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ASTRO eContouringWebinar: GBM patients with leptomeningeal disease

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

Uploaded: 11/09/25 15:12 ASTRO
Viewed: 23 times
Emailed: 0 times
Total Slices: 166
Dose: No
Category: eContouring for CNS - Elham Rahimy - Dec. 18th, 2025
Groups : 20251218-CNS-Elham Rahimy
Image Modalities: CT, MR
DVH: No
Doctor's Name: Dr. Elham Rahimy
Disease Site: Central Nervous system
Server locations: US, Frankfurt, Singapore
eContouring for CNS Cancer: Case 1

Workshop:
Vinai Gondi for eContouring for CNS Cancer. It will be on September 22, 2022, at 4pm Eastern.

Faculty:
Vinai Gondi, MD

Homework:
1) Use the fused postoperative MRI to treatment planning CT when appropriate
2) Contour CTV_4600 and CTV_6000
3) Contour brainstem and lacrimal glands (L and R)

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- CNS VG Vignette 08112022
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Uploaded: 10/16/22 03:04 ASTRO
Viewed: 17 times
Emailed: 0 times
Total Slices: 156
Dose: No
Category: eContouring for CNS Cancer Oct, 2022
Groups : eContouring for CNS Cancer Oct, 2022
Image Modalities: CT, MR
DVH: No
Disease Site: Central Nervous system
Server locations: US
eContouring for CNS Cancer: Case 1

Workshop:
Vinai Gondi for eContouring for CNS Cancer. It will be on September 22, 2022, at 4pm Eastern.

Faculty:
Vinai Gondi, MD

Homework:
1) Use the fused postoperative MRI to treatment planning CT when appropriate
2) Contour CTV_4600 and CTV_6000
3) Contour brainstem and lacrimal glands (L and R)

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- CNS VG Vignette 08112022
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Uploaded: 08/11/22 02:01 ASTRO
Viewed: 60 times
Emailed: 0 times
Total Slices: 156
Dose: No
Category: eContouring for CNS Cancer Sept 22, 2022
Groups : eContouring for CNS Cancer Sept 22, 2022
Image Modalities: CT, MR
DVH: No
Disease Site: Central Nervous system
Server locations: US
Dr. Bhisham Chera: Head and Neck Cancer - Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0): ASTRO 2020

The 2020 ASTRO Annual Meeting will be held October 25-28 as an immersive and interactive virtual meeting

Contour Homework:
GTV_Node_BC on Slices 78, 90
CTV_HR_BC on Slices 78, 90
CTV_IR_BC on Slices 55, 66, 78, 88
CTV_SR_BC on Slices 55, 66, 78, 90

Disabled Contours: All
Enabled Reference Contours: None

Resource Files:
2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera
2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera
EduCase Contouring Homework Video Tutorial

Data and material from, or that you provide in connection with, this class may be used in an 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.

Uploaded: 01/23/21 08:19 ASTRO
Viewed: 63 times
Emailed: 0 times
Total Slices: 143
Dose: No
Category: Head and Neck
Groups : VL 2020 eContouring for HN
Image Modalities: CT
DVH: No
Disease Site: Head and Neck
Server locations: US, Mumbai, Singapore
Dr. Bhisham Chera: Head and Neck Cancer - Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0): ASTRO 2020

The 2020 ASTRO Annual Meeting will be held October 25-28 as an immersive and interactive virtual meeting

Contour Homework:
Primary GTV_BC on Slices 49, 50, 51, 52
CTV_HR_BC on Slices 49, 50, 51, 52
CTV_SR_BC on Slices 49, 50, 51, 52, 80

Disabled Contours: All
Enabled Reference Contours: None

Resource Files:
2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera
2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera
EduCase Contouring Homework Video Tutorial

Data and material from, or that you provide in connection with, this class may be used in an 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.

