biostudies-literatureUnknown8(6)Wang YWearable electronics, such as smart textiles, are of potential use in healthcare monitoring, human-machine interfaces and environmental analysis. However, the scalability and reliability of the technology is restricted due to challenges related to rapid material degradation, potential toxicity, high production costs and heavy computational workload. Here we report an acoustic-based smart textile technology. The approach, which we term SonoTextiles, uses piezoelectric transducers that are mounted at both ends of glass microfibres and act as transmitters and receivers of acoustic waves. The flexible glass microfibres act as acoustic waveguides and are embedded into the textile substrate, providing precise sensing by measuring wave propagation and energy loss along the fibre in response to stNature electronics485-495https://www.ebi.ac.uk/biostudies/studies/S-EPMC12202489biostudies-literatureA smart acoustic textile for health monitoring.PMC12202489Ahmed DSun CWang YfalseA smart acoustic textile for health monitoring.Wearable electronics, such as smart textiles, are of potential use in healthcare monitoring, human-machine interfaces and environmental analysis. However, the scalability and reliability of the technology is restricted due to challenges related to rapid material degradation, potential toxicity, high production costs and heavy computational workload. Here we report an acoustic-based smart textile technology. The approach, which we term SonoTextiles, uses piezoelectric transducers that are mounted at both ends of glass microfibres and act as transmitters and receivers of acoustic waves. The flexible glass microfibres act as acoustic waveguides and are embedded into the textile substrate, providing precise sensing by measuring wave propagation and energy loss along the fibre in response to st2025-01-01T00:00:00Z20252026-06-06T13:46:58.886Z2026-05-31T03:10:19.991ZS-EPMC122024894058470010.1038/s41928-025-01386-2