Chinese Expert Consensus on the Clinical Application of Ultrasound Screening for Gastric Cancer(2025 Edition)

Gastrointestinal Ultrasound Section,Ultrasound Medicine Specialized Committee of National Health Commission Capacity Building and Continuing Education; National Major Chronic Disease Prevention and Control Innovation and Integration Pilot Project Management Committee; Gastrointestinal Ultrasound Collaborative Group,Institute of Ultrasound Medicine,Tongji University; Gastrointestinal Ultrasound Section,Ultrasound Specialized Committee,China Medical Education Association; Gastrointestinal Ultrasound Expert Committee,Chinese Ultrasound Medicine Training Project; Abdominal Specialized Committee,Chinese Association of Ultrasound in Medicine and Engineering; Ultrasound Medicine Branch of Sino-Japan Medical Science and Technology Exchange Association; Gastrointestinal Ultrasound Branch of Beijing Association of Holistic Integrative Medicine; Ultrasound Medicine Branch of China National Health Association; Chinese Anti-Cancer Association Science Popularization Committee; Ultrasound Medicine Branch of Cross-Straits Medicine Exchange Association; Engineering Research Center of Digestive Endoscopy Minimally Invasive Diagnostic and Therapeutic Technologies,Ministry of Education

doi:10.3881/j.issn.1000-503X.16777

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Acta Academiae Medicinae Sinicae ›› 2025, Vol. 47 ›› Issue (5) : 679-701. DOI: 10.3881/j.issn.1000-503X.16777

Guidelines and Consensus

Chinese Expert Consensus on the Clinical Application of Ultrasound Screening for Gastric Cancer(2025 Edition)

Gastrointestinal Ultrasound Section,Ultrasound Medicine Specialized Committee of National Health Commission Capacity Building and Continuing Education ,
National Major Chronic Disease Prevention and Control Innovation and Integration Pilot Project Management Committee ,
Gastrointestinal Ultrasound Collaborative Group,Institute of Ultrasound Medicine,Tongji University ,
Gastrointestinal Ultrasound Section,Ultrasound Specialized Committee,China Medical Education Association ,
Gastrointestinal Ultrasound Expert Committee,Chinese Ultrasound Medicine Training Project ,
Abdominal Specialized Committee,Chinese Association of Ultrasound in Medicine and Engineering ,
Ultrasound Medicine Branch of Sino-Japan Medical Science and Technology Exchange Association ,
Gastrointestinal Ultrasound Branch of Beijing Association of Holistic Integrative Medicine ,
Ultrasound Medicine Branch of China National Health Association ,
Chinese Anti-Cancer Association Science Popularization Committee ,
Ultrasound Medicine Branch of Cross-Straits Medicine Exchange Association ,
Engineering Research Center of Digestive Endoscopy Minimally Invasive Diagnostic and Therapeutic Technologies,Ministry of Education

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Abstract

The five-year survival rate of gastric cancer in China is close to that in European and American countries but far lower than that in the Republic of Korea and Japan,which have established national gastric cancer screening systems.It is of great significance to build a high-quality gastric cancer screening system adaptive to China’s national conditions.Due to the large number of people at risk of gastric cancer and uneven distribution of medical resources,it is still difficult for China to carry out a nationwide gastroscopy screening plan for gastric cancer.Gastric ultrasound,with painlessness,no radiation,and easy acceptance and popularization,could be used as one of the alternative methods for initial screening of gastric cancer.Based on two gastric ultrasound-related consensuses published in 2020,this consensus elaborates on the necessity,feasibility,and existing problems of conducting preliminary gastric cancer ultrasound screening in China by analyzing the gastric cancer screening strategies and the difficulties faced by nationwide gastric cancer screening.Furthermore,this consensus introduces the indications and contraindications of gastric ultrasound examination,requirements for the operator and the contrast agent,ultrasound standard section,essentials of scanning operations,and stomach ultrasound report and data system (Su-RADS) and proposes the relevant consensus opinions accordingly.After multiple rounds of discussions and voting by experts from multiple societies,a total of 17 consensus opinions have been formed on gastric ultrasound as a preliminary screening technique for gastric cancer,with the aim of standardizing the popularization of gastric ultrasound.In addition,the consensus calls for conducting nationwide multicenter prospective studies to improve the level of evidence and provide data support for the construction of a preliminary gastric cancer ultrasound screening system that is in line with China’s national conditions.

Key words

gastric cancer screening / gastric contrast-enhanced ultrasound / gastric filling ultrasound / contrast agent / stomach ultrasound report and data system / expert consensus

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Gastrointestinal Ultrasound Section,Ultrasound Medicine Specialized Committee of National Health Commission Capacity Building and Continuing Education , National Major Chronic Disease Prevention and Control Innovation and Integration Pilot Project Management Committee , Gastrointestinal Ultrasound Collaborative Group,Institute of Ultrasound Medicine,Tongji University , et al . Chinese Expert Consensus on the Clinical Application of Ultrasound Screening for Gastric Cancer(2025 Edition)[J]. Acta Academiae Medicinae Sinicae. 2025, 47(5): 679-701 https://doi.org/10.3881/j.issn.1000-503X.16777

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