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Pancreatic Cancer

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: 7 times
Emailed: 0 times
Total Slices: 120
Dose: No
Doctor's Name: Dr. Nina Sanford
Disease Site: Gastro Intestinal
Server locations: US, Frankfurt, Singapore
VL 2025 - Celiac plexus radiosurgery Case 1

Workshop:
eContouring for Celiac Plexus Radiosurgery Webinar December 4, Time: 10 am Eastern Time/5 pm in Israel

Faculty:
Yaacov Lawrence MA, MBBS, MRCP

Homework:
Duodenum on Slices 149, 159, 164
Celiac on Slices 104, 130, 148
GTV (i.e. the pancreatic tumor) on Slices 116, 130
Celiac_exp on Slices 104, 130, 148
Celiac_2cm on Slices 104, 130, 148

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Educational Materials for celiac ASTRO seminar
- Celiac Plexus Webinar Vignette case 1 and 2
- ASTRO EduCase Presentation
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Uploaded: 01/10/25 09:43 ASTRO
Viewed: 5 times
Emailed: 0 times
Total Slices: 257
Dose: No
Category: Celiac Plexus Radiosurgery
Groups : VL 2025 eContouring for Celiac Plexus Radiosurgery
Image Modalities: CT
DVH: No
Doctor's Name: Dr. Yaacov Lawrence
Disease Site: Gastro Intestinal
Server locations: US, Frankfurt, Singapore

Contoured Structures: Duodenum, Celliac, GTV, Celliac exp, Celliac 2cm
VL 2025 - Celiac plexus radiosurgery Case 2

Workshop:
eContouring for Celiac Plexus Radiosurgery Webinar December 4, Time: 10 am Eastern Time/5 pm in Israel

Faculty:
Yaacov Lawrence MA, MBBS, MRCP

Homework:
1. Contour the Celiac  plexus  named “Celiac”  on Slices 88, 113, 118, 128
2. Contour the “Celiac_exp”  on Slices 88, 113, 118, 128 (Use the Celiac structure you created with a 0.5cm (5mm) uniform expansion using the expansion tool)
3. Contour the Bowel  named “Bowel”  on Slices 88, 113, 118, 128 
4. Contour the “Bowel+0.5cm”  on Slices 88, 113, 118, 128 (Use the Bowel structure you created with a 0.5cm (5mm) uniform expansion using the expansion tool)
5. Contour the “Bowel+1cm”  on Slices 88, 113, 118, 128 (Use the “Bowel”  structure you created with a 1cm (10mm) uniform expansion using the expansion tool)
6. Contour the “PTV 25” (create with a Boolean operator, Celiac DIFFERENCE bowel+1cm to create PTV 25)
7. Contour the “PTV 15” (create with a Boolean operator, “Celiac_exp” INTERSECTION (Operator) “Bowel+0.5cm”  to create “PTV 15”)

Disabled Contours: All contours
Enabled Contours: None

Resource Files:
- Educational Materials for celiac ASTRO seminar
- Celiac Plexus Webinar Vignette case 1 and 2
- ASTRO EduCase Presentation
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide



Contour Homework:
Celliac on Slices 88, 113, 118, 128
Celliac_exp on Slices 88, 113, 118, 128
Bowel on Slices 88, 113, 118, 128
Bowel+0.5cm on Slices 88, 113, 118, 128
Bowel+1cm on Slices 88, 113, 118, 128
PTV 25 on Slices 88


Uploaded: 01/10/25 09:39 ASTRO
Viewed: 1 time
Emailed: 0 times
Total Slices: 205
Dose: No
Category: Celiac Plexus Radiosurgery
Groups : VL 2025 eContouring for Celiac Plexus Radiosurgery
Image Modalities: CT
DVH: No
Doctor's Name: Dr. Yaacov Lawrence
Disease Site: Gastro Intestinal
Server locations: US, Frankfurt, Singapore
Celiac plexus radiosurgery Case 1

Workshop:
eContouring for Celiac Plexus Radiosurgery Webinar December 4, Time: 10 am Eastern Time/5 pm in Israel

Faculty:
Yaacov Lawrence MA, MBBS, MRCP

Homework:
Duodenum on Slices 149, 159, 164
Celiac on Slices 104, 130, 148
GTV (i.e. the pancreatic tumor) on Slices 116, 130
Celiac_exp on Slices 104, 130, 148
Celiac_2cm on Slices 104, 130, 148

