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Workshop:
ASTRO eContouring Webinar for Pancreatic Cancer Sep 09, 2026

Faculty:
Nina Sanford M.D

Case Description:
The patient is a 71-year-old man with a diagnosis of borderline resectable vs. locally advanced pancreatic adenocarcinoma after initially presenting with abdominal pain. MRI of the abdomen demonstrated a 3.4 cm pancreatic head/neck mass with pancreatic ductal dilation and vascular involvement, including approximately 50% encasement of the superior mesenteric artery (SMA) and involvement of the main portal vein. FNA biopsy confirmed adenocarcinoma. He underwent ERCP with placement of an uncovered metal biliary stent. Baseline CA 19-9 was <2.

He was treated with neoadjuvant FOLFIRINOX and completed 8 cycles. Restaging CT demonstrated persistent pancreatic tumor with continued approximately 180-degree abutment of the SMA, increased compared with prior imaging, without evidence of definite distant metastatic disease. Given persistent vascular involvement precluding upfront resection, he was evaluated by surgical oncology and referred to radiation oncology. Decision was to treat with dose-escalated radiotherapy, 50 Gy/33 Gy in 5 fractions with plan for potential surgical exploration after.

Homework:
• Contour ITV
• Contour duodenum
• Contour CTV50 and CTV33 at level of celiac takeoff
• Contour CTV50 and CTV33 at level of SMA/SMV tumor abutment

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

Uploaded: 08/24/26 16:48 ASTRO

Viewed: 17 times
Emailed: 0 times
Total Slices: 120
Dose: No

Category: eContouring for Pancreatic Cancer Webinar with Dr. Nina Sanford Sep 09,2026
Groups : 20260909 Pancreatic Cancer Webinar with Dr. Nina Sanford
Image Modalities: CT, MR
DVH: No

Doctor's Name: Dr. Nina Sanford

Disease Site: Gastro Intestinal

Server locations: US, Frankfurt, Singapore

Contoured Structures: MR Body, Liver, Kidney R, Kidney L, Heart, Aorta, Esophagus, Bones, SpinalCord, Lung R, Lung L, Stomach2, Duodenum2, LargeBowel 2, Bowel Small2, 7 more structures...

Pancreatic cancer case

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Workshop:
ASTRO E-contouring session: Upper GI Case

Faculty:
Salma Jabbour

Homework:
iduodenum on Slices 95, 100, 107
A_SupMesenteric_celiac on Slices 91, 98, 101
GTVp on Slices 97, 100, 104, 110
CTV_3750 on Slices 99, 104, 110

Disabled Contours: All contours disabled
Enabled Contours: None

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

Uploaded: 04/23/25 16:13 ASTRO

Viewed: 6 times
Emailed: 0 times
Total Slices: 152
Dose: No

Category: VL_2025_Upper GI
Groups : VL_2025_Upper GI
Image Modalities: CT
DVH: No

Doctor's Name: Dr. Salma Jabbour

Disease Site: Gastro Intestinal

Server locations: US, Canada, Singapore

Contoured Structures: iduodenum, A SupMesenteric celiac, GTVp, CTV 3750, CTVp, PTV 3750, CTV aorta, CTV vessels, iGTVp 6750, z iGTVp3750-GIPRV, GI PRV, StomachPRV, Bowel SmallPRV, Bowel LargePRV, iStomach, 7 more structures...

Pancreatic cancer case

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Workshop:
2025 ASTRO Annual Refresher Course April 9-11, 2025

Faculty:
Salma Jabbour

Homework:
iduodenum on Slices 95, 100, 107
A_SupMesenteric_celiac on Slices 91, 98, 101
GTVp on Slices 97, 100, 104, 110
CTV_3750 on Slices 99, 104, 110

Disabled Contours: All contours disabled
Enabled Contours: None

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

Uploaded: 03/28/25 15:15 ASTRO

Viewed: 53 times
Emailed: 0 times
Total Slices: 152
Dose: No

Category: eContouring for Upper GI April 9
Groups : ASTRO Annual Refresher Course Upper GI April 9 2025
Image Modalities: CT
DVH: No

