPD symptoms and highlights the potential of portable sensors and ML technologies in remote health monitoring. In addition, chemical plants, underground mines, waste treatment facilities and other places are often accompanied by various toxic and harmful gases. Fazio et al.137 proposed and developed a self-powered smart shirt, which integrates multiple wearable sensors capable of monitoring workers' physiological indicators. The smart shirt transmits data to a smartphone via BLE modules, with the smartphone acting as an IoT gateway to upload data to the IBM Cloud platform for storage, processing, and visualization (Fig. 7a).
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| Fig. 7 (a) The deployed monitoring system relying on the proposed wearable device.137 (b) The transient all-MXene NO2 and pressure sensors and the photo of the pressure sensor on the skin. Inset: Photograph of the wearable sensor attached to the human wrist during measurement.138 (c) The vanadium carbide MXene based flexible and room temperature toluene gas sensor. Reprinted with permission from ref. 139. Copyright 2024 American Chemical Society. (d) Non-working state and working state of the composite device. Reprinted with permission from ref. 143. Copyright 2023 Elsevier. | ||
In order to better distinguish and quantitatively detect toxic gases, it is necessary to pay attention to the progress of sensitive materials in recent years, such as graphene/GO-based materials, CNTs, MOFs, and conducting polymers. Particularly, MXene-based gas sensors have demonstrated outstanding gas sensing performance owing to their unique two-dimensional structure and abundant surface functional groups. MXene-based gas sensors can exhibit excellent performance at room temperature. For example, Yang et al.138 developed a full MXene transient NO2 sensor based on three-dimensional porous wrinkled MXene spheres, which showed a response of up to 12.11% for 5 ppm of NO2 at room temperature, with a detection limit as low as 50 ppb and excellent reproducibility and selectivity. Furthermore, the flexible properties of MXene materials offer broad application prospects in wearable gas sensors (Fig. 7b). Karmakar et al.139 reported a flexible toluene gas sensor based on V2C MXene, which showed a 77.5% response to 200 ppm of toluene at room temperature. This flexible sensor can be integrated into wearable devices to monitor harmful gas concentrations in real-time, thereby protecting human health. The lightweight nature and high mechanical strength of MXene materials make them ideal for portable gas sensors, enabling real-time monitoring in complex environments. Lastly, the multifunctionality and tunability of MXene materials offer new directions for developing multifunctional gas sensors (Fig. 7c). Gorbounov et al.140 introduced an outdoor mine atmospheric monitoring system based on LoRa wireless technology, using MEMS gas sensors for real-time monitoring of harmful gases such as NO, NO2 and CO. By integrating MXene materials with wireless communication technology, remote and real-time gas monitoring can be realized, significantly improving the portability and practicality of the monitoring system.
Trimethylamine (TMA) is a VOC with a strong fishy odor. Prolonged exposure can irritate the eyes, nasal cavity, and skin, and may affect the nervous system.141,142 However, current TMA sensors often require high-temperature heating to improve sensitivity, presenting challenges in energy consumption and safety. Li et al.143 designed a passive near-field communication (NFC) tag-type TMA gas sensor based on WO3/MXene composite materials, achieving high-sensitivity detection at room temperature. The research team utilized the MXene layered structure to increase the reactive active sites of WO3 nanoparticles and form Schottky junctions, thereby enhancing the selectivity and response speed of WO3 to TMA. NFC technology is used to develop a non-contact gas detection device that does not require an external power supply, improving the safety and convenience of detection (Fig. 7d).
Indoor air pollution is now ranked among the top five environmental public health risks that contribute to morbidity and mortality globally, particularly since indoor pollutant concentrations can be several times higher than those found outdoors.134,144,145 Consequently, monitoring indoor environments is a vital application for intelligent gas sensors. Traditional air quality monitoring methods typically rely on expensive instruments and complex laboratory analysis, which cannot meet the demands for portability, low cost, and low power consumption. To address these challenges, González et al.146 proposed a LoRa-based sensor network that integrates commercial gas sensors and graphene-based chemical resistive sensors to detect VOCs, CO, and NO2, providing real-time air quality monitoring. The commercial sensor (BME680) computes the indoor air quality index using built-in algorithms, although it cannot accurately detect oxidizing gases like NO2. The graphene sensor, on the other hand, rapidly responds to changes in NO2 concentrations, making it suitable for detecting gas leaks. Furthermore, the LoRa network offers excellent scalability and communication performance, allowing for the easy addition of new nodes to the network without modifying gateway configurations. These sensor networks are ideal for indoor air quality monitoring and early gas leak detection.
