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Workshop:Liver Pancreas and Upper GI Oligometastases Imaging and SBRT Nov 20-22, 2025Faculty:Jelena LukovicLaura DawsonNicole HarnettCase 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 76Disabled Contours: All contours disabledEnabled Contours: NoneResource Files:- Vignette- EduCase Training Video: How to contour, complete the homework, and save/submit- EduCase User Guide
