TOC abstract (IMAGE) Shanghai Jiao Tong University Journal Center Caption • This review explores the intricate relationship between gene fusions and prevalent tumors, comprehensively reviewing techniques for gene fusion testing. • It evaluates the strengths and limitations of key assays like fluorescence in situ hybridization, polymerase chain reaction, and next-generation sequencing, and explores the emerging use of electrochemiluminescence for high-sensitivity gene fusion detection. • It emphasizes the diagnostic accuracy of bioinformatics tools such as STAR-Fusion, FusionCatcher, Arriba, and underscores the transformative role of artificial intelligence, particularly deep learning technologies, in revolutionizing gene fusion research. Credit All authors Usage Restrictions Credit must be given to the creator. Only noncommercial uses of the work are permitted. No derivatives or adaptations of the work are permitted. License CC BY-NC-ND Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.