Sub-5 nm nanoparticles are renally clearable with clearance efficiency controllable based on the size and surface properties. A: The renal clearance efficiencies of Au10–11, Au15, Au18 and Au25, 1.7 nm (Au201), 2.5 nm (Au640) and 6 nm (Au8856) GS-AuNPs 24h post injection over the number of gold atoms. Below Au25, the renal clearance efficiency exponentially decreased with the decrease of the number of gold atoms in the NPs (adopted with permission from reference 74). B: Illustration of the components of glomerulus. The glomerular filtration membrane is composed of multiple layers: endothelial glycocalyx, endothelial cell, glomerular basement membrane (GBM) and podocyte (adapted from with permission the reference 74). C: T1-weighted (top row) and T2-weighted MRI shows the time-dependent contrast changes in the bladder of a mouse injected with 3-nm core uIONP, as renally excreted uIONP slowly filling the bladder (adopted from reference 27 with permission). (D: 3D volume-rendered CT images of a mouse injected with GSH coated Ag2S nanoparticles with an average core diameter of 3.1 nm. Green circles indicate the bladder which was filled by CT-sensitive Ag2S nanoparticles 5 minutes after the injection. Hearts and kidneys are labeled H and K, respectively (adopted from the reference 43 with permission from the authors).