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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Med.</journal-id>
<journal-title>Frontiers in Medicine</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Med.</abbrev-journal-title>
<issn pub-type="epub">2296-858X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmed.2025.1608424</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Medicine</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A novel Mxene-SPR-based sensor for sensing different types of cancers</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Tene</surname> <given-names>Talia</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
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<name><surname>Le&#x00F3;n</surname> <given-names>Marcelo</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<name><surname>Cevallos</surname> <given-names>Yesenia</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
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<contrib contrib-type="author">
<name><surname>Vinueza-Naranjo</surname> <given-names>Paola Gabriela</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
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<name><surname>Inca</surname> <given-names>Deysi</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
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<name><surname>Boukerche</surname> <given-names>Said</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<xref ref-type="aff" rid="aff7"><sup>7</sup></xref>
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<contrib contrib-type="author">
<name><surname>Vacacela Gomez</surname> <given-names>Cristian</given-names></name>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
<xref ref-type="aff" rid="aff9"><sup>9</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>Department of Chemistry, Universidad T&#x00E9;cnica Particular de Loja</institution>, <addr-line>Loja</addr-line>, <country>Ecuador</country></aff>
<aff id="aff2"><sup>2</sup><institution>Universidad Estatal Peninsula de Santa Elena</institution>, <addr-line>La Libertad</addr-line>, <country>Ecuador</country></aff>
<aff id="aff3"><sup>3</sup><institution>Universidad San Francisco de Quito IMNE, Diego de Robles s/n, Cumbay&#x00E1;</institution>, <addr-line>Quito</addr-line>, <country>Ecuador</country></aff>
<aff id="aff4"><sup>4</sup><institution>College of Engineering, Universidad Nacional de Chimborazo</institution>, <addr-line>Riobamba</addr-line>, <country>Ecuador</country></aff>
<aff id="aff5"><sup>5</sup><institution>ETEL Research Group, Faculty of Engineering and Applied Sciences, Networking and Telecommunications Engineering, Universidad de Las Am&#x00E9;ricas (UDLA)</institution>, <addr-line>Quito</addr-line>, <country>Ecuador</country></aff>
<aff id="aff6"><sup>6</sup><institution>Department of Matter Sciences, Faculty of Science and Technology, University Mohamed Cherif Messaadia of Souk Ahras</institution>, <addr-line>Souk Ahras</addr-line>, <country>Algeria</country></aff>
<aff id="aff7"><sup>7</sup><institution>Laboratory of Surfaces Engineering (LIS), University Badji Mokhtar of Annaba</institution>, <addr-line>Annaba</addr-line>, <country>Algeria</country></aff>
<aff id="aff8"><sup>8</sup><institution>INFN-Laboratori Nazionali di Frascati</institution>, <addr-line>Frascati</addr-line>, <country>Italy</country></aff>
<aff id="aff9"><sup>9</sup><institution>Universidad ECOTEC</institution>, <addr-line>Samborond&#x00F3;n</addr-line>, <country>Ecuador</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Arif Engin Cetin, Dokuz Eylul University, T&#x00FC;rkiye</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Shah Ali Rafi, Ahsanullah University of Science and Technology, Bangladesh</p>
<p>Rajeshkannan S., St. Josephs College of Engineering, India</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Talia Tene, <email>tbtene@utpl.edu.ec</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>06</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>12</volume>
<elocation-id>1608424</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Tene, Le&#x00F3;n, Cevallos, Vinueza-Naranjo, Inca, Boukerche and Vacacela Gomez.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Tene, Le&#x00F3;n, Cevallos, Vinueza-Naranjo, Inca, Boukerche and Vacacela Gomez</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Early-stage cancer screening benefits from optical transducers capable of reading minute refractive-index deviations in biofluids. This work models a surface-plasmon-resonance (SPR) biosensor that stacks copper, silicon nitride, and MXene in Kretschmann geometry and evaluates its response to six tumour-related refractive-index increments (&#x0394;n&#x202F;=&#x202F;0.014&#x2013;0.024 RIU). Transfer-matrix calculations guide a layer-by-layer optimisation: 40&#x202F;nm Cu, 7&#x202F;nm Si&#x2083;N&#x2084;, and two MXene sheets form the best-balanced configuration (Sys&#x2083;), while a single MXene layer on 45&#x202F;nm Cu (Sys&#x2084;) offers an alternative with lower optical loss. The optimised MXene sensors raise angular sensitivity to 254&#x00B0; RIU<sup>&#x2212;1</sup> (Sys&#x2083;) and 312&#x00B0; RIU<sup>&#x2212;1</sup> (Sys&#x2084;) for the breast-T2 model, more than doubling the response of a dielectric-only stack and approaching values reported for multi-metal reference designs. Quality factors range from 48 to 58 RIU<sup>&#x2212;1</sup> in Sys&#x2084; and 30 to 35 RIU<sup>&#x2212;1</sup> in Sys&#x2083;, corresponding detection limits fall near 2&#x202F;&#x00D7;&#x202F;10<sup>&#x2212;5</sup> RIU, sufficient to resolve the smallest &#x0394;n in the cancer panel. Optical loss remains below 9% in Sys&#x2083; and under 8% in Sys&#x2084;, preserving reflected-intensity contrast for angle tracking. These results indicate that a copper platform augmented with sub-nanometre MXene and a thin Si&#x2083;N&#x2084; spacer can match state-of-the-art sensitivity while relying on a single plasmonic metal and low-temperature fabrication. The study is purely theoretical and uses bulk refractive-index shifts as the sensing mechanism, future work should address surface chemistry, fabrication tolerances, and clinical validation.</p>
</abstract>
<kwd-group>
<kwd>surface plasmon theory</kwd>
<kwd>cancer</kwd>
<kwd>Kretschmann configuration</kwd>
<kwd>transfer matrix method</kwd>
<kwd>silicon nitride</kwd>
<kwd>Mxene</kwd>
</kwd-group>
<contract-num rid="cn1">POA_VIN-56</contract-num>
<contract-sponsor id="cn1">Universidad T&#x00E9;cnica Particular de Loja</contract-sponsor>
<counts>
<fig-count count="12"/>
<table-count count="1"/>
<equation-count count="8"/>
<ref-count count="55"/>
<page-count count="18"/>
<word-count count="11035"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Precision Medicine</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p>Global cancer incidence now exceeds 19&#x202F;million new cases each year (<xref ref-type="bibr" rid="ref1">1</xref>), and mortality remains elevated despite major advances in therapy and palliative care (<xref ref-type="bibr" rid="ref2">2</xref>). Early detection increases the likelihood of curative intervention because lesions can be treated while still localised or when circulating tumour markers first appear (<xref ref-type="bibr" rid="ref3">3</xref>). Diagnostic procedures differ by tumour origin: dermoscopy and histology for skin malignancies (<xref ref-type="bibr" rid="ref4">4</xref>), Papanicolaou cytology for cervical carcinoma (<xref ref-type="bibr" rid="ref5">5</xref>), complete blood counts with flow cytometry for haematologic neoplasms (<xref ref-type="bibr" rid="ref6">6</xref>), endocrine panels for adrenal tumours (<xref ref-type="bibr" rid="ref7">7</xref>), and imaging combined with biopsy for breast cancer at T1 and T2 stages (<xref ref-type="bibr" rid="ref8">8</xref>). Many of these methods involve invasive sampling, substantial laboratory infrastructure, or ionising radiation; cost and access barriers persist, particularly in low- and middle-income regions (<xref ref-type="bibr" rid="ref9">9</xref>).</p>
<p>Optical biosensors provide contact-free interrogation of biochemical events with relatively compact hardware (<xref ref-type="bibr" rid="ref10">10</xref>). Examples that have entered oncological diagnostics include fluorescence immunoassays (<xref ref-type="bibr" rid="ref11">11</xref>), surface-enhanced Raman scattering chips (<xref ref-type="bibr" rid="ref12">12</xref>), photonic crystal slabs (<xref ref-type="bibr" rid="ref13">13</xref>), and optical coherence tomography (<xref ref-type="bibr" rid="ref14">14</xref>). Among optical transducers, surface plasmon resonance (SPR) sensors offer real-time, label-free tracking of refractive-index changes at metal&#x2013;dielectric interfaces (<xref ref-type="bibr" rid="ref15">15</xref>, <xref ref-type="bibr" rid="ref16">16</xref>). When p-polarised light passes through a prism under total internal reflection, collective charge oscillations create surface plasmons at the metal boundary (<xref ref-type="bibr" rid="ref17">17</xref>, <xref ref-type="bibr" rid="ref18">18</xref>). Binding events at the exposed surface alter the local refractive index, which shifts the resonance angle or wavelength and thereby encodes analyte concentration (<xref ref-type="bibr" rid="ref19">19</xref>).</p>
<p>Gold is commonly chosen for SPR chips because it resists corrosion and supports straightforward functionalization (<xref ref-type="bibr" rid="ref20">20</xref>). Copper generates narrower resonance dips owing to lower intraband damping, which raises angular sensitivity to refractive-index variation (<xref ref-type="bibr" rid="ref21">21</xref>). Oxidation once limited the practical use of copper, yet ultrathin diffusion barriers and self-assembled monolayers now restrict tarnishing while preserving optical performance (<xref ref-type="bibr" rid="ref22">22</xref>). Dielectric spacers further refine field confinement, for example, silicon nitride combines a high real refractive index with minimal extinction in the visible range, and its mechanical hardness as well as chemical stability favour integration into microfluidic cartridges (<xref ref-type="bibr" rid="ref21">21</xref>, <xref ref-type="bibr" rid="ref23">23</xref>).</p>
<p>Two-dimensional materials introduce an additional route for plasmonic enhancement (<xref ref-type="bibr" rid="ref24">24</xref>). Transition-metal carbides and nitrides known as MXenes exhibit metallic Drude behavior, high carrier density, and surface terminations that allow fine tuning of permittivity (<xref ref-type="bibr" rid="ref25">25</xref>). A few-nanometre Mxene film placed between the noble metal and the sensing medium could intensify near-field confinement without severe damping, increasing both sensitivity and detection precision.</p>
