Integrating artificial intelligence (AI) into colorectal cancer reporting

Research output: Contribution to journalReview articleContributedpeer-review

Contributors

Abstract

Artificial intelligence (AI) and deep learning (DL) are transforming cancer research and clinical care, with histopathology playing a central role in this transformation. In colorectal cancer (CRC), the second leading cause of cancer mortality world-wide, multimodal and vision-language models (VLMs) hold particular promise for enhancing the standardisation of histopathology reporting, the understanding of disease biology, and the discovery of novel prognostic indicators. Despite the availability of guidelines and reporting templates for essential prognostic indicators, variability remains in how key features such as TNM staging or tumour deposits are assessed and reported in routine clinical practice. AI-based tools have the potential to support refined extraction of established and extended features directly from whole-slide images. In parallel, recent studies have shown that DL models applied to pathology slides and associated AI-based biomarkers can outperform traditional histopathological prognostic indicators and uncover novel parameters, including tumour-adipocyte interactions, tumour-stroma ratio, and immune cell patterns at the invasive margin. Here, we review recent advances in both domains: AI-assisted standardisation of CRC pathology reporting and AI-driven identification of novel prognostic biomarkers. We highlight the need to refine and standardise CRC reporting practices and propose that a harmonised approach combining established pathology features with AI-derived prognostic indicators could refine risk assessment and improve outcomes for CRC patients.

Details

Original languageEnglish
Pages (from-to)367-382
Number of pages16
JournalJournal of pathology
Volume268
Issue number4
Publication statusPublished - Apr 2026
Peer-reviewedYes

External IDs

PubMed 41588707
ORCID /0000-0002-3730-5348/work/211722517

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

  • artificial intelligence, cancer reporting, colorectal cancer, deep learning, evolution, prediction, prognosis