Table 3.
Comparison of treatment planning dosimetry goals for the target volume: CTV and PTV and OARs planning constraints used for the SBRT-SIB plans according to prescribed dose to the DILs (40Gy, 45Gy, 47.5Gy, and 50Gy).
| Structure | Parameter | SBRT-SIB plan (mean+SD) // evalution by the DIL the prescibed dose | Overall | Multiple comparsions | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 40vs.45 | 40vs.47.5 | 40vs.50 | 45vs.47.5 | 45vs.50 | 47.5vs.50 | ||||||||
| SIB_40Gy | SIB_45Gy | SIB_47.5Gy | SIB_50Gy | p-value | p-value < 0.05 | ||||||||
| CTV(boost) | V95% | 99.71 ± 0.58 | 100.00 ± 0.00 | 99.96 ± 0.14 | 99.87 ± 0.51 | 0.185 | 0.059 | 0.105 | 0.428 | 0.326 | 0.326 | 0.49 | |
| PTV(boost) | V95% | 95.31 ± 0.64 | 95.07 ± 0.26 | 95.07 ± 0.26 | 95.15 ± 0.44 | 0.391 | 0.195 | 0.189 | 0.453 | 0.972 | 0.536 | 0.52 | |
| CTV(Prostate) | V98% | 98.70 ± 1.25 | 99.04 ± 1.88 | 99.26 ± 1.15 | 98.89 ± 1.60 | 0.766 | 0.565 | 0.206 | 0.711 | 0.692 | 0.824 | 0.472 | |
| PTV(Prostate) | V95% | 96.55 ± 1.33 | 96.60 ± 1.49 | 96.98 ± 0.87 | 97.60 ± 0.91 | 0.068 | 0.921 | 0.3 | 0.018 | 0.399 | 0.036 | 0.7 | |
| Dmax | 104.05 ± 0.87 | 105.49 ± 0.88 | 106.38 ± 1.11 | 106.91 ± 0.92 | <0.001 | <0.001 | <0.001 | <0.001 | 0.023 | <0.001 | 0.163 | ||
| CI | 1.15 ± 0.04 | 1.15 ± 0.04 | 1.15 ± 0.03 | 1.18 ± 0.03 | 0.092 | 0.669 | 0.823 | 0.055 | 0.787 | 0.031 | 0.013 | ||
| HI | 1.14 ± 0.01 | 1.29 ± 0.02 | 1.37 ± 0.02 | 1.44 ± 0.03 | <0.001 | <0.001 | <0.001 | <0.001 | <0.001 | <0.001 | <0.001 | ||
| GI | 3.18 ± 0.06 | 3.19 ± 0.04 | 3.20 ± 0.04 | 3.21 ± 0.05 | 0.355 | 0.6 | 0.343 | 0.124 | 0.642 | 0.234 | 0.397 | ||
| PTV(Prostate) – PTV(boost) | V95% | 96.40 ± 1.39 | 96.46 ± 1.55 | 96.86 ± 0.88 | 97.49 ± 0.95 | 0.069 | 0.907 | 0.288 | 0.018 | 0.396 | 0.038 | 0.07 | |
| Rectum | V 36Gy < 1cc | 0.37 ± 0.12 | 0.36 ± 0.13 | 0.38 ± 0.06 | 0.42 ± 0.11 | 0.494 | 0.81 | 0.835 | 0.28 | 0.613 | 0.192 | 0.231 | |
| V 36.25Gy < 5% | 0.89 ± 0.29 | 0.89 ± 0.33 | 0.95 ± 0.16 | 1.03 ± 0.29 | 0.487 | 0.988 | 0.527 | 0.211 | 0.551 | 0.234 | 0.36 | ||
| V 32.60Gy < 10% | 2.87 ± 0.69 | 2.61 ± 0.54 | 2.61 ± 0.31 | 3.02 ± 0.51 | 0.099 | 0.262 | 0.195 | 0.502 | 0.997 | 0.042 | 0.013 | ||
| V 29Gy < 20% | 5.91 ± 0.83 | 5.50 ± 0.61 | 5.58 ± 0.59 | 6.27 ± 0.82 | 0.019 | 0.138 | 0.219 | 0.234 | 0.727 | 0.001 | 0.012 | ||
| V 18Gy < 50% | 23.66 ± 1.64 | 22.98 ± 0.97 | 23.61 ± 2.56 | 26.09 ± 3.48 | 0.004 | 0.861 | 0.999 | 0.033 | 0.888 | 0.004 | 0.029 | ||
| Bladder | V 37Gy < 10cc | 4.11 ± 0.76 | 4.27 ± 0.57 | 4.42 ± 0.29 | 4.65 ± 0.30 | 0.041 | 0.516 | 0.155 | 0.016 | 0.39 | 0.031 | 0.038 | |
| V 36.25Gy < 10% | 3.78 ± 0.40 | 3.76 ± 0.42 | 3.84 ± 0.24 | 4.02 ± 0.24 | 0.141 | 0.935 | 0.57 | 0.051 | 0.542 | 0.048 | 0.048 | ||
| V 32.60Gy < 15% | 5.66 ± 0.35 | 5.54 ± 0.40 | 5.58 ± 0.30 | 5.78 ± 0.29 | 0.235 | 0.398 | 0.542 | 0.302 | 0.302 | 0.069 | 0.077 | ||
| V 29Gy < 25% | 7.21 ± 0.38 | 7.06 ± 0.42 | 7.10 ± 0.35 | 7.32 ± 0.33 | 0.217 | 0.315 | 0.403 | 0.393 | 0.795 | 0.068 | 0.08 | ||
| V 18Gy < 55% | 12.63 ± 0.48 | 12.44 ± 0.53 | 12.48 ± 0.47 | 12.80 ± 0.46 | 0.185 | 0.311 | 0.4 | 0.342 | 0.82 | 0.058 | 0.074 | ||
| Femoral head R | V 18Gy < 4 cc | 0.00 ± 0.00 | 0.00 ± 0.00 | 0.00 ± 0.00 | 0.00 ± 0.00 | 0.267 | <0.001 | 0.326 | 0.162 | 0.326 | 0.162 | 0.483 | |
| Femoral head L | V 18Gy < 4 cc | 0.00 ± 0.00 | 0.00 ± 0.00 | 0.01 ± 0.04 | 0.00 ± 0.02 | 0.85 | 0.326 | 0.326 | 0.302 | 0.346 | 0.346 | 0.649 | |
| Skin | Dmax < 15Gy | 10.98 ± 0.61 | 10.91 ± 0.39 | 11.35 ± 0.90 | 11.58 ± 0.81 | 0.037 | 0.705 | 0.195 | 0.03 | 0.091 | 0.007 | 0.473 | |
| Monitor units | MU | 2277 (1986-2538) | 2280 (2042-2574) | 2372 (2100-2879) | 2426 (2070-3149) | 0.091 | 0.952 | 0.15 | 0.049 | 0.166 | 0.055 | 0.501 | |
The bold numbers indicate significant differences between the plans (ANOVA test).