A 73-year-old woman with unresectable adenocarcinoma of the neck of the pancreas with encasement of celiac axis and portal vein/SMV confluence, treated with gemcitabine, taxotere, and xeloda. Tumor diameter decreased to 89% of the baseline, tumor volume 53%, and CA19–9 10%. A Baseline arterial and B venous phase CT. C Post-chemotherapy arterial and D venous phase CT. Tumor iodine uptake and normalized tumor iodine uptake were A 1.6 mg/mL and 8%, B 2.7 mg/mL and 50%, C 1.0 mg/mL and 7%, and D 1.0 mg/mL and 29%.