Faculty:
Dr. Clare Bajraszewski

Workshop Schedule:
VICTRANET Contouring Program June 30, 2025

Case 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, 87
tute_iGTV on Slices 83, 84, 85, 86, 87
tute_Chest Wall on Slices 76, 77, 78
tute_bronchialtree on Slices 74, 75, 76, 77
tute_Great Vessels on Slices 71, 72, 73

Additional Resource Files:
- Vignette 
- EduCase User Guide (HTML5 version)
- EduCase Metrics Guide (basic)

Faculty:
Dr. Clare Bajraszewski

Workshop 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 encompassed

Contour Homework:
tute_Esophagus on Slices 79, 80, 81, 82
tute_iGTV_postchemo on Slices 51, 52, 53, 68, 69
tute_ITV_postchemo on Slices 51, 52, 53, 68, 69
tute_PTV_postchemo on Slices 51, 52, 53, 68, 69
tute_Heart on Slices 100, 101, 102, 103

Additional Resource Files:
- Vignette
- EduCase User Guide (HTML5 version)
- EduCase Metrics Guide (basic)