MSRO39 BOOST: Genitourinary eContouring Nov 28, 2017 4:45PM-6:00PM
Brian J. Davis, MD, PhD, Tristan Barrett, MBBS, Stanley L. Liauw, MD

Homework:
ctv4500 on slices 80, 130, 150, 166
pelvic_lns on slices 80, 130, 150, 166
ctv6480 on slices 170

Disabled Contours: All
Enabled Contours: None

Resource Files:
MSRO39_11282017_BD_NODAL case with PET scan_Vignette
Urology TBarrett Combined
EduCase User Guide

MSRO39 BOOST: Genitourinary eContouring Nov 28, 2017 4:45PM-6:00PM
Brian J. Davis, MD, PhD, Tristan Barrett, MBBS, Stanley L. Liauw, MD

Homework:
Rectum on slices 80, 84, 88, 92, 95, 99
Bladder on slices 80, 82, 84, 86
Seminal Vesicles on slices 77, 78, 79, 80, 82
Prostate on slices 82, 84, 88, 92, 94
Penile bulb on slices 98, 100, 102, 104

Disabled Contours: All
Enabled Contours: None

Resource Files:
SL Prostate Vignette
Urology TBarrett Combined
EduCase User Guide

MSRO49 BOOST: Lymphoma eContouring Nov. 29, 2017, 4:45PM-6:00 PM with Sarah A. Johnson, MD, Chris R. Kelsey, MD, and Bradford Hoppe, MD

Homework:
GTV on slices 41, 44, 52, 55, 60, 71
CTV on slices 41, 44, 52, 55, 60, 71
PTV on slices 41, 44, 52, 55, 60, 71

Disabled Contours: All
Enabled Contours: None

Resource Files:
Axillary Lymphoma Vignette
EduCase User Guide

MSRO49 BOOST: Lymphoma eContouring Nov. 29, 2017, 4:45PM-6:00 PM with Sarah A. Johnson, MD, Chris R. Kelsey, MD, and Bradford Hoppe, MD

Homework:
CTV on slices 37, 71, 117, 148, 181, 219
Heart on slices 148, 181, 219
LAD on slices 148, 181, 219
Ventricle Left on slices 181, 219
Breasts on slices 148, 181, 219

Disabled Contours: All other
Enabled Contours: GTV for reference

Resource Files:
Mediastinum Vignette
EduCase User Guide

Saturday, September 23, 2017 1:30 p.m. - 3:00 p.m. eContouring for Lung with Billy Loo, MD, PhD, Thomas Dilling, MD, and Tithi Biswas, MD

Contour Homework
GTV on slices 76, 81, 86, 91, 101
BRONC_TREE on slices 76, 81, 86, 91, 96, 101
ESOPHAGUS on slices 76, 81, 86, 91, 96, 101

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
09232017_01_BL Lung Vignette.pdf
EduCase User Guide

Saturday, September 23, 2017 1:30 p.m. - 3:00 p.m. eContouring for Lung with Billy Loo, MD, PhD, Thomas Dilling, MD, and Tithi Biswas, MD

Contour Homework
GITV on slices 58, 65, 69

Please switch between the “CT planning” and “CT 50.0% AMP” as necessary. Please study/understand the normal contours provided for: Esophagus, Proximal Bronchial Tree, Chest Wall

Disabled Contours: sim iso, GITV, PTV, Varian_IGRT_Table, Foam, Carina, Lung_L, Lung_R, Lungs, ring1, ring2, ring3, avoid, ROI_1, PTV_edit 
Enabled Reference Contours: ProxBronchialTree, Chestwall, Esophagus, SpinalCord

Resource Files:
09232017_01_TD Lung Vignette.pdf
EduCase User Guide

Saturday, September 23, 2017 1:30 p.m. - 3:00 p.m. eContouring for Lung with Billy Loo, MD, PhD, Thomas Dilling, MD, and Tithi Biswas, MD

Contour Homework
GITV on slices 52, 55, 57, 58

Disabled Contours: All
Enabled Reference Contours: None

Resource Files:
TD Lung Vignette.pdf
EduCase User Guide

Saturday, September 23, 2017 4:00 p.m. - 5:30 p.m. eContouring for Breast I and Lymphoma with Jennifer Bellon, MD, Jean Wright, MD, and Stephanie Terezakis, MD

