Standardizing Normal Tissue Contouring for Radiation Therapy Treatment Planning: An ASTRO Consensus Paper Jean L. Wright, MD, Sue S. Yom, MD, PhD, MAS,

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Standardizing Normal Tissue Contouring for Radiation Therapy Treatment Planning: An ASTRO Consensus Paper Jean L. Wright, MD, Sue S. Yom, MD, PhD, MAS, Musaddiq J. Awan, MD, Samantha Dawes, CMD, Benjamin Fischer-Valuck, MD, Randi Kudner, MA, Raymond Mailhot Vega, MD, MPH, George Rodrigues, MD, PhD Practical Radiation Oncology Volume 9, Issue 2, Pages 65-72 (March 2019) DOI: 10.1016/j.prro.2018.12.003 Copyright © 2018 American Society for Radiation Oncology Terms and Conditions

Fig. 1 Public Health England, “Radiotherapy Errors and Near Misses Data Report (December 2013 to November 2015)”.18 Reproduced with permission. Practical Radiation Oncology 2019 9, 65-72DOI: (10.1016/j.prro.2018.12.003) Copyright © 2018 American Society for Radiation Oncology Terms and Conditions

Fig. 2 Roles and responsibilities of the radiation oncology team.6 Practical Radiation Oncology 2019 9, 65-72DOI: (10.1016/j.prro.2018.12.003) Copyright © 2018 American Society for Radiation Oncology Terms and Conditions

Fig. 3 Mean durations (in seconds) of different workflow steps by slice in case C-1 (easy), C-2 (moderate difficulty), and C-3 (difficult). The type of workflow is labeled as manual or interpolated, meaning semi-automatic contouring.22 Reproduced with permission via the Creative commons license. Practical Radiation Oncology 2019 9, 65-72DOI: (10.1016/j.prro.2018.12.003) Copyright © 2018 American Society for Radiation Oncology Terms and Conditions