Table 1.
Dose-probability PTV plans on mid- position CT, AVG±SD |
Δ in dose-probability PTV plan parameters on mid- position CT compared to: |
||
---|---|---|---|
Clinical PTV plan on exhale CT, Δ AVG±SD |
ITV-based PTV plan on exhale CT, Δ AVG±SD |
||
Target dosimetry | |||
PTV–GTV volume | 128±69 cm3 | −70±45 cm3 or −35±9 %* | −79±41 cm3 or −38±3 %* |
Nominal prescription | 40.3±7.6 Gy | 3.9±2.8 Gy or 9±5%* | 3.7±2.4 Gy, or 9±6%* |
PTVD95 | 42.6±8.4 Gy | 4.5±3.0 Gy or 10±6%* | 4.0±2.8 Gy or 9±5%* |
Normal liver dosimetry | |||
Mean dose (excluding GTV) | 16.1±3.2 Gy | −0.4±1.5 Gy or −3±9% | −0.5±1.7 Gy or −3±11 % |
Effective volume‖, | 0.39±0.12 | −0.05±0.04* | −0.05±0.06* |
Liver NTCP¶, | 2.4±4.0 % | −0.5±1.5% | −0.5±1.4% |
PTV coverage quality | |||
Volume receiving ≥ prescribed dose | 99±1% | 1±1%* | 0±1% |
RTOG conformality index† | 1.29±0.15 | 0.0±0.22 | −0.06±0.14 |
RTOG coverage quality index†† | 0.98±0.05 | 0.05±0.12 | 0.03±0.11 |
RTOG homogeneity index# | 1.17±0.06 | −0.04±0.05* | −0.03±0.05 |
Abbreviations: AVG=average; CT=computed tomography; GTV=gross tumor volume; ITV=internal target volume; NTCP=normal tissue complication probability; PTV=planning target volume; PTVD95=dose to 95% of the PTV; RTOG=Radiation Therapy Oncology Group; SD=standard deviation.
Notes:
p<0.01 two-tailed paired Student’s T-test;
calculated as per Kutcher et al.(19);
calculated with Lyman-linear quadratic model corrected for the dose/fraction (α/β=2.5 Gy)(14);
ratio of nominal prescription isodose volume/PTV;
ratio of min PTV dose to 0.5cm3/nominal prescription dose;
ratio b of max PTV dose to 0.5cm3/nominal prescription dose.