Table 3.
Parameter | Objective | Halcyon (H) | Helical Tomotherapy (HT) | Difference (H-HT) | p |
---|---|---|---|---|---|
Bowel | |||||
Mean [Gy] | Minimise | 20.5 ± 4.0 | 21.0 ± 3.0 | −0.6 ± 1.7 | 0.7 |
V40Gy [cm3] | ≤100 a | 186.9 ± 115.9 | 224.9 ± 102.2 | −38.1 ± 22.2 | < 0.001 |
V30Gy [cm3] | ≤350 a | 360.9 ± 195.0 | 422.9 ± 134.2 | −62.1 ± 72.1 | 0.02 |
V15Gy [cm3] | ≤600 b | 1203.8 ± 332.9 | 1010.8 ± 320.9 | 192.9 ± 160.4 | 0.4 |
Sigmoid | |||||
D1% [Gy] | ≤47.3 | 46.1 ± 0.5 | 46.1 ± 0.8 | −0.08 ± 0.89 | 0.78 |
Bladder | |||||
D1% [Gy] | ≤47.3 | 46.6 ± 0.2 | 46.0 ± 0.3 | 0.58 ± 0.28 | < 0.001 |
V40Gy [%] | ≤75 a | 50.4 ± 7.0 | 52.4 ± 8.3 | −2.1 ± 6.6 | 0.35 |
V30Gy [%] | ≤85 a | 69.6 ± 5.8 | 67.6 ± 7.2 | 2.0 ± 8.6 | 0.47 |
Rectum | |||||
D1% [Gy] | ≤47.3 | 46.2 ± 0.4 | 46.1 ± 0.6 | 0.10 ± 0.89 | 0.72 |
V40Gy [%] | ≤85 a | 80.8 ± 10.8 | 88.1 ± 12.3 | −7.2 ± 11.6 | 0.08 |
V30Gy [%] | ≤95 a | 92.4 ± 6.4 | 97.4 ± 3.9 | −5.0 ± 6.1 | 0.03 |
Left Fem. Head | |||||
D1% [Gy] | ≤50.0 | 38.7 ± 6.9 | 32.6 ± 11.7 | 6.1 ± 12.7 | 0.17 |
Mean [Gy] | b | 18.1 ± 2.7 | 11.7 ± 0.9 | 6.3 ± 2.2 | < 0.001 |
Right Fem. Head | |||||
D1% [Gy] | ≤50.0 | 38.5 ± 4.4 | 36.5 ± 3.6 | 1.9 ± 4.4 | 0.20 |
Mean [Gy] | b | 18.8 ± 3..3 | 11.7 ± 0.9 | 6.9 ± 2.7 | < 0.001 |
Left Kidney | |||||
Mean [Gy] | ≤15 | 1.5 ± 0.7 | 1.5 ± 0.8 | −0.01 ± 0.32 | 0.97 |
Right Kidney | |||||
Mean [Gy] | ≤15 | 1.5 ± 1.0 | 1.6 ± 0.9 | −0.11 ± 3.7 | 0.37 |
Body | |||||
D1% [Gy] | ≤47.3 | 41.9 ± 1.1 | 42.5± | 0.85 ± 0.59 | 0.001 |
CI36Gy | < 1.6 b | 1.56 ± 0.08 | 1.82 ± 0.19 | −0.26 ± 0.16 | 0.19 |
CI43Gy | < 1.1 b | 1.08 ± 0.05 | 1.16 ± 0.09 | −0.08 ± 0.08 | 0.09 |
CIPaddick | b | 0.91 ± 0.03 | 0.86 ± 0.04 | 0.05 ± 0.03 | 0.03 |
Vx%: volume receiving at least x% of the dose. Dx%: dose received by at least x% of the volume. CI = conformity index
a: soft constraints, expected to be fulfilled in 70–80% of the patients according to EMBRACE II guidelines
b: not included as optimisation constraint