“…Kiljunen et al 25 evaluated IOV in delineating different structures in the pelvic region among 4 radiation oncologists and reported an average Dice coefficient of 0.76 for the lymph nodes compared with 0.79 in our study. Although the most effective educational intervention to improve contouring in RT is still unknown, 26 Pasquier et al 27 , 28 worked to improve homogeneity in target delineation of several tumor types, including prostate, head and neck, breast, brain, and lung cancer. In their study, target and organ-at-risk volumes delineated by senior radiation oncologists from 11 different institutions were initially compared using validated indexes and then reevaluated on new contours performed after discussion and harmonization of practices.…”