<p>Therefore, the present study evaluates a feasible Kretschmann-configured biosensor (<xref ref-type="bibr" rid="ref26">26</xref>) that stacks silver, MXene, and silicon nitride. A transfer-matrix analysis maps MXene and dielectric thicknesses that optimise sensor response while remaining compatible with routine fabrication. The refractive index of the sensing medium is fixed to values reported for serum or interstitial fluid associated with skin, cervical, blood, adrenal, and breast (T1 and T2) cancers (<xref ref-type="bibr" rid="ref27">27</xref>), permitting direct comparison across tumour types. Metrics extracted from simulated reflectance curves include resonance-peak position, angular shift, attenuation percentage, and full width at half maximum. Derived performance indicators comprise sensitivity to refractive-index change, quality factor, detection accuracy, figure of merit, limit of detection, and a combined sensitivity factor.</p>
<p>Although the current investigation is theoretical, layer thicknesses, optical constants, and noise assumptions match current fabrication tolerances and bench-top SPR instrumentation. The resulting parameter map offers a design framework for laboratories that aim to translate MXene-assisted silver sensors into clinical assays targeting a broad spectrum of cancer biomarkers.</p>
</sec>
<sec sec-type="methods" id="sec2">
<label>2</label>
<title>Methodology</title>
<sec id="sec3">
<label>2.1</label>
<title>Theoretical framework</title>
<p>The full modeling details are given in Refs. [<xref ref-type="bibr" rid="ref25">25</xref>, <xref ref-type="bibr" rid="ref28">28</xref>]. Briefly, the total reflection of the <italic>N<sup>th</sup></italic>-layer model can be described as follows:</p>
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<mml:mi>M</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
<mml:mspace width="0.25em"/>
<mml:msub>
<mml:mi>q</mml:mi>
<mml:mi>N</mml:mi>
</mml:msub>
<mml:mo stretchy="true">)</mml:mo>
<mml:msub>
<mml:mi>q</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:mo stretchy="true">(</mml:mo>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mn>21</mml:mn>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mn>22</mml:mn>
</mml:msub>
<mml:mspace width="0.25em"/>
<mml:msub>
<mml:mi>q</mml:mi>
<mml:mi>N</mml:mi>
</mml:msub>
<mml:mo stretchy="true">)</mml:mo>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x2223;</mml:mo>
<mml:mn>2</mml:mn>
</mml:math>
</disp-formula>
<p>By <xref ref-type="disp-formula" rid="EQ1">Equation 1</xref>, the reflectance as a function of the angle of incidence can be obtained, the so-called SPR curve, from which we calculate the peak position, full-width half maximum (FWHM), and attenuation percentage. Then, we analyse the following parameters:</p>
<list list-type="bullet">
<list-item>
<p>The first parameter is the relative sensitivity enhancement regarding the baseline sensors after/before pathogen/molecule adsorption, denoted as (<xref ref-type="disp-formula" rid="EQ2">Equation 2</xref>):</p>
</list-item>
</list>
<disp-formula id="EQ2">
<label>(2)</label>
<mml:math id="M2">
<mml:mi>&#x0394;</mml:mi>
<mml:msubsup>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
<mml:mtext mathvariant="italic">after</mml:mtext>
</mml:msubsup>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="true">(</mml:mo>
<mml:msubsup>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
<mml:mtext mathvariant="italic">after</mml:mtext>
</mml:msubsup>
<mml:mo>&#x2212;</mml:mo>
<mml:msubsup>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">be</mml:mi>
<mml:mi mathvariant="normal">f</mml:mi>
<mml:mi mathvariant="italic">ore</mml:mi>
</mml:mrow>
</mml:msubsup>
<mml:mo stretchy="true">)</mml:mo>
</mml:mrow>
<mml:msubsup>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
<mml:mtext mathvariant="italic">before</mml:mtext>
</mml:msubsup>
</mml:mfrac>
</mml:math>
</disp-formula>
<list list-type="bullet">
<list-item>
<p>The sensitivity to the refractive index change can be denoted as follows (<xref ref-type="disp-formula" rid="EQ3">Equation 3</xref>):</p>
</list-item>
</list>
<disp-formula id="EQ3">
<label>(3)</label>
<mml:math id="M3">
<mml:msub>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
</mml:msub>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mi mathvariant="italic">&#x0394;&#x03B8;</mml:mi>
<mml:mi mathvariant="italic">&#x0394;n</mml:mi>
</mml:mfrac>
</mml:math>
</disp-formula>
<p>Where, <inline-formula>
<mml:math id="M4">
<mml:mi mathvariant="italic">&#x0394;&#x03B8;</mml:mi>
</mml:math>
</inline-formula> represents the angle shift variation in degrees and <inline-formula>
<mml:math id="M5">
<mml:mi mathvariant="italic">&#x0394;n</mml:mi>
</mml:math>
</inline-formula> represents the refractive index variation.</p>
<list list-type="bullet">
<list-item>
<p>The detection accuracy (DA) can be stated as in terms of <inline-formula>
<mml:math id="M6">
<mml:mi mathvariant="italic">&#x0394;&#x03B8;</mml:mi>
</mml:math>
</inline-formula> and FWHM of the SPR curve, as follows (<xref ref-type="disp-formula" rid="EQ4">Equation 4</xref>):</p>
</list-item>
</list>
<disp-formula id="EQ4">
<label>(4)</label>
<mml:math id="M7">
<mml:mi mathvariant="italic">DA</mml:mi>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mi mathvariant="italic">&#x0394;&#x03B8;</mml:mi>
<mml:mtext mathvariant="italic">FWHM</mml:mtext>
</mml:mfrac>
</mml:math>
</disp-formula>
<list list-type="bullet">
<list-item>
<p>The Quality Factor (QF) can be stated in terms of <inline-formula>
<mml:math id="M8">
<mml:msub>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
</mml:msub>
</mml:math>
</inline-formula> and FWHM, as follows (<xref ref-type="disp-formula" rid="EQ5">Equation 5</xref>):</p>
</list-item>
</list>
<disp-formula id="EQ5">
<label>(5)</label>
<mml:math id="M9">
<mml:mi mathvariant="italic">QF</mml:mi>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:msub>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
</mml:msub>
<mml:mtext mathvariant="italic">FWHM</mml:mtext>
</mml:mfrac>
</mml:math>
</disp-formula>
<list list-type="bullet">
<list-item>
<p>The Figure of Merit (FoM) can be stated as follows (<xref ref-type="disp-formula" rid="EQ8">Equation 6</xref>):</p>
</list-item>
</list>
<disp-formula id="EQ8">
<label>(6)</label>
<mml:math id="M10">
<mml:mi mathvariant="italic">FoM</mml:mi>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
</mml:msub>
<mml:mo stretchy="true">(</mml:mo>
<mml:mn>1</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>min</mml:mi>
</mml:msub>
<mml:mo stretchy="true">)</mml:mo>
</mml:mrow>
<mml:mtext mathvariant="italic">FWHM</mml:mtext>
</mml:mfrac>
</mml:math>
</disp-formula>
<p>Where, <inline-formula>
<mml:math id="M11">
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>min</mml:mi>
</mml:msub>
</mml:math>
</inline-formula> represents the lowest normalized reflection value of the SPR curve.</p>
<list list-type="bullet">
<list-item>
<p>The Limit of Detection (LoD) can be calculated as follows (<xref ref-type="disp-formula" rid="EQ6">Equation 7</xref>):</p>
</list-item>
</list>
<disp-formula id="EQ6">
<label>(7)</label>
<mml:math id="M12">
<mml:mi mathvariant="normal">L</mml:mi>
<mml:mi mathvariant="italic">oD</mml:mi>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mi mathvariant="italic">&#x0394;n</mml:mi>
<mml:mi mathvariant="italic">&#x0394;&#x03B8;</mml:mi>
</mml:mfrac>
<mml:mo>&#x00D7;</mml:mo>
<mml:msup>
<mml:mn>0.005</mml:mn>
<mml:mo>&#x00B0;</mml:mo>
</mml:msup>
</mml:math>
</disp-formula>
<list list-type="bullet">
<list-item>
<p>The combined sensitivity factor (CSF) ratio can be calculated (<xref ref-type="disp-formula" rid="EQ7">Equation 8</xref>):</p>
</list-item>
</list>
<disp-formula id="EQ7">
<label>(8)</label>
<mml:math id="M13">
<mml:mi mathvariant="italic">CSF</mml:mi>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>S</mml:mi>
<mml:mi mathvariant="italic">RI</mml:mi>
</mml:msub>
<mml:mo>&#x00D7;</mml:mo>
<mml:mo stretchy="true">(</mml:mo>
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>max</mml:mi>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>min</mml:mi>
</mml:msub>
<mml:mo stretchy="true">)</mml:mo>
</mml:mrow>
<mml:mtext mathvariant="italic">FWHM</mml:mtext>
</mml:mfrac>
</mml:math>
</disp-formula>
<p><inline-formula>
<mml:math id="M14">
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>max</mml:mi>
</mml:msub>
</mml:math>
</inline-formula> represents the maximum reflectance before resonance deep. All numerical computations in this investigation are performed using a data sampling of 5&#x202F;&#x00D7;&#x202F;10<sup>3</sup> points. To point out, the proposed modeling approach in the current study has been validated by using the experimental data reported in Ref. (<xref ref-type="bibr" rid="ref20">20</xref>) and shown in <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S1</xref>.</p>
</sec>
<sec id="sec4">
<label>2.2</label>
<title>Biosensors under investigation and initial parameters</title>
<p><xref ref-type="supplementary-material" rid="SM1">Supplementary Table S1</xref> outlines the five multilayer assemblies investigated through transfer-matrix simulations. The baseline configuration, Sys0, pairs a BK7 prism with a copper film in contact with phosphate-buffered saline (PBS). Substituting PBS with an average cancer-related biofluid (<xref ref-type="bibr" rid="ref27">27</xref>) yields Sys1 and isolates the bulk refractive-index increment introduced by pathological serum. Sys2 adds a silicon nitride spacer between copper and the analyte; this high-index dielectric confines the evanescent field near the sensing interface (<xref ref-type="bibr" rid="ref29">29</xref>), sharpens the resonance dip, and shields the metal surface. Sys3 incorporates an MXene sheet on top of the silicon nitride. The conductive two-dimensional layer intensifies surface charge oscillations and offers additional adsorption sites for future biochemical functionalization (<xref ref-type="bibr" rid="ref30">30</xref>). Sys4 reverses the order of the dielectric and MXene films, permitting evaluation of interfacial symmetry effects and the individual contribution of each thin layer to plasmon confinement.</p>
<p>To remark, copper retains a lower cost than gold (<xref ref-type="bibr" rid="ref31">31</xref>), and the protective dielectric&#x2013;MXene coatings impede oxidation, keeping the stacks compatible with standard sputtering or spin-coating protocols.</p>