Doctor's Name: Dr. Salma Jabbour

Disease Site: Gastro Intestinal

Server locations: US, Canada, Singapore

Contoured Structures: iduodenum, A SupMesenteric celiac, GTVp, CTV 3750, CTVp, PTV 3750, CTV aorta, CTV vessels, iGTVp 6750, z iGTVp3750-GIPRV, GI PRV, StomachPRV, Bowel SmallPRV, Bowel LargePRV, iStomach, 7 more structures...

eContouring for Liver Cancer: Liver - Case 02 May, 2023

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Workshop:
eContouring for Liver Cancer Jelena Lukovic, MPH, FRCPC, MD Friday March 28th, 2023

Faculty:
Jelena Lukovic, MPH, FRCPC, MD Clinician Investigator, Princess Margaret Cancer Centre

Homework:
Liver on Slices 69, 94, 102, 116
Stomach on Slices 69, 94, 102, 116
Spleen on Slices 69
Aorta on Slices 69
GTVm1 on Slices 80, 94
GTVm2 on Slices 94, 102
Gallbladder on Slices 94
LargeBowel on Slices 102, 116
Duodenum on Slices 102, 116
CommonBileDuct on Slices 94, 102
SmallBowel on Slices 116

Disabled Contours: All contours disabled
Enabled Contours: None

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

Uploaded: 05/17/23 09:10 ASTRO

Viewed: 7 times
Emailed: 0 times
Total Slices: 194
Dose: No

Category: GI
Groups : eContouring for Liver Cancer - May, 2023
Image Modalities: CT, MR
DVH: No

Disease Site: Gastro Intestinal

Server locations: US, Canada, London, Singapore

Contoured Structures: Liver, Stomach, Spleen, Aorta, GTVm1, GTVm2, Gallbladder, LargeBowel, Duodenum, CommonBileDuct, SmallBowel, Chestwall, V Venacava I, A Aorta, Esophagus, 6 more structures...

eContouring for Lung Cancer: Early Stage Lung c1 webinar May, 2023

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Workshop:
eContouring for Lung Cancer – Megan Daly Wednesday April 26th, 2023

Faculty:
Megan E. Daly, M.D. at UC Davis Health

Homework:
iGTV on Slices 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88
- Contour the iGTV for the left lower lobe lung tumor on slices 68-88 (use the fused MIP, 0% and 50% CT with lung windowing to aid contouring)
GTV (max exp) on Slices 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78
- Contour the left lower lobe lung tumor GTV on the maximum expiratory phase of the 4DCT (50%) on slices 67-78.
GTV (max insp) on Slices 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88
- Contour the left lower lobe lung tumor GTV on the maximum inspiratory phase of the 4DCT (0%) on slices 75-88.
Prox_Bronchial_Tree on Slices 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67
- Contour the left proximal bronchial tree on slices 54-67

Disabled Contours: All contours disabled
Enabled Contours: None

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

Uploaded: 05/17/23 08:32 ASTRO

Viewed: 11 times
Emailed: 0 times
Total Slices: 142
Dose: No

Category: Lung
Groups : eContouring for Lung Cancer – May, 2023
Image Modalities: CT
DVH: No

Disease Site: Lungs

Server locations: US, Canada, London, Singapore

Contoured Structures: iGTV, GTV (max exp), GTV (max insp), Prox Bronchial Tree, GTV (compression), PTV, Aorta, Esophagus, Heart, Cord, Small Airways, Small Vessels, L Pulmonary Artery, Trachea

Early Stage Lung c1

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Workshop:
eContouring for Lung Cancer – Megan Daly Wednesday April 26th, 2023

Faculty:
Megan E. Daly, M.D. at UC Davis Health

Homework:
iGTV on Slices 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88
- Contour the iGTV for the left lower lobe lung tumor on slices 68-88 (use the fused MIP, 0% and 50% CT with lung windowing to aid contouring)
GTV (max exp) on Slices 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78
- Contour the left lower lobe lung tumor GTV on the maximum expiratory phase of the 4DCT (50%) on slices 67-78.
GTV (max insp) on Slices 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88
- Contour the left lower lobe lung tumor GTV on the maximum inspiratory phase of the 4DCT (0%) on slices 75-88.
Prox_Bronchial_Tree on Slices 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67
- Contour the left proximal bronchial tree on slices 54-67

