AUTHOR=Zheng Aiping , Tang Dan , He Huijuan , Liang Xinyu TITLE=Artificial intelligence-driven approaches in pituitary neuroendocrine tumors: integrating endocrine-metabolic profiling for enhanced diagnostics and therapeutics JOURNAL=Frontiers in Endocrinology VOLUME=Volume 16 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2025.1618412 DOI=10.3389/fendo.2025.1618412 ISSN=1664-2392 ABSTRACT=Pituitary neuroendocrine tumors (PitNETs) pose diagnostic and therapeutic challenges due to their heterogeneity and complex endocrine-metabolic interactions. Artificial intelligence (AI) enhances PitNET management through improved classification, outcome prediction, and personalized treatment. However, current AI models face limitations, including small, single-center datasets and insufficient integration of multi-omics or autoimmune-associated biomarkers. Future advancements require multicenter standardized databases, explainable AI frameworks, and multimodal data fusion. By decoding endocrine-metabolic dysregulation and its link to tumor behavior, AI-driven precision medicine can optimize PitNET care. This review highlights AI’s potential in PitNETs while addressing key challenges and future directions for clinical translation.