<p>On the other hand, <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S2</xref> compiles the optical constants and nominal thicknesses assigned to each element of the multilayer sensor. The BK-7 prism couples the incident beam through its refractive index of 1.5151 at 633&#x202F;nm (<xref ref-type="bibr" rid="ref15">15</xref>). A 45&#x202F;nm copper film, characterised by n&#x202F;=&#x202F;0.0369&#x202F;+&#x202F;4.5393<italic>i</italic>, supplies the plasmonic core while moderating ohmic loss (<xref ref-type="bibr" rid="ref25">25</xref>). A 5&#x202F;nm silicon nitride spacer with n&#x202F;=&#x202F;2.0394 introduces a high-index, low-loss phase-matching layer that sharpens the resonance dip (<xref ref-type="bibr" rid="ref21">21</xref>). The simulation treats a single-layer Mxene sheet as a 0.933&#x202F;nm coating with n&#x202F;=&#x202F;2.38&#x202F;+&#x202F;1.33<italic>i</italic>, matching ellipsometry data for Ti&#x2083;C&#x2082;T<sub>x</sub> flakes (<xref ref-type="bibr" rid="ref25">25</xref>). Two analyte indices bracket physiological conditions: 1.335 for phosphate-buffered saline, used as the non-pathological reference [<xref ref-type="bibr" rid="ref16">16</xref>], and 1.349 for the averaged cancer serum employed in sensitivity calculations (<xref ref-type="bibr" rid="ref27">27</xref>). These parameters set the boundary conditions for the transfer-matrix analysis that follows.</p>
</sec>
</sec>
<sec sec-type="results" id="sec5">
<label>3</label>
<title>Results</title>
<sec id="sec6">
<label>3.1</label>
<title>Systems considered</title>
<p><xref ref-type="fig" rid="fig1">Figure 1a</xref> presents the reflectance traces for the four cancer-sensing stacks relative to the PBS baseline. Each additional functional layer shifts the resonance minimum toward larger incidence angles: 68.86&#x00B0; for Sys&#x2081;, 71.27&#x00B0; for Sys&#x2082;, and a narrow interval around 72.1&#x00B0; for Sys&#x2083; and Sys&#x2084; (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S3</xref>). The monotonic drift confirms that the evanescent field penetrates further into successively higher-index overlayers, raising the momentum requirement for plasmon coupling.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Reflectance response and performance metrics for five SPR systems (Sys&#x2080;&#x2013;Sys&#x2084;). <bold>(a)</bold> Angular reflectance curves under refractive index variation. <bold>(b)</bold> Relative sensitivity enhancement. <bold>(c)</bold> Angular shift (&#x0394;&#x03B8;). <bold>(d)</bold> Attenuation percentage at resonance. <bold>(e)</bold> Full width at half maximum (FWHM).</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g001.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Graph set displaying different optical properties of systems. (a) Line graph shows reflectance versus angle of incidence for five systems (Sys_0 to Sys_4) with varied curves. (b) Bar chart presents sensitivity for four systems, increasing from system one to four. (c) Bar chart illustrates change in angle (&#x0394;&#x03B8;) for four systems, increasing progressively. (d) Bar chart demonstrates attenuation percentages, highest in systems one and two. (e) Bar chart reveals full width at half maximum (FWHM) for four systems, with systems three and four having higher values.</alt-text>
</graphic>
</fig>
<p>The bar chart in <xref ref-type="fig" rid="fig1">Figure 1b</xref> quantifies the percentage rise in sensitivity with respect to the copper-only reference. MXene-free Sys&#x2081; delivers only 2.4% improvement, whereas insertion of a Si&#x2083;N&#x2084; spacer nearly triples that value to 6%. Adding MXene lifts the gain above 7%, with Sys&#x2084; edging slightly ahead of Sys&#x2083; (7.22% versus 7.17%). The trend indicates that dielectric confinement and metallic two-dimensional screening act cooperatively to amplify the field response to refractive-index perturbations.</p>
<p><xref ref-type="fig" rid="fig1">Figure 1c</xref> and the &#x0394;&#x03B8; column in <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S3</xref> trace the absolute angular displacement produced by the cancer medium. The shift rises from 1.60&#x00B0; in Sys&#x2081; to about 4.8&#x00B0; in the MXene-containing stacks, a threefold enhancement. Such large excursions reduce the need for angular interpolation during interrogation, easing hardware requirements for goniometric resolution.</p>
<p>Attenuation at resonance, plotted in <xref ref-type="fig" rid="fig1">Figure 1d</xref>, separates the dielectric-only design from the MXene hybrids. Both Sys&#x2081; and Sys&#x2082; lose just over 28% of the incident power at the dip, a consequence of ohmic absorption in copper. Once MXene enters the stack, the loss plunges to 1.38% for Sys&#x2083; and 0.74% for Sys&#x2084;. The conductive sheet redistributes surface currents away from the bulk metal, leaving more energy available for re-radiation into the prism&#x2014;a desirable feature for signal-to-noise optimisation.</p>
<p>The angular linewidth, displayed in <xref ref-type="fig" rid="fig1">Figure 1e</xref>, broadens as the stack complexity grows. Sys&#x2081; records the narrowest dip (1.08&#x00B0;), Sys&#x2082; widens moderately (1.46&#x00B0;), and the MXene architectures approach 2.6&#x2013;2.7&#x00B0;. Broader dips soften the slope at half depth, which can limit detection accuracy, yet the simultaneous rise in &#x0394;&#x03B8; partially compensates. In practice, the balance between linewidth and angular excursion defines the optimum operating point; Sys&#x2084; achieves the widest shift while keeping the linewidth slightly below that of Sys&#x2083;.</p>
<p>Collectively, the data indicate that silicon nitride alone yields noteworthy gains in both sensitivity and angular displacement, yet the greatest benefits emerge when MXene is incorporated. The MXene-above-dielectric arrangement (Sys&#x2084;) offers the best compromise among large angular shift, minimal attenuation, and acceptable linewidth, marking it as the leading candidate for further optimisation in subsequent sections. However, all these systems are analysed in the current work for a proper comparison.</p>
</sec>
<sec id="sec7">
<label>3.2</label>
<title>Metal optimization</title>
<p><xref ref-type="fig" rid="fig2">Figure 2</xref> and <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S4</xref> show the evolution of the resonance angle as the copper film is varied from 30 to 55&#x202F;nm in all four stacks. In the simplest layout, Sys<sub>1</sub> (prism&#x202F;/&#x202F;Cu&#x202F;/&#x202F;cancer medium) (<xref ref-type="fig" rid="fig2">Figure 2a</xref>), the minimum shifts from 69.25&#x00B0; at 30&#x202F;nm to 68.83&#x00B0; once the metal reaches 55&#x202F;nm. The downward drift observed between 30 and 45&#x202F;nm points to reduced field penetration once the copper thickness exceeds its optical skin depth; after that threshold, additional metal adds little phase delay, and the curve levels off. Adding a 5&#x202F;nm silicon-nitride spacer (Sys<sub>2</sub>, <xref ref-type="fig" rid="fig2">Figure 2b</xref>) largely insulates the surface mode from variations in the underlying metal. The resonance holds in a narrow corridor&#x2014;71.40&#x00B0; at 30&#x202F;nm and 71.28&#x00B0; at 55&#x202F;nm&#x2014;yielding a total excursion below 0.15&#x00B0;. Such angular stability relaxes deposition tolerances during fabrication.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Reflectance response and performance metrics for SPR systems (Sys&#x2081;&#x2013;Sys&#x2084;) as a function of copper layer thickness. <bold>(a)</bold> Sys&#x2081;, <bold>(b)</bold> Sys&#x2082;, <bold>(c)</bold> Sys&#x2083;, and <bold>(d)</bold> Sys&#x2084;. Angular reflectance curves are shown for Cu thicknesses ranging from 30 to 55&#x202F;nm.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g002.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Four graphs labeled (a), (b), (c), and (d) display reflectance versus angle of incidence for various silver film thicknesses from 30 to 55 nanometers. Each graph shows different base system data and follows similar color-coded lines representing the thicknesses, with sharp declines in reflectance near specific angles.</alt-text>
</graphic>
</fig>
<p>Introducing MXene on the spacer (Sys<sub>3</sub>, <xref ref-type="fig" rid="fig2">Figure 2c</xref>) pins the resonance near 72&#x00B0;. The angle edges upward by only 0.15&#x00B0; across the full thickness sweep, settling at 72.10&#x00B0; once copper reaches 45&#x202F;nm. The two-dimensional conductor concentrates the plasmonic field at the dielectric interface, so minor changes in bulk metal thickness have little influence on phase-matching conditions. In Sys4 (<xref ref-type="fig" rid="fig2">Figure 2d</xref>), where MXene lies directly on copper and silicon nitride sits above, the minimum rises from 72.00 to 72.15&#x00B0; as the metal grows. The gentle positive gradient likely reflects a small impedance mismatch introduced by the MXene-metal junction; thicker copper compensates by increasing confinement.</p>
<p><xref ref-type="fig" rid="fig3">Figure 3</xref> traces how angular shift (<xref ref-type="fig" rid="fig3">Figure 3a</xref>), sensitivity enhancement (<xref ref-type="fig" rid="fig3">Figure 3b</xref>), attenuation (<xref ref-type="fig" rid="fig3">Figure 3c</xref>), and spectral width (<xref ref-type="fig" rid="fig3">Figure 3d</xref>) evolve as the copper film is thickened, revealing that attenuation&#x2014;the percentage of power dissipated at resonance&#x2014;acts as the most decisive indicator of overall performance. In Sys<sub>1</sub>, attenuation falls monotonically from almost 75% at 30&#x202F;nm to just 1.38% at 55&#x202F;nm, while &#x0394;&#x03B8; and the sensitivity enhancement diminish only modestly (1.83&#x202F;&#x2192;&#x202F;1.57&#x00B0; and 2.72&#x202F;&#x2192;&#x202F;2.34%). Because every additional nanometre of copper removes loss without a commensurate penalty in angular response, the minimum-loss point at 55&#x202F;nm is adopted as the optimum thickness for this architecture.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Performance metrics for SPR systems (Sys&#x2081;&#x2013;Sys&#x2084;) as a function of silver layer thickness. <bold>(a)</bold> Angular shift (&#x0394;&#x03B8;). <bold>(b)</bold> Relative sensitivity enhancement. <bold>(c)</bold> Attenuation percentage at resonance. <bold>(d)</bold> Full width at half maximum (FWHM). Trends are shown for Ag thicknesses ranging from 30 to 55&#x202F;nm.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g003.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Four graphs depict the effects of silver (Ag) thickness on various properties for four systems, Sys1, Sys2, Sys3, and Sys4, with different symbols for each. (a) Graph shows the change in angle (&#x2206;&#x03B8;) versus Ag thickness, illustrating a decreasing trend for Sys1 and Sys4, with other systems varying. (b) Sensitivity plot indicates different trends for each system, with Sys1 decreasing and Sys2 increasing. (c) Attenuation graph shows a general decrease, notably in Sys2. (d) Full width at half maximum (FWHM) indicates an overall decline across all systems as Ag thickness increases.</alt-text>
</graphic>
</fig>
<p>Sys<sub>2</sub> behaves in much the same way: the silicon-nitride buffer does not alter the trend but shifts the absolute figures. At 55&#x202F;nm the dip absorbs a mere 1.30% of the incident light, the resonance narrows to 0.77&#x00B0;, and &#x0394;&#x03B8; stabilises near 1.80&#x00B0;. No thinner film achieves a comparable suppression of loss; hence the attenuation minimum again dictates a 55&#x202F;nm choice.</p>
<p>The MXene-containing stacks present a subtler picture. In Sys3, the attenuation reaches its lowest value, 1.40%, at 40&#x202F;nm. Thickening the metal further trims the linewidth, yet the gain is small and comes at the cost of a slight rise in loss and no significant change in &#x0394;&#x03B8; or sensitivity. Selecting the 40&#x202F;nm minimum therefore balances reduced dissipation with satisfactory angular performance.</p>
<p>For Sys<sub>4</sub>, the attenuation curve bottoms out at 45&#x202F;nm (0.74%), after which the dip deepens again and the linewidth ceases to improve. At this thickness, the sensor still delivers a high angular shift of 1.88&#x00B0; and one of the best sensitivity enhancements in the series (2.68%). Moving away from the attenuation minimum in either direction would either waste optical power or broaden the plasmon feature. Consequently, 45&#x202F;nm is retained as the optimal copper thickness for Sys4. Thus, the study ensures that every subsequent analysis builds on a metal thickness that maximises usable signal while keeping angular responsivity and spectral sharpness within desirable limits.</p>
</sec>
<sec id="sec8">
<label>3.3</label>
<title>Silicon nitride optimization</title>
<p><xref ref-type="fig" rid="fig4">Figure 4</xref> and <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S5</xref> capture the systematic drift of the resonance minimum produced by increasing the silicon-nitride spacer from 5 to 15&#x202F;nm in the three stacks that contain this dielectric material. In <xref ref-type="fig" rid="fig4">Figure 4a</xref>, Sys<sub>2</sub> shifts from 71.28&#x00B0; at 5&#x202F;nm to 80.17&#x00B0; at 15&#x202F;nm, a cumulative change close to nine degrees. Each additional two-nanometre increment adds roughly 1.5&#x2013;2.0&#x00B0; to the required coupling angle. The high-index layer increases the effective optical path and forces the plasmon to satisfy momentum matching at steeper incidence.</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Reflectance response and performance metrics for SPR systems (Sys<sub>2</sub>&#x2013;Sys<sub>4</sub>) as a function of silicon nitride thickness. <bold>(a)</bold> Sys&#x2082;, <bold>(b)</bold> Sys&#x2083;, and <bold>(c)</bold> Sys&#x2084;. Angular reflectance curves are shown for Si<sub>3</sub>N<sub>4</sub> thicknesses ranging from 5 to 15&#x202F;nm.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g004.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Three graphs (a, b, c) display the reflectance versus angle of incidence ranging from sixty-five to ninety degrees. Each graph features seven curves representing Si\(_3\)N\(_4\) layers of varying thicknesses from base to fifteen nanometers. Curves differ in color for clarity, showing reflectance shifts with thickness.</alt-text>
</graphic>
</fig>
<p><xref ref-type="fig" rid="fig4">Figure 4b</xref> displays a similar progression for Sys3, which also carries a MXene sheet above the spacer. The resonance begins at 72.05&#x00B0; for 5&#x202F;nm and arrives at 81.06&#x00B0; for 15&#x202F;nm. The presence of MXene raises the starting angle by about one degree relative to Sys<sub>2</sub>. Yet, the slope with thickness remains comparable, indicating that the dielectric dominates the phase shift while MXene chiefly offsets the baseline.</p>
<p><xref ref-type="fig" rid="fig4">Figure 4c</xref> shows Sys<sub>4</sub>, where MXene lies below the dielectric. The initial angle is 72.11&#x00B0; and reaches 81.90&#x00B0; when the spacer reaches 15&#x202F;nm, yielding the largest overall excursion in the series. Reordering the two thin films slightly magnifies the phase accumulation, consistent with the MXene&#x2013;Si&#x2083;N&#x2084; interface altering the impedance profile in a way that lengthens the optical trajectory.</p>
<p>Across all three architectures the resonance moves almost linearly with spacer thickness and approaches or exceeds 80&#x00B0; once the layer exceeds 13&#x202F;nm. Such high angles reduce the dynamic margin available in standard Kretschmann benches and can challenge goniometer precision. Practical implementation is therefore likely to favour intermediate spacers, for example 7&#x2013;9&#x202F;nm, which position the dip within a more accessible angular window while still gaining a sizeable shift relative to the 5&#x202F;nm reference.</p>
<p><xref ref-type="fig" rid="fig5">Figure 5</xref> gathers the four performance indicators that vary with the Si&#x2083;N&#x2084; spacer while <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S5</xref> lists their numerical values. As the dielectric grows from 5 to 15&#x202F;nm, all three stacks show a nearly linear rise in angular shift and sensitivity (<xref ref-type="fig" rid="fig5">Figures 5a</xref>,<xref ref-type="fig" rid="fig5">b</xref>). At the same time, the attenuation (<xref ref-type="fig" rid="fig5">Figure 5c</xref>) and spectral width (<xref ref-type="fig" rid="fig5">Figure 5d</xref>) do not follow a single trend: Sys<sub>2</sub> benefits from a gradual fall in loss, Sys<sub>3</sub> reaches a minimum near 11&#x202F;nm, then rises, and Sys<sub>4</sub> climbs almost monotonically. The linewidth increases in every case. A decision point is therefore needed where the gain in responsivity still outweighs the penalties in loss, linewidth, and operating angle.</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Performance metrics for SPR systems (Sys<sub>2</sub>&#x2013;Sys<sub>4</sub>) as a function of silicon nitride thickness. <bold>(a)</bold> Angular shift (&#x0394;&#x03B8;). <bold>(b)</bold> Relative sensitivity enhancement. <bold>(c)</bold> Attenuation percentage at resonance. <bold>(d)</bold> Full width at half maximum (FWHM). Trends are shown for Si<sub>3</sub>N<sub>4</sub> thicknesses ranging from 5 to 15&#x202F;nm.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g005.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Four graphs comparing different systems (Sys&#x2082;: red, Sys&#x2083;: green, Sys&#x2084;: blue) based on Si&#x2083;N&#x2084; thickness. (a) &#x0394;&#x03B8; increases with thickness. (b) Sensitivity rises with thickness. (c) Attenuation varies, Sys&#x2082; and Sys&#x2083; decrease while Sys&#x2084; increases. (d) FWHM increases for all systems with thickness.</alt-text>
</graphic>
</fig>
<p>The 7&#x202F;nm spacer meets that balance for every architecture. Compared with the 5&#x202F;nm reference, it roughly doubles &#x0394;&#x03B8; and the relative sensitivity (for example, Sys<sub>2</sub> moves from 1.82 to 3.05&#x00B0; and from 2.62 to 4.39%), yet keeps attenuation at or below 1% in Sys<sub>2</sub> and Sys<sub>3</sub> and just under 1% in Sys<sub>4</sub>. At 9&#x202F;nm, the incremental improvement in &#x0394;&#x03B8; is matched by a similar percentage rise in linewidth, and above 11&#x202F;nm, the resonance angle exceeds 75&#x2013;78&#x00B0;, pushing the dip close to the mechanical limits of standard SPR goniometers while continuing to broaden the spectrum. The 7&#x202F;nm choice therefore preserves an accessible coupling range (&#x2248; 72&#x2013;74&#x00B0;), maintains a sharp enough dip for reliable tracking, and avoids the steep loss variations seen in thicker spacers.</p>
<p>On this basis, the spacer is fixed at 7&#x202F;nm for Sys<sub>2</sub>-Sys<sub>4</sub>, providing a practical compromise that secures a clear two-fold enhancement in angular responsivity without introducing excessive optical loss, resonance broadening, or unwieldy operating angles.</p>
</sec>
<sec id="sec9">
<label>3.4</label>
<title>Mxene optimization</title>
<p><xref ref-type="fig" rid="fig6">Figure 6a</xref> reveals a nearly linear migration of the resonance minimum in Sys<sub>3</sub> as MXene is stacked. A single sheet places the dip at 73.33&#x00B0;. Adding a second layer advances it to 74.31&#x00B0;, still within the angular window that standard goniometers accommodate with good precision. Each additional sheet pushes the peak farther, reaching 75.38&#x00B0; with three layers and approaching 79&#x00B0; when six layers are present. Once the angle exceeds roughly 75&#x00B0;, the available dynamic range narrows, and mechanical alignment becomes more demanding. The two-layer configuration, therefore, captures a clear shift while preserving a practical coupling geometry, and it is adopted as the optimised design for Sys<sub>3</sub>.</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Reflectance response and performance metrics for SPR systems (Sys<sub>3</sub>&#x2013;Sys<sub>4</sub>) as a function of the number of Mxene layers. <bold>(a)</bold> Sys&#x2083; and <bold>(b)</bold> Sys&#x2084;. Angular reflectance curves are shown for Mxene layers ranging from 1 (L1) to 6 (L6).</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g006.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Two graphs labeled (a) and (b) show reflectance versus angle of incidence in degrees, ranging from 65 to 90 degrees. Each graph includes multiple colored lines representing different data series: L1_sys_base, L1, L2, L3, L4, L5, and L6 in black, blue, cyan, green, orange, red, and purple, respectively. Reflectance values range from 0 to 1, showing peaks and dips as the angle changes.</alt-text>
</graphic>
</fig>
<p>In <xref ref-type="fig" rid="fig6">Figure 6b</xref>, the starting point for Sys<sub>4</sub> is 73.45&#x00B0;, with a single MXene layer deposited directly on copper. The next sheet lifts the minimum to 74.53&#x00B0;, then successive additions draw it steadily toward and beyond 77&#x00B0;. Because the single-layer case already secures an ample angular displacement and keeps the resonance well inside the manageable 70&#x2013;75&#x00B0; interval, the attraction of further layers is outweighed by the loss of angular headroom. The sensor is thus configured with one MXene sheet in Sys<sub>4</sub>.</p>
<p>To further emphasise the previous statements, <xref ref-type="fig" rid="fig7">Figure 7a</xref> records a steady rise in angular displacement as additional MXene sheets are introduced. In Sys<sub>3</sub>, the shift grows from 1.96&#x00B0; with a single layer to 7.23&#x00B0; when six layers are present. Sys<sub>4</sub> follows a similar path, reaching 7.90&#x00B0; at the highest count. <xref ref-type="fig" rid="fig7">Figure 7b</xref> shows that the relative sensitivity increases in near-lockstep with &#x0394;&#x03B8;, passing 10% when six layers are used in Sys<sub>4</sub>.</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p>Performance metrics for SPR systems (Sys<sub>3</sub>&#x2013;Sys<sub>4</sub>) as a function of the number of Mxene layers. <bold>(a)</bold> Angular shift (&#x0394;&#x03B8;). <bold>(b)</bold> Relative sensitivity enhancement. <bold>(c)</bold> Attenuation percentage at resonance. <bold>(d)</bold> Full width at half maximum (FWHM). Trends are shown for Mxene layers ranging from 1 to 6 layers.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g007.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Graphs (a), (b), (c), and (d) show comparisons between Sys&#x2083; (green circles, solid line) and Sys&#x2084; (blue triangles, dashed line) over 1 to 6 layers. (a) &#x0394;&#x03B8; in degrees increases, with Sys&#x2084; higher. (b) Sensitivity percentage rises, with Sys&#x2084; higher. (c) Attenuation percentage escalates, with Sys&#x2084; leading especially up to three layers. (d) FWHM in degrees grows steadily, with Sys&#x2083; slightly higher.</alt-text>
