Workshop:
Liver Pancreas and Upper GI Oligometastases Imaging and SBRT Nov 20-22, 2025

Faculty:
Jelena Lukovic
Laura Dawson
Nicole Harnett

Case Description:
57 year-old woman with unresectable pancreatic adenocarcinoma status post 7 cycles of FOLFIRINOX and 4 cycles of gemcitabine/cisplatin. Local progression of pancreatic mass in the body of the pancreas with a CA 19-9 of 31,000. Primovist liver MRI demonstrates no hepatic metastases.
The multiphasic pancreas protocol CT report is summarized below: 
Pancreatic body heterogeneous mass with duct obstruction, difficult to assess due to abnormal pancreatic body and tail with associated pancreatitis and inflammation. Extrapancreatic soft tissue abuts the posterior aspect of stomach, encases the splenic vein and portal splenic confluence with complete attenuation of the splenic vein and calibre change of the portal splenic confluence. There is hazy attenuation abutting the anterior superior mesenteric artery and soft tissue attenuation encases the splenic artery, common hepatic artery, and distal celiac artery. Para-aortic node abutting splenic artery measures up to 1.1 cm, suspicious.

Contour Homework:
• GTVp on Slices 84
• Stomach on Slices 84
• Duodenum on Slices 84
• Gallbladder on Slices 84
• Aorta on Slices 86
• Celiac_Artery on Slices 86
• Splenic_Artery on Slices 86
• CommonHepatic_Artery on Slices 86
• Portal_Vein on Slices 86
• IVC on Slices 86
• GTVn on Slices 76

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 Timeline:
TBD - 2023

Faculty:
Aneesh Dhar - PI
Anand Swaminath- Supervising PI
Rohann Correa
Shankar Siva

Contour Homework:

Required contours:
1. iGTV (slices 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, and 125, and any additional slices that are deemed necessary)

Optional contours:
1. IVC
2. Left Kidney
3. Left Renal hilum
4. Right Renal hilum
5. Left Renal cortex
6. Right Renal cortex
7. Liver
8. Aorta
9. Duodenum
10. Ribs
11. Stomach
12. Large Bowel
13. Esophagus
14. Spinal Canal
15. Extra Volume 1
16. Extra Volume 2
17. Extra Volume 3
18. Extra Volume 4
19. Extra Volume 5

Disabled Contours: The iGTV that was used clinically is disabled.
Enabled Contours: All OARs that were used clinically are enabled.

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

American Radium Society 99th Annual Meeting EduCase eContouring Workshop
Session 01: CNS with Kristin Janson Redmond, M.D., M.P.H. (Spine) and Christina I. Tsien, MD (Brain)
Session 02: Hepatobiliary with Richard Tuli, M.D., Ph.D. (Pancreas) and Eugene J. Koay, MD, PhD (liver)

Contour Homework:
* GTVp on slices 37, 40, 45, 50, 55, 60
* GTVv on slices 37, 40, 45, 50, 55, 60
* Liver on slices 37, 40, 45, 50, 55, 60
* Esophagus on slices 37, 40, 45, 50, 55, 60
* Chest wall on slices 37, 40, 45, 50, 55, 60

Resource Documents:
Liver Vignette
EduCase User Guide