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Educational Materials for celiac ASTRO seminar
- Celiac Plexus Webinar Vignette case 1 and 2
- ASTRO EduCase Presentation
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Uploaded: 10/22/24 14:25 ASTRO
Viewed: 50 times
Emailed: 0 times
Total Slices: 257
Dose: Yes
Doctor's Name: Dr. Yaacov Lawrence
Disease Site: Gastro Intestinal
Server locations: US, Frankfurt, Singapore

Contoured Structures: Duodenum, Celliac, GTV, Celliac exp, Celliac 2cm
Celiac plexus radiosurgery Case 2

Workshop:
eContouring for Celiac Plexus Radiosurgery Webinar December 4, Time: 10 am Eastern Time/5 pm in Israel

Faculty:
Yaacov Lawrence MA, MBBS, MRCP

Homework:
1. Contour the Celiac  plexus  named “Celiac”  on Slices 88, 113, 118, 128
2. Contour the “Celiac_exp”  on Slices 88, 113, 118, 128 (Use the Celiac structure you created with a 0.5cm (5mm) uniform expansion using the expansion tool)
3. Contour the Bowel  named “Bowel”  on Slices 88, 113, 118, 128 
4. Contour the “Bowel+0.5cm”  on Slices 88, 113, 118, 128 (Use the Bowel structure you created with a 0.5cm (5mm) uniform expansion using the expansion tool)
5. Contour the “Bowel+1cm”  on Slices 88, 113, 118, 128 (Use the “Bowel”  structure you created with a 1cm (10mm) uniform expansion using the expansion tool)
6. Contour the “PTV 25” (create with a Boolean operator, Celiac DIFFERENCE bowel+1cm to create PTV 25)
7. Contour the “PTV 15” (create with a Boolean operator, “Celiac_exp” INTERSECTION (Operator) “Bowel+0.5cm”  to create “PTV 15”)

Disabled Contours: All contours
Enabled Contours: None

Resource Files:
- Educational Materials for celiac ASTRO seminar
- Celiac Plexus Webinar Vignette case 1 and 2
- ASTRO EduCase Presentation
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide



Contour Homework:
Celliac on Slices 88, 113, 118, 128
Celliac_exp on Slices 88, 113, 118, 128
Bowel on Slices 88, 113, 118, 128
Bowel+0.5cm on Slices 88, 113, 118, 128
Bowel+1cm on Slices 88, 113, 118, 128
PTV 25 on Slices 88


Uploaded: 10/22/24 13:32 ASTRO
Viewed: 46 times
Emailed: 0 times
Total Slices: 205
Dose: Yes
Doctor's Name: Dr. Yaacov Lawrence
Disease Site: Gastro Intestinal
Server locations: US, Frankfurt, Singapore
Dr. Jona Hattangadi-Gluth: Recurrent grade 4 astrocytoma (teaching case only)

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

Uploaded: 02/23/24 10:26 ASTRO
Viewed: 34 times
Emailed: 0 times
Total Slices: 289
Dose: Yes
Category: Annual Refresher Archive
Groups : eContouring for CNS - April 17-19
Image Modalities: CT, MR
DVH: Yes
Disease Site: Central Nervous system
Server locations: US, Singapore
Dr. Alexandra Taylor: eContouring for Gynecologic Cancer ASTRO 21: Cervical Cancer EBRT

Workshop:
Tuesday, October 26 10:00 a.m. - 11:15 a.m. eContouring for Gynecologic Cancer

Faculty:
Dr. Alexandra Taylor
Dr. Matthew Harkenrider

Homework:
GTV_nodalboost on Slices 116, 120, 129
CTV_primary on Slices 107, 116, 120, 129, 140
CTV on Slices 107, 116, 120, 129, 140
CTV_nodes on Slices 107, 116, 120, 129, 140
Parametrium on Slices 129, 140

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Gynecologic MH AT Vignette.pdf
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide
- EduCase Metrics Guide (basic)

Uploaded: 05/19/22 12:08 ASTRO
Viewed: 53 times
Emailed: 0 times
Total Slices: 219
Dose: No
Category: VL_2022_GYN Cancer webinar
Groups : VL_2022_GYN Cancer webinar
Image Modalities: CT, MR, PT
DVH: No
Disease Site: Gynecological
Server locations: US, Canada, London, Singapore
Dr. Alexandra Taylor: eContouring for GYN Cancer webinar: Cervical Cancer EBRT: May 2022