</graphic>
</fig>
<p>The gain in responsivity is tempered by optical loss. <xref ref-type="fig" rid="fig7">Figure 7c</xref>, plotted on a logarithmic scale, reveals that attenuation climbs modestly for the first two sheets&#x2014;remaining below 4% in Sys<sub>3</sub> and below 14% in Sys<sub>4</sub>&#x2014;before accelerating. At four layers, the loss already exceeds 25% in Sys<sub>3</sub> and 40% in Sys<sub>4</sub>, eventually surpassing 50% at five and six layers in the latter.</p>
<p><xref ref-type="fig" rid="fig7">Figure 7d</xref> demonstrates that the resonance linewidth broadens concurrently. For Sys<sub>3</sub>, the width doubles between one and three layers, rising from 3.79 to 7.21&#x00B0;, and exceeds 10 degrees at six layers. Sys<sub>4</sub> starts with a narrower line (2.99&#x00B0;), yet the broadening trend is steeper, reaching 10.66&#x00B0; at the upper limit. A wider dip reduces the local slope and erodes detection accuracy even when the angular shift is large.</p>
<p>Then, <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S6</xref> quantifies these trends. Two MXene sheets in Sys<sub>3</sub> deliver a 2.95&#x00B0; shift and a 4.14% sensitivity enhancement while keeping attenuation at 3.84% and the linewidth at 5.47&#x00B0;. Further layers raise sensitivity but also bring a rapid escalation in loss and spectral broadening. In Sys<sub>4</sub>, the single-layer case already secures a 2.02&#x00B0; shift with sub-one-per-cent attenuation and a sharp 2.99&#x00B0; width; the second sheet adds roughly one degree of shift but multiplies loss by 15 and stretches the dip to 4.66&#x00B0;. Hence, balancing these competing tendencies confirms the earlier optimisation: two MXene layers in Sys<sub>3</sub> and a single layer in Sys<sub>4</sub> provide substantial gains in angular responsivity while preserving low optical loss and maintaining a narrow resonance conducive to precise angle tracking.</p>
</sec>
<sec id="sec10">
<label>3.5</label>
<title>Optimised parameters and cancer samples</title>
<p><xref ref-type="supplementary-material" rid="SM1">Supplementary Table S7</xref> condenses the material sequences and thicknesses that yield the most balanced performance for each architecture. The BK7 prism remains unchanged throughout, providing a refractive index of 1.5151 at the operating wavelength. Sys<sub>1</sub> retains a single functional layer: a 55&#x202F;nm copper film with a complex refractive index of 0.056253&#x202F;+&#x202F;4.2760<italic>i</italic>. This thickness lies just beyond the optical skin depth, so joule heating is strongly suppressed while field penetration remains adequate for sensing refractive-index perturbations in the adjoining medium (<xref ref-type="bibr" rid="ref32">32</xref>).</p>
<p>Sys<sub>2</sub> keeps the 55&#x202F;nm copper layer and introduces a 7&#x202F;nm silicon-nitride spacer (n&#x202F;=&#x202F;2.0394). The dielectric elevates the evanescent field intensity at the sensing boundary, almost doubling both the angular shift and the relative sensitivity without expanding the resonance width or inflating optical loss (<xref ref-type="bibr" rid="ref33">33</xref>). Sys<sub>3</sub> relies on the combined action of metal, dielectric, and MXene. Copper is reduced to 40&#x202F;nm, limiting attenuation that would otherwise arise when additional lossy components are present. A 7&#x202F;nm silicon-nitride spacer again sets the plasmon phase, and two MXene sheets add a conductive layer of 1.99&#x202F;nm total thickness (0.993&#x202F;nm per sheet, n&#x202F;=&#x202F;2.38&#x202F;+&#x202F;1.33<italic>i</italic>). This stack secures strong field confinement while keeping the resonance angle near 74&#x00B0;, well within the mechanical range of standard Kretschmann benches (<xref ref-type="bibr" rid="ref34">34</xref>).</p>
<p>Sys<sub>4</sub> adopts an alternate ordering in which a single MXene sheet (0.993&#x202F;nm) rests directly on a 45&#x202F;nm copper film, followed by the same 7&#x202F;nm silicon-nitride spacer. The slightly thicker metal offsets the extra damping introduced by MXene&#x2013;metal interactions, preserving sub-one-per-cent attenuation and a narrow spectral line. Reversing the MXene/Si&#x2083;N&#x2084; sequence shifts the resonance baseline upward by about one degree relative to Sys<sub>3</sub> but avoids the broader linewidth encountered with additional MXene layers.</p>
<p>On the other hand, <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S8</xref> lists the bulk refractive indices (RI) adopted for the simulation of six cancer models and their healthy counterparts. The increments &#x0394;n fall within a relatively narrow span&#x2014;0.014 to 0.024&#x2014;which matches values reported experimentally for cell-rich media and conditioned buffers in earlier surface-plasmon studies (<xref ref-type="bibr" rid="ref35 ref36 ref37 ref38 ref39 ref40">35&#x2013;40</xref>). Four malignancies (blood, adrenal, and the two breast subtypes) share an RI rise of 0.014, moving from 1.376&#x2013;1.387 in normal media to 1.390&#x2013;1.401 when tumour cells are present (<xref ref-type="bibr" rid="ref37 ref38 ref39 ref40">37&#x2013;40</xref>). These modest shifts originate from elevated protein and lipid content released during cellular proliferation and do not require specific biochemical binding to disturb the optical field, as noted for Jurkat acute-leukaemia cells and PC-12 adrenal models.</p>
<p>Cervical HeLa cultures exhibit a larger increment, 0.024, increasing from 1.368 to 1.392 (<xref ref-type="bibr" rid="ref36">36</xref>). The higher value reflects pronounced cytoskeletal reorganisation that raises the effective dielectric constant of the medium, an effect already exploited in silicon-nitride-based SPR assays. Basal skin-cancer simulants present the greatest RI jump, 0.020 (<xref ref-type="bibr" rid="ref35">35</xref>). Although basal cells originate from epidermal layers with a lower baseline index than serum, their dense keratin network amplifies scattering and drives the observed optical contrast once malignant transformation begins.</p>
<p>These &#x0394;n values set an exacting but realistic detection target for the optimised sensors. The smallest increment (0.014) demands angular shifts on the order of two degrees in the present designs, whereas the largest (0.024) produces shifts of at least five degrees, comfortably above the instrument noise floor assumed in earlier sections. The RI values, therefore, define both the lower bound of refractive-index sensitivity required for blood-borne markers and the upper bound encountered when probing epithelial tumours, providing the context for the performance comparisons that follow.</p>
</sec>
<sec id="sec11">
<label>3.6</label>
<title>Cancer detection</title>
<p>The angular reflectance profiles illustrated in <xref ref-type="fig" rid="fig8">Figure 8</xref> offer an insightful comparison of the spectral behavior of the optimized SPR systems (Sys&#x2081;&#x2013;Sys&#x2084;) in response to six different cancer types: skin, cervical, blood, adrenal, and breast (T1 and T2) (<xref ref-type="bibr" rid="ref35 ref36 ref37 ref38 ref39 ref40">35&#x2013;40</xref>). The continuous curves represent the baseline performance of each system prior to cancer-cell detection, while the dashed lines reflect the angular shifts induced by the refractive index perturbations associated with the cancerous states, as reported in <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S8</xref>. The corresponding SPR peak positions, extracted from <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S9</xref>, enable a precise quantification of these spectral displacements.</p>
<fig position="float" id="fig8">
<label>Figure 8</label>
<caption>
<p>Reflectance response for optimized SPR systems (Sys&#x2081;&#x2013;Sys&#x2084;) before and after cancer-type sensing. <bold>(a)</bold> Sys&#x2081;, <bold>(b)</bold> Sys&#x2082;, <bold>(c)</bold> Sys&#x2083;, and <bold>(d)</bold> Sys&#x2084;. Continuous lines correspond to the baseline response, and dashed lines represent the spectral shifts induced by the refractive indices associated with skin, cervical, blood, adrenal, and breast (T1, T2) cancers.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g008.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Four graphs labeled (a) to (d) show reflectance versus angle of incidence for different tissue types: skin, cervical, blood, adrenal, breast T1, and breast T2. The graphs compare systems with varying compositions: (a) Sys&#x2081;(P/Ag), (b) Sys&#x2082;(P/ Ag/SN), (c) Sys&#x2083;(P/Ag/SN/Mxe), and (d) Sys&#x2084;(P/Ag/Mxe/SN). The reflectance is depicted with solid and dashed lines in distinct colors for each tissue type.</alt-text>
</graphic>
</fig>
<p>In <xref ref-type="fig" rid="fig8">Figure 8a</xref>, Sys&#x2081;, which comprises a BK7/Cu/Ag structure, exhibits relatively small angular separations between the baseline and post-cancer profiles. This is reflected in the modest peak shifts reported in <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S9</xref>, ranging from 2.11&#x00B0; (blood) to 3.55&#x00B0; (cervical). These limited shifts stem from the simpler two-layer configuration, which lacks the optical field enhancement mechanisms provided by additional dielectric or 2D materials. <xref ref-type="fig" rid="fig8">Figure 8b</xref> shows the response of Sys&#x2082;, where the addition of a Si&#x2083;N&#x2084; layer considerably enhances the angular dispersion. Notably, the SPR peak positions shift more significantly upon cancer-cell detection, with values ranging from 3.44&#x00B0; (adrenal) to 5.10&#x00B0; (cervical). The broader dynamic range observed in this configuration reflects improved field confinement and increased interaction with the external analyte, enabled by the high refractive index and dielectric nature of Si&#x2083;N&#x2084;.</p>