HCHO is another significant indoor pollutant that raises health concern. The World Health Organization classifies it as a carcinogen when individuals are exposed to concentrations above 0.08 ppm over an extended period.147 Zhang et al.148 proposed a Cr-doped Pd-based electrochemical HCHO sensor, which exhibits a detection range one order of magnitude higher and significantly better anti-interference capabilities compared to conventional sensors. Most importantly, this HCHO sensor is suitable for both indoor and outdoor environmental monitoring when integrated into WSNs or handheld devices. Wang et al.95 designed a multifunctional self-powered system based on TENG. The team prepared a composite based on amino-functionalized multi-wall carbon nanotubes (NH2-MWCNTs). The composite material is used as both a friction layer and an electrode to improve the sensitivity of the sensor to formaldehyde. Experiments have compared the response of a variety of gases (such as methanol, acetone, ammonia, benzene), showing a higher selectivity for formaldehyde. It provides innovative design scheme and experimental evidence for self-powered gas sensor and respiratory behavior monitoring. The use of visible light assisted strategy is an innovative idea. Based on this method, Liu decorated Pd on titanium dioxide to enhance its photocatalytic performance.149 The sensor showed good linear response in the concentration range from 80 × 10−9 to 50 × 10−6. Under visible light irradiation, the sensor not only doubled the response to formaldehyde, but also changed little in response to other interfering gases (such as NH3, acetone, benzene, etc.), thus improving the gas selectivity. Additionally, several studies aim to integrate individual gas sensors into a network for comprehensive indoor air quality monitoring in smart homes. Marques and Pitarma150 presented an IoT system for real-time indoor air quality monitoring called iAir. This system features a hardware prototype for environmental sensing and a web/smartphone interface for data access. The collected data is transmitted to an open-source IoT platform that provides an API for cloud storage and retrieval.
| Disease | Volatile organic compounds as exhaled breath biomarkers |
|---|---|
| Asthma | Acetone, biphenyl, decane, 1,4-dichlorobenzene, 3,6-dimethyldecane, 2,4-dimethylheptane, 1,7-dimethylnaphtalene, 2,4-dimethylpentane, dodecane, 2-ethenylnaphtalene, ethylbenzene, 2-ethyl-4-methylpentanol, hexane, 2-hexanone, 1-isopropyl-3-methylbenzene, 2-methylhexane, 3-methylpentane, 1-(methylsulphonyl)propane, 4,6,9-nonadecatriene, nonanal, nonane, octadecyne, octane, 2-octenal, 2,2,4,6,6-pentamethylheptane, phenylbutene, propanol, tetradecane, 2,6,10-trimethyldodecane, 2,2,4-trimethylheptane, 2,3,6-trimethyloctane, 2-undecanal, p-xylene |
| Chronic kidney disease | Acetone, ammonia, aniline, bicyclo[4.1.0]hepta-1,3,5-triene, 2-butanone, 2-chloroethylester-carbonochloridic acid, 3-chloropropanoylchloride, o-cymene, dichloronitromethane, 2,4-dimethylheptane, dimethyl sulphide, ethanol, ethenesulfonyl chloride, m-ethylmethylbenzene, 2-ethylpentane, 3-ethylpentane, heptanal, hexanal, iodide cycloheptatrienylium, isoprene, limonene, methane sulfonyl chloride, methanethiol, methylamine, methylene chloride, 2-methylhexane, 3-methylpentane, 6-nitro-2-picoline, nonanal, pentanal, 4-(1-phenyl-2-propenyloxy)-benzaldehyde, 1H-pyrazole-4-carbonitrile, 2-pyridinecarbonitrile, 1H-pyrrole-3-carbonitrile, silicon tetrafluoride, styrene, toluene, 4H-1,2,4-triazol-4-amine, trichloromethane, trimethylamine, 2,2,3-trimethylhexane, 2,2,6-trimethyloctane |
| Chronic liver disease | Acetaldehyde, acetone, acetophenone, ammonia, 2-butanone, caryophyllene, decene, dimethyl selenide, dimethyl sulphide, ethanol, heptene, indole, isoprene, isopropanol, limonene, methanol, 3-methylbutanonitrile, 2-methylhexane, 3-methylhexane, 2-methylpropene, 1-(methylthio)propane, nonane, (E)-2-nonene, octane, octene, pentane, 2-pentanone, 3-pentanone, 2-pentylfuran, phenol, α-pinene, β-pinene, propanol, styrene, α-terpinene, γ-terpinene, tetradecane, tridecane, trimethylamine |
| Diabetes | Acetone, dimethyl sulphide, ethanol, isoprene, isopropanol, methanol |
