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