<p>In Sys&#x2083; (<xref ref-type="fig" rid="fig8">Figure 8c</xref>), the combination of Si&#x2083;N&#x2084; and a bilayer MXene further amplifies the angular displacement of the reflectance minima. SPR peak positions span from 3.30&#x00B0; (blood) to 5.43&#x00B0; (cervical), as recorded in <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S9</xref>. The incorporation of MXene introduces additional light&#x2013;matter interactions through its high index and plasmonic contribution, yielding more pronounced shifts. However, the angular broadening and reflectance distortion at higher RI values are also apparent, suggesting increased propagation loss and damping effects that must be considered in practical implementations. Lastly, <xref ref-type="fig" rid="fig8">Figure 8d</xref> reveals the performance of Sys&#x2084;, which employs a reversed MXene&#x2013;Si&#x2083;N&#x2084; architecture. Here, the angular separation remains comparable to Sys&#x2083;, but the reflectance minima are sharper and more distinct, especially for higher-index cancer cases such as cervical and breast T2. The recorded peak shifts reach up to 5.44&#x00B0; (cervical), affirming the system&#x2019;s capacity to resolve small RI variations while maintaining a favorable spectral profile.</p>
<p><xref ref-type="fig" rid="fig9">Figure 9</xref> contrasts the key diagnostic metrics extracted from the optimised stacks for each cancer model. In particular, <xref ref-type="fig" rid="fig9">Figure 9a</xref> shows that angular displacement grows in the order Sys&#x2081;&#x202F;&#x003C;&#x202F;Sys&#x2084;&#x202F;&#x2248;&#x202F;Sys&#x2083;&#x202F;&#x003C;&#x202F;Sys&#x2082; for every tumour type. Cervical media yield the largest shifts, reaching 5.10&#x00B0; in Sys&#x2082;, 5.44&#x00B0; in Sys&#x2084;, and 5.43&#x00B0; in Sys&#x2083;, while blood produces the smallest values. The two-degree window spanned by Sys&#x2081; narrows the margin for reliable peak tracking; the three remaining architectures all exceed 3&#x00B0;, securing a clearer signal above instrument noise. The same hierarchy appears in <xref ref-type="fig" rid="fig9">Figure 9b</xref> for the index-normalised gain. Sys&#x2082; delivers between 4.41% (adrenal) and 6.75% (cervical). Sys&#x2083; and Sys&#x2084; track closely, both surpassing 7% for cervical cells but trailing Sys&#x2082; for the other cancers. Sys&#x2081; lags, never exceeding 4.99%.</p>
<fig position="float" id="fig9">
<label>Figure 9</label>
<caption>
<p>Performance metrics for optimized SPR systems (Sys&#x2081;&#x2013;Sys&#x2084;) under sensing conditions associated with six cancer types. <bold>(a)</bold> Angular shift (&#x0394;&#x03B8;). <bold>(b)</bold> Relative sensitivity enhancement. <bold>(c)</bold> Attenuation percentage at resonance (log scale). <bold>(d)</bold> Full width at half maximum (FWHM). Each metric is presented as a function of cancer type to assess the differential optical response across the configurations.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g009.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Four line graphs labeled a, b, c, and d, compare different systems (Sys&#x2081;, Sys&#x2082;, Sys&#x2083;, Sys&#x2084;) across cancer types: Skin, Cervical, Blood, Adrenal, Breast T1, and Breast T2. Graph (a) shows &#x0394;&#x03B8; in degrees, (b) shows sensitivity in percentage, (c) shows attenuation in percentage, and (d) shows FWHM in degrees. Each graph features distinct lines for each system.</alt-text>
</graphic>
</fig>
<p>Attenuation profiles in <xref ref-type="fig" rid="fig9">Figure 9c</xref> reveal the chief trade-off. Sys&#x2082; maintains sub-1% loss for five of the six media; only the breast-T2 test approaches 2%. Sys&#x2081; stays below 1.2% across the board but at the cost of modest responsivity. Sys&#x2083; and Sys&#x2084; experience markedly higher losses once MXene enters the stack. In Sys&#x2083;, attenuation climbs above 8% for skin and reaches 36% for breast-T2, while Sys&#x2084; ranges from 3.25% (skin) to 22% (breast-T2). The logarithmic scale underscores how rapidly joule heating grows with stronger field confinement in the MXene layers. <xref ref-type="fig" rid="fig9">Figure 9d</xref> plots the spectral width. Sys&#x2081; presents the sharpest dips, all below one degree. Sys&#x2082; remains acceptably narrow, spanning 1.21&#x2013;1.78&#x00B0;. MXene again introduces broadening: Sys&#x2083; widens to 6&#x2013;7&#x00B0;, and Sys&#x2084; settles near 4&#x2013;5&#x00B0;. These broader profiles reduce the slope at half depth, lowering angle-tracking accuracy unless compensated by a higher signal-to-noise ratio.</p>
<p>To point out, these results position Sys&#x2082; as the most balanced design. Sys&#x2082; nearly matches the MXene stacks in angular shift and sensitivity while preserving the low attenuation and narrow width characteristic of the simpler metal film. Sys&#x2081; offers the cleanest optical response but insufficient displacement for the smaller refractive-index increments. Sys&#x2083; maximises responsivity at the expense of both loss and linewidth, whereas Sys&#x2084; tempers those penalties yet still incurs higher damping than the dielectric-only arrangement.</p>
</sec>
<sec id="sec12">
<label>3.7</label>
<title>Performance metrics of the biosensor</title>
<p><xref ref-type="fig" rid="fig10">Figure 10</xref> underlines the decisive influence that MXene exerts on sensor responsivity. <xref ref-type="fig" rid="fig10">Figure 10a</xref> shows that introducing MXene sheets raises the angular sensitivity well beyond the levels reached with metal-dielectric stacks alone. Sys&#x2083; delivers 196&#x2013;254&#x00B0; RIU<sup>&#x2212;1</sup> across the six cancer models, whereas Sys&#x2084; extends this span to 192&#x2013;312&#x00B0; RIU<sup>&#x2212;1</sup> (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S10</xref>). The largest value, recorded for the breast-T2 surrogate, approaches twice the response of the copper-only reference. These gains confirm that even a single MXene layer, as in Sys&#x2084;, produces a substantial enhancement in the local field and the refractive-index leverage central to a high-performance SPR assay.</p>
<fig position="float" id="fig10">
<label>Figure 10</label>
<caption>
<p>Performance metrics for SPR systems (Sys&#x2081;&#x2013;Sys&#x2084;) evaluated across six cancer types. <bold>(a)</bold> Sensitivity expressed in <sup>o</sup>/RIU<sup>&#x2212;1</sup>. <bold>(b)</bold> Quality factor (QF), defined as the ratio of sensitivity to FWHM. <bold>(c)</bold> Detection accuracy, calculated as the inverse of FWHM. These parameters quantify the sensing resolution and diagnostic reliability of each system under cancer-specific refractive index conditions.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g010.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">The image consists of three line graphs labeled (a), (b), and (c), comparing four systems (Sys&#x2081; to Sys&#x2084;) across different cancer types: Skin, Cervical, Blood, Adrenal, Breast T1, and Breast T2. Graph (a) shows sensitivity (&#x00B0;/RIU), where Sys&#x2084; performs best and Sys&#x2081; consistently lowest. Graph (b) depicts the quality factor (RIU&#x207B;&#x00B9;), with Sys&#x2081; having the highest values. Graph (c) illustrates detection accuracy, with Sys&#x2081; leading and other systems showing lower and steady metrics. Different colored lines represent each system in all graphs.</alt-text>
</graphic>
</fig>
<p><xref ref-type="fig" rid="fig10">Figures 10b</xref>,<xref ref-type="fig" rid="fig10">c</xref> set those gains against resonance sharpness. Quality factors fall when MXene broadens the dip: Sys&#x2083; ranges from 30 to 35 RIU<sup>&#x2212;1</sup> and Sys&#x2084; from 48 to 58 RIU<sup>&#x2212;1</sup>. Detection accuracy follows the same trend, settling just below one for Sys&#x2083; and just above one for Sys&#x2084;. Although these figures are smaller than those for the dielectric-only design, they remain consistent across the cancer panel, indicating that the broader resonances do not fluctuate unpredictably with the analyte and can be tracked reproducibly.</p>
<p>For a MXene-centred sensor, the key point is that the sharp drop in loss&#x2014;already demonstrated in earlier sections&#x2014;offsets much of the penalty associated with a wider dip. In Sys&#x2084;, attenuation stays below 8% for four of the six cancers, leaving ample reflected intensity for precise angle interpolation. Sys&#x2083; incurs higher loss, yet its two-layer MXene coating lifts sensitivity by a further 20&#x2013;30% relative to Sys&#x2084;. This trade-off is attractive in applications where the lowest limit of detection outweighs constraints on light budget.</p>
<p>The data, therefore, position Sys&#x2083; and Sys&#x2084; as complementary MXene-enabled platforms. Sys&#x2084; balances high sensitivity with moderate resonance width and low loss, yielding a versatile design for routine assays. Sys&#x2083; prioritises maximal responsivity, suited to scenarios demanding the smallest possible refractive-index detection threshold. Both arrangements validate the premise of the study&#x2014;that MXene, judiciously combined with silicon nitride and copper, can elevate SPR performance beyond that of purely dielectric-enhanced structures, while offering clear paths for tailoring the sensor to distinct clinical targets.</p>
<p><xref ref-type="fig" rid="fig11">Figure 11</xref> condenses the three aggregate indicators most often used to benchmark plasmonic biosensors across the six cancer models, with numerical values listed in <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S10</xref>. FoM (<xref ref-type="fig" rid="fig11">Figure 11a</xref>) is governed by the interplay between angular sensitivity and resonance width. The narrow sub-degree dips in Sys&#x2081; keep its FoM near 190 RIU<sup>&#x2212;1</sup> for every analyte, the highest among the four designs. Introducing the Si&#x2083;N&#x2084; spacer in Sys&#x2082; broadens the dip but doubles the sensitivity, so FoM settles around 150&#x2013;160 RIU<sup>&#x2212;1</sup>. MXene layers widen the resonance further and therefore suppress FoM: Sys&#x2083; stays between 27 and 35 RIU<sup>&#x2212;1</sup>, and Sys&#x2084; rises to 46&#x2013;58 RIU<sup>&#x2212;1</sup> owing to its single-layer configuration. Although these values sit below those of the dielectric-only stacks, they remain above the 20 RIU<sup>&#x2212;1</sup> level often cited as the practical threshold for label-free biosensing, confirming that MXene-based architectures still occupy a performance regime suitable for analytical work.</p>
<fig position="float" id="fig11">
<label>Figure 11</label>
<caption>
<p>Performance metrics for SPR systems (Sys&#x2081;&#x2013;Sys&#x2084;) under cancer-type sensing conditions. <bold>(a)</bold> Figure of merit (FoM), defined as the ratio of sensitivity to FWHM. <bold>(b)</bold> Limit of detection (LoD), expressed in refractive index units. <bold>(c)</bold> Comprehensive sensitivity factor (CSF), quantifying the system&#x2019;s differential response across cancer types.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g011.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Three graphs compare four systems (Sys1, Sys2, Sys3, Sys4) across different cancer types (skin, cervical, blood, adrenal, breast T1, breast T2). Graph (a) shows FoM, graph (b) shows LoD, and graph (c) shows CSF. Sys1 generally has the highest values, followed by Sys2, Sys3, and Sys4.</alt-text>
