This paper presents a metastructure device (MSD) modulated by liquid crystal (LC) and vanadium dioxide (VO2), suitable for circular-to-linear polarization conversion and refractive index (RI) sensing. The MSD employs a 2 × 2 array as a unit cell, forming a circular-to-linear polarization conversion. Filling the MSD with analytes of different RIs can cause changes in the electromagnetic properties of the MSD, thus realizing the sensing function. Furthermore, the detection range of the sensing can be modified by changing the long-axis pointing of the LC molecules under an applied voltage, resulting in multi-range detection. The RI unit is denoted as RIU. Without an applied voltage, the RI detection range is 1.949–2.607, with a sensitivity of 199 GHz/RIU; under full-bias conditions, the detection range is 2.828–3.391, with a sensitivity of 143 GHz/RIU. In the initial state of LCs, this paper also explores the use of the phase transition of VO2 to adjust the conductivity of VO2 to achieve changes in the detection range. In the insulating state, the detection range is 2.12–2.607, with a sensitivity of 225 GHz/RIU, while in the metallic state, the detection range is 1–2, with a sensitivity of 183 GHz/RIU. Furthermore, altering the thickness of the analyte also affects the electromagnetic properties of the device, causing a shift in the peak axial ratio frequency, making the MSD suitable for analyte thickness detection. The MSD has a wide detection range, high sensitivity, and adaptability, making it suitable for identifying cancer cells and giving a new method of monitoring human health.
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