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. 2019 Oct 1;12:8033–8046. doi: 10.2147/OTT.S220730

Table 2.

Studies Comparing Photon Versus Proton Involved Node/site Radiotherapy In Lymphoma

No. Clinical Scenario Delivery Technique Organs At Risk Other
FB DIBH
Localization 3DCRT mRT PT IMRT PT Heart Lung Breasts Thyroid Esophagus Body
Clinical stage I–II
 Chera57 9 Primary Upper mediastinal 274C x x x x x x
 Horn58 14 Primary Mediastinal x Tomo PS x x x x
 Jørgensen52 46 Primary Supra-diaphragmatic x VMAT PBS x
 Maraldo53 27 Primary Mediastinal x VMAT PBS x x x
 Maraldo54 46 Primary Supra-diaphragmatic x VMAT PBS Carotid arteries
 Maraldo55 37 Primary Cervical involvement x VMAT PBS x Neck, thyroid, pharynx, larynx, salivary & parotid glands
 Rechner44 22 Primary Mediastinal IMRT PBS IMRT PBS x x x
Clinical stage I–IV
  Baues45 21 Primary Mediastinal VMAT PBS x x x
 Hoppe49 20 Primary and R/R Mediastinal x IMRT PS x x x x x x
 Hoppe50 13 Primary and R/R Mediastinal x IMRT PS Cardiac substructures
 Knausl48 10 Primary N/A x IMRT PS x x x x Bones
 König26 20 Primary Mediastinal Tomo PBS x x x x Spinal cord
 Li47 10 R/R Upper mediastinal x x x x Coronary arteries
 Sachsman51 12 Primary and R/R Sub-/infra-diaphragmatic X IMRT PS Stomach, liver, pancreas, bowel, kidneys
Stage N/A
 Everett46 21 ? Lower mediastinal Butterfly IMRT PS Butterfly IMRT PS x x x x x LADCA
 Zeng56 10 At least one R/R Mediastinal x IMRT PBS x x x Spinal cord

Abbreviations: 3DCRT, 3-dimensional conformal radiotherapy; DIBH, deep inspiration breath-hold; FB, free breathing; IMRT, intensity modulated radiotherapy; LADCA, left artery descending coronary artery; mRT, modern radiotherapy; N/A, not available; PBS, pencil beam scanning proton therapy; PS, passive scatter proton therapy; PT, proton therapy; R/R, relapsed/refractory disease; Tomo, helical tomotherapy; VMAT, volumetric arc therapy.