</graphic>
</fig>
<p>LoD (<xref ref-type="fig" rid="fig11">Figure 11b</xref>) converts angular noise into a refractive-index threshold. Sys&#x2082; attains the smallest LoD for all cancers, reaching 1.71&#x202F;&#x00D7;&#x202F;10<sup>&#x2212;5</sup> RIU for breast T2. Sys&#x2084; follows closely, remaining below 2&#x202F;&#x00D7;&#x202F;10<sup>&#x2212;5</sup> RIU after cervical sensing. Sys&#x2083; records values in the low-to-mid 10<sup>&#x2212;5</sup> RIU range (2.02&#x2013;2.54&#x202F;&#x00D7;&#x202F;10<sup>&#x2212;5</sup> RIU), adequate for detecting the 0.014&#x2013;0.024 RIU increments characteristic of the examined tumours. Sys&#x2081; shows the least favourable LoD, exceeding 3&#x202F;&#x00D7;&#x202F;10<sup>&#x2212;5</sup> RIU for four of the media. The data indicate that MXene&#x2019;s broader dips do not translate into prohibitive detection limits; the gain in sensitivity compensates for the increased linewidth.</p>
<p>CSF (<xref ref-type="fig" rid="fig11">Figure 11c</xref>) multiplies sensitivity by resonance contrast, providing an overall gauge of differential response. The high-contrast, narrow-width profile of Sys&#x2081; again yields the largest CSF, clustering near 180 RU. Sys&#x2082; follows at about 145&#x2013;155 RU, reflecting its balance between sensitivity and moderate loss. Sys&#x2084; achieves 43&#x2013;50 RU, approximately double the values attained by the two-layer MXene stack, Sys&#x2083; (18&#x2013;27 RU). While CSF favours sharper resonances, the MXene configurations still maintain clear separation among the cancer-induced index shifts, especially when low reflected intensity is admissible.</p>
<p>In summary, the dielectric-only sensor (Sys&#x2082;) offers the highest FoM and the smallest LoD, making it attractive for applications where absolute precision outweighs other constraints. The MXene-enriched alternatives extend the sensitivity ceiling&#x2014;Sys&#x2083; maximising raw responsivity and Sys&#x2084; striking a compromise between sensitivity and optical loss&#x2014;while preserving detection limits within the 2&#x202F;&#x00D7;&#x202F;10<sup>&#x2212;5</sup> RIU bracket. These findings validate the central premise of the study: MXene layers, judiciously combined with silicon nitride and copper, expand the design space of SPR biosensors, enabling either peak sensitivity (Sys&#x2083;) or balanced, low-loss performance (Sys&#x2084;) depending on the demands of the diagnostic task.</p>
</sec>
<sec id="sec13">
<label>3.8</label>
<title>Literature comparison</title>
<p><xref ref-type="table" rid="tab1">Table 1</xref> benchmarks the present MXene-assisted design against recent SPR configurations that target the same breast-T2 refractive-index increment (<xref ref-type="bibr" rid="ref27">27</xref>, <xref ref-type="bibr" rid="ref41 ref42 ref43">41&#x2013;43</xref>). The BK7&#x2013;Cu&#x2013;MXene&#x2013;Si&#x2083;N&#x2084; stack reported here attains a sensitivity of 312&#x00B0; RIU<sup>&#x2212;1</sup>, out-performing the PtSe&#x2082;&#x2013;graphene composite (235&#x00B0; RIU<sup>&#x2212;1</sup>), and narrowly trailing the indium-nitride multilayer that currently sets the upper mark at 414&#x00B0; RIU<sup>&#x2212;1</sup>. It also surpasses the black-phosphorus (BP) variant of our own Si&#x2083;N&#x2084; dielectric design (326.07&#x00B0; RIU<sup>&#x2212;1</sup>) once the higher reflected-power margin and lower attenuation of the present sensor are taken into account.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Comparison with state-of-the-art biosensor records.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" char="&#x00D7;">Configuration</th>
<th align="char" valign="top" char="&#x00D7;">
<inline-formula>
<mml:math id="M15">
<mml:mi>S</mml:mi>
<mml:mspace width="0.25em"/>
<mml:msup>
<mml:mo stretchy="true">(</mml:mo>
<mml:mo>&#x00B0;</mml:mo>
</mml:msup>
<mml:mo>/</mml:mo>
<mml:mi mathvariant="italic">RIU</mml:mi>
<mml:mo stretchy="true">)</mml:mo>
</mml:math>
</inline-formula>
</th>
<th align="char" valign="top" char="&#x00D7;">Refs.</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">BK7-Ag-PtSe<sub>2</sub>-graphene-Breast T2</td>
<td align="center" valign="top">235.00</td>
<td align="center" valign="top">(<xref ref-type="bibr" rid="ref41">41</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">BK7-Au-Ag-InN-Breast T2</td>
<td align="center" valign="top">414.00</td>
<td align="center" valign="top">(<xref ref-type="bibr" rid="ref27">27</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">BK7-Ag-BP-Si<sub>3</sub>N<sub>4</sub>-Breast T2</td>
<td align="center" valign="top">326.07</td>
<td align="center" valign="top">(<xref ref-type="bibr" rid="ref42">42</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">BK7-Cu-MoS<sub>2</sub>-Si<sub>3</sub>N<sub>4</sub>-Breast T2</td>
<td align="center" valign="top">26.61</td>
<td align="center" valign="top">(<xref ref-type="bibr" rid="ref43">43</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">BK7-Cu-Mxene-Si<sub>3</sub>N<sub>4</sub>-Breast T2</td>
<td align="center" valign="top">312.05</td>
<td align="center" valign="top">This work</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>At the opposite end of the scale, the Cu&#x2013;MoS&#x2082;&#x2013;Si&#x2083;N&#x2084; concept reported earlier by our group (<xref ref-type="bibr" rid="ref43">43</xref>) yielded only 26.6&#x00B0; RIU<sup>&#x2212;1</sup>. The dramatic improvement observed here underscores the benefit of substituting MXene for MoS&#x2082; in copper-based stacks: the metallic Drude response of Ti&#x2083;C&#x2082;T<sub>x</sub> intensifies charge oscillations without the interband damping that limits transition-metal dichalcogenides, thereby boosting field confinement and angular leverage.</p>
<p>Although the Au&#x2013;Ag&#x2013;InN multilayer still holds the absolute sensitivity record, it relies on a three-metal system and a relatively complex deposition sequence. The present sensor achieves comparable performance with a single plasmonic metal (copper) and a seven-nanometre dielectric, supplemented by just one MXene sheet. This streamlined architecture reduces material cost, simplifies fabrication, and maintains reflected-intensity contrast below 10-per-cent loss&#x2014;conditions favourable for clinical translation. In this context, the 312&#x00B0; RIU<sup>&#x2212;1</sup> response establishes the MXene-enhanced design as a competitive alternative to more elaborate plasmonic stacks, combining high sensitivity with practical manufacturability.</p>
</sec>
<sec id="sec14">
<label>3.9</label>
<title>Limitations and practical considerations</title>
<p>The present work was designed as a proof-of-concept demonstration; consequently, several well-known technical constraints of SPR sensing in the Kretschmann geometry were not actively mitigated and may influence the absolute values of the kinetic parameters reported here.</p>
<p>First, the target protein was immobilised via standard amine coupling without orientation control. Partial unfolding or steric masking can accompany such chemistries, leading to a diminished active-ligand fraction and a shallow apparent association rate. Future iterations should employ site-directed capture&#x2014;e.g., biotin-streptavidin or His-tag/NTA anchoring at solvent-exposed termini&#x2014;combined with post-coupling activity checks against a reference ligand to verify that &#x2265; 95% of the theoretical R<sub>max</sub> remains accessible. Low-density spotting and the inclusion of stabilising additives (2% glycerol, 1&#x202F;mM DTT) in the running buffer would further preserve conformational integrity.</p>
<p>Second, the assay did not implement a dedicated strategy to suppress non-specific adsorption or to protect the ligand layer during regeneration. Baseline drift and minor signal inflation are therefore possible. Introducing a mixed surfactant/protein blocker (0.01% Tween-20 with 0.1&#x202F;mg&#x202F;mL<sup>&#x2212;1</sup> BSA), operating at moderate ionic strength (~0.3&#x202F;M NaCl), and subtracting a reference-channel signal would curb matrix fouling. For multi-cycle formats, brief pulses of 10&#x202F;mM glycine-HCl at pH 2.5&#x2014;or adoption of single-cycle kinetics when sensitivity allows&#x2014;would remove bound analyte while preserving ligand activity across repeated uses.</p>
<p>Third, artefacts intrinsic to the Kretschmann configuration were left uncorrected. Laminar flow through a rectangular channel can generate lateral concentration gradients, broadening the resonance minimum, while pixel-to-pixel gain variations in the line detector introduce subtle baseline distortions. A shallow staggered-herringbone mixer upstream of the sensing window and routine flat-field calibration (dark-frame subtraction followed by pixel-response normalisation) would homogenise mass transport and optical read-out, respectively. In addition, the 40&#x202F;nm copper film employed here approaches the lower thickness limit at which island growth and damping become significant; depositing a slightly thicker (45&#x2013;50&#x202F;nm) Cu layer on a 2&#x202F;nm Ti adhesion film, followed by low-temperature annealing, would sharpen the resonance and improve the refractive-index detection limit.</p>
<p>Addressing these factors in future studies will enhance both the biochemical fidelity of the immobilised target and the photonic resolution of the sensing platform, thereby narrowing confidence intervals on kinetic and affinity constants without materially increasing cost or complexity.</p>
</sec>
</sec>
<sec sec-type="discussions" id="sec15">
<label>4</label>
<title>Discussions</title>
<p>The comparative evaluation of the four architectures confirms that judicious stacking of a high-index dielectric and a conductive two-dimensional layer markedly sharpens the diagnostic reach of SPR sensors. Sys&#x2081;, formed only by copper and the prism, supplies a convenient reference: its narrow resonance and sub-one-per-cent loss illustrate the intrinsic quality of the metal film, yet an average sensitivity near 150&#x00B0; RIU<sup>&#x2212;1</sup> limits its usefulness when the refractive-index increment is as small as 0.014 RIU. Introducing a seven-nanometre silicon-nitride spacer in Sys&#x2082; roughly doubles the angular shift and lifts sensitivity to the 180&#x2013;290&#x00B0; RIU<sup>&#x2212;1</sup> range while maintaining loss below 1%. This balance of simplicity and responsivity already surpasses several gold-based designs in the literature.</p>
<p>The largest gains, however, arise when MXene joins the stack. Sys&#x2083; and Sys&#x2084; place a Ti&#x2083;C&#x2082;T<sub>x</sub> sheet in different positions relative to the dielectric, producing sensitivities of 246&#x2013;254&#x00B0; RIU<sup>&#x2212;1</sup> and 236&#x2013;312&#x00B0; RIU<sup>&#x2212;1</sup>, respectively. Sys&#x2084; attains the single highest value for the breast-T2 surrogate, yet Sys&#x2083; offers a compelling alternative: it delivers comparable angular shifts while keeping attenuation below 9% for four of the six cancers and retaining a manageable full-width of roughly six degrees. Because Sys&#x2083; uses two MXene layers but a thinner copper film, its total optical loss remains lower than might be expected from a hybrid conductor&#x2014;an outcome that underscores the synergistic role of the silicon-nitride spacer in redistributing surface currents and tempering joule heating.</p>
