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. 2019 May 21;20(7):15–27. doi: 10.1002/acm2.12623

Table 4.

The comparison of plan robustness using the width of dose‐volume‐histogram (DVH) index bands.

DVH index VMAT IMPT P‐value
CTVhigh D95% (normalized) 0.7% 1.8% <0.0001
CTVhigh D2cm3 (normalized) 0.73% 1.9% 0.0002
CTVhigh D5%–D95% (normalized) 0.41% 1.4% <0.0001
CTVlow D95% (normalized) 1.3% 2.4% 0.0005
Liver V30Gy[RBE] (%) 2.19% 2.76% 0.29
Liver Dmean (Gy[RBE]) 1.03 1.22 0.31
Lung Dmean (Gy[RBE]) 0.80 0.58 0.12
Lung V5Gy[RBE] (%) 4.73% 2.99% 0.0057
Lung V20Gy[RBE] (%) 1.58% 1.31% 0.43
Heart Dmean (Gy[RBE]) 2.65 4.13 0.002
Heart V20Gy[RBE] (%) 8.28% 8.91% 0.23
Heart V30Gy[RBE] (%) 6.31% 8.24% 0.014
Heart V40Gy[RBE] (%) 4.28% 6.69% 0.0027
Cord Dmax (Gy[RBE]) 2.17 2.35 0.58
Cord D0.03cm3 (Gy[RBE]) 2.21 2.12 0.80
Kidney V18Gy[RBE] (%) 2.42% 1.16% 0.21
Stomach V45Gy[RBE] (cm3) 11.34 16.99 0.25

CTV, clinical target volume; IMPT, intensity‐modulated proton therapy; VMAT, volumetric‐modulated arc therapy.

Bold values represent significant difference between IMPT and VMAT DVH indices.