Contour Homework:
SCV CTV on slices 41, 44, 47, 50, 53
AXILLA III CTV on slices 54, 56, 58, 60
AXILLA II CTV on slices 56, 58, 60, 62, 64, 66
AXILLA I CTV on slices 62, 65, 68, 71, 74, 77, 80, 83
IM CTV on slices 71, 75, 79, 83, 87, 91, 95
left CW CTV on slices 75, 80, 81, 82, 83, 84, 85, 90, 95, 100, 105, 110, 115, 120, 125

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
09232017 02 Breast I JB JW Vignette.pdf
EduCase User Guide

Saturday, September 23, 2017 4:00 p.m. - 5:30 p.m. eContouring for Breast I and Lymphoma with Jennifer Bellon, MD, Jean Wright, MD, and Stephanie Terezakis, MD

Contour Homework:
GTV on slices 56, 63, 68, 73, 77
CTV on slices 56, 63, 68, 73, 77
ITV on slices 56, 63, 68, 73, 77
(Select the contours that are most appropriate for each slice)

Enabled Reference Contours: Heart, Kidney, Stomach 0% contour, Stomach 50% contour, Internal motion
Disabled Contours: All others

Resource Files:
09232017 02 ST GastricLymphoma Vignette.pdf
ExtranodalLymphoma_ISRTguidelines.pdf
ISRTguidelinesforHodgkinLymphoma.pdf
EduCase User Guide

Saturday, September 23, 2017 4:00 p.m. - 5:30 p.m. eContouring for Breast I and Lymphoma with Jennifer Bellon, MD, Jean Wright, MD, and Stephanie Terezakis, MD

Homework:
Pre-chemo GTV on slices 17, 23, 29, 35, 39, 43
Post-chemo GTV on slices 17, 23, 29, 35, 39, 43
CTV on slices 17, 23, 29, 35, 39, 43
ITV on slices 17, 23, 29, 35, 39, 43

Please contour these structures on slices 17, 23, 29, 35, 39, 43
1) Pre-chemotherapy GTV using the fused pre-chemotherapy diagnostic CT scan labeled to guide you.
2) Post-chemotherapy GTV
3) CTV
4) ITV using the fused 4D CT scan at inspiration breathing phase (CT 0%) and fused 4D CT scan at expiration breathing phase (CT 50%). You may use the CTV 0% (inspiration) and CTV 50% (expiration) which we have contoured for you to guide you.

Enabled Contours: CTV_0%, CTV_50%, Heart, Great Vessels, Left Lung, and Right Lung
Disabled Contours: All others

Resource Files:
09232017_02_MediastinalLymphoma ST Vignette.pdf
ExtranodalLymphoma_ISRTguidelines.pdf
ISRTguidelinesforHodgkinLymphoma.pdf
Summary of Guidelines for involved site radiotherapy
EduCase User Guide

Sunday, September 24, 2017 8:00 a.m. - 9:30 a.m. eContouring for Breast and CNS Cancer with Douglas Arthur, MD, Atif Khan, MD, MS, Vinai Gondi, MD, Stephanie Weiss, MD

Contour Homework:
CTV_CW on slices 88
PTV_CW on slices 88
PTV_eval_CW on slices 88
CTV_IMN on slices 88
PTV_IMNs on slices 88
CTV_Axilla on slices 62
PTV_Axilla on slices 62
CTV_Sclav on slices 33
PTV_Sclav on slices 33

Disabled Contours: All
Enabled Reference Contours: None

Resource Files:
09242017_01_Breast AK Vignette.pdf
EduCase User Guide

Sunday, September 24, 2017 8:00 a.m. - 9:30 a.m. eContouring for Breast and CNS Cancer with Douglas Arthur, MD, Atif Khan, MD, MS, Vinai Gondi, MD, Stephanie Weiss, MD

Contour Homework
Delineate the whole "Heart" focusing on the superior extent. (Contour on all slices) 
Delineate the whole "Thyroid" (Contour on all slices) 
Delineate all other contours on Slice 68. (Contour just on slice 68)

Resource Files:
09242017_01_Breast DA Vignette.pdf
EduCase User Guide

Sunday, September 24, 2017 10:30 a.m. - 12:00 p.m eContouring for Pediatrics with Karen Marcus, MD and Spinal Cancer with Kristin Redmond, MD and Simon Lo, MD

Homework:
Cochlea Right on slices 41
Cochlea Left on slices 40
Optic Nerve Right on slices 50, 49
Optic Nerve Left on slices 49
Optic Chiasm on slices 49, 48
Right Lacrimal Gland on slices 52, 51
Left Lacrimal Gland on slices 52, 51
Hypothalamus on slices 53, 52

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
09242017_04 KM Pediatrics Vignette.pdf
EduCase User Guide

Sunday, September 24, 2017 8:00 a.m. - 9:30 a.m. eContouring for Breast and CNS Cancer with Douglas Arthur, MD, Atif Khan, MD, MS, Vinai Gondi, MD, Stephanie Weiss, MD

Contour Homework
Please review accompanying NRG BN001 protocol Sections 6.3 and 6.4 for guidance, as well as hippocampus contouring atlas at https://www.rtog.org/CoreLab/ContouringAtlases.aspx.

