How is imaging study of pancreatic cancer?

CT scan : single most versatile &cost-eff. Accuracy : to predict unresectable = 90-95%, Unresectable Dz, Invasion to Hep. a. or SMA Enlarge LN outside the boundaries of resection (+ascites +distance Metastasis), Invasion of SMV or PV with not patent or Unable to recon., Not accuracy in predicting resectable Dz, Miss small Hep. Nodule , Miss invasion to artery) PET May help in diff. Chronic Pancreatitis vs CA pan. EUS For detect small Pancreatic mass For Transluminal Bx : esp for Neoadj. Tx or DDx More sens. For PV/SMV invasion Less eff. in detect SMA invasion