{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T15:00:30Z","timestamp":1790089230676,"version":"4.0.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intraductal papillary mucinous neoplasms (IPMNs) are the most common pancreatic cystic neoplasms and are increasingly detected incidentally. Although they carry malignant potential, most lesions follow an indolent course, creating a clinical challenge in balancing early cancer detection with the risks of overtreatment. Existing international guidelines differ in surveillance strategies, thresholds for intervention, and recommendations for discontinuation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To present Danish multidisciplinary consensus recommendations for the evaluation, surveillance, and management of pancreatic intraductal papillary mucinous neoplasms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>The Danish Pancreatic Cancer Group consensus was developed by a multidisciplinary working group comprising radiologists and pancreatic surgeons. Recommendations were based on a narrative review of the literature, existing international guidelines, and clinical experience within a centralized healthcare setting. Consensus was achieved through iterative discussions without a formal Delphi process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recommendations<\/jats:title>\n                    <jats:p>Magnetic resonance imaging with MR cholangiopancreatography (MRI\/MRCP) is recommended as the primary modality for diagnosis and surveillance, with computed tomography and endoscopic ultrasound used selectively. Risk stratification is based on high-risk stigmata and worrisome features, with emphasis on interval changes during follow-up. Surveillance strategies are primarily size-based and individualized according to patient age, comorbidities, and surgical eligibility. Surgical evaluation is recommended for cysts larger than 30\u2005mm and for main-duct or mixed-type IPMNs with high-risk features, while a more selective approach is applied to branch-duct IPMN. Discontinuation of surveillance is supported in selected patients with stable disease, particularly in older individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Danish multidisciplinary consensus provides a pragmatic, risk-adapted approach to IPMN management, emphasizing individualized care, multidisciplinary decision-making, and avoidance of unnecessary investigations and surgical overtreatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02841851261477089","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:27:51Z","timestamp":1788276471000},"page":"859-867","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Danish Pancreatic Cancer Group consensus guidelines on the management of pancreatic IPMN"],"prefix":"10.1177","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9303-5142","authenticated-orcid":false,"given":"Bahareh","family":"Abdolalizadeh","sequence":"first","affiliation":[{"name":"Copenhagen University Hospital, Rigshospitalet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2721-0967","authenticated-orcid":false,"given":"Claus","family":"Fristrup","sequence":"additional","affiliation":[{"name":"Odense University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars Peter","family":"Larsen","sequence":"additional","affiliation":[{"name":"Aarhus University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Fallentin","sequence":"additional","affiliation":[{"name":"Copenhagen University Hospital, Rigshospitalet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Ewertsen","sequence":"additional","affiliation":[{"name":"Copenhagen University Hospital, Rigshospitalet"},{"name":"Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.176.1.1760179"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2017.01.011"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0b013e3181676ba4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2024.02.018"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.7.639"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2023.12.009"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2017.07.007"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2015.01.014"},{"key":"e_1_3_2_10_2","first-page":"29","article-title":"Decision regret and satisfaction with shared decision-making in pancreatic surgery","author":"Galouzis N","year":"2025","unstructured":"Galouzis N, Khawam M, Alexander EV, et al. 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