GTV1: T2/FLAIR signal abnormality inclusive of resection cavity and residual enhancing tumor
GTV1 on slices 94, 97, 100, 103, 106

CTV1:GTV1 plus 2cm margin anatomically confined around natural barriers to tumor growth such as the skull, dural boundaries, etc.
CTV1 on slices 94, 97, 100, 101, 106

GTV2: Resection cavity and residual enhancing tumor
GTV2 on slices 94, 97, 100, 103, 106

CTV2: GTV2 plus 2cm margin anatomically confined around natural barriers to tumor growth such as the skull, dural boundaries, etc.
CTV2 on slices 94, 97, 100, 103, 106

Right hippocampus:
Hippocampus_R on slices 102, 105, 111, 114, 117

(You may toggle between the fused postoperative post-contrast T1 and T2/FLAIR MR sequences)

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
09242017_01_CNS VG Vignette.pdf
VG BN001-protocol-master.pdf
EduCase User Guide

Sunday, September 24, 2017 10:30 a.m. - 12:00 p.m eContouring for Pediatrics with Karen Marcus, MD and Spinal Cancer with Kristin Redmond, MD and Simon Lo, MD

Homework:
GTV T2_T4 chest wall on slices 35, 41, 52
CTV_left chest wall_T2-4 on slices 35, 41, 52
Esophagus on slices 35, 41, 52
Cord avoidance on slices 35, 41, 52

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
09242017_04 KR CNS Spinal Vignette.pdf
EduCase User Guide

Sunday, September 24, 2017 10:30 a.m. - 12:00 p.m eContouring for Pediatrics with Karen Marcus, MD and Spinal Cancer with Kristin Redmond, MD and Simon Lo, MD

Homework:
CTV T10-T12 on slices 84, 96, 100
PTV T10_T12 on slices 84, 96, 100
Sinal cord on slices 84, 96, 100
Cord avoidance on slices 84, 96, 100

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
Case 1 and 2: CNS Spinal Vignette_KR.pdf
EduCase User Guide

Sunday, September 24, 2017, 1:15 p.m. - 2:45 p.m. eContouring for Head and Neck Course I: Matthew Stenmark, MD, Sue Yom, MD, Suresh Mukherji, MD, MBA, FACR

Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT, PET-CT, and MR).

Assuming a 35 fraction treatment regimen with concurrent platinum-based chemotherapy, please use the treatment planning CT to define:
Clinical target volumes, selecting from the following dose levels. You may use as many or as few as you see appropriate.
CTV_70 Gy (2.0 Gy/fx)
CTV_63 Gy (1.8 Gy/fx)
CTV_59.5 Gy (1.7 Gy/fx)
CTV_56 Gy (1.6 Gy/fx)

Organs at risk

Contour as many or as few as you see appropriate on slices: 54, 58, 62, 66, 70, 74, 78, 82, 86, 90, 94, 98, 102, 106 (homework icons not engaged in UI)

Enabled Contours: GTV enabled
Disabled Contours: All other contours disabled

Resource Files:
Right base of tongue Vignette
EduCase User Guide

Sunday, September 24, 2017, 1:15 p.m. - 2:45 p.m. eContouring for Head and Neck Course I: Matthew Stenmark, MD, Sue Yom, MD, Suresh Mukherji, MD, MBA, FACR

Homework:
CTV1 on slices 49, 56, 63, 66, 71, 77, 80, 86, 90, 95
CTV2 on slices 49, 56, 63, 66, 71, 77, 80, 85, 90, 95
CTV3 on slices 49, 56, 63, 66, 71, 77, 80, 85, 90, 95

Disabled Contours: GTV enabled
Enabled Contours: All others disabled

Resource Files:
Right tonsil Vignette
EduCase User Guide

Sunday, September 24, 2017, 1:15 p.m. - 2:45 p.m. eContouring for Head and Neck Course I: Matthew Stenmark, MD, Sue Yom, MD, Suresh Mukherji, MD, MBA, FACR

Contour Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT, PET-CT, and MR).

Assuming a 30 fraction treatment, please use the treatment planning CT to define:
Clinical target volumes, selecting from the following dose levels. You may use as many or as few as you see appropriate.
CTV_66 Gy (2.2 Gy/fx)
CTV_60 Gy (2.0 Gy/fx)
CTV_57 Gy (1.9 Gy/fx)
CTV_54 Gy (1.8 Gy/fx)
CTV_51 Gy (1.7 Gy/fx)

Organs at risk

Contour as many or as few as you see appropriate on slices: 54, 58, 62, 66, 70, 74, 78, 82, 86, 90, 94, 98, 102
(homework icons not engaged in UI)

Enabled Reference Contours: All GTVs
Disabled Contours: All Except for GTVs

Resource Files:
Unknown primary Vignette
EduCase User Guide

Sunday, September 24, 2017, 4:45 p.m. - 6:15 p.m. eContouring for Head and Neck Course II: Matthew Stenmark, MD, Sue Yom, MD, Suresh Mukherji, MD, MBA, FACR

Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT, PET-CT, and MR).

Assuming a 35 fraction treatment regimen with concurrent platinum-based chemotherapy, please use the treatment planning CT to define:

Clinical target volumes, selecting from the following dose levels. You may use as many or as few as you see appropriate.
CTV_70 Gy (2.0 Gy/fx)
CTV_63 Gy (1.8 Gy/fx)
CTV_59.5 Gy (1.7 Gy/fx)
CTV_56 Gy (1.6 Gy/fx)

Organs at risk, including the pharyngeal constrictor muscles and the brachial plexus
Contour as many or as few as you see appropriate on slices: 76, 80, 84, 88, 92, 96, 100, 104, 108, 112, 116
(homework not engaged in UI)

Enabled Reference Contours: GTVs
Disabled Contours: All Except for GTVs

Resource Files:
T3N2c supraglottic sqcca Vignette
EduCase User Guide

Sunday, September 24, 2017, 4:45 p.m. - 6:15 p.m. eContouring for Head and Neck Course II: Matthew Stenmark, MD, Sue Yom, MD, Suresh Mukherji, MD, MBA, FACR

Homework:
The CTV for the postoperative bed (CTV_61) has been defined for you based on clinical examination and discussion with the Moh’s surgeon. The axial MR has been fused. Unfortunately, the e-contouring software does not allow for the coronal MR data set to be registered, so representative slices can be found below.

Assuming a 33 fraction treatment regimen, please use the treatment planning CT to define:

Define additional clinical target volumes, including the supra-orbital nerve foramen where gross disease was left behind as well as additional at risk regions based on the above MRI. Select your CTVs from the following dose levels. You may use as many or as few as you see appropriate.

CTV_69.96 Gy (2.12 Gy/fx)
CTV_66 Gy (2.0 Gy/fx)
CTV_61 Gy (1.85 Gy/fx)
CTV_59.4 Gy (1.8 Gy/fx)
CTV_56.1 Gy (1.7 Gy/fx)

Organs at risk
Contour as many or as few as you see appropriate on slices: 38, 39, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 62, 66
(homework not engaged in UI)

Enabled Reference Contours: CTV_61 (postop bed, minus supraorbital nerve foramen)
Disabled Contours: All Except for GTVs

Resource Files:
Cutaneous squamous cell carcinoma Vignette
Cutaneous MR Coronal Images
EduCase User Guide

Sunday, September 24, 2017, 4:45 p.m. - 6:15 p.m. eContouring for Head and Neck Course II: Matthew Stenmark, MD, Sue Yom, MD, Suresh Mukherji, MD, MBA, FACR

Homework:
CTV_6600 on slices 73, 77
CTV_6000 on slices 46, 50, 52, 58, 73, 77
OpticNerve_R on slices 41, 42
OpticNerve_L on slices 41, 42
Chiasm on slices 41, 42
BrainStem on slices 41, 42
Parotid_R on slices 55, 63
Parotid_L on slices 55, 63
Submandibular_R on slices 74
InnerEar_R on slices 48
InnerEar_L on slices 48

Disabled Contours: All except GTV for reference
Enabled Contours: GTV

Resource Files:
Adenoid Cystic Carcinoma Vignette
EduCase User Guide

Monday, September 25, 2017 10:45 a.m. - 12:15 p.m eContouring for GI Cancer with Joseph Herman, MD, MS and Cullen M Taniguchi, MD, PhD

