Doctors treating early gastric cancer face a tough challenge. The procedure used to remove the cancer, called endoscopic submucosal dissection (ESD), can be hard to perform perfectly every time. It often depends heavily on the experience of the doctor, which can lead to inconsistent results or missed diagnoses.
This review looks at how multidimensional artificial intelligence (AI) can step in as a decision support system. By using AI during the ESD workflow, doctors may get more precise guidance. The goal is to move away from subjective decisions and toward a system that provides consistent, high-quality care for every patient.
While the technology shows great promise for making surgery safer and more accurate, there are hurdles to clear first. Currently, researchers face a shortage of standardized data from multiple centers, and it can be hard to understand exactly how some AI models reach their conclusions. These factors mean that while AI is a powerful tool being evaluated right now, it is not yet a standard part of every clinic.