Malignant
tumors have become one of the major causes of human death, but there remains a lack of effective methods for tiny
tumor diagnosis,
metastasis warning, clinical efficacy prediction, and effective treatment. In this context, localizing tiny
tumors via imaging and non-invasively extracting molecular information related to
tumor proliferation, invasion,
metastasis, and drug resistance from the tumor microenvironment have become the most fundamental tasks faced by
cancer researchers.
Tumor-associated microenvironmental physiological parameters, such as
hypoxia, acidic extracellular pH,
protease, reducing conditions, and so forth, have much to do with prognostic indicators for
cancer progression, and impact therapeutic administrations. By combining with various novel nanoparticle-based activatable
probes, molecular imaging technologies can provide a feasible approach to visualize
tumor-associated microenvironment parameters noninvasively and realize accurate treatment of
tumors. This review focuses on the recent achievements in the design of "smart" nanomedicine responding to the tumor microenvironment-related features and highlights state-of- the-art technology in
tumor imaging diagnosis and
therapy.