Homework:
portal vein_sup mes on slices 35
celiac on slices 35
hepatic artery on slices 35
stomach on slices 35
GTV on slices 48
PTV (GTV + 3mm) on slices 48
fiducial 3 on slices 48
small bowel on slices 48
superior mesenteric artery on slices 48

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
09232017 02 GI LAPC JH Vignette.pdf
EduCase User Guide

Monday, September 25, 2017 4:15 p.m. - 5:45 p.m. eContouring for Prostate Cancer with Michael Zelefsky, MD, and Steven Finkelstein, MD

Homework:
CTV_PROST on slices 35, 47
Outer rectum on slices 35, 47
Outer bladder on slices 33, 47

Disabled Contours: All
Enabled Contours: None

Resource Files:
09252017 01 MZ (c1) EBRT for Intermediate Risk Disease.pdf
EduCase User Guide

Monday, September 25, 2017 4:15 p.m. - 5:45 p.m. eContouring for Prostate Cancer with Michael Zelefsky, MD, and Steven Finkelstein, MD

Homework:
CTV_PROST on slices 29, 37
Outer rectum on slices 37
Outer bladder on slices 37

Disabled Contours: All
Enabled Contours: None

Resource Files:
09252017 01 MZ (c2) Supplemental EBRT after Brachytherapy for High Risk Disease.pdf
EduCase User Guide

Monday, September 25, 2017 4:15 p.m. - 5:45 p.m. eContouring for Prostate Cancer with Michael Zelefsky, MD, and Steven Finkelstein, MD

Homework:
CTV_PROBED on slices 67, 70, 84
CTV_LN on slices 58

Disabled Contours: All
Enabled Contours: None

Resource Files:
09252016 01 MZ (c3) Salvage Radiotherapy after Rising PSA S-P Prostatectomy.pdf
EduCase User Guide

Sunday, September 25, 2016 10:30 a.m. - 12:00 p.m. eContouring for Head and Neck –Intermediate (Avraham Eisbruch, MD, FASTRO Matthew Stenmark, MD, Suresh Mukherji, MD, MBA, FACR, and Sue S. Yom, MD, PhD)

Intermediate Session: Case 1 – T1 N2a M0 poorly differentiated squamous cell carcinoma of the right tonsil, HPV positive

Contour Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT and PET-CT).

Please contour the following on the treatment planning CT:
1. CTV1: CTV for gross disease
2. CTV2: CTV for high-risk subclinical disease
3. CTV3: CTV for low-risk subclinical disease
4. OAR: Relevant organs at risk (many are listed in the structure set).

Please contour these structures on images: 49, 56, 63, 66, 71, 77, 80, 85, 90, 95

Disabled Contours: All Except for GTVs
Enabled Contours: All GTVs

Resource Files:
AE HN Int01 Vignette 2016.pdf
EduCase User Guide

Sunday, September 25, 2016 10:30 a.m. - 12:00 p.m. eContouring for Head and Neck –Intermediate (Avraham Eisbruch, MD, FASTRO Matthew Stenmark, MD, Suresh Mukherji, MD, MBA, FACR, and Sue S. Yom, MD, PhD)

Intermediate Session: Case 2 – T2 N1 M0 poorly differentiated squamous cell carcinoma of the base of tongue, HPV positive

Contour Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT and PET-CT).

Please contour the following on the treatment planning CT:
1. CTV1: CTV for gross disease
2. CTV2: CTV for high-risk subclinical disease
3. CTV3: CTV for low-risk subclinical disease
4. OAR: Relevant organs at risk (many are listed in the structure set).

Please contour these structures on images: 52, 57, 64, 68, 70, 72, 76, 79, 84, 90, 98

Disabled Contours: All Except for GTVs
Enabled Contours: All GTVs

Resource Files:
AE HN Int02 Vignette 2016.pdf
EduCase User Guide

Post Contouring Homework:
On slices: 21, 23, 25, 28, 100 102, 106
Using the post-op scan, delineate the following contours: GTV, CTV, Brainstem, Chiasm, LON (left optic nerve), and RON (right optic nerve)
(You may toggle between the fused MR_planning and MR_preop scans)

Lead by Dr. Tracey Schefter, this free Residents eContouring webinar will take place on November 17, 2016, at 5:00 p.m. Eastern time

Contour Homework:
Slice 47: Contour the Celiac artery (CA), Right crus diaphragm, GTVpanc, duodenum
Slice 51: Contour the GTVpanc, Superior Mesenteric Artery (SMA), Superior Mesenteric Vein (SMV)

