Workshop:
ASTRO E-contouring for CNS webinar

Faculty:
Dr. Elham Rahimy, MD

Case Description:
64yo M, KPS 60, GBM (IDH WT) of the left temporal lobe with asymptomatic transient leptomeningeal (LM) enhancement, MGMT negative. 

• Presented with symptomatic hydrocephalus (acute AMS, vomiting), found to have hemorrhagic tumor and leptomeningeal enhancement of the posterior fossa and upper C-spine.
• Underwent VP shunt with improvement of hydrocephalus symptoms, and biopsy alone of the tumor.
• LM enhancement resolved on interim MRI 5 weeks later (LM enhancement felt to be secondary to tumor hemorrhage).
• After multidisciplinary evaluation and discussion, planned for hypofractionated radiotherapy with concurrent/adjuvant temodar.
• Images fused: Initial MRI (T1+C and T2; MR secondary 1 and 2) showing the extensive LM enhancement in the posterior fossa, and ~5 week follow up MRI day before simulation with resolution of LM enhancement (T1+C and T2; MR secondary 3 and 4). He was claustrophobic with some motion degradation on scans despite Ativan.
 
Homework:
• GTV on Slices 58, 59, 60, 61
• CTV on Slices 58, 59, 60, 61
• PTV on Slices 58, 59, 60, 61
• BrainStem on Slices 58, 59, 60, 61
• OpticChiasm on Slices 58, 59, 60, 61
• Cochlea_L on Slices 73, 74, 75

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
ASTRO - eContouring for Central Nervous System Cancer - In Spanish

Faculty:
Michelle Alonso-Basanta, MD, PhD

Case Description:
65 yo male who presented with a one-month history of word finding difficulty, lack of concentration and short term memory loss.  Seen by his PCP who ordered an MRI that noted a mass in the right temporal lobe.  He underwent craniotomy where pathology was diagnostic of a glioblastoma multiforme.

* Contour the brainstem
* Contour the right and (T) left optic nerves and (T) optic chiasm
* Contour the left hippocampus
* Contour the GTV_4600 and GTV_6000 and CTV_4600 and CTV_6000

Hombre de 65 años que presenta con un mes de dificultad encontrando palabras, falta de concentración y falta de memoria a corto plazo.  Es visto por su médico de cabecera que pide una resonancia que nota una lesión en el lobe temporal.  Tiene una craneotomía donde patología diagnostica glioblastoma multiforme.

* Contorne el tronco
* Contorne los nervios ópticos derecho y izquierdo y el quiasma óptico
* Contorne el hipocampo izquierdo
* Contorne el GTV_4600, GTV_6000 y CTV_4600 y CTV_6000

Resource Files:
- CNS Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
ASTRO - eContouring for Central Nervous System Cancer - In Spanish

Faculty:
Michelle Alonso-Basanta, MD, PhD

Case Description:
65 yo male who presented with a one-month history of word finding difficulty, lack of concentration and short term memory loss.  Seen by his PCP who ordered an MRI that noted a mass in the right temporal lobe.  He underwent craniotomy where pathology was diagnostic of a glioblastoma multiforme.

* Contour the brainstem
* Contour the right and (T) left optic nerves and (T) optic chiasm
* Contour the left hippocampus
* Contour the GTV_4600 and GTV_6000 and CTV_4600 and CTV_6000

Hombre de 65 años que presenta con un mes de dificultad encontrando palabras, falta de concentración y falta de memoria a corto plazo.  Es visto por su médico de cabecera que pide una resonancia que nota una lesión en el lobe temporal.  Tiene una craneotomía donde patología diagnostica glioblastoma multiforme.

* Contorne el tronco
* Contorne los nervios ópticos derecho y izquierdo y el quiasma óptico
* Contorne el hipocampo izquierdo
* Contorne el GTV_4600, GTV_6000 y CTV_4600 y CTV_6000

Resource Files:
- CNS Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
eContouring for Cardiac Sub-structures on December 19th, 2024

Faculty:
Dr. Raymond H Mak, MD
Katelyn Atkins, MD, PhD

Homework:
A_LAD_Coronary_AIP on Slices 73, 93
A_Left_Circumflex_AIP  on Slices 71, 93
A_Right_Coronary_AIP on Slices 93
Right_Atrium on Slices 93
Left_Atrium  on Slices 84, 93
Right_Ventricle  on Slices 93
Left_Ventricle on Slices 93
SA_Node  on Slices 80
AV_Node  on Slices 97
V_Pulmonary  on Slices 84

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Cardiac Sub-structures vignette v2
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
eContouring for Cardiac Sub-structures on December 19th, 2024

Faculty:
Dr. Raymond H Mak, MD
Katelyn Atkins, MD, PhD

Homework:
A_LAD_Coronary_AIP on Slices 73, 93
A_Left_Circumflex_AIP  on Slices 71, 93
A_Right_Coronary_AIP on Slices 93
Right_Atrium on Slices 93
Left_Atrium  on Slices 84, 93
Right_Ventricle  on Slices 93
Left_Ventricle on Slices 93
SA_Node  on Slices 80
AV_Node  on Slices 97
V_Pulmonary  on Slices 84

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Cardiac Sub-structures vignette v2
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
ASTRO - eContouring for Central Nervous System Cancer Webinar - In Spanish on October 23rd

Faculty:
Michelle Alonso-Basanta, MD, PhD

Case Description:
65 yo male who presented with a one-month history of word finding difficulty, lack of concentration and short term memory loss.  Seen by his PCP who ordered an MRI that noted a mass in the right temporal lobe.  He underwent craniotomy where pathology was diagnostic of a glioblastoma multiforme.

* Contour the brainstem
* Contour the right and (T) left optic nerves and (T) optic chiasm
* Contour the left hippocampus
* Contour the GTV_4600 and GTV_6000 and CTV_4600 and CTV_6000

Hombre de 65 años que presenta con un mes de dificultad encontrando palabras, falta de concentración y falta de memoria a corto plazo.  Es visto por su médico de cabecera que pide una resonancia que nota una lesión en el lobe temporal.  Tiene una craneotomía donde patología diagnostica glioblastoma multiforme.

* Contorne el tronco
* Contorne los nervios ópticos derecho y izquierdo y el quiasma óptico
* Contorne el hipocampo izquierdo
* Contorne el GTV_4600, GTV_6000 y CTV_4600 y CTV_6000

Resource Files:
- CNS Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
ASTRO - eContouring for Central Nervous System Cancer Webinar - In Spanish on October 23rd

Faculty:
Michelle Alonso-Basanta, MD, PhD

Case Description:
65 yo male who presented with a one-month history of word finding difficulty, lack of concentration and short term memory loss.  Seen by his PCP who ordered an MRI that noted a mass in the right temporal lobe.  He underwent craniotomy where pathology was diagnostic of a glioblastoma multiforme.

* Contour the brainstem
* Contour the right and (T) left optic nerves and (T) optic chiasm
* Contour the left hippocampus
* Contour the GTV_4600 and GTV_6000 and CTV_4600 and CTV_6000

Hombre de 65 años que presenta con un mes de dificultad encontrando palabras, falta de concentración y falta de memoria a corto plazo.  Es visto por su médico de cabecera que pide una resonancia que nota una lesión en el lobe temporal.  Tiene una craneotomía donde patología diagnostica glioblastoma multiforme.

* Contorne el tronco
* Contorne los nervios ópticos derecho y izquierdo y el quiasma óptico
* Contorne el hipocampo izquierdo
* Contorne el GTV_4600, GTV_6000 y CTV_4600 y CTV_6000

Resource Files:
- CNS Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
ASTRO eContouring virtual sessions for the Annual Refresher Course, April 17–19

Faculty:
Jona Hattangadi-Gluth, MD - Radiation Oncology

Contour Homework:
GTV on Slices 65, 80, 85 (Contour on any or all of the following: GTV T1+c, GTV T2F, GTV comb - No blue HW icons)
CTV on Slices 65, 80, 85
OpticChiasm on Slices 112, 114

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- JHG CNS Vignette Annual Refresher 2024.pdf
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
ASTRO eContouring virtual sessions for the Annual Refresher Course, April 17–19

Faculty:
Jona Hattangadi-Gluth, MD - Radiation Oncology

Contour Homework:
GTV on Slices 138, 143, 149
CTV on Slices 138, 143, 149
BrainStem  on Slices 138, 143, 149

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- JHG CNS Vignette Annual Refresher 2024.pdf
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
ASTRO eContouring virtual sessions for the Annual Refresher Course, April 17–19

Faculty:
Jona Hattangadi-Gluth, MD - Radiation Oncology

Contour Homework:
None; this is a teaching case I will show the students in my lecture only. No contouring is required.

Disabled Contours: Enabled
Enabled Contours: None

Resource Files:
- JHG CNS Vignette Annual Refresher 2024.pdf
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Workshop:
Monday, October 25 10:00 a.m. - 11:15 a.m. eContouring for Oligometastatic Cancer

Faculty:
Dr. Fiona McDonald
Dr. David Palma

Contour Homework:
GTV on Slices 161, 165
CTV on Slices 161, 165, 179, 190
CaudiaEquina on Slices 161, 165, 179, 190
Duodenum on Slices 161, 165
Bowel_Small on Slices 161, 165, 179, 190
Bowel_Large on Slices 179, 190

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Oligometastatic FM Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide
- EduCase Metrics Guide (basic)

Sunday, September 15, 2019 4:45 PM – 6:00 PM eContouring for Oligometastatic SBRT with Simon Lo, Kristen Redmond, and Gregory Videtic

Contour Homework:
CTV on slices 90, 99, 105
PTV on slices 90, 99, 105
Esophagus on slices 96, 112, 128
Cord on slices 88, 112, 130
Cord plus 2mm on slices 88, 112, 131

