Table 1.
Endpoint | IMRT [Median (min, max)] |
Two-Beam Proton Therapy |
P Value vs IMRT |
Three-Beam Proton Therapy |
P Value vs IMRT |
---|---|---|---|---|---|
Conformity index | 1.55 (1.44, 1.68) | 1.99 (1.79, 2.28) | 0.001 | 1.46 (1.36, 1.71) | 0.006 |
Lung | |||||
V5, % | 49.5 (34.3, 65.1) | 13.9 (6.9, 21.4) | 0.001 | 32.1 (21.2, 41.6) | 0.001 |
V10, % | 32.5 (21.1, 49.3) | 12.0 (5.7, 18.7) | 0.001 | 24.1 (11.0, 35.8) | 0.001 |
V20, % | 15.6 (9.54, 26.3) | 9.79 (4.34, 15.6) | 0.001 | 10.6 (5.47, 16.5) | 0.001 |
V30, % | 7.08 (3.23, 10.88) | 7.17 (2.78, 13.24) | 1.000 | 6.61 (3.15, 10.4) | 0.053 |
Mean dose, cGy | 965.0 (680.4, 1305.36) | 453.3 (201.6, 740.88) | 0.001 | 664.6 (438.5, 937.4) | 0.001 |
VS5, cm3 | 1815 (643, 2491) | 3053 (1553, 4306) | 0.001 | 2532 (1233, 3225) | 0.001 |
VS10, cm3 | 2598 (933, 3216) | 3096 (1596, 4433) | 0.001 | 2834 (1508, 3475) | 0.001 |
VS20, cm3 | 3024 (1357, 4260) | 3150 (1644, 4584) | 0.001 | 3102 (1652, 4508) | 0.001 |
VS30, cm3 | 3226 (1697, 4741) | 3271 (1688, 4836) | 0.57 | 3277 (1708, 4859) | 0.05 |
Cord, maximum dose, cGy | 4107 (3691, 4349) | 4035 (2963, 4480) | 0.865 | 2563 (1053, 3971) | 0.001 |
Heart | |||||
V40, % | 35.7 (16.7, 55.3) | 41.8 (24.7, 66.2) | 0.02 | 27.7 (13.9, 51.7) | 0.002 |
V50, % | 15.0 (7.07, 25.0) | 28.6 (17.1, 46) | 0.001 | 15.9 (8.2, 31.4) | 0.125 |
Total body, mean dose, cGy | 905.2 (599.8, 1315.44) | 571.9 (322.6, 972.7) | 0.001 | 587.3 (342.7, 932.4) | 0.001 |
IMRT, intensity-modulated (photon) radiation therapy; V5. volume (of lung) exposed to 5 Gy or more; VS5, volume (of lung) spared from exposure of 5 Gy or more.