Table 2.
Patient Nr. | Magnitude of IMRT advantage in LAD sparing for both intermediate and large target volume scenarios | Would a decision for IMRT have been the preferred option also with regard to heart and left ventricle sparing? |
1 | IMRT outperformed the other techniques to just below the 25% isodose | Yes, IMRT was optimal |
2 | IMRT outperformed the other techniques to just below the 25% isodose | Yes, IMRT was optimal |
3 | IMRT outperformed the other techniques to just below the 25% isodose | Yes, IMRT was optimal |
4 | IMRT outperformed the other techniques down to the 25% isodose | Yes, IMRT was optimal |
5 | IMRT outperformed the other techniques down to the 50% isodose | IMRT and 4-field were very similar regarding total heart, but IMRT was slightly better regarding median and mean left ventricle dose (maximum doses were similar, as were ≤25% isodose levels) |
6 | IMRT and 4-field very similar, both outperformed AP/PA down to the 50% isodose | No, 4-field was best (lowest median heart dose and volume receiving 2 Gy, no disadvantage regarding maximum dose and the various low- dose parameters) |
LAD: left anterior descending coronary artery