| Malaria | Acetone, allylmethylsulphide, benzene, 3-carene, cyclohexanone, 2,2-dimethyldecane, 3,6-dimethyldecane, 3,7-dimethyldecane, ethylbenzene, ethylcyclohexane, 2-ethylhexanol, hexanal, 4-hydroxy-4-methylpentan-2-one, isoprene, 1-(methylthio)propane, methylthiopropene, methylundecane, nonanal, α-pinene, propylcyclohexane, toluene, tridecane, 2,2,3-trimethylhexane, 2,3,5-trimethylhexane |
Recent studies employ sensor arrays combined with machine learning and statistical modeling to capture these complex patterns, thereby improving specificity and reducing diagnostic ambiguity. Recent advances have demonstrated the potential of combining multi-sensor arrays with machine learning algorithms to improve the accuracy of VOC-based disease detection. Lee et al.11 developed a breath analysis system for the early diagnosis of lung cancer, integrating a gas sensor array with deep learning models. The platform employed nine electrochemical sensors, a semiconductor metal oxide sensor, and a photoionization detector to simultaneously monitor multiple VOCs in exhaled breath. Clinical validation on 181 breath samples (107 lung cancer patients and 74 healthy controls) showed that the system, when coupled with a 1D CNN, achieved an accuracy of 97.8% in distinguishing lung cancer patients from healthy individuals. Importantly, the comparison of different neural architectures (multilayer perceptron, recurrent neural network, and CNN) demonstrated the superiority of CNN for handling high-dimensional VOC data. This study underscores how multi-marker VOC signatures, when analyzed through deep learning, can overcome the limitations of single-compound analysis and significantly enhance the specificity of breath-based diagnostics. The novel electronic nose (e-nose) system developed by Vadera and Dhanekar154 represents a promising technology for non-invasive diagnostic applications, particularly in the analysis of exhaled breath. By combining sensor arrays with advanced machine learning (ML) algorithms, e-nose systems can classify and predict the presence of specific VOCs, which act as biomarkers for various diseases. Additionally, the use of IoT-enabled prototypes, such as those incorporating Raspberry Pi systems, facilitates data storage and cloud-based analysis, providing a seamless interface for remote monitoring. These advancements pave the way for non-invasive, portable diagnostic tools that could greatly enhance chronic disease management and early detection. Type 2 diabetes mellitus (T2DM) is a prevalent chronic metabolic disease that requires continuous monitoring of blood glucose levels. Currently, diabetes diagnosis methods are invasive and may cause discomfort to patients, such as fingertip blood sampling tests. Kapur et al.155 designed a portable, non-invasive diabetes detection device called ‘DiabeticSense’. The device used cutting-edge MOS electrochemical sensors to detect acetone levels in the patient's breath. Since commercial MOS sensors perform non-specific detection of acetone, the researchers trained a ML model to diagnose diabetes. The device also uses IoT technology for cloud-based management of test data and a user-friendly human-machine interface. Widanaarachchige et al.156 reported the development of a ferrocene-encapsulated zeolitic imidazolate framework integrated into a ZeNose platform for the simultaneous detection of four breath biomarkers—ethanol, isopropanol, acetic acid, and acetone. Utilizing chronoamperometry as the transduction principle, the system demonstrated high sensitivity, linear response characteristics, and reliable detection capabilities across the tested VOCs. Importantly, the authors validated the sensor's accuracy through spike-and-recovery experiments, achieving recovery rates within the CLSI guideline range of 80–120%. Such results highlight not only the feasibility of detecting multiple low-concentration biomarkers in exhaled breath but also the potential of metal–organic framework-based architectures to improve stability and reproducibility. This work exemplifies the transition from single-gas to multi-marker platforms, aligning with the trend of using VOC-patterns rather than individual compounds for disease detection.
