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. 2020 Sep 7;15:37–46. doi: 10.1016/j.tipsro.2019.11.005

Table 1.

PSPT and IMPT dosimetric end-points in identified studies.

Authors/Year Dose prescription (RBE) Difference in OAR doses (PSPT-IMPT)
Result presented/test
Lung
Heart Oesophagus Cord
Combined Ipsilateral Contra-lateral
Georg et al. (2008) [18] 45 Gy, 3#, 65% isodose N/A Dmean: 0.2 Gy
V2Gy: 3.2%
V4Gy: 3.3%
V6Gy: 3%
V12Gy: 1.2%
N/A D1%: 0.2 Gy
V2Gy: 0.3 cc
V4Gy: −0.1 cc
D1%: −0.2 Gy
N/A DIBH Mean

Statistical significance not tested
N/A Dmean: 0.4%
V2Gy: 3.5%
V4Gy: 3.6%
V6Gy: 2.9%
V12Gy: −1.7%
N/A D1%: −0.2 Gy
V2Gy: 0.2 cc
V4Gy: −0.1 cc
D1%: −0.2 Gy N/A SB + AC
Zhang et al. (2010) [21] 74 Gy, NA V5Gy: 5.3%
V10Gy:5.3%
V20Gy: 4.0%
V30Gy: 3.3%
Dmean: 2.7 Gy
V5Gy: 6.2%
V10Gy:7.3%
V20Gy: 6.9%
V30Gy: 5.4%
Dmean: 4.3 Gy
V5Gy: 4.3%
V10Gy:3.0%
V20Gy: 1.0%
V30Gy: 1.0%
Dmean: 1.0 Gy
V40Gy: 0.8% V40Gy: 2.6%
V55Gy: 2.3%
Dmax: −1.7 Gy
D1%: 1.7 Gy
Median

Statistical significance not tested
Register et al. (2011) [19] 50 Gy, 4#, 100% isodose V5Gy: 1.4%***
V10Gy:2.1%***
V20Gy: 1.2%***
Dmean: 0.7 Gy***
N/A N/A Dmax: 1.9Gyns Dmax: 10.2 Gy* Dmax: 4.8 Gy** Mean

Paired t-test
Berman et al. (2013) [16] 50.4 Gy, 28#, 95% isodose V5Gy: 8.7%***
V10Gy:9.7%***
V20Gy: 8.2%***
V30Gy: 5.9%***
Dmean: 3.4 Gy***
V5Gy: 8.4%**
V10Gy:11.1%***
V20Gy: 11.7%***
V30Gy: 10.2%***
Dmean: 4.8 Gy***
V5Gy: 8.6%***
V10Gy:8.7%***
V20Gy: 6.1%**
V30Gy: 3.3%***
Dmean: 2.5 Gy***
V40Gy: 5.6%***
Dmean: 3.7 Gy***
V40Gy: 5.0%n/a
Dmean: 2.2Gyn/a
Dmax: 20.8 Gy***
D1%: 16.0Gyn/a
Mean

Paired t-test
Chang et al. (2014) [17] Dmedian = 66 Gy (45–78) V5Gy: 1.2%ns
V20Gy: 4.4%*
Dmean: 2.4 Gy*
N/A N/A V40Gy: 2.1%ns V60Gy: 11.1%* N/A Mean
Paired t-test
Values were digitised from graph.
Lin et al. (2015) [24] 66.6 Gy in 18#, 99% isodose V5Gy: 4.3%**
V20Gy: 4.5%***
Dmean: 2.3 Gy***
N/A N/A V30Gy: 2.3%**
V45Gy: 2.0%ns
Dmax: 4.5 Gy*
Dmax: 3.7 Gy* Dmax: 5.3 Gy*
Mean
Paired t-test
Zeng et al. (2016) [20] 30.6 Gy in 17#, 97% isodose V5Gy: 5.0%*
V10Gy:5.0%*
V20Gy: 6.0%*
V30Gy: 4.0%*
Dmean: 2 Gy*
N/A N/A V5Gy: 2.0%ns
V10Gy: 2.0%*
V20Gy: 4.0%*
V30Gy: 8.0%*
Dmax: 2.0 Gy*
Dmean: 1.3 Gy*
N/A Dmax: 10 Gy* Median
Wilcoxon signed rank test

Abbreviations: IMPT = intