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Workshop:ASTRO E-contouring for CNS webinarFaculty:Dr. Elham Rahimy, MDCase 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, 75Disabled Contours: All contours disabledEnabled Contours: NoneResource 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 SpanishFaculty:Michelle Alonso-Basanta, MD, PhDCase 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_6000Resource 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 23rdFaculty:Michelle Alonso-Basanta, MD, PhDCase 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_6000Resource 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 17–19Faculty:Jona Hattangadi-Gluth, MD - Radiation OncologyContour 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, 85OpticChiasm on Slices 112, 114Disabled Contours: All contours disabledEnabled Contours: NoneResource 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 17–19Faculty:Jona Hattangadi-Gluth, MD - Radiation OncologyContour Homework:GTV on Slices 138, 143, 149CTV on Slices 138, 143, 149BrainStem on Slices 138, 143, 149Disabled Contours: All contours disabledEnabled Contours: NoneResource 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 17–19Faculty:Jona Hattangadi-Gluth, MD - Radiation OncologyContour Homework:None; this is a teaching case I will show the students in my lecture only. No contouring is required.Disabled Contours: EnabledEnabled Contours: NoneResource Files: - JHG CNS Vignette Annual Refresher 2024.pdf- EduCase Training Video: How to contour, complete the homework, and save/submit - EduCase User Guide
The 2020 ASTRO Annual Meeting will be held October 25-28 as an immersive and interactive virtual meetingContour Homework:Primary GTV_BC on Slices 49, 50, 51, 52CTV_HR_BC on Slices 49, 50, 51, 52CTV_SR_BC on Slices 49, 50, 51, 52, 80Disabled Contours: AllEnabled Reference Contours: NoneResource Files:2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera EduCase Contouring Homework Video TutorialData 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.
The 2020 ASTRO Annual Meeting will be held October 25-28 as an immersive and interactive virtual meetingContour 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, 90Disabled Contours: AllEnabled Reference Contours: NoneResource Files:2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera EduCase Contouring Homework Video TutorialData 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.
Saturday, October 20, 2018, 4:00 p.m. - 5:30 p.m. Session II – Non-oropharynx - eContouring for Head and Neck Cancer II Dr. Sue Yom, Dr. Tabassum Kennedy, Dr. Andrew BayleyContour Homework:CTV_High on slices 54, 58CTV_Med on slices 54, 58, 59, 65, 69, 90CTV_Low on slices 55, 68, 90Enabled Contours for reference: GTV_PreopDisabled Contours: All othersResource Files: SY Oral Tongue ASTRO 2018 Vignette Demo Training Video: How to contour, complete the homework, and save/submitEduCase User Guide
Saturday, October 20, 2018, 4:00 p.m. - 5:30 p.m. Session II – Non-oropharynx - eContouring for Head and Neck Cancer II Dr. Sue Yom, Dr. Tabassum Kennedy, Dr. Andrew BayleyContour Homework:CTV_High01 on slices 32, 39, 48, 50CTV_High02 on slices 50, 56CTV_Med on slices 63, 70CTV_Low on slices 26, 91Enabled Contours for reference: GTV_PreopDisabled Contours: All othersResource Files:SY Skin ASTRO 2018 VignetteDemo Training Video: How to contour, complete the homework, and save/submitEduCase 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, MDContour HomeworkPlease 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, 106CTV1: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, 106GTV2: Resection cavity and residual enhancing tumor GTV2 on slices 94, 97, 100, 103, 106CTV2: 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, 106Right 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: ALLEnabled Reference Contours: NoneResource Files:09242017_01_CNS VG Vignette.pdfVG BN001-protocol-master.pdfEduCase User Guide
Sunday, September 25, 2016 1:15 p.m. - 2:45 p.m. eContouring for Head and Neck - Advanced (Avraham Eisbruch, MD, FASTRO Matthew Stenmark, MD, Suresh Mukherji, MD, MBA, FACR, and Sue S. Yom, MD, PhD)Contour Homework: The GTVs have been defined for you based on physical examination and the pre-treatment imaging (CT and PET-CT).Please contour the following on the treatment planning CT:1. CTV1: CTV for gross disease2. CTV2: CTV for high-risk subclinical disease3. CTV3: CTV for low-risk subclinical disease4. OAR: Relevant organs at risk (many are listed in the structure set).Please contour these structures on planning CT slices: 35, 44, 50, 54, 60, 66, 74, 83, 90Disabled Contours: All Except for GTVsEnabled Reference Contours: All GTVsResource Files: 09252016 03 SY HN Adv01 Vignette EduCase User Guide