While pattern-recognition strategies have significantly improved the specificity of VOC-based diagnostics, their successful translation into clinical practice also depends on overcoming the challenge of low analyte concentrations. Exhaled biomarkers such as aldehydes, ketones, or NO are often present in sub-ppm to ppb levels, requiring either pre-concentration steps or the development of highly sensitive sensing architectures. Strategies such as adsorption-based enrichment, solid-phase microextraction, and cryogenic trapping have been employed to increase VOCs availability, while advanced electrode materials with hierarchical nanostructures, catalytic additives, and heterojunction engineering have been designed to directly detect VOCs at ultra-low concentrations. These approaches represent complementary routes to overcoming the low-concentration barrier and advancing VOC-based breath diagnostics toward clinical translation.
In the overall framework of breath analysis technology, although traditional gas sensors mainly focus on the detection of VOCs, this only reveals part of the chemical information in the breath. EBC, collected from condensed water vapor produced during human respiration, capturing a range of biomarkers from within the body. This non-invasive sample offers a fresh perspective on disease detection and epidemiological research, particularly in the context of inflammatory diseases.157,158 EBC contains numerous inflammatory markers, including cytokines, enzymes, and oxidative stress products, all of which are closely associated with the onset and progression of respiratory diseases. This capability is especially valuable in monitoring chronic respiratory diseases, infectious diseases, and respiratory inflammation,159–161 including conditions such as asthma,162,163 COVID-19,164,165 and COPD.166,167 Especially in the application of smart mask technology, the combination of EBC detection and traditional gas sensors can not only achieve real-time and portable VOCs monitoring, but also provide a more comprehensive physiological status assessment and disease risk warning through the detection of liquid phase components. Therefore, discussing the application of EBC detection in smart masks not only enriches the diversity of breath analysis technology, but also provides a new idea for the future development of cross-mode sensors.
Smart masks, as a new type of wearable device, have attracted considerable attention. These masks typically use the condensation principle to efficiently collect EBC.162,164,168 The mask is internally designed with efficient airflow channels to capture water vapor from exhaled air via a condensation mechanism. When the user exhales, the water vapor in the breath condenses into liquid upon contact with the cooled surface, facilitating the collection of EBC. This condensation process effectively concentrates the biomarkers in the breath, making subsequent analysis more sensitive and accurate. Cao et al. proposed a real-time, continuous wearable mask for monitoring H2O2 in exhaled breath condensate.162 The condensation device was designed using computational fluid dynamics, incorporating microchannels with a secondary flow structure to reduce the size of the exhaled breath condensate device and improve condensation efficiency. The condensation chip, miniaturized three-electrode detection circuit, and real-time display were integrated into the N95 mask for wearable detection. This wearable sensor can be extended to the detection of ions, glucose, nucleic acids, and other substances in exhaled breath condensate (Fig. 8a). Integrating biosensing technology, Daniels et al.164 offered a convenient and efficient COVID-19 rapid screening solution. The mask-based EBC collection system uses a commercial face mask fitted with an engineered EBC collector system based on a Teflon-coated cooling trap. Real-time detection of COVID-19 biomarkers in breath is achieved through an embedded biosensor. These sensors are based on immune response principles, with electrodes pre-modified with a specific aptamer, a nucleic acid sequence with high affinity for the SARS-CoV-2 virus S1 protein. When the aptamer on the electrode binds to the virus, it causes a change in current, which can be measured by the electrochemical biosensor (Fig. 8b). Heng et al. designed the ‘EBCare’ smart mask based on a cooling strategy, automated microfluidics, highly selective electrochemical biosensors, and wireless reading circuits.168 EBCare integrates multiple electrochemical sensors for real-time analysis of key biomarkers in EBC, such as NO2−, alcohol, NH4+, pH, and temperature sensors. EBCare transmits the collected data in real-time via a wireless module to smart devices or the cloud, allowing users to view analysis results instantly, assisting in health management or disease monitoring (Fig. 8c).
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| Fig. 8 (a) Illustration of wearable condensation mask for electrochemical monitoring of H2O2 in EBC. Reprinted with permission from ref. 162. Copyright 2023 Elsevier. (b) EBC-based diagnostic strategy for SARS-CoV-2 infectivity. Reprinted with permission from ref. 164. Copyright 2021 Elsevier. (c) A smart EBCare mask for efficient harvesting and continuous analysis of exhaled breath condensate. Reprinted with permission from ref. 168. Copyright 2024 AAAS. | ||
The development of smart mask platforms such as EBCare illustrates the potential of integrating electrochemical sensing with wearable technologies for continuous and non-invasive health monitoring. While such systems demonstrate the feasibility of real-time breath analysis, they also highlight the need to evaluate electrochemical gas sensors in disease detection relative to conventional biosensing approaches.