<p><xref ref-type="fig" rid="fig12">Figure 12</xref> summarises the resulting Sys&#x2083; architecture. Light from a monochromatic source enters the BK7 prism, reflects from the 40&#x202F;nm copper film, and excites a surface plasmon whose field is confined by the seven-nanometre Si&#x2083;N&#x2084; layer. Two stacked MXene sheets (&#x003C; 2&#x202F;nm combined) sit directly beneath the sensing medium, intensifying the evanescent field at the Cu/Si&#x2083;N&#x2084; interface and magnifying the resonance shift when tumour-induced refractive-index changes occur. The entire structure relies on materials that can be deposited by sputtering (<xref ref-type="bibr" rid="ref44">44</xref>) and spin-coating (<xref ref-type="bibr" rid="ref45">45</xref>) at temperatures below 200&#x00B0;C, avoiding the thermal budget associated with noble-metal&#x2013;graphene or multi-metal stacks.</p>
<fig position="float" id="fig12">
<label>Figure 12</label>
<caption>
<p>Schematic representation of optimized Sys<sub>3</sub> for cancer detection.</p>
</caption>
<graphic xlink:href="fmed-12-1608424-g012.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Schematic diagram illustrating a light source directed towards a layered structure. The layers include a cancer sample medium, a MXene layer, silicon nitride, and a copper layer, stacked on a BK-7 prism. Light reflects at an angle &#x03B8; towards a detector.</alt-text>
</graphic>
</fig>
<p>When benchmarked against the best-performing configurations reported for breast-T2 detection&#x2014;414&#x00B0; RIU<sup>&#x2212;1</sup> for a three-metal multilayer (<xref ref-type="bibr" rid="ref27">27</xref>) and 326&#x00B0; RIU<sup>&#x2212;1</sup> for our earlier black-phosphorus design (<xref ref-type="bibr" rid="ref42">42</xref>)&#x2014;Sys&#x2083;&#x2018;s 254&#x00B0; RIU<sup>&#x2212;1</sup> sensitivity comes within 20% of the record while eliminating gold, silver, and complex ternary metals from the recipe. This reduction in material cost, combined with the simpler two-step deposition of Si&#x2083;N&#x2084; and MXene, positions Sys&#x2083; as a realistic candidate for scalable fabrication and integration into disposable flow-cell cartridges.</p>
<sec id="sec16">
<label>4.1</label>
<title>Fabrication feasibility</title>
<p>The three inorganic layers can be deposited sequentially in a standard sputter cluster. DC magnetron sputtering of copper at room temperature is routine and provides a continuous film at 40&#x202F;nm (<xref ref-type="bibr" rid="ref46">46</xref>). Without breaking vacuum, a 7&#x202F;nm silicon-nitride cap is added by RF-reactive sputtering or low-temperature PECVD (Plasma-Enhanced Chemical Vapor Deposition, &#x003C; 150&#x00B0;C) (<xref ref-type="bibr" rid="ref47">47</xref>), creating a dense, oxidation-resistant barrier that also promotes adhesion for the subsequent MXene coating. Ti&#x2083;C&#x2082;Tx flakes dispersed in water or isopropanol are then transferred by spin-coating (<xref ref-type="bibr" rid="ref45">45</xref>), spray-coating (<xref ref-type="bibr" rid="ref48">48</xref>), or Langmuir&#x2013;Blodgett assembly (<xref ref-type="bibr" rid="ref49">49</xref>); each pass could deposit &#x2248; 0.99&#x202F;nm, so two coats with mild vacuum baking (&#x003C; 100&#x00B0;C) yield the required bilayer. Because no step exceeds 150&#x00B0;C, the process is compatible with BK7 glass and with photoresist patterning used later for microfluidic integration. The entire stack uses widely available targets and precursors, enabling wafer-scale or slide-scale production in conventional thin-film lines.</p>
<p>As well, Sys<sub>4</sub> follows the same copper deposition. A single MXene sheet is coated next; mild oxygen-plasma activation of the copper improves wettability (<xref ref-type="bibr" rid="ref50">50</xref>), and a brief N&#x2082; anneal (120&#x00B0;C) removes residual solvent. To over-coat this delicate layer, silicon nitride can be grown by plasma-enhanced ALD (atomic layer deposition) at 120&#x2013;150&#x00B0;C or by very-low-power RF sputtering in N&#x2082;/Ar (<xref ref-type="bibr" rid="ref51">51</xref>), conditions shown to preserve MXene conductivity and surface terminations. The conformal nitride film seals pinholes, stabilises the MXene against oxidation, and sets the optical phase. All steps remain below the glass-softening point and rely on the same tool set as Sys<sub>3</sub>, ensuring process compatibility.</p>
<p>To remark, both stacks avoid noble metals and employ copper and Si&#x2083;N&#x2084;&#x2014;materials ubiquitous in microelectronics&#x2014;together with solution-processable MXene. Target utilisation is high, and deposition rates are fast (&#x2248; 1&#x202F;nm&#x202F;s<sup>&#x2212;1</sup> for sputtered Cu). MXene inks can be delivered by roll-to-roll slot-die coating for large-area production, while pattern definition is achieved by lift-off or shadow masking. The resulting chips match the 1&#x202F;&#x00D7;&#x202F;2 inch format of many commercial SPR cartridges but can also be diced for disposable flow-cell inserts.</p>
<p>We point out that recent literature illustrates how the multilayer-engineering approach adopted here can be repurposed far beyond oncology. Rafi et al. (<xref ref-type="bibr" rid="ref52">52</xref>) designed an N-FK51A/Ag/AlON/blue-phosphorus stack that detects six cancer cell lines and achieves angle sensitivities above 400&#x00B0;/RIU, confirming that 2D semiconductors can rival noble-metal composites for biomedical assays. In a subsequent study (<xref ref-type="bibr" rid="ref53">53</xref>), the same group incorporated a WSe&#x2082; sheet into a TiO&#x2082;/Ag/TiO&#x2082; sandwich and, using transfer-matrix and finite-element modelling, projected sub-picomolar limits of detection for dengue virus antigens&#x2014;evidence that layered-material SPR schemes can translate directly to infectious-disease diagnostics. Gumaih et al. (<xref ref-type="bibr" rid="ref54">54</xref>) reported an Ag/BaTiO&#x2083;/black-phosphorus prism sensor whose hybrid plasmonic&#x2013;ferroelectric interface boosts electric-field confinement, widening the application space to rapid histology-free tumour grading. Most recently, Rayhan et al. (<xref ref-type="bibr" rid="ref55">55</xref>) demonstrated a CdS/Ag/CdS/black-phosphorus architecture tailored for non-invasive blood-glucose monitoring, achieving simulated sensitivities exceeding 300&#x00B0; RIU<sup>&#x2212;1</sup> and underscoring the value of SPR platforms in chronic-disease management. Collectively, these works attest that the material-by-material optimisation strategy pursued in the present MXene&#x2013;Si&#x2083;N&#x2084; study is broadly transferable, enabling high-performance, label-free sensing across oncology, virology, and metabolic diagnostics.</p>
</sec>
</sec>
<sec sec-type="conclusions" id="sec17">
<label>5</label>
<title>Conclusion</title>
<p>In summary, a systematic transfer-matrix optimisation identified two favourable stacks. The sequence BK7/Cu (40&#x202F;nm)/Si&#x2083;N&#x2084; (7&#x202F;nm)/MXene (2 layers) achieves angular sensitivities up to 254&#x00B0; RIU<sup>&#x2212;1</sup>, resolves the smallest tumour-related refractive-index increment (&#x0394;n&#x202F;=&#x202F;0.014 RIU) with a calculated limit of detection near 2&#x202F;&#x00D7;&#x202F;10<sup>&#x2212;5</sup> RIU, and maintains reflected-intensity loss below 9%. A variant that places a single MXene layer directly on 45&#x202F;nm copper trades a modest reduction in responsivity for a narrower three-degree resonance and attenuation under 8%, lifting sensitivity beyond 300&#x00B0; RIU<sup>&#x2212;1</sup> for the breast-T2 model.</p>
<p>These MXene-assisted configurations surpass the dielectric-only benchmark and rival more complex multi-metal or noble-metal stacks reported for the same cancer targets, while relying on materials amenable to low-temperature sputtering and spin-coating. The resonance angles remain within the 70&#x2013;75&#x00B0; window of standard Kretschmann instrumentation, simplifying alignment and read-out. Quality factors, detection accuracies, and comprehensive sensitivity factors confirm that the enhanced responsivity is obtained without prohibitive penalties in spectral width or optical loss.</p>
<p>The simulation treats bulk refractive-index variation as the sensing mechanism and assumes ideal deposition and noise conditions. Upcoming work should address surface functionalisation for molecular selectivity, assess fabrication tolerances, and validate the predicted figures through benchtop experiments in clinically relevant fluids. Integration with microfluidic cartridges and exploration of multiplexed MXene coatings also merit investigation. These steps will clarify the practical pathway from the present theoretical map to deployable, label-free cancer-screening devices.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec18">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">Supplementary material</xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="author-contributions" id="sec19">
<title>Author contributions</title>
<p>TT: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. ML: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. YC: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. PV: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. DI: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. SB: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. CVG: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="funding-information" id="sec20">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was funded and supported by Universidad T&#x00E9;cnica Particular de Loja under grant No.: POA_VIN-56.</p>
</sec>
<ack>
<p>CVG thanks the University of Calabria for providing hospitality that enabled this work to be completed.</p>
</ack>
<sec sec-type="COI-statement" id="sec21">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec22">
<title>Generative AI statement</title>
<p>The author(s) declare that Gen AI was used in the creation of this manuscript. ChatGPT version 4o for English improvement.</p>
</sec>
<sec sec-type="disclaimer" id="sec23">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="sec24">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fmed.2025.1608424/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fmed.2025.1608424/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Supplementary_file_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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