Significant progress has been made over the last two decades toward the development of cutting edge diagnostics using magnetic nanoparticles (MNPs) and T
2
magnetic resonance (T2MR). The MNP‐based assay design, termed
magnetic relaxation switch
(MRSw) biosensing, has allowed for the application of T2MR to a wide range of clinical diagnostics. In MRSw assays, superparamagnetic nanoparticles (NPs) switch between dispersed and agglomerated states and affect the T2MR relaxation rate of surrounding water molecules. Sensitive T2MR relaxation measurements can be performed in complex, heterogeneous, biological samples owing to their inherently low magnetic background. MRSw assays have been designed for rapid and sensitive detection of disease biomarkers, pathogens, and cancer cells in both simulated samples and clinical studies.