Electrochemical gas sensors analyze VOCs and inorganic gases in exhaled breath, providing non-invasive insights into metabolic and pathological states. For instance, acetone levels in exhaled breath have been reported as potential biomarkers for diabetes, reflecting altered fat metabolism,169 while aldehydes such as hexanal are linked to lipid peroxidation in lung cancer, and NO serves as a well-recognized marker for asthma. However, these analytes are typically present at ppb–ppt levels, making their detection highly dependent on advanced electrode materials and signal-processing strategies. In contrast, conventional electrochemical biosensors are designed to detect biomarkers in blood, saliva, or urine, such as glucose, lactate, cholesterol, DNA, or proteins, usually present at μM–mM concentrations. A classic example is the electrochemical glucose biosensor (blood glucose meter), which employs glucose oxidase as a recognition element to achieve rapid and specific quantification, revolutionizing diabetes management.170 Similarly, lactate biosensors are widely used in sports medicine and critical care to monitor tissue hypoxia.171 These biosensors exhibit high specificity through the use of enzymes, antibodies, or nucleic acid probes, and have already achieved extensive clinical translation. To bridge the gap between these two paradigms, bioinspired platforms such as the electronic nose and electronic tongue have been developed.172 The electronic nose employs sensor arrays to mimic olfactory detection of complex gas mixtures, while the electronic tongue replicates gustatory sensing to analyze liquid-phase biomarkers. Together, these technologies enable cross-modal sensing of both gaseous and liquid analytes, offering a more holistic assessment of physiological states.
Comparison between the two sensor types highlights both complementarity and divergence. Gas sensors offer portability, real-time detection, and the unique advantage of non-invasive breath sampling, but they face challenges in selectivity, low analyte concentrations, and baseline drift. Biosensors, on the other hand, are more established and benefit from well-validated recognition elements, yet they require invasive sample collection and may not be suitable for continuous monitoring. The integration of these two paradigms—combining breath VOC analysis with biochemical sensing of body fluids—could provide a more comprehensive diagnostic framework, enabling both rapid screening and precise confirmation of disease states.
Recent work has increasingly emphasized how microchannel design and electrode architecture directly influence the performance of integrated electrochemical gas sensors. Kaaliveetil et al.34 demonstrated that the use of ionic liquid electrolytes combined with non-planar microelectrodes in microfluidic channels provides an efficient route toward miniaturized gas sensors with improved stability and selectivity. Their study highlighted how the geometry of the electrodes within the microchannel affects diffusion pathways, charge transport, and overall sensitivity, thereby underscoring the interplay between microfluidic structure and electrochemical transduction. The adoption of ionic liquids was particularly important for enabling wide electrochemical windows and enhanced gas solubility, features that are crucial for detecting trace analytes under variable environmental conditions. Bonnema et al.175 investigated how the surface properties of microchannels, including metal coatings and applied surface charges, can be used to tune analyte selectivity in microfluidic-based gas analyzers. By systematically varying the channel coatings (Au, Cu, Ag) and introducing controlled electric fields, they showed that the transient response patterns of alcohols and ketones could be deliberately altered. This revealed that even without changing the sensing element itself, microchannel surface engineering could introduce a new dimension of selectivity through controlled adsorption and desorption processes. Their findings confirm that microchannels should be viewed not merely as passive conduits but as active selectivity elements, capable of shaping the analyte-specific time-domain signatures that reach the detector.
Microfluidic platforms have also begun to establish themselves as enabling technologies for healthcare, where controlled fluid handling and integration with sensing units are critical for reliable biomarker detection. Abouali et al.176 presented a continuous, high-throughput plasma separation device designed to support downstream biosensing. Their system employed hydrodynamic effects within a carefully engineered microchannel to achieve label-free separation of plasma from whole blood, thus providing a stable and clog-resistant source of biofluid for subsequent electrochemical assays. This approach underscores how microchannels can act not only as sample preparation modules but also as reliability-enhancing components in integrated biosensing systems.
