• SDT combines low-intensity ultrasound and sonosensitizers to generate cytotoxic ROS, offering a non-invasive approach with deep tissue penetration for treating deep-seated tumors.
• Nanomaterials enhance SDT by improving sonosensitizer delivery, tumor accumulation, and overcoming hypoxia, thereby increasing therapeutic efficacy.
• The review highlights recent advances in nanosonosensitizers for both monotherapy and synergistic therapy, particularly for orthotopic tumors that are challenging for conventional treatments.
• Despite promising preclinical results, the unclear mechanism and suboptimal efficiency of SDT remain barriers to clinical translation, necessitating further research.
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