Evidence map›Paper›PMID 42847146›Full record

ReviewCancer reports (Hoboken, N.J.)2026

Artificial Intelligence in Gastric Cancer: Diagnostic, Prognostic, and Predictive Developments, Evidence Maturity, and Translational Challenges.

Chong Chen, Weisong Xu, Tong Wu, Junpeng Zhao, Xuebing Xu, Mingbing Xiao, Kang Xu

Abstract readReview
In one paragraph

Review in Cancer reports (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chong ChenDepartment of Gastroenterology, Affiliated Hospital and Medical School of Nantong University, Nantong, Jiangsu, China.ORCID https://orcid.org/0009-0002-3473-0987
Weisong XuDepartment of Gastroenterology, Nantong Rehabilitation Hospital, Nantong City, Jiangsu, China.
Tong WuDepartment of Gastroenterology, Affiliated Hospital and Medical School of Nantong University, Nantong, Jiangsu, China.
Junpeng ZhaoDepartment of Gastroenterology, Affiliated Hospital and Medical School of Nantong University, Nantong, Jiangsu, China.
Xuebing XuDepartment of Gastroenterology, Affiliated Hospital and Medical School of Nantong University, Nantong, Jiangsu, China.
Mingbing XiaoDepartment of Gastroenterology, Affiliated Hospital and Medical School of Nantong University, Nantong, Jiangsu, China.ORCID https://orcid.org/0000-0003-3372-1069
Kang XuDepartment of Gastroenterology, Nantong University Affiliated Dongtai Hospital, Yancheng, Jiangsu, China.

Funding

Department of Scientific Research Development under the Ministry of Education 2025XH033Jiangsu Provincial Department of Education KYCX23_3419Jiangsu Provincial Department of Education KYCX24_3593Jiangsu Provincial Department of Education KYCX25_3789Jiangsu Provincial Department of Education KYCX25_3797Nantong Municipal Talent Work Leading Group Office 2025-6-2Nantong Science and Technology Bureau GZ2024007Nantong Science and Technology Bureau JCZ2025009National Natural Science Foundation of China 82272624National Natural Science Foundation of China 82471851Natural Science Foundation of Jiangsu Province BK20251835
6 · The paper itself

Abstract

backgroundGastric cancer (GC) remains a major global health burden characterized by substantial heterogeneity in diagnosis, prognosis, and treatment response. Artificial intelligence (AI), including machine learning (ML) and deep learning (DL), has been increasingly investigated for the analysis of endoscopic images, radiological scans, whole-slide pathology images, molecular profiles, liquid-biopsy data, and multimodal clinical datasets. This structured review summarizes recent AI-based developments in GC diagnosis, staging, prognostic assessment, and treatment-response prediction, with particular emphasis on the translational maturity of the available evidence. PubMed/MEDLINE, Web of Science, Embase, Scopus, and Google Scholar were searched for relevant English-language publications from database inception through January 2026. Eligible studies were evaluated according to clinical task, data modality, model type, cohort size, study design, validation strategy, interpretability, clinical workflow readiness, and reported limitations. RECENT

findingsRecent AI models have demonstrated promising performance in selected research settings, particularly in endoscopic image analysis, computational pathology, CT-based radiomics, and multimodal prognostic modeling. However, most studies remain retrospective, single-center, and internally validated. Calibration, robustness, prospective clinical utility, and generalizability across populations and institutions remain insufficiently assessed. Major barriers to translation include data heterogeneity, annotation variability, overfitting, data leakage, external validation failure, algorithmic bias, regulatory requirements, reimbursement, clinician-AI interaction, medicolegal responsibility, post-deployment monitoring, and model drift.

conclusionAI has considerable potential to support GC diagnosis, prognosis, and treatment planning, but most current models remain insufficiently validated for routine clinical use. Future progress will depend on transparent reporting, standardized validation, multicenter prospective trials, clinically meaningful endpoints, and the integration of explainable, trustworthy AI systems into routine clinical workflows.

Indexed as

Artificial IntelligenceStomach NeoplasmsDeep LearningHumansMachine LearningNeoplasm StagingPrognosisRadiomicsTranslational Research, Biomedicalartificial intelligenceclinical translationcomputational pathologydeep learningevidence appraisalgastric cancerradiomicsstructured review

Identifiers

PMID42847146
PMCPMC13647202

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.