Table 2.
Dose volume parameters for planning target volumes and organs at risk.
| Characteristics | VMAT median (range) | HT median (range) | p value |
|---|---|---|---|
| PTV45, Gy | |||
| Dmax | 53.9 (52.2–59.2) | 48.4 (47.1–49.8) | 0.001 |
| Dmin | 38.8 (30.7–43.3) | 37.5 (19.4–43.7) | 0.81 |
| Dmean | 49.2 (48.1–52.1) | 45.8 (45.6–46.1) | <0.001 |
|
| |||
| PTV54, Gy | |||
| Dmax | 64.3 (61.9–69.9) | 57.8 (56.2–59.2) | <0.001 |
| Dmin | 46.8 (37.2–52.1) | 45.4 (26.7–51.7) | 0.65 |
| Dmean | 58.6 (56.3–61.9) | 55.0 (54.7–55.2) | 0.001 |
|
| |||
| Ipsilateral lung | |||
| Mean dose, Gy | 38.2 (20.8–51.4) | 33.5 (18.0–40.1) | 0.007 |
| V5 (%) | 100 (96.2–100) | 99.7 (98.0–100) | 0.59 |
| V10 (%) | 100 (77.2–100) | 95.1 (68.2–100) | 0.028 |
| V20 (%) | 92.0 (43.6–100) | 80.2 (41.2–100) | 0.10 |
|
| |||
| Contralateral lung | |||
| Mean dose, Gy | 11.8 (5.2–18.1) | 6.7 (5.3–8.1) | 0.018 |
| V5 (%) | 67.8 (33.2–90.0) | 30.6 (21.4–49.0) | 0.001 |
| V10 (%) | 51.4 (3.9–100) | 29.6 (11.9–49.0) | 0.009 |
| V20 (%) | 3.5 (0–55.0) | 0.5 (0–14.3) | 0.002 |
|
| |||
| Total lung | |||
| Mean dose, Gy | 19.8 (17.8–33.0) | 16.1 (10.5–24.4) | 0.003 |
| V20 (%) | 36.2 (25–69.0) | 29.3 (13.08–45.5) | 0.021 |
|
| |||
| Spinal cord, Gy | |||
| Dmax | 39.3 (31.9–44.2) | 33.2 (22.5–34.2) | 0.005 |
|
| |||
| Heart | |||
| Mean dose, Gy | 33.3 (12.1–54.9) | 25.8 (7.3–45.7) | 0.006 |
| V25 (%) | 57.9.0 (7.21–100) | 43.5 (4.1–95.3) | 0.002 |
| V30 (%) | 50.9 (4.45–100) | 34.8 (1.4–88.9) | 0.001 |
|
| |||
| Mean kidney dose, Gy | |||
| Ipsilateral | 2.5 (1.3–11.2) | 1.6 (0.7–6.4) | 0.28 |
| Contralateral | 1.9 (0.3–8.9) | 2.0 (0.2–5.2) | 0.27 |
|
| |||
| Liver | |||
| Mean dose, Gy | 13.1 (6.3–33.6) | 15.1 (8.3–31.4) | 0.31 |
| V30 (%) | 11.0 (0.0–59.2) | 13.3 (0–50.8) | 0.67 |
|
| |||
| Esophagus | |||
| Dmean | 38.6 (16.2–57.8) | 29.9 (8.3–44.2) | 0.001 |
| V35 | 57.2 (0.9–100) | 42.3 (0–100) | 0.017 |
| V50 | 40.3 (0–98.9) | 29.6 (0–97) | 0.024 |
|
| |||
| Dosimetric indices | |||
| Conformity index | 0.96 (0.93–0.99) | 0.98 (0.97–0.99) | 0.74 |
| Homogeneity index | 1.1 (1.1–1.1) | 1.036 (1.03–1.05) | <0.001 |
|
| |||
| Treatment duration | |||
| Monitor units, per fr | 529 (471–765) | 6590 (6185–7116) | <0.001 |
| Treatment time (min/fr) | 2.5 (2.1–3.0) | 7.4 (6.9–7.8) | <0.001 |
PTV: planning target volume; VX: volume receiving X Gy; Dmax: maximum dose; Dmin: minimum dose; Dmean: mean dose; fr: fraction.