Table 6.
Modality | CTV | PTV | iON | cON | BS | Csm | iSVZ | cSVZ | iThal | cThal | iHip | cHip | Pitu | HT | WB | IT | ST |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MEAN DOSE | |||||||||||||||||
3DCRT | 98.7 | 97.8 | 4.5 | 6.1 | 54.5 | 11.7 | 7.2 | 3.6 | 2.7 | 2.6 | 30.8 | 25.9 | 18.7 | 10.6 | 13.5 | 52.0 | 8.0 |
VMAT | 99.8 | 99.3 | 10.6 | 8.5 | 57.8 | 15.1 | 5.1 | 4.0 | 3.5 | 3.6 | 32.4 | 28.3 | 26.4 | 16.1 | 13.5 | 56.1 | 7.0 |
PRT | 99.7 | 98.6 | 0.0 | 0.0 | 58.6 | 0.6 | 10.3 | 5.2 | 7.8 | 7.1 | 42.5 | 27.5 | 0.9 | 0.9 | 8.6 | 43.3 | 6.0 |
%change, PRT vs. 3DCRT | +1 | 0 | −100 | −100 | 0 | −82 | −39 | −59 | −32 | −35 | −16 | −16 | −86 | −72 | −27 | −12 | −45 |
%change, PRT vs. VMAT | 0 | −1 | −100 | −100 | −2 | −84 | −28 | −44 | −35 | −43 | −35 | −22 | −95 | −77 | −26 | −18 | −30 |
MAXIMUM DOSE | |||||||||||||||||
3DCRT | 103.2 | 103.2 | 11.0 | 21.3 | 99.6 | 25.6 | 60.1 | 32.3 | 6.3 | 6.1 | 91.1 | 64.8 | 25.6 | 29.9 | 103.2 | 103.1 | 98.3 |
VMAT | 102.9 | 103.3 | 24.1 | 20.1 | 101.4 | 29.6 | 49.6 | 32.4 | 13.5 | 15.8 | 87.6 | 54.5 | 30.5 | 34.2 | 103.3 | 102.7 | 102.0 |
PRT | 104.9 | 104.9 | 0.3 | 0.3 | 101.6 | 3.0 | 40.5 | 32.2 | 29.6 | 29.3 | 86.8 | 64.2 | 2.2 | 4.3 | 104.9 | 104.9 | 102.4 |
% change, 3DCRT vs. PRT | +1 | +1 | −94 | −96 | +1 | −42 | −35 | −28 | 20 | 4 | +2 | +1 | −81 | −45 | +1 | +1 | +2 |
% change, VMAT vs. PRT | 0 | 0 | −98 | −98 | 0 | −51 | −12 | −8 | 14 | 12 | +1 | +5 | −91 | −61 | 0 | +1 | −2 |
All values expressed as percentage of prescription dose. The percent change between modalities was calculated as ((PRT/other modality) × 100) − 100 for each patient; the median value for all patients is reported in the table. CTV: clinical target volume; PTV: planning target volume; i: ipsilateral; c: contralateral; ON: optic nerve; BS: brainstem; Csm: chiasm; SVZ: subventricular zone; Thal: thalamus; Hip: hippocampus; Pitu: pituitary; HT: hypothalamus; IT: infratentorial (normal) brain; ST: supratentorial (normal) brain; 3DCRT: three-dimensional conformal radiotherapy; VMAT: volumetric modulated arc therapy; PRT: proton radiotherapy.