Uploaded: 01/23/21 08:18 ASTRO
Viewed: 47 times
Emailed: 0 times
Total Slices: 148
Dose: No
Category: Head and Neck
Groups : VL 2020 eContouring for HN
Image Modalities: CT, MR
DVH: No
Disease Site: Head and Neck
Server locations: US, Mumbai, Singapore
Dr. Bhisham Chera: Head and Neck Cancer - Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0): Webinar Nov 18, 2020

The ASTRO Head and Neck Webinar will be held November18, 2020

Contour Homework:
GTV_Node_BC on Slices 78, 90
CTV_HR_BC on Slices 78, 90
CTV_IR_BC on Slices 55, 66, 78, 88
CTV_SR_BC on Slices 55, 66, 78, 90

Disabled Contours: All
Enabled Reference Contours: None

Resource Files:
2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera
2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera
EduCase Contouring Homework Video Tutorial

Data and material from, or that you provide in connection with, this class may be used in an 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.

Uploaded: 11/06/20 10:09 ASTRO
Viewed: 46 times
Emailed: 0 times
Total Slices: 143
Dose: No
Category: HN Cancer - Bhisham Chera
Groups : 20201118 HN Webinar BC
Image Modalities: CT
DVH: No
Disease Site: Head and Neck
Server locations: US, Mumbai, Singapore
Dr. Bhisham Chera: Head and Neck Cancer - Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0): Webinar Nov 18, 2020

The ASTRO Head and Neck Webinar will be held November18, 2020

Contour Homework:
Primary GTV_BC on Slices 49, 50, 51, 52
CTV_HR_BC on Slices 49, 50, 51, 52
CTV_SR_BC on Slices 49, 50, 51, 52, 80

Disabled Contours: All
Enabled Reference Contours: None

Resource Files:
2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera
2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera
EduCase Contouring Homework Video Tutorial

Data and material from, or that you provide in connection with, this class may be used in an 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.

Uploaded: 11/06/20 10:07 ASTRO
Viewed: 19 times
Emailed: 0 times
Total Slices: 148
Dose: No
Category: HN Cancer - Bhisham Chera
Groups : 20201118 HN Webinar BC
Image Modalities: CT, MR
DVH: No
Disease Site: Head and Neck
Server locations: US, Mumbai, Singapore
Dr. Bhisham Chera: Head and Neck Cancer - Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0): ASTRO 2020

The 2020 ASTRO Annual Meeting will be held October 25-28 as an immersive and interactive virtual meeting

Contour Homework:
Primary GTV_BC on Slices 49, 50, 51, 52
CTV_HR_BC on Slices 49, 50, 51, 52
CTV_SR_BC on Slices 49, 50, 51, 52, 80

Disabled Contours: All
Enabled Reference Contours: None

Resource Files:
2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera
2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera
EduCase Contouring Homework Video Tutorial

Data and material from, or that you provide in connection with, this class may be used in an 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.

Uploaded: 08/20/20 23:23 ASTRO
Viewed: 204 times
Emailed: 0 times
Total Slices: 148
Dose: No
Category:Uncategorized
Groups : 20201025_ASTRO_HN
Image Modalities: CT, MR
DVH: No
Disease Site: Head and Neck
Server locations: US, Mumbai, Singapore
Dr. Bhisham Chera: Head and Neck Cancer - Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0): ASTRO 2020

The 2020 ASTRO Annual Meeting will be held October 25-28 as an immersive and interactive virtual meeting

Contour Homework:
GTV_Node_BC on Slices 78, 90
CTV_HR_BC on Slices 78, 90
CTV_IR_BC on Slices 55, 66, 78, 88
CTV_SR_BC on Slices 55, 66, 78, 90

Disabled Contours: All
Enabled Reference Contours: None

Resource Files:
2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera
2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera
EduCase Contouring Homework Video Tutorial

Data and material from, or that you provide in connection with, this class may be used in an 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.

Uploaded: 08/20/20 23:23 ASTRO
Viewed: 127 times
Emailed: 0 times
Total Slices: 143
Dose: No
Category:Uncategorized
Groups : 20201025_ASTRO_HN
Image Modalities: CT
DVH: No
Disease Site: Head and Neck
Server locations: US, Mumbai, Singapore