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Faculty:Dr. Clare BajraszewskiWorkshop Schedule:VICTRANET Contouring Program June 30, 2025Case Description:• 70F with multiple comorbidities – dementia, COPD/asthma, IHD, type 2 diabetes, traumatic brain injury related to motor vehicle accident, recurrent falls, hyperthyroidism, arthritis/multiple joint replacements• Current smoker• ECOG 3, limited mobility due to chronic pain• Incidental detection of progressive right lower lobe lung lesion on CT – 8→16mm over a 4-month period• Biopsy proven squamous cell carcinoma, PDL-1 = 5%• PET showed avidity in this lesion but no other disease• FEV1 1.02L (62% predicted), FVC 1.66L (82%), DLCO 4.76 (25%)• Not suitable for surgery given respiratory function/comorbidities• For definitive stereotactic RT 30GY/1#Contour Homework:tute_PTV on Slices 83, 84, 85, 86, 87tute_iGTV on Slices 83, 84, 85, 86, 87tute_Chest Wall on Slices 76, 77, 78tute_bronchialtree on Slices 74, 75, 76, 77tute_Great Vessels on Slices 71, 72, 73Additional Resource Files:- Vignette - EduCase User Guide (HTML5 version)- EduCase Metrics Guide (basic)
Faculty:Dr. Clare BajraszewskiWorkshop Schedule:VICTRANET Contouring Program June 30, 2025 Case Description:• 67M, current smoker, ECOG 0 without other significant past history• Presentation with dizziness, chest pain, hypotension requiring ionotropic support• CT – large (10cm) mass in right mediastinum compressing brachiocephalic veins, displacing trachea to left. Left mediastinal and hilar nodes. Nil other disease on staging CT (no PET done)• Biopsy = small cell lung cancer• Commenced chemotherapy – cisplatin/etoposide• Radiologically good partial response• For consideration of radical radiotherapy 60GY/30# with cycle 3 chemo, if disease can safely be encompassedContour Homework:tute_Esophagus on Slices 79, 80, 81, 82tute_iGTV_postchemo on Slices 51, 52, 53, 68, 69tute_ITV_postchemo on Slices 51, 52, 53, 68, 69tute_PTV_postchemo on Slices 51, 52, 53, 68, 69tute_Heart on Slices 100, 101, 102, 103Additional Resource Files:- Vignette- EduCase User Guide (HTML5 version)- EduCase Metrics Guide (basic)
