Publication Name	World Journal of Gastroenterology
Manuscript ID	121301
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Editorial
Article Title	Balancing malignancy risk and healthcare resources: Optimizing surveillance for branch-duct intraductal papillary mucinous neoplasm
Manuscript Source	Invited Manuscript
All Author List	Yi-Ning Zhang, Jin-Nian Duan, Ntim Michael, Ying Wang, De-Fang Chen and Bin Wang
Funding Agency and Grant Number	Funding Agency Grant Number Liaoning Province Natural Science Foundation Project No. 2024-MS-157 National Natural Science Foundation of China No. 82301700 Research Topic of the Shanghai Qingpu District Health Commission No. QWJ2024-10
Corresponding Author	Bin Wang, PhD, Professor, Liaoning Provincial Key Laboratory of Cerebral Diseases, College of Basic Medical Sciences, National-Local Joint Engineering Research Center for Drug Research and Development of Neurodegenerative Diseases, Dalian Medical University, No. 9 West Section, Lvshun South Road, Dalian 116000, Liaoning Province, China. wb101900@126.com
Key Words	Branch-duct intraductal papillary mucinous neoplasm; Pancreatic cystic neoplasms; Risk stratification; Imaging surveillance; Radiomics; Molecular biomarkers
Core Tip	Recent data-driven analyses offer new insights into the surveillance of branch-duct intraductal papillary mucinous neoplasm. A multicenter study highlights refined cyst size thresholds and the value of multiple worrisome features in predicting malignancy. However, morphology-based surveillance alone cannot fully assess biological heterogeneity. Emerging approaches, including radiomics, artificial intelligence-based imaging, and fluid or blood biomarkers, may supplement current imaging criteria. Integrating these advances with patient-specific factors could enable more precise and individualized management in the future.
Citation	Zhang YN, Duan JN, Michael N, Wang Y, Chen DF, Wang B. Balancing malignancy risk and healthcare resources: Optimizing surveillance for branch-duct intraductal papillary mucinous neoplasm. World J Gastroenterol 2026; In press

Received	2026-03-23 07:46
Peer-Review Started	2026-03-23 07:48
First Decision by Editorial Office Director	2026-04-04 03:52
Return for Revision	2026-04-04 03:52
Revised	2026-04-12 11:35
Publication Fee Transferred
Second Decision by Editor	2026-04-22 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-22 07:29
Articles in Press	2026-04-22 07:29
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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