Enabled Contours for reference: None
Disabled Contours: All

Resource Files:
KR Oligometastatic SBRT Vignette
Demo Training Video: How to contour, complete the homework, and save/submit
EduCase User Guide

Monday, September 16, 2019, 10:45 AM - 12:00 PM Challenging Cases in eContouring for CNS Cancer Stephanie Weiss and Larry Kleinberg

Contour Homework:
GTV_Rt Frontal on slices 180, 179, 178, 177
PTV_RT Frontal on slices 180, 179, 178, 177
Optic Chiasm on slices 134, 133, 132, 131, 130
Brain Stem on slices 136, 135, 134, 133, 132, 131, 130
Left Optical Nerve on slices 134, 133, 132, 131, 130, 129, 128
Right Optical Nerve on slices 134, 133, 132, 131, 130, 129, 128

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
SW 09162019_02_CNS Vignette
Demo Training Video: How to contour, complete the homework, and save/submit
EduCase User Guide

Contour Homework:

GTV_Rt Frontal on Slices 62, 63, 64, 65

PTV_RT Frontal on Slices 62, 63, 64, 65

Optic Chiasm on Slices 108, 109, 110, 111, 112

Brain Stem on Slices 106, 107, 108, 109, 110, 111, 112

Left Optical Nerve on Slices 108, 109, 110, 111, 112, 113, 114

Right Optical Nerve on Slices 108, 109, 110, 111, 112, 113, 114

Monday, September 16, 2019, 10:45 AM - 12:00 PM Challenging Cases in eContouring for CNS Cancer Stephanie Weiss and Larry Kleinberg

Contour Homework:
GTV on slices 83, 85, 87, 89, 91, 93, 95
CTV on slices 83, 85, 87, 89, 91, 93, 95
Brainstem on slices 83, 85, 87, 89, 91, 93, 95
Chiasm on slices 81, 83, 85
RON on slices 83, 85, 87
LON on slices 83, 85, 87, 88

(You may toggle between the fused MR_planning and MR_preop scans)

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
SW 09162019_01_CNS Vignette
Demo Training Video: How to contour, complete the homework, and save/submit
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.

Monday, September 16, 2019, 10:45 AM - 12:00 PM Challenging Cases in eContouring for CNS Cancer Stephanie Weiss and Larry Kleinberg

Contour Homework:
None

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
vignette pending
Demo Training Video: How to contour, complete the homework, and save/submit
EduCase User Guide

Monday, October 22, 2018, 4:15 p.m. - 5:45 p.m. eContouring for CNS/SBRT Spine Dr. Kristin Redmond and Dr. Simon Lo

Homework:
CTV_R cavernous on slices 63, 65
R hippocampus on slices 57, 62
R optic nerve on slices 57, 58
Optic chiasm on slices 58, 59
R cochlea on slices 72, 73
Brainstem on slices 59, 80

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
1 KR Cavernous sinus meningioma Vignette
Demo Training Video: How to contour, complete the homework, and save/submit
EduCase User Guide

Monday, October 22, 2018 4:15 p.m. - 5:45 p.m. eContouring for CNS/SBRT Spine Dr. Kristin Redmond and Dr. Simon Lo

Contour Homework:
Surgical cavity/ CTV on slices 78, 73, 68, 64, 61, 58
Brainstem on slices 78, 73, 68, 64, 61, 58
R cochlea on slices 76, 75, 74, 73, 72, 71
L cochlea on slices 73, 72, 71, 70, 69, 68

Enabled Contours for reference: None
Disabled Contours: All

Resource Files:
SL ASTRO 2018 Spine SBRT Vignette
Demo Training Video: How to contour, complete the homework, and save/submit
EduCase User Guide

Monday, October 22, 2018, 4:15 p.m. - 5:45 p.m. eContouring for CNS/SBRT Spine Dr. Kristin Redmond and Dr. Simon Lo

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:
KR SBRT for intact spine metastasis Vignette
Demo Training Video: How to contour, complete the homework, and save/submit
EduCase User Guide

Monday, October 22, 2018, 4:15 p.m. - 5:45 p.m. eContouring for CNS/SBRT Spine Dr. Kristin Redmond and Dr. Simon Lo

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

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
KR SBRT for post operative spine metastasis Vignette
Demo Training Video: How to contour, complete the homework, and save/submit
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
Contour Homework:
GTV on slices 83, 85, 87, 89, 91, 93, 95
CTV on slices 83, 85, 87, 89, 91, 93, 95
Brainstem on slices 83, 85, 87, 89, 91, 93, 95
Chiasm on slices 81, 83, 85
RON on slices 83, 85, 87
LON on slices 83, 85, 87, 88

(You may toggle between the fused MR_planning and MR_preop scans)

Disabled Contours: ALL
Enabled Reference Contours: None

Resource Files:
09242017_01_CNS SW Vignette.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.

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

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)

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.