Workshop:
eContouring for GYN Cancer webinar: May 11th, 2022

Faculty:
Dr. Alexandra Taylor
Dr. Matthew Harkenrider

Homework:
GTV_nodalboost on Slices 116, 120, 129
CTV_primary on Slices 107, 116, 120, 129, 140
CTV on Slices 107, 116, 120, 129, 140
CTV_nodes on Slices 107, 116, 120, 129, 140
Parametrium on Slices 129, 140

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Gynecologic MH AT Vignette May 11th, 2022
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide
- EduCase Metrics Guide (basic)

Uploaded: 03/29/22 03:00 ASTRO
Viewed: 54 times
Emailed: 0 times
Total Slices: 219
Dose: No
Disease Site: Gynecological
Server locations: US, Canada, London, Singapore
Dr. Alexandra Taylor: eContouring for Gynecologic Cancer ASTRO 21: Cervical Cancer EBRT

Workshop:
Tuesday, October 26 10:00 a.m. - 11:15 a.m. eContouring for Gynecologic Cancer

Faculty:
Dr. Alexandra Taylor
Dr. Matthew Harkenrider

Homework:
GTV_nodalboost on Slices 116, 120, 129
CTV_primary on Slices 107, 116, 120, 129, 140
CTV on Slices 107, 116, 120, 129, 140
CTV_nodes on Slices 107, 116, 120, 129, 140
Parametrium on Slices 129, 140

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Gynecologic MH AT 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 11:13 ASTRO
Viewed: 106 times
Emailed: 0 times
Total Slices: 219
Dose: No
Category:Uncategorized
Groups : 20211026_ASTRO_Gynecologic
Image Modalities: CT, MR, PT
DVH: No
Disease Site: Gynecological
Server locations: US, Canada, London, Singapore
ASTRO Head and Neck Webinar: Post Op Oral Tongue: Ken Hu

ASTRO Webinar: Head and Neck April 20th

Faculty:
Kenneth S. Hu, MD

Contour Homework:
CTV_1 on Slices 62, 70
CTV_2 on Slices 70, 81, 91, 96, 62
CTV_3 on Slices 48, 54, 96, 91, 81, 70
Parotid_L on Slices 62, 70
Constrictor_SUP on Slices 62, 70
Constrictor_MID on Slices 81
Constrictor_INF on Slices 91
Larynx_SG on Slices 81, 91, 96
BrachialPlexus_L on Slices 91, 96
BrachialPlexus_R on Slices 91, 96

Enabled Contours for reference: None
Disabled Contours: All others

Resource Files:
Vignette: eContouring for HN Tongue Ken Hu
Demo Training Video: How to contour, complete the homework, and save/submit
EduCase User Guide

Uploaded: 03/31/21 01:31 ASTRO
Viewed: 76 times
Emailed: 0 times
Total Slices: 167
Dose: No
Category: Head and Neck - Ken Hu
Groups : 04202021 Head and Neck webinar Ken Hu
Image Modalities: CT, PT
DVH: No
Disease Site: Head and Neck
Server locations: US
ASTRO Head and Neck Webinar: Tonsil Cancer: Ken Hu

ASTRO Webinar: Head and Neck April 20th

Faculty:
Kenneth S. Hu, MD

Contour Homework:
CTV_1 on Slices 58, 63, 68, 79
CTV_2 on Slices 52, 58, 63, 68, 79, 87
CTV_3 on Slices 99
Parotid_L on Slices 52, 58, 63, 68
Constr_Sup on Slices 58, 63, 68
Const_M on Slices 79
Const_I on Slices 87
OralCavity_ on Slices 68, 79
Submandibula_R on Slices 79
Submandibula_L on Slices 79
Larynx on Slices 79, 87
BracPlex_R on Slices 87
BracPlex_L on Slices 87
Esophagus_Prox on Slices 99

Enabled Contours for reference: GTV
Disabled Contours: All others

Resource Files:
Vignette: eContouring for HN Tonsil Ken Hu
Demo Training Video: How to contour, complete the homework, and save/submit
EduCase User Guide

Uploaded: 03/30/21 05:26 ASTRO
Viewed: 66 times
Emailed: 0 times
Total Slices: 167
Dose: No
Category: Head and Neck - Ken Hu
Groups : 04202021 Head and Neck webinar Ken Hu
Image Modalities: CT, PT
DVH: No
Disease Site: Head and Neck
Server locations: US, Singapore