Medical diagnostics based on Raman spectroscopy, where diseases are classified according to their unique Raman signatures, has been well explored since the invention of a continuous laser. Unfortunately, owing to its low sensitivity, Raman-based diagnostics has not matured to a level for it to be utilized on a routine basis. Nonetheless, there are recent renewed interests in Raman spectroscopy, following the discovery of significant Raman enhancements on a corrugated metallic surface. Touted for their chemical specificity and superior sensitivity, surface enhanced Raman spectroscopy, or surface enhanced Raman scattering (SERS), is now being embraced as a new paradigm in optical-based medical diagnostics.This chapter is by no means intended to provide an exhaustive coverage of SERS, but instead will concentrate more on the recent developments in SERS and its future directions in biomedicine. First, a brief history of SERS is discussed in Section 5.2, followed by an explanation of the mechanisms behind the effect in Section 5.3. Section 5.4 includes various nanofabrication techniques commonly used for producing SERS-active nanostructures. Emphases on various biosensing schemes based on SERS are then given in Section 5.5, including the functionalization of SERS-active surfaces for the purpose of improving antigen-detection specificity. Recent examples of preclinical and clinical applications of SERS are discussed in Section 5.6. Lastly, in Section 5.7, the prospect of SERS will be looked into and commented on, particularly, in the context of translating the technology from a lab bench-based tool to a bedside biomedical device.
Surface enhanced Raman scatteringSeveral other optical processes can occur in a molecule under laser illumination, in addition to the relatively more pronounced elastic scattering effect known as the Rayleigh scattering. An inelastic scattering can arise when a transition between different vibrational states occurs within the probed molecule, which results in the emission of new photons with frequencies different or shifted from that of the excitation light. This optical effect, known as the Raman scattering (RS), was first observed experimentally by Raman and Krishnan (1928). Their studies lay the foundation Biophotonics for Medical Applications. http://dx.