Wearable sensing represents another frontier where microfluidics has demonstrated clear advantages. Jiang et al.177 reported a skin-interfaced, flexible microfluidic device capable of long-term and reliable monitoring of uric acid and pH in sweat. By embedding microchannels into a soft substrate that conforms to skin, the device ensured consistent sweat collection and guided analyte flow toward embedded electrochemical sensors. The authors showed that this architecture minimized evaporation losses and mechanical instabilities, which are common problems in wearable biochemical sensing. Their findings illustrate how microchannels can bridge human physiology with sensor electronics, creating stable platforms for personalized healthcare. Menon et al.178 developed a fully automated microfluidic–electrochemical biosensing platform that integrates fluidic control, impedance spectroscopy, and real-time pressure sensing, achieving high sensitivity and sequence specificity for nucleic acid detection. Together, these studies highlight how microfluidic–electrochemical integration enables robust, automated, and versatile biosensing solutions with direct relevance to healthcare diagnostics. In another contribution, Kaaliveetil et al.179 emphasized that microfluidic integration enhances not only the precision of liquid-phase assays but also supports multi-analyte detection, a capability increasingly demanded in both clinical and environmental surveillance. Li et al.180 developed a high-frequency ultrasound-assisted microfluidic chip that integrates surface acoustic waves (SAWs) with a three-electrode electrochemical sensor for rapid biosensing. The acoustic streaming generated near the electrode enhanced mass transport, improving diffusion by 41%, while boosting sensitivity up to 17-fold for glucose detection. This work demonstrates the potential of SAW-driven microfluidics to achieve highly sensitive, fast, and biocompatible point-of-care electrochemical diagnostics. These studies collectively demonstrate that the value of microfluidic integration extends well beyond sample delivery: it provides robustness, multiplexing capacity, and adaptability across diverse biosensing contexts. These capabilities pave the way for their more extensive integration with electrochemical gas sensors, particularly in breath analysis and organ-on-chip studies where gases serve as key indicators of health and disease.
In conclusion, we believe that opportunities exist in several directions. First, cross-modal integration of microfluidic gas sensors with liquid-phase biosensors—akin to the “electronic nose” and “electronic tongue” concepts—could enable holistic physiological monitoring through simultaneous analysis of VOCs, electrolytes, and metabolites. Second, the incorporation of machine learning into transient microfluidic fingerprints offers a route toward robust analyte recognition and adaptive drift correction in real time. Third, advances in flexible substrates and wearable designs, as demonstrated by Jiang et al.,177 suggest that microfluidics can be embedded directly into skin-mounted or mask-based health monitors. Finally, clinical translation will require standardized fabrication and validation protocols, ensuring reproducibility across populations and deployment conditions. Collectively, these developments set the stage for deeper integration of microfluidics with electrochemical gas sensors. By combining structural engineering, material innovation, and healthcare-focused design, microchannels can transform traditional sensors into multifunctional diagnostic platforms. This provides a natural transition to the next section of this review, where the coupling of electrochemical gas sensing principles with microfluidic architectures is explored in detail to address the challenges of disease detection through volatile biomarkers.
Electrochemical gas sensors are known for their high sensitivity and selectivity in gas detection, but they still face significant constraints in terms of cross-interference, limited operational lifespan, response times and sensitivity to environmental conditions. The selectivity of electrochemical gas sensor is mainly determined by the characteristics of electrode material and electrolyte. Due to the large differences in the characteristics of gas molecules, gas sensors are usually able to selectively identify different gases, but they are also susceptible to cross interference from other gases. In real-world conditions, exhaled breath and ambient air contain complex mixtures of interfering gases with overlapping redox potentials, making it difficult for sensors to discriminate target biomarkers. Although advances in catalytic modification, molecular sieving membranes, and nanostructured materials have partially improved selectivity, further innovations in material design and hybrid systems are still required. Another important challenge is the response and recovery dynamics of electrochemical gas sensors. While high sensitivity is crucial, many sensing materials suffer from slow recovery after gas exposure due to strong adsorption or sluggish desorption kinetics, leading to incomplete baseline return. This limitation restricts their use in real-time monitoring scenarios such as breath analysis and air quality surveillance. In parallel, selectivity remains a long-standing challenge, as interfering gases with similar redox potentials and environmental factors such as humidity can significantly affect sensor accuracy. Addressing these issues requires rational material design (e.g., surface functionalization,181 hierarchical nanostructures182) to accelerate gas desorption and enhance molecular recognition. Besides, the working principle of electrochemical sensors relies on the reaction between electrodes and electrolytes, both of which are prone to corrosion. Over time, the electrode material may corrode or degrade, resulting in unstable sensor output or reduced accuracy, ultimately affecting the reliability and service life of the sensor. Because these reactions take time to complete, electrochemical sensors tend to have relatively long response times, especially when detecting low concentrations of gases, which makes rapid, real-time monitoring difficult to achieve. Furthermore, the performance of electrochemical gas sensors is significantly affected by environmental factors. Temperature fluctuations will change the reaction rate of the electrode surface, and humidity will affect the conductivity of the electrolyte, resulting in a deviation of the sensor output signal.183 Therefore, compensation and calibration methods, such as the calibration formula,135 are necessary to ensure accurate measurements under different environmental conditions. Algorithms such as baseline subtraction,184 adaptive filtering, and drift-compensating neural networks185 show promise for enabling continuous monitoring without frequent recalibration.
IoT technology is the backbone of intelligent system development and application, but common issues persist. IoT systems require real-time data collection, storage, and analysis, placing higher demands on the processing power, storage capacity, and computational resources of electrochemical gas sensors. Over-reliance on cloud computing solutions can cause delays in certain scenarios, affecting real-time sensor responsiveness. Additionally, the hardware aspect of IoT systems should focus on miniaturization and low power consumption to meet the demands of portable and wearable devices (such as smart masks164,168 and smart shirts137). While IoT technology allows for remote monitoring of gas sensors, network connections may be unstable in some remote areas or harsh environmental conditions, which can affect data transmission and real-time feedback. In large-scale deployments, ensuring stable communication between sensors and the cloud platform remains a challenge. Furthermore, with the widespread use of IoT devices, data security and privacy protection have become urgent issues. Given that gas sensors involve sensitive data such as health tracking, ensuring that this data is not tampered with or leaked is a key challenge for IoT systems.
One of the core challenges in self-powered technology is efficiently storing and managing the generated electrical energy. While TENGs and PENGs can collect energy from the environment, the key to large-scale application lies in how to stabilize and manage this energy using efficient energy storage devices (such as supercapacitors,186,187 rechargeable batteries,188,189 etc.), due to their unstable or intermittent output. Furthermore, the performance of TENGs and PENGs is closely related to environmental conditions. External factors such as temperature, humidity, and air pollution can negatively affect the performance of friction or piezoelectric materials, reducing energy transduction efficiency. In extreme environments, ensuring the stability and reliability of these self-powered systems remains a critical issue. Research should focus on improving energy efficiency and reducing energy consumption by optimizing sensor design. In summary, while TENGs and PENGs show potential as self-powered technologies, they face numerous technical challenges. Future research must address these limitations by optimizing material selection, designing more efficient energy management systems, and exploring new energy harvesting methods to facilitate the widespread use of TENGs and PENGs in practical applications.
ML is a rapidly evolving technology, but it still faces limitations and challenges in real-world applications. On the one hand, although ML performs well in different gas monitoring tasks, ensuring that the sensor remains well-adapted in dynamic environments is still a problem, on the other hand, ML models can appear overfitting, resulting in poor performance in new environments, affecting the reliability and accuracy of the sensor. Moreover, the output data of electrochemical gas sensors are often affected by environmental factors190 (such as temperature and humidity changes), and if the data are insufficient or unrepresentative of the target scenario, the model's accuracy and generalization ability will deteriorate. For gas sensitivity of rare gases or complex ambient gases, there are often problems of data collection difficulties and data bias. Additionally, deep learning training typically requires extended computation times and high-performance hardware (such as GPUs,191 TPUs, etc.). This makes deploying deep learning models difficult in certain edge devices or resource-constrained environments, limiting their application in small devices like embedded gas sensors. Future research will need to achieve breakthroughs in improving data processing capabilities, computational efficiency, and solving overfitting issues.
We are fully confident that smart electrochemical gas sensors will bring revolutionary progress not only in healthcare but also in environmental monitoring, public safety, and industrial control. The limitations of current technologies, such as sensitivity, selectivity, stability, and self-powered capabilities, will be addressed through innovations in new materials, micro-nano fabrication, intelligent signal processing, and integrated energy management. Notably, the combination of the IoT and ML enables electrochemical gas sensors to deliver more efficient and accurate real-time analysis, providing strong support for personalized healthcare. Additionally, future sensing systems will expand their application areas, merging with multimodal sensing technologies to create adaptive and predictive smart monitoring networks, thereby offering greater value in fields such as smart healthcare, smart cities, and sustainable development.
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