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Abstract Pancreatic cancer is a leading cause of death as most cases are unresectable at the time of diagnosis. Early detection promises a better prognosis. Magnetic resonance imaging is a powerful imaging technique for evaluating pancreatic neoplasms. Improvements in MR pulse sequences, have resulted in a highly reliable means of detecting and staging pancreatic neoplasms and distinguishing malignant from benign pancreatic disease processes. Emerging techniques such as MRS may help to improve the diagnostic capability of magnetic resonance imaging of the pancreas . MRS can be used as an accurate method for detection of pancreas cancer. If positive, a complementary comprehensive study (MRI or MDCT) will probably be needed for staging. If negative, then pancreatic cancer is excluded (NPV of 98%) and the forthcoming investigations can be more focused on other entities presenting with similar symptoms. In vivo H-MRS can be a useful method for making a differential diagnosis between chronic focal pancreatitis and pancreatic carcinoma The intrinsic SNR improvement from the higher static magnetic field strength, considerable promise as a means for early detection of pancreatic tumors and evaluation of other types of pancreatic pathologic change. |