Disabled Contours: All contours disabled
Enabled Contours: None

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

Uploaded: 04/04/23 04:58 ASTRO

Viewed: 238 times
Emailed: 0 times
Total Slices: 142
Dose: No

Category:Uncategorized
Groups : 2023 04 eContouring for Lung Cancer
Image Modalities: CT
DVH: No

Disease Site: Lungs

Server locations: US, Canada, London, Singapore

Contoured Structures: iGTV, GTV (max exp), GTV (max insp), Prox Bronchial Tree, GTV (compression), PTV, Aorta, Esophagus, Heart, Cord, Small Airways, Small Vessels, L Pulmonary Artery, Trachea

Liver - Case 2

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Workshop:
eContouring for Liver Cancer Jelena Lukovic, MPH, FRCPC, MD Friday March 28th, 2023

Faculty:
Jelena Lukovic, MPH, FRCPC, MD Clinician Investigator, Princess Margaret Cancer Centre

Homework:
Liver on Slices 69, 94, 102, 116
Stomach on Slices 69, 94, 102, 116
Spleen on Slices 69
Aorta on Slices 69
GTVm1 on Slices 80, 94
GTVm2 on Slices 94, 102
Gallbladder on Slices 94
LargeBowel on Slices 102, 116
Duodenum on Slices 102, 116
CommonBileDuct on Slices 94, 102
SmallBowel on Slices 116

Disabled Contours: All contours disabled
Enabled Contours: None

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

Uploaded: 03/30/23 13:06 ASTRO

Viewed: 72 times
Emailed: 0 times
Total Slices: 194
Dose: No

Category: GI
Groups : 2023 04 eContouring for Liver Cancer
Image Modalities: CT, MR
DVH: No

Disease Site: Gastro Intestinal

Server locations: US, Canada, London, Singapore

Contoured Structures: Liver, Stomach, Spleen, Aorta, GTVm1, GTVm2, Gallbladder, LargeBowel, Duodenum, CommonBileDuct, SmallBowel, Chestwall, V Venacava I, A Aorta, Esophagus, 6 more structures...

Dr. Daniel Chang: eContouring for Gastrointestinal Cancer: EH Biliary Adjuvant: ASTRO 2021

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Workshop:
Saturday, October 23 10:00 a.m. - 11:15 a.m. eContouring for Gastrointestinal Cancer

Faculty:
Dr. Daniel Chang
Dr. Jennifer Wo

Homework:

GTV_Preop (in Author’s Structures) is the preoperative GTV seen on the preoperative CT scan that is registered to the planning scan

Slice 101 – CTV_ENI, CTV_BOOST (positive margin), Small bowel
Slice 107 – CTV_ENI, CTV_BOOST (positive margin), Small bowel
Slice 118 – CTV_ENI, Small bowel

Disabled Contours: All contours disabled
Enabled Contours: None

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

Uploaded: 09/03/21 11:14 ASTRO

Viewed: 100 times
Emailed: 0 times
Total Slices: 295
Dose: No

Category:Uncategorized
Groups : VL_2022_Gastrointestinal
Image Modalities: CT
DVH: No

Disease Site: Gastro Intestinal

Server locations: US, Canada, Singapore

Contoured Structures: GTV Preop, CTV BOOST, PTV BOOST, CTV ENI, PTV ENI, SM BOWEL, SMA, SMA+1cm, CA, CA+1cm, PV, PV+1cm, Aorta, AortaExpansion, LG BOWEL, 2 more structures...

Dr. Tracey Schefter:: GI case borderline resectable pancreatic adenocarcinoma: ASTRO 2016

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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

Uploaded: 07/28/16 19:22 ASTRO

Viewed: 267 times
Emailed: 0 times
Total Slices: 89
Dose: No

Category:Uncategorized
Groups : 09242016_02_GI_TS-JH
Image Modalities: CT
DVH: No

Disease Site: Gastro Intestinal

Server locations: US

Contoured Structures: Aorta, aorta2, SMA, IVC, CA, PV, SMV, Rcrusdiaphragm, Duodenum, GTVp Panc, PTV High, Liver, Stomach, BowelLarge, BowelSmall, 5 more structures...