BPG is committed to discovery and dissemination of knowledge
Articles Published Processes
1/20/2026 9:06:34 AM | Browse: 1 | Download: 0
Publication Name World Journal of Clinical Oncology
Manuscript ID 116090
Country China
Received
2025-11-02 11:22
Peer-Review Started
2025-11-02 11:22
First Decision by Editorial Office Director
2025-11-26 09:07
Return for Revision
2025-11-26 09:07
Revised
2025-11-26 14:49
Publication Fee Transferred
Second Decision by Editor
2025-12-29 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-29 10:01
Articles in Press
2025-12-29 10:01
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-07 09:24
Publish the Manuscript Online
2026-01-20 09:06
ISSN 2218-4333 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Editorial
Article Title Beyond sensitivity and specificity: Redefining the era connotation of “low-risk” in pancreatic cancer screening
Manuscript Source Invited Manuscript
All Author List Rui-Gang Wang
ORCID
Author(s) ORCID Number
Rui-Gang Wang http://orcid.org/0000-0002-9053-5329
Funding Agency and Grant Number
Funding Agency Grant Number
Beijing Tsinghua Changgung Hospital Youth Fund 12021C1011
the Capital Medical Science and Technology Innovation Achievement Transformation Optimization Promotion Plan YC202501QX0920
Corresponding Author Rui-Gang Wang, MD, Department of Gastroenterology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing 102218, China. doctorwrg@163.com
Key Words Pancreatic cancer screening; Low-risk redefinition; Dynamic risk stratification; Precision prevention; Multimodal integration
Core Tip This commentary argues that the conventional "low-risk" label for pancreatic cancer (PC), based solely on family history and known genetic syndromes, is obsolete. We propose a paradigm shift towards a dynamic, multidimensional risk model. This framework continuously integrates polygenic risk scores (PRS), liquid biopsy biomarkers (e.g., circulating tumor DNA), lifestyle factors, and artificial intelligence to enable real-time, personalized risk stratification. This approach can reclassify a significant portion of the "low-risk" population, paving the way for precision screening and potentially transforming early detection strategies for this lethal malignancy.
Publish Date 2026-01-20 09:06
Citation

Wang RG. Beyond sensitivity and specificity: Redefining the era connotation of “low-risk” in pancreatic cancer screening. World J Clin Oncol 2026; 17(1): 116090

URL https://www.wjgnet.com/2218-4333/full/v17/i1/116090.htm
DOI https://dx.doi.org/10.5306/wjco.v17.i1.116090
Full Article (PDF) WJCO-17-116090-with-cover.pdf
Manuscript File 116090_Auto_Edited_114417.docx
Answering Reviewers 116090-answering-reviewers.pdf
Audio Core Tip 116090-audio.mp3
Conflict-of-Interest Disclosure Form 116090-conflict-of-interest-statement.pdf
Copyright License Agreement 116090-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 116090-non-native-speakers.pdf
Peer-review Report 116090-peer-reviews.pdf
Scientific Misconduct Check 116090-scientific-misconduct-check.png
Scientific Editor Work List 116090-scientific-editor-work-list.pdf
CrossCheck Report 116090-crosscheck-report.pdf