Artificial Intelligence in Biosensor Systems for Healthcare: From Molecular Recognition to Machine Learning

Biosensors have become important analytical platforms that enable rapid, selective, sensitive and portable analysis for early disease diagnosis, biomarker monitoring and point-of-care diagnostic applications. Their analytical performance depends on the coordinated function of molecular recognition elements, surface chemistry, transduction mechanisms and signal-processing strategies. Nevertheless, the analysis of real biological samples remains challenging because of low target concentrations, matrix effects, interfering species, signal noise, sensor drift and device-to-device variability. Therefore, artificial intelligence and machine learning are gaining increasing importance as data-driven tools for signal preprocessing, calibration, feature extraction, pattern recognition, quantitative prediction and diagnostic decision support. These approaches are particularly valuable for interpreting complex datasets generated by electrochemical, optical, wearable and microfluidic biosensors. This review presents an overview of healthcare-oriented biosensor systems beginning with molecular recognition principles, bioreceptor design, and transduction technologies, and extending to applications in clinical diagnosis and health monitoring. It also examines the roles of supervised, unsupervised and deep learning approaches in biosensor data analysis, while critically discussing model validation, generalizability, interpretability and clinical translation. By linking molecular-level recognition with computational signal interpretation, this review highlights the advantages and limitations of artificial intelligence-integrated biosensors for next-generation point-of-care diagnostics, continuous health monitoring, and personalized healthcare applications.