Department of Interventional Oncology, Municipal Hospital Affiliated to Taizhou University, Taizhou 318000, Zhejiang Province, China.
School of Medicine, Taizhou University, Taizhou 318000, Zhejiang Province, China.
World J Gastroenterol. 2024 May 28;30(20):2726-2730. doi: 10.3748/wjg.v30.i20.2726.
The screening of colorectal cancer (CRC) is pivotal for both the prevention and treatment of this disease, significantly improving early-stage tumor detection rates. This advancement not only boosts survival rates and quality of life for patients but also reduces the costs associated with treatment. However, the adoption of CRC screening methods faces numerous challenges, including the technical limitations of both noninvasive and invasive methods in terms of sensitivity and specificity. Moreover, socioeconomic factors such as regional disparities, economic conditions, and varying levels of awareness affect screening uptake. The coronavirus disease 2019 pandemic further intensified these cha-llenges, leading to reduced screening participation and increased waiting periods. Additionally, the growing prevalence of early-onset CRC necessitates innovative screening approaches. In response, research into new methodologies, including artificial intelligence-based systems, aims to improve the precision and accessibility of screening. Proactive measures by governments and health organizations to enhance CRC screening efforts are underway, including increased advocacy, improved service delivery, and international cooperation. The role of technological innovation and global health collaboration in advancing CRC screening is undeniable. Technologies such as artificial intelligence and gene sequencing are set to revolutionize CRC screening, making a significant impact on the fight against this disease. Given the rise in early-onset CRC, it is crucial for screening strategies to continually evolve, ensuring their effectiveness and applicability.
结直肠癌(CRC)的筛查对于这种疾病的预防和治疗都至关重要,这显著提高了早期肿瘤的检出率。这不仅提高了患者的生存率和生活质量,还降低了治疗相关的成本。然而,CRC 筛查方法的采用面临着许多挑战,包括非侵入性和侵入性方法在灵敏度和特异性方面的技术限制。此外,社会经济因素,如地区差异、经济状况和不同的认知水平,都会影响筛查的参与度。2019 年冠状病毒病大流行进一步加剧了这些挑战,导致筛查参与度降低和等待时间延长。此外,早发性 CRC 的患病率不断上升,需要创新的筛查方法。因此,研究人员正在研究新的方法,包括基于人工智能的系统,以提高筛查的精度和可及性。政府和卫生组织正在采取积极措施加强 CRC 筛查工作,包括加强宣传、改善服务提供和国际合作。技术创新和全球卫生合作在推进 CRC 筛查方面的作用是不可否认的。人工智能和基因测序等技术有望彻底改变 CRC 筛查,对防治这种疾病产生重大影响。鉴于早发性 CRC 的上升,筛查策略必须不断发展,以确保其有效性和适用性。