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Imaging assessment of suspected tumours can be challenging and requires a specific approach, with pancreas protocol CT being the primary imaging modality for staging with other modalities used as problem-solving tools to facilitate appropriate management. Imaging assessment post NAT can be particularly difficult due to a current lack of robust radiological criteria to predict response and differentiate treatment induced fibrosis\/inflammation from residual tumour. This review aims to provide an update of pancreatic ductal adenocarcinoma with particular focus on three points: tumour staging pre- and post-NAT including vascular assessment, structured reporting with introduction of the PAncreatic Cancer reporting Template\u2014UK (PACT-UK) radiology template, and the potential future role of artificial intelligence in the diagnosis and staging of pancreatic cancer.<\/jats:p>","DOI":"10.1093\/bjr\/tqae217","type":"journal-article","created":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T16:47:16Z","timestamp":1729961236000},"page":"13-26","source":"Crossref","is-referenced-by-count":11,"title":["An update on pancreatic cancer imaging, staging, and use of the PACT-UK radiology template pre- and post-neoadjuvant treatment"],"prefix":"10.1093","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5062-9550","authenticated-orcid":false,"given":"Carmelo","family":"Corallo","sequence":"first","affiliation":[{"name":"Department of 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,","place":["United Kingdom"]},{"name":"Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4 BX,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6096-9695","authenticated-orcid":false,"given":"Ganesh","family":"Radhakrishna","sequence":"additional","affiliation":[{"name":"The Christie Hospital, Manchester M20 4 BX,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3161-4713","authenticated-orcid":false,"given":"John","family":"Moir","sequence":"additional","affiliation":[{"name":"HPB Unit, Freeman Hospital , Newcastle Upon Tyne NE7 7DN,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4401-1057","authenticated-orcid":false,"given":"Raneem","family":"Albazaz","sequence":"additional","affiliation":[{"name":"Department of Radiology, St 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