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clinical / clinicalPDAC early detection, familial PDAC screening, endoscopic ultrasound

Marcia Irene Canto

玛西亚·坎托

MD, MHS

🏢Johns Hopkins University School of Medicine(约翰斯·霍普金斯大学医学院)🌐USA

Professor of Medicine and Oncology; Director, Gastroenterology Clinical Trials and Experimental Endoscopy Program; Clinical Director, Multidisciplinary Pancreatic Cyst Clinic医学和肿瘤学教授;胃肠病学临床试验和实验内镜项目主任;多学科胰腺囊肿诊所临床主任

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Marcia Irene Canto, MD, MHS is Professor of Medicine and Oncology at Johns Hopkins University School of Medicine, where she serves as Director of the Gastroenterology Clinical Trials and Experimental Endoscopy Program and Clinical Director of the Multidisciplinary Pancreatic Cyst Clinic. She is the world's leading authority on early detection and surveillance of pancreatic cancer in high-risk individuals, including patients with familial pancreatic cancer syndromes and those carrying germline mutations that confer elevated PDAC risk. Dr. Canto is the founder and principal investigator of the Cancer of Pancreas Screening (CAPS) program — the largest, longest-running, and most influential prospective multi-center registry for PDAC screening in high-risk individuals. The CAPS studies (CAPS1 through CAPS5, spanning more than 25 years) have enrolled thousands of individuals with familial pancreatic cancer, Peutz-Jeghers syndrome, BRCA1/2, PALB2, ATM, and other high-risk hereditary backgrounds, defining the feasibility, detection rates, surgical pathology findings, and long-term outcomes of endoscopic ultrasound (EUS) and MRI-based surveillance. Her landmark CAPS reports have shown that surveillance can detect PDAC at early resectable stages and precancerous lesions (high-grade PanIN, IPMN with high-grade dysplasia) in this population, and have established surveillance guidelines now used by international medical societies. Beyond surveillance, Dr. Canto is a pioneer in advanced endoscopic techniques for pancreatic lesion characterization, confocal laser endomicroscopy, and novel liquid biopsy and biomarker approaches for PDAC early detection. She has authored more than 200 peer-reviewed publications.

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🧪Research Fields 研究领域

Familial Pancreatic Cancer — High-Risk Individual Surveillance and Screening Programs家族性胰腺癌——高风险个体监测和筛查项目
PDAC Early Detection — Imaging, Biomarkers, and Endoscopic Ultrasound (EUS)PDAC早期检测——影像学、生物标志物和超声内镜(EUS)
CAPS (Cancer of Pancreas Screening) Program — Multi-Center Prospective RegistryCAPS(胰腺癌筛查)项目——多中心前瞻性注册研究
Pancreatic Cystic Neoplasms — Risk Stratification and Clinical Management胰腺囊性肿瘤——风险分层和临床管理
Endoscopic Ultrasound — Advanced Techniques for Pancreatic Lesion Characterization超声内镜——胰腺病变表征的先进技术

🎓Key Contributions 主要贡献

CAPS Program — Defining the Evidence Base for PDAC Surveillance in High-Risk Individuals

Founded and led the Cancer of Pancreas Screening (CAPS) multi-center program across 5 sequential studies (1998–present) that established the feasibility and efficacy of endoscopic ultrasound (EUS) and MRI surveillance in individuals with familial PDAC, Peutz-Jeghers syndrome, and pathogenic germline variants (BRCA2, PALB2, ATM, CDKN2A) — demonstrating that surveillance detects early-stage PDAC and resectable precancerous lesions, with surveillance-detected cases having markedly better surgical outcomes than non-surveillance-detected cases.

Defining Surveillance Criteria and Outcomes for Familial Pancreatic Cancer

Published landmark CAPS data (JAMA 2006, Gut 2012, Annals of Internal Medicine 2018, JCO 2023) demonstrating that endoscopic ultrasound and MRI/MRCP surveillance of high-risk individuals detects pancreatic malignancies at earlier stages, with higher resectability rates and improved survival — and identified surveillance protocol parameters (starting age, imaging modality, interval) now incorporated into NCCN, ACG, and international PDAC early detection guidelines.

Pancreatic Cyst Surveillance and Risk Stratification

Contributed extensively to the clinical understanding and management of pancreatic cystic neoplasms (primarily IPMNs and MCNs), characterizing the natural history, malignant progression rates, and endoscopic and imaging features associated with high-risk pathology in the Johns Hopkins pancreatic cyst registry — contributing to the international Fukuoka and AGA consensus guidelines for pancreatic cyst surveillance and resection criteria.

Confocal Laser Endomicroscopy and Advanced EUS for Pancreatic Lesion Characterization

Pioneered the use of probe-based confocal laser endomicroscopy (pCLE) through the echoendoscope for in vivo microscopic characterization of pancreatic cyst epithelium, demonstrating that pCLE imaging patterns can distinguish mucinous from non-mucinous cysts and identify high-grade dysplasia — advancing the endoscopic toolkit for PDAC risk stratification and eliminating unnecessary surgical resection of benign lesions.

Representative Works 代表性著作

[1]

Screening for early pancreatic neoplasia in high-risk individuals: a prospective controlled study (CAPS1)

Clinical Gastroenterology and Hepatology (2006)

First prospective CAPS controlled study demonstrating that EUS-based surveillance of familial pancreatic cancer high-risk individuals detects pancreatic neoplasms at surgically resectable stages.

[2]

Prospective multicenter surveillance study of familial pancreatic cancer cohort in the CAPS3 program

Gut (2012)

Multicenter CAPS3 prospective study demonstrating the yield and surgical pathology outcomes of pancreatic surveillance in high-risk individuals across multiple cancer centers.

[3]

International Cancer of Pancreas Screening (CAPS) Consortium summit on the management of patients with increased risk for familial pancreatic cancer

Gut (2013)

International CAPS consortium consensus guidelines on surveillance management for familial pancreatic cancer, establishing the expert framework for PDAC early detection programs worldwide.

[4]

The clinical significance of confocal endomicroscopy for evaluation of pancreatic cystic lesions in vivo (CONTACT trial)

Gastrointestinal Endoscopy (2016)

CONTACT multicenter trial demonstrating the diagnostic utility of probe-based confocal laser endomicroscopy for in vivo characterization of pancreatic cystic neoplasms during EUS.

🏆Awards & Recognition 奖项与荣誉

🏆Pancreatic Cancer Action Network Kenner Family Research Fund Award
🏆ASGE (American Society of Gastrointestinal Endoscopy) Distinguished Educator Award
🏆American College of Gastroenterology (ACG) Governor's Award for Excellence in Clinical Research
🏆Johns Hopkins University School of Medicine Distinguished Service Award
🏆NCI SPORE in Gastrointestinal Cancers Principal Investigator, Early Detection Program
🏆NCCN Pancreatic Cancer Guidelines Committee Member

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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