Gastric cancer(GC)is one of the most common malignant tumors with high mortality.Accurate diagnosis and treatment decisions for GC rely heavily on human experts’careful judgments on medical images.However,the improve...Gastric cancer(GC)is one of the most common malignant tumors with high mortality.Accurate diagnosis and treatment decisions for GC rely heavily on human experts’careful judgments on medical images.However,the improvement of the accuracy is hindered by imaging conditions,limited experience,objective criteria,and inter-observer discrepancies.Recently,the developments of machine learning,especially deep-learning algorithms,have been facilitating computers to extract more information from data automatically.Researchers are exploring the far-reaching applications of artificial intelligence(AI)in various clinical practices,including GC.Herein,we aim to provide a broad framework to summarize current research on AI in GC.In the screening of GC,AI can identify precancerous diseases and assist in early cancer detection with endoscopic examination and pathological confirmation.In the diagnosis of GC,AI can support tumor-node-metastasis(TNM)staging and subtype classification.For treatment decisions,AI can help with surgical margin determination and prognosis prediction.Meanwhile,current approaches are challenged by data scarcity and poor interpretability.To tackle these problems,more regulated data,unified processing procedures,and advanced algorithms are urgently needed to build more accurate and robust AI models for GC.展开更多
基金supported by the National Natural Science Foundation of China[grant numbers 82022036,91959130,81971776,62027901,81930053]National Key R&D Program of China[grant number 2017YFA0205200]+2 种基金the Beijing Natural Science Foundation[grant number Z20J00105]Strategic Priority Research Program of Chinese Academy of Sciences[grant number XDB38040200]the Youth Innovation Promotion Association CAS[grant number Y2021049].
文摘Gastric cancer(GC)is one of the most common malignant tumors with high mortality.Accurate diagnosis and treatment decisions for GC rely heavily on human experts’careful judgments on medical images.However,the improvement of the accuracy is hindered by imaging conditions,limited experience,objective criteria,and inter-observer discrepancies.Recently,the developments of machine learning,especially deep-learning algorithms,have been facilitating computers to extract more information from data automatically.Researchers are exploring the far-reaching applications of artificial intelligence(AI)in various clinical practices,including GC.Herein,we aim to provide a broad framework to summarize current research on AI in GC.In the screening of GC,AI can identify precancerous diseases and assist in early cancer detection with endoscopic examination and pathological confirmation.In the diagnosis of GC,AI can support tumor-node-metastasis(TNM)staging and subtype classification.For treatment decisions,AI can help with surgical margin determination and prognosis prediction.Meanwhile,current approaches are challenged by data scarcity and poor interpretability.To tackle these problems,more regulated data,unified processing procedures,and advanced algorithms are urgently needed to build more accurate and robust AI models for GC.