Study of [68Ga]FAPI-46 PET in Patients With Pancreatic Ductal Carcinoma

Inclusion Criteria: 1. Pathologically confirmed pancreatic ductal adenocarcinoma 2. Treatment-naïve 3. Staged as resectable or borderline-resectable 4. Planned to undergo surgical resection or to receive neoadjuvant therapy (i.e., chemotherapy, radiation therapy, or combination) and subsequent possible surgical resection 5. Anatomic imaging (e.g., CT, MRI) obtained within ≤ 28 days of consent 6. Age ≥ 18 years 7. Completed informed consent as determined per the IRB of record Exclusion Criteria: 1. Pregnant as determined by a pregnancy test as per institutional guidelines for individuals of child-bearing potential 2. Declining to use effective contraceptive methods during the study (for individuals of child-producing potential) 3. Need for emergent surgery that would be delayed by participation 4. Bacterial, viral, or fungal infections requiring systemic therapy 5. Serious co-morbidities and serious nonmalignant disease (e.g., hydronephrosis, kidney failure, liver failure, systemic or local inflammatory or autoimmune diseases or other conditions) that in the opinion of the investigator, physician of record and/or Sofie could compromise patient safety and/or protocol objectives. 6. Known diagnosis of autoimmune disorders 7. Patients receiving any other investigational agent within the past 28 days 8. Breastfeeding. Note: nursing parents are allowed if the potential participant commits to pumping breast milk and discarding it from injection to ≥ 24 hours from the time of the \[68Ga\]FAPI-46 injection. 9. Known hypersensitivity to any excipients used in \[68Ga\]FAPI-46: trace amounts of sodium acetate sodium ascorbate and/or hydrochloric acid