首页|期刊导航|中国肿瘤外科杂志|人工智能在胃癌诊断、治疗及预后中的应用与挑战

人工智能在胃癌诊断、治疗及预后中的应用与挑战OA

Applications and challenges of artificial intelligence in the diagnosis,treatment and prognosis of gastric cancer

中文摘要英文摘要

胃癌是全球高发恶性肿瘤,中国病例占全球近半数,流行病学负担沉重.传统诊疗面临确诊时机晚、肿瘤异质性高及个体化治疗方案不足等困境.人工智能(AI)通过整合影像学特征、病理组学与临床参数等多模态数据,显著提高了早期病灶识别效能及病理分型准确性,辅助制定精准治疗方案,并实现预后动态预测,融入胃癌诊断、治疗与预后随访的全流程诊疗体系,为胃癌精准诊疗开辟了新路径.然而,AI临床转化仍面临数据质量不足、模型泛化能力有限及算法可解释性低等挑战.该文综述了AI在胃癌早期筛查、精准治疗及预后预测中的应用及当前挑战,并提出创新性解决方案.

Gastric cancer is a highly prevalent malignant tumor worldwide,with nearly half of the global cases occurring in China,resulting in a significant epidemiological burden.Traditional diagnostic and therapeutic approaches face challenges such as late diagnosis,high tumor heterogeneity,and a lack of individualized treatment plans.Artificial Intelligence(AI)technology markedly enhances the efficacy of early lesion detection and the precision of pathological classification through the integration of multimodal data,including imaging features,pathomics,and clinical parameters.It supports the development of personalized treatment strategies and enables dynamic prognosis prediction.This technology is embedded within a comprehensive diagnostic and therapeutic system for gastric cancer,encompassing diagnosis,treatment,and prognosis follow-up,thereby establishing a novel pathway for precise gastric cancer management.However,the clinical translation of AI still encounters several challenges including insufficient data quality,limited model transferability,and low algorithm interpretability.In this paper,we review the application of AI in early screening,precision treatment,and prognosis prediction of gastric cancer and the current challenges,and propose innovative solutions.

陈嘉文;陆煜恒;韦远超;陈韬

510515 广东 广州,南方医科大学南方医院 普通外科510515 广东 广州,南方医科大学南方医院 普通外科510515 广东 广州,南方医科大学南方医院 普通外科510515 广东 广州,南方医科大学南方医院 普通外科

人工智能胃癌诊疗应用挑战

Artificial intelligenceGastric cancerDiagnosis and treatmentApplicationChallenges

《中国肿瘤外科杂志》 2026 (1)

14-21,8

国家自然科学基金面上项目(82272087)

10.3969/j.issn.1674-4136.2026.01.003

评论