Andrianarison VA Laouiti M Fargier-Bochaton O Dipasquale G Wang X Nguyen NP Miralbell R Vinh-Hung V 2018 PURPOSE To measure the impact of contouring on worktime in the adjuvant radiation treatment of breast cancer, and to identify factors that might affect the measurements. MATERIAL AND METHODS The dates and times of contouring clinical target volumes and organs at risk were recorded by a senior and by two junior radiation oncologists. Outcome measurements were contour times and the time from start to approval. The factors evaluated were patient age, type of surgery, radiation targets and setup, operator, planning station, part of the day and day of the week on which the contouring started. The Welch test was used to comparatively assess the measurements. RESULTS Two hundred and three cases were included in the analysis. The mean contour time per patient was 34minutes for a mean of 4.72 structures, with a mean of 7.1minutes per structure. The clinical target volume and organs at risk times did not differ significantly. The mean time from start to approval per patient was 29.4hours. Factors significantly associated with longer contour times were breast-conserving surgery (P=0.026), prone setup (P=0.002), junior operator (P<0.0001), Pinnacle planning station (P=0.026), contouring start in the morning (P=0.001), and contouring start by the end of the week (P<0.0001). Factors significantly associated with time from start to approval were age (P=0.038), junior operator (P<0.0001), planning station (P=0.016), and contouring start by the end of the week (P=0.004). CONCLUSION Contouring is a time-consuming process. Each delineated structure influences worktime, and many factors may be targeted for optimization of the workflow. These preliminary data will serve as basis for future prospective studies to determine how to establish a cost-effective solution. https://sonar.ch/global/documents/232854 eng info:eu-repo/semantics/altIdentifier/doi/10.1016/j.canrad.2018.01.008 info:eu-repo/semantics/altIdentifier/pmid/30322819 Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique. - 2018 Breast Contouring Delineation Délinéation Organe à risque Organs at risk Sein Target volumes Temps de travail Volume cible Worktime Adult Brachial Plexus Breast Breast Neoplasms Cicatrix Combined Modality Therapy Female Heart Humans Image Processing, Computer-Assisted Lung Lymphatic Irradiation Mastectomy, Segmental Middle Aged Organ Size Organs at Risk Prone Position Prospective Studies Radiotherapy Planning, Computer-Assisted Radiotherapy Setup Errors Radiotherapy, Adjuvant Radiotherapy, Image-Guided Thoracic Wall Thyroid Gland Time Factors Workflow Contouring workload in adjuvant breast cancer radiotherapy. http://purl.org/coar/resource_type/c_6501