Early
specific detection through indicative biomarkers and precise
visualization of lesion sites are urgent requirements for clinical
disease diagnosis. However, current detection and optical imaging
methods are insufficient for these demands. Molecular imaging technologies
are being intensely studied for reliable medical diagnosis. In the
past several decades, molecular imaging with surface-enhanced Raman
scattering (SERS) has significant advances from analytical chemistry
to medical science. SERS is the inelastic scattering generated from
the interaction between photons and substances, presenting molecular
structure information. The outstanding SERS virtues of high sensitivity,
high specificity, and resistance to biointerference are highly advantageous
for biomarker detection in a complex biological matrix. In this work,
we review recent progress on the applications of SERS imaging in clinical
diagnostics. With the assistance of SERS imaging, the detection of
disease-related proteins, nucleic acids, small molecules, and pH of
the cellular microenvironment can be implemented for adjuvant medical
diagnosis. Moreover, multimodal imaging integrates the high penetration
and high speed of other imaging modalities and imaging precision of
SERS imaging, resulting in final complete and accurate imaging outcomes
and exhibiting robust potential in the discrimination of pathological
tissues and surgical navigation. As a promising molecular imaging
technology, SERS imaging has achieved remarkable performance in clinical
diagnostics and the biomedical realm. It is expected that this review
will provide insights for further development of SERS imaging and
promote the rapid progress and successful translation of advanced
molecular imaging with clinical diagnostics.