数智化时代胃癌诊治新进展与未来研究方向OA

In recent years,with the continuous accumulation of high-quality evidence,a comprehensive treatment paradigm centered on standardized surgery and combined with perioperative chemotherapy and immunotherapy has been gradually established,leading to substantial improvements in overall outcomes for gastric cancer management.However,traditional treatment pathways oriented toward"standardization"have increasingly revealed limitations in addressing the pronounced biological heterogeneity of gastric cancer and the growing complexity of therapeutic decision-making.With the rapid development of artificial intelligence,robotic-assisted surgery,multimodal imaging integration,and data science,the diagnosis and treatment of gastric cancer are undergoing a paradigm shift-from experience-driven practice and process standardization toward a new stage of"digital and intelligent"medicine characterized by data integration and intelligent decision-making.Emerging evidence indicates that artificial intelligence-assisted imaging screening and staging,novel near-infrared fluorescence imaging technologies,data-driven quality control systems,and systematic analyses of the tumor immune microenvironment are collectively reshaping the paradigms of gastric cancer management and research across multiple dimensions,including surgical techniques,individualized treatment strategies,quality management,and basic research.By integrating representative advances from both domestic and international studies,together with the authors' team's practical experience in international collaborations.