Evidence map›Paper›PMID 41514607›Full record

ReviewCancers2025

Personalizing Treatment for Pancreatic Ductal Adenocarcinoma: The Emerging Role of Minimal Residual Disease in Perioperative Decision-Making.

Charalampos Theocharopoulos, Nikolaos Machairas, Ioannis A Ziogas, Benedetto Mungo, Marco Del Chiaro, Georgios K Glantzounis, Richard Schulick, Georgios C Sotiropoulos

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Charalampos TheocharopoulosDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Nikolaos Machairas2nd Department of Propaedeutic Surgery, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0003-3239-3905
Ioannis A ZiogasDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Benedetto MungoDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0002-1319-7653
Marco Del ChiaroDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Georgios K GlantzounisDepartment of Surgery, University Hospital of Ioannina, 45500 Ioannina, Greece.
Richard SchulickDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Georgios C SotiropoulosDepartment of Liver Transplantation and Hepatobiliary Surgery, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive malignancy with poor long-term survival despite advances in surgical techniques, systemic therapies, and perioperative management. High rates of systemic recurrence following curative-intent resection suggest that many patients harbor minimal residual disease (MRD), microscopic tumor burden that persists postoperatively and remains undetectable by conventional diagnostic tools. Recent advances in liquid biopsy technologies, particularly circulating tumor DNA (ctDNA) analysis, alongside detailed characterization of the PDAC mutational landscape, offer a promising non-invasive approach for MRD detection. Emerging evidence indicates that MRD status can serve as a sensitive prognostic biomarker, identify patients at high risk of relapse, and guide personalized perioperative therapy, including optimization of adjuvant treatment. This review summarizes current knowledge on the biology and detection of MRD in PDAC, its implications for perioperative risk stratification and treatment decision-making, and discusses future directions for integrating MRD assessment into clinical practice to enable more precise, individualized patient management.

Indexed as

adjuvant treatmentcirculating tumor cellscirculating tumor DNAminimal residual diseaseneoadjuvant treatmentpancreatic ductal adenocarcinomapancreatoduodenectomy

Identifiers

PMID41514607
PMCPMC12784771

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.