Lei Changda, Sun Wenqiang, Wang Kun, Weng Ruixia, Kan Xiuji, Li Rui
Department of Gastroenterology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Suzhou Medical College, Soochow University, Suzhou, China.
Ann Med. 2025 Dec;57(1):2461679. doi: 10.1080/07853890.2025.2461679. Epub 2025 Feb 10.
Gastric cancer (GC) occupies the first few places in the world among tumors in terms of incidence and mortality, causing serious harm to human health, and at the same time, its treatment greatly consumes the health care resources of all countries in the world. The diagnosis of GC is usually based on histopathologic examination, and it is very important to be able to detect and identify cancerous lesions at an early stage, but some endoscopists' lack of diagnostic experience and fatigue at work lead to a certain rate of under diagnosis. The rapid and striking development of Artificial intelligence (AI) has helped to enhance the ability to extract abnormal information from endoscopic images to some extent, and more and more researchers are applying AI technology to the diagnosis of GC. This initiative has not only improved the detection rate of early gastric cancer (EGC), but also significantly improved the survival rate of patients after treatment. This article reviews the results of various AI-assisted diagnoses of EGC in recent years, including the identification of EGC, the determination of differentiation type and invasion depth, and the identification of borders. Although AI has a better application prospect in the early diagnosis of ECG, there are still major challenges, and the prospects and limitations of AI application need to be further discussed.
胃癌(GC)在全球肿瘤的发病率和死亡率方面位居前列,对人类健康造成严重危害,同时其治疗也极大地消耗了世界各国的医疗资源。胃癌的诊断通常基于组织病理学检查,能够在早期检测和识别癌性病变非常重要,但一些内镜医师缺乏诊断经验以及工作疲劳导致一定比例的漏诊。人工智能(AI)的迅速显著发展在一定程度上有助于提高从内镜图像中提取异常信息的能力,越来越多的研究人员将AI技术应用于胃癌诊断。这一举措不仅提高了早期胃癌(EGC)的检出率,还显著提高了患者治疗后的生存率。本文综述了近年来各种AI辅助诊断早期胃癌的结果,包括早期胃癌的识别、分化类型和浸润深度的判定以及边界的识别。尽管AI在早期胃癌诊断方面具有较好的应用前景,但仍存在重大挑战,AI应用的前景和局限性有待进一步探讨。