The clinical diagnosis, treatment, and prognosis of gastric cancer heavily rely on imaging examinations. The conventional imaging reports often suffer from descriptive and non-structured issues, which may lead to omission of critical information or inconsistent interpretations, thereby compromising clinical decision-making. Therefore, the standardized radiological assessment for gastric cancer is of paramount importance. The West China Hospital of Sichuan University has involved in developing and implementing a structured reporting system for the CT imaging of gastric cancer. This structured reporting, based on authoritative guidelines, integrates key diagnostic elements to ensure comprehensive information and standardized reporting, while also serving quality control and educational purposes. Now the design, application, and features of the structured reporting at West China Hospital are introduced, aiming to promote standardized documentation of gastric cancer imaging reports.