Table 3.
Dosimetric comparison of normal tissues in all four radiotherapy plan groups (Gy)
| |
VMAT1 |
VMAT2 |
dIMRT |
ssIMRT |
pGLM-u |
pVMAT1 |
pVMAT1 |
pVMAT1 |
pVMAT2 |
pVMAT2 |
pdIMRT |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| -VMAT2 | -dIMRT | -ssIMRT | -dIMRT | -ssIMRT | -ssIMRT | |||||||
| Brain stem |
D2% |
41.21 ± 0.92 |
41.94 ± 0.42 |
42.56 ± 0.48 |
46.32 ± 0.44 |
0.024 |
0.679 |
0.444 |
0.005 |
0.724 |
0.015 |
0.036 |
| Dmean |
24.02 ± 2.58 |
23.46 ± 3.97 |
24.85 ± 3.86 |
27.51 ± 0.41 |
<0.001 |
0.326 |
0.056 |
<0.001 |
0.117 |
<0.001 |
<0.001 |
|
| Spinal-cord |
D2% |
35.15 ± 1.75 |
32.59 ± 2.91 |
33.60 ± 2.67 |
28.66 ± 3.02 |
<0.001 |
0.001 |
0.073 |
<0.001 |
0.160 |
<0.001 |
<0.001 |
| Dmean |
26.26 ± 2.66 |
23.46 ± 2.74 |
25.01 ± 2.79 |
22.3 ± 3.52 |
<0.001 |
<0.001 |
0.055 |
<0.001 |
0.017 |
0.071 |
0.001 |
|
| Chiasm |
Dmax |
47.51 ± 4.52 |
47.89 ± 5.01 |
47.17 ± 5.83 |
48.23 ± 6.32 |
0.600 |
|
|
|
|
|
|
| Dmean |
34.44 ± 6.88 |
36.38 ± 5.79 |
35.30 ± 5.46 |
36.37 ± 7.30 |
0.013 |
0.033 |
0.427 |
0.023 |
0.330 |
0.988 |
0.337 |
|
| Optic N L |
Dmax |
43.73 ± 10.41 |
46.20 ± 9.77 |
44.13 ± 9.52 |
45.11 ± 10.00 |
0.177 |
|
|
|
|
|
|
| Dmean |
24.17 ± 9.69 |
26.17 ± 9.69 |
24.40 ± 8.29 |
26.22 ± 9.24 |
0.022 |
0.021 |
0.787 |
0.018 |
0.07 |
0.955 |
0.065 |
|
| Optic N R |
Dmax |
43.30 ± 11.85 |
44.88 ± 9.57 |
42.04 ± 10.18 |
44.84 ± 8.91 |
0.048 |
0.177 |
0.278 |
0.188 |
0.017 |
0.971 |
0.018 |
| Dmean |
25.04 ± 9.69 |
25.66 ± 9.53 |
23.92 ± 8.74 |
26.04 ± 9.15 |
0.076 |
|
|
|
|
|
|
|
| Lens L |
Dmean |
3.86 ± 1.35 |
4.13 ± 1.49 |
4.18 ± 1.38 |
5.18 ± 1.53 |
<0.001 |
0.111 |
0.06 |
<0.001 |
0.767 |
<0.001 |
<0.001 |
| Lens R |
Dmean |
3.71 ± 1.05 |
4.35 ± 1.7 |
4.21 ± 1.21 |
5.22 ± 1.38 |
<0.001 |
0.004 |
0.022 |
<0.001 |
0.535 |
<0.001 |
<0.001 |
| Parotid L |
D50% |
28.45 ± 4.20 |
27.04 ± 4.99 |
23.89 ± 4.05 |
26.73 ± 4.09 |
<0.001 |
0.064 |
<0.001 |
0.025 |
<0.001 |
0.682 |
<0.001 |
| Dmean |
32.20 ± 3.30 |
31.57 ± 3.86 |
29.01 ± 3.31 |
31.48 ± 3.21 |
<0.001 |
0.223 |
<0.001 |
0.165 |
<0.001 |
0.863 |
<0.001 |
|
| Parotid R |
D50% |
31.73 ± 5.88 |
28.18 ± 5.38 |
25.42 ± 5.53 |
27.07 ± 3.79 |
<0.001 |
0.001 |
<0.001 |
<0.001 |
0.008 |
0.273 |
0.104 |
| Dmean |
34.14 ± 3.56 |
32.47 ± 3.83 |
30.11 ± 3.93 |
31.65 ± 3.08 |
<0.001 |
0.085 |
<0.001 |
0.001 |
0.001 |
0.238 |
0.097 |
|
| Oral cavity |
Dmean |
40.35 ± 4.77 |
36.99 ± 6.18 |
41.42 ± 6.77 |
43.21 ± 5.60 |
<0.001 |
<0.001 |
0.230 |
0.002 |
<0.001 |
<0.001 |
0.049 |
| Larynx | Dmean | 37.67 ± 4.13 | 35.17 ± 4.55 | 35.86 ± 3.05 | 34.76 ± 3.82 | <0.001 | 0.001 | 0.003 | <0.001 | 0.249 | 0.395 | 0.048 |
GLM-u: general linear model-univariate; VMAT1: single arc VMAT, VMAT2: dual arc VMAT; dIMRT: dynamic MLC IMRT; ssIMRT: step-and-shoot IMRT. Lens L, left lens; Lens R, right lens; Optic L, left optic nerve; Optic R, right optic nerve; Parotid L, left parotid; Parotid R, right parotid. “Bold numbers” means that p value has a statistically significance.