Refractive sensitivity is defined as the wavelength shift in the output spectrum relative to the refractive index change, with factors surface sensitivity (S), figure of merit (FOM), and resonance quality (Q) often considered [
164]. Various resonance mechanisms have been explored and refined using metallic and dielectric materials. For instance, Gupta and Singh [
171] excited high
Q resonances with effectively low mode volume, which can achieve sensitivity levels of 61 GHz/RIU (refractive index unit) experimentally, as shown in Fig.
6A. Zhong et al. [
172] presented an ultrasensitive THz metasurface based on silicon Fano resonance to provide strong near-field enhancement and boost light–analyte interaction. A
Q factor of 39,587 and an FOM of 533 are separately reached, which have significant advantages in the application of refractive index sensing (Fig.
6B). Unlike electric and magnetic dipolar resonance, toroidal metasurface originating from the alignment of magnetic moments has the ability to excite sharp resonance and has been widely used in the biosensing realms [
19]. It is reported that a novel label-free and low-cost strategy is proposed for rapid detection and distinction of lung cancer cells based on THz toroidal metasurfaces with 485.3 GHz/RIU [
173], as shown in Fig.
6C. Besides, toroidal resonance has been successfully applied to the low-concentration detection (ranging from 0.0001 to 10 mg/ml) of Aβ protein associated with Alzheimer's disease (Fig.
6D) [
61]. Furthermore, by combining with microfluidic technology, dual-toroidal metasurfaces have been designed to enhance sensitivities of polar liquid analytes based on spectral shift and resonance linewidth variation. A value of 124.3 GHz/RIU has been realized for 28-μm-thick microfluidic layers of different mixed ethanol–water solutions (Fig.
6E) [
174]. Recently, singularities of non-Hermitian systems, known as exceptional points (Eps), have been realized in a multilayered periodic plasmonic structure to enhance sensitivity [
179,
180]. KN and Chowdhury [
175] obtained the eigen resonance frequencies and loss rates of Ep metasurface to achieve a maximum sensitivity of up to 0.063 THz/RIU, as shown in Fig.
6F. To further improve the sensitivity, some pioneering works have proven that nanomaterials can greatly boost the metasurface performance [
176,
177]. For example, gold nanoparticles (AuNPs) of 7.8 fmol have been introduced to traditional metasurface to enable a 1,000-fold sensitivity improvement compared with that of avidin alone [
176], as shown in Fig.
6G. Besides, Wang et al. [
177] presented plasmonic BIC metasurface to detect low-concentration analytes with the help of AuNPs (Fig.
6H). The metasurface sensitivity slope is up to 674 GHz/RIU, enabling the detection of picomolar-level bioanalytes. Traditional metasurface sensors typically rely on a single resonant mode, which is challenging to integrate sensing performance for both the real part of the refractive index and the imaginary part. To address the above bottlenecks, Zhang et al. [
178] proposed a new strategy for THz sensing based on surface waves (SWs), as shown in Fig.
6I. By leveraging the superior properties of SWs, highly sensitive refractive sensing and fingerprint spectrum recognition are achieved simultaneously. The proposed sensing strategy not only enables refractive sensing up to 215.5°/RIU but also resolves multiple fingerprint information within a continuous spectrum. This work achieves the integration of highly sensitive sensing in both
n and
k for the first time, while being 3 or 4 times more sensitive than conventional sensors. In addition, THz chiral polarization sensing enhanced by chiral metasurfaces has attracted extensive attention to distinguish bio-enantiomers recently [
181–
183]. For example, Fan et al. [
181] investigated a chiral metasurface sensor filled with FM nanofluids to detect magnetic nanoparticles, with sensitivity of 5.5 GHz %
−1. Shi et al. [
182] designed an anapole metasurface sensor to realize the chiral recognition of the amino acid enantiomers, where the highest detection sensitivity is 0.516 GHz•ml/μmol.