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
TS_c1_Gastrointestinal_Vignette_2016
EduCase User Guide

Saturday, September 24, 2016 8:30 a.m. - 10:00 a.m. eContouring for Breast Cancer I and CNS Cancers (Atif Khan, MD and Douglas Arthur, MD)

Contour Homework
Delineate the following contours on slice 88: CTV_CW, PTC_CW, PTV_eval_CW, and PTV_IMN
Delineate the following contours on slice 62: CTV_Axilla and PTV_Axilla
Delineate the following contours on slice 29 & 48: CTV_Sclav and PTV_Sclav

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
AK_Breast-I_Vignette_2016.pdf
EduCase User Guide

Contour Homework:
CTV_CW on slices 88
PTV_CW on slices 88
PTV_eval_CW on slices 88
PTV_IMNs on slices 88
CTV_Axilla on slices 62
PTV_Axilla on slices 62
CTV_Sclav on slices 29, 48
PTV_Sclav on slices 29, 48

Saturday, September 24, 2016 8:30 a.m. - 10:00 a.m. eContouring for Breast Cancer I and CNS Cancers (Douglas Arthur, MD and Atif Khan, MD)

Contour Homework
Delineate the whole "Heart" focusing on the superior extent. (Contour on all slices)
Delineate the whole "Thyroid" (Contour on all slices)
Delineate all other contours on Slice 68. (Contour just on slice 68)

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
DA_Breast-I_Vignette_2016.pdf
EduCase User Guide

Contour Homework:
HEART on slices 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86
THYROID on slices 30, 31, 32, 33, 34, 35, 36, 37, 38, 39
SURG_BED on slices 68
CTV on slices 68
PTV on slices 68
PTV_EVAL on slices 68
Ipsi_Breast_Rt on slices 68
BREAST_IPSI_Protocol on slices 68

Saturday, September 24, 2016 8:30 a.m. - 10:00 a.m. eContouring for CNS Cancers (Stephanie Weiss, MD and Vinai Gondi, MD)

Contour Homework
Delineate the following contours: GTV, CTV, Brainstem, Chiasm, LON (left optic nerve), and RON (right optic nerve)
On slices: 83, 85, 87, 89, 91, 93, and 95
(You may toggle between the fused MR_planning and MR_preop scans)

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
SW_VG_JK_CNS_Vignette_2016.pdf
EduCase User Guide

Data and material from, or that you provide in connection with, this class may be used in aggregate form without limitation by ASTRO or, as specified by ASTRO, by its designees/licensees. By providing such data or material, including drawings, and by participating in this class, you consent to this use.

Saturday, September 24, 2016 11:00 a.m. - 12:30 a.m. eContouring for GI Cancers (Joseph Herman, MD, MS and Tracey Schefter, MD)

Contour Homework:
Slice 35: Contour the: portal vein_sup mes, celiac, hepatic artery, stomach
Slice 48: Contour the GTV, PTV (GTV + 3mm), fiducial 3, small bowel, superior mesenteric artery

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
JH_c1_Gastrointestinal_Vignette_2016.pdf
EduCase User Guide

Saturday, September 24, 2016 11:00 a.m. - 12:30 a.m. eContouring for GI Cancers (Tracey Schefter, MD and Joseph Herman, MD, MS)

Contour Homework:
Slice 47: Contour the Celiac artery (CA), Right crus diaphragm, GTVpanc, duodenum
Slice 51: Contour the GTVpanc, Superior Mesenteric Artery (SMA), Superior Mesenteric Vein (SMV)

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
TS_c1_Gastrointestinal_Vignette_2016
EduCase User Guide

Saturday, September 24, 2016 1:30 p.m. - 3:00 p.m. eContouring for Gynecologic Cancers (Beth Erickson, MD, Fastro, Cathryn Yashar, MD, and Akila Viswanathan, MD, MPH)

Contour Homework:
Lymph_Nodes: 63, 69, 75, 89
PTV_45_GY: 63, 69, 75, 89
Vag-Blad_Full: 88, 94
Vag-blad_empty: 89, 91

Disabled Contours: Lymph_Nodes, PTV_45_GY, Vag-Blad_Full, Vag-blad_empty
Enabled Contours: All others

Resource Files:
Bladder_Full_Vignette.pdf
EduCase User Guide

Saturday, September 24, 2016 1:30 p.m. - 3:00 p.m. eContouring for Gynecologic Cancers (Beth Erickson, MD, Fastro, Cathryn Yashar, MD, and Akila Viswanathan, MD, MPH)

Contour Homework:
CTV1 is the uterus and cervix. Please contour these structures on slices 47, 60, and 63
CTV 2 is the parametria and vagina. Please contour on slices 44-69
CTV 3 is the nodal region. Please contour on slices 12-17, 23-24, 44-49, and 57-64

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
IntactCervix Vignette.pdf
EduCase User Guide

Saturday, September 24, 2016 1:30 p.m. - 3:00 p.m. eContouring for Gynecologic Cancers (Beth Erickson, MD, Fastro, Cathryn Yashar, MD, and Akila Viswanathan, MD, MPH)

Contour Homework:
GTV: 62 and 72
HR CTV: 58, 62, and 72

Disabled Contours: All
Enabled Contours: None

Resource Files:
Brachy_Vignette.pdf
EduCase User Guide

Saturday, September 24, 2016 4:00 p.m. - 5:30 p.m. eContouring for Lung Cancers (Billy W. Loo, Jr., MD, PhD and Thomas Dilling, MD)

Contour Homework
GTV, Proximal Bronchial Tree, Esophagus on slices: 135, 140, 145, 150, 155, 160

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
BL_Stage_III_Vingette.pdf
EduCase User Guide

Saturday, September 24, 2016 4:00 p.m. - 5:30 p.m. eContouring for Lung Cancers (Billy W. Loo, Jr., MD, PhD and Thomas Dilling, MD)

Contour Homework GTV: Slices 58, 65, 69.
Please switch between the “CT planning” and “CT 50.0% AMP” as necessary. Please study/understand the normal contours provided for: Esophagus, Proximal Bronchial Tree, Chest Wall

Disabled Contours: sim iso, GITV, PTV, Varian_IGRT_Table, Foam, Carina, Lung_L, Lung_R, Lungs, ring1, ring2, ring3, avoid, ROI_1, PTV_edit
Enabled Reference Contours: ProxBronchialTree, Chestwall, Esophagus, SpinalCord

Resource Files:
TD_SBRT_Vignette.pdf
EduCase User Guide

Sunday, September 25, 2016 8:00 a.m. - 9:30 a.m. Breast II (Jean Wright, MD and Jennifer Bellon, MD) and Lymphoma (Stephanie Terezakis, MD)

Contour Homework:
SCV: slice 41, 44, 47,50,53
Axilla III: slice 54, 56, 58, 60
Axilla II:  slice 56, 58, 60, 62, 64, 66
Axilla I: slice 62, 65, 68, 71, 74, 77, 80, 83
IM: 71, 75, 79, 83, 87, 91, 95
Chest wall:  75, 80-, 85, 90, 95, 100, 105, 110, 115, 120, 125

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
JW_JB_Breast-II_Vignette_2016
EduCase User Guide

Contour Homework:
SCV CTV on slices 41, 44, 47, 50, 53
AXILLA III CTV on slices 54, 56, 58, 60
AXILLA II CTV on slices 56, 58, 60, 62, 64, 66
AXILLA I CTV on slices 62, 65, 68, 71, 74, 77, 80, 83
IM CTV on slices 71, 75, 79, 83, 87, 91, 95
left CW CTV on slices 75, 80, 81, 82, 83, 84, 85, 90, 95, 100, 105, 110, 115, 120, 125

Sunday, September 25, 2016 8:00 a.m. - 9:30 a.m. eContouring for Lymphoma with Dr. Stephanie Terezakis

Contour Homework:
Please contour the following contours on slices 56, 63, 68, and 77: GTV, CTV, and ITV

Enabled Reference Contours: Heart, Kidney, Stomach 0% contour, Stomach 50% contour, Internal motion
Disabled Contours: All others

Resource Files:
ST_GastricLymphoma_ASTRO_2016.pdf
ExtranodalLymphoma_ISRTguidelines.pdf
ISRTguidelinesforHodgkinLymphoma.pdf
EduCase User Guide

Sunday, September 25, 2016 8:00 a.m. - 9:30 a.m. eContouring for Lymphoma with Dr. Stephanie Terezakis

Contour Homework:
Please contour the following:
1) Pre-chemotherapy GTV using the fused pre-chemotherapy diagnostic CT scan labeled to guide you.
2) Post-chemotherapy GTV
3) CTV
4) ITV using the fused 4D CT scan at inspiration breathing phase (CT 0%) and fused 4D CT scan at expiration breathing phase (CT 50%). You may use the CTV 0% (inspiration) and CTV 50% (expiration) which we have contoured for you to guide you.

Please contour these structures on slices 58, 63, 68, 73, 78, 83, and 87.

Enabled Contours: CTV_0%, CTV_50%, Heart, Great Vessels, Left Lung, and Right Lung
Disabled Contours: All others

Resource Files:
ST_MediastinalLymphoma_ASTRO_2016.pdf
ExtranodalLymphoma_ISRTguidelines.pdf
ISRTguidelinesforHodgkinLymphoma.pdf
Summary of Guidelines for involved site radiotherapy
EduCase User Guide

Sunday, September 25, 2016 10:30 a.m. - 12:00 p.m. eContouring for Head and Neck –Intermediate (Avraham Eisbruch, MD, FASTRO Matthew Stenmark, MD, Suresh Mukherji, MD, MBA, FACR, and Sue S. Yom, MD, PhD)

Intermediate Session: Case 1 – T1 N2a M0 poorly differentiated squamous cell carcinoma of the right tonsil, HPV positive

Contour Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT and PET-CT).

Please contour the following on the treatment planning CT:
1. CTV1: CTV for gross disease
2. CTV2: CTV for high-risk subclinical disease
3. CTV3: CTV for low-risk subclinical disease
4. OAR: Relevant organs at risk (many are listed in the structure set).

Please contour these structures on images: 49, 56, 63, 66, 71, 77, 80, 85, 90, 95

Disabled Contours: All Except for GTVs
Enabled Contours: All GTVs

Resource Files:
AE HN Int01 Vignette 2016.pdf
EduCase User Guide

Sunday, September 25, 2016 10:30 a.m. - 12:00 p.m. eContouring for Head and Neck –Intermediate (Avraham Eisbruch, MD, FASTRO Matthew Stenmark, MD, Suresh Mukherji, MD, MBA, FACR, and Sue S. Yom, MD, PhD)

Intermediate Session: Case 2 – T2 N1 M0 poorly differentiated squamous cell carcinoma of the base of tongue, HPV positive

Contour Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT and PET-CT).

Please contour the following on the treatment planning CT:
1. CTV1: CTV for gross disease
2. CTV2: CTV for high-risk subclinical disease
3. CTV3: CTV for low-risk subclinical disease
4. OAR: Relevant organs at risk (many are listed in the structure set).

Please contour these structures on images: 52, 57, 64, 68, 70, 72, 76, 79, 84, 90, 98

Disabled Contours: All Except for GTVs
Enabled Contours: All GTVs

Resource Files:
AE HN Int02 Vignette 2016.pdf
EduCase User Guide

Sunday, September 25, 2016 1:15 p.m. - 2:45 p.m. eContouring for Head and Neck - Advanced (Avraham Eisbruch, MD, FASTRO Matthew Stenmark, MD, Suresh Mukherji, MD, MBA, FACR, and Sue S. Yom, MD, PhD)

Contour Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT and PET-CT).

Please contour the following on the treatment planning CT:
1. CTV1: CTV for gross disease
2. CTV2: CTV for high-risk subclinical disease
3. CTV3: CTV for low-risk subclinical disease
4. OAR: Relevant organs at risk (many are listed in the structure set).

Please contour these structures on planning CT slices: 35, 44, 50, 54, 60, 66, 74, 83, 90

Disabled Contours: All Except for GTVs
Enabled Reference Contours: All GTVs

Resource Files:
09252016 03 SY HN Adv01 Vignette
EduCase User Guide

Sunday, September 25, 2016 1:15 p.m. - 2:45 p.m. eContouring for Head and Neck - Advanced (Avraham Eisbruch, MD, FASTRO Matthew Stenmark, MD, Suresh Mukherji, MD, MBA, FACR, and Sue S. Yom, MD, PhD)

Contour Homework:
The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT and PET-CT).

Please contour the following on the treatment planning CT:
1. CTV1: CTV for gross disease
2. CTV2: CTV for high-risk subclinical disease
3. CTV3: CTV for low-risk subclinical disease
4. OAR: Relevant organs at risk (many are listed in the structure set).

Please contour these structures on planning CT slices:
56, 60, 63, 66, 72, 75, 78, 80, 83, 86, 90, 92, 94, 99, 103

Disabled Contours: All Except for GTVs
Enabled Reference Contours: All GTVs

Resource Files:
09252016 03 SY HN Adv02 Vignette
EduCase User Guide