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. 2025 Aug 19;15(36):29267–29283. doi: 10.1039/d5ra03897a

Table 5. Evaluation of biosensor classes against the REASSURED criteria for point-of-care applications.

Criteria Electrochemical biosensors Optical biosensors Piezoelectric biosensors
Real-time connectivity Easy integration with portable electronic devices and smartphone interfaces for real-time signal transmission and data sharing13 Lacks real-time connectivity although newer smartphone-based fluorescence and SPR sensors are emerging38 Can be integrated with MEMS or QCM setups, but less frequently used43
Ease of specimen collection Ideal for minimally invasive fluids (such as blood, urine, or saliva) that require little pretreatment, particularly in disposable and paper-based formats103 Suitable for direct analysis of biological fluids especially in label-free SPR and interferometric formats52 Accepts complex fluids and is generally label-free62
Affordability Installation of the device in outdoor environments is possible by low-cost production and cheap materials like screen-printed electrodes103 Generally, higher cost, but smartphone and paper-based platforms are lowering expenses.82,83 Uses costlier materials like quartz but MEMS-based formats are emerging46,62
Sensitivity Nanomaterial-modified electrodes and signal amplification strategies leads to high sensitivity achieving picogram to femtomolar LOD13 High sensitivity, especially in SPR, LSPR and fluorescence-based platforms38 Sensitivity ranges from microgram to femtomolar depending on the system89,90
Specificity Aptamers, enzymes, or antibodies that are specific to target analyte leads to high specificity13 High specificity via surface-bound antibodies, aptamers, or probes with controlled functionalization20 Uses antibody or DNA probes for good selectivity88,89
User friendliness Understandable signal output using portable or smartphone-integrated readers, often aiming for “sample-in-answer-out” functionality, requires minimal training68 Often need complex optical setups, but recent advancements can simplify its operation20 Often requires calibration but can be designed for simple use43
Rapid and robust Provides rapid outputs often within minutes and performance is stable under varying operating conditions68 Detection times typically range from 5–30 minutes84 Provides results in under 10 minutes and works well in harsh settings62
Equipment-free Often works without large instruments, especially in outdoor environments13 Often requires optical detectors, but lateral flow and fiber-based platforms reduce equipment needs20 Often needs frequency counters but MEMS designs reduce this requirement46
Deliverable to end users Highly deliverable for in situ diagnosis, mass screening and general health monitoring directly at the point-of-care13 New portable and smartphone-based optical sensors are easier to use, but older systems stay limited to labs82,83 Shows potential for wearables and field use but needs further development43