Artificial Intelligence-Driven Multiomics Integration in Lung Cancer: From Data Convergence to Precision Phenomics.

Abstract

Lung cancer remains a leading cause of cancer-related mortality worldwide due to its extensive molecular heterogeneity, late-stage diagnosis, and therapeutic resistance. Advances in high-throughput omics technologies have enabled comprehensive characterization of tumors across multiple biological layers, including genomics, epigenomics, transcriptomics, proteomics, and metabolomics. However, single-omics analyses provide only fragmented insights into tumor biology, highlighting the need for integrative multiomics approaches. Artificial intelligence (AI), particularly machine learning and deep learning, has emerged as a powerful tool for integrating heterogeneous datasets and uncovering biologically and clinically relevant patterns. This review summarizes recent advances in AI-driven multiomics integration for lung cancer, highlighting its applications in molecular subtyping, biomarker discovery, prognosis prediction, therapeutic response modeling, and precision oncology. We also discuss current challenges, including data heterogeneity, model interpretability, reproducibility, and clinical translation, together with emerging strategies for integrating multimodal data such as radiomics and digital pathology. Finally, we introduce precision phenomics as a unifying framework that links molecular, spatial, functional, and clinical characteristics of tumors to support personalized cancer management. Collectively, AI-driven multiomics integration has the potential to transform lung cancer research and improve patient outcomes.