Pancreatic cancer is on the rise globally, and usually presents at advanced metastatic stages, inoperable, with little responsiveness to chemotherapy. Early diagnosis has been associated with better outcomes, but only a minority of pancreatic cancer cases are diagnosed at a stage when the tumour is surgically operable. Current guidance for pancreatic cancer surveillance is restricted to high-risk individuals (HRIs) who have germline mutations that predispose to a lifetime increased risk of pancreatic cancer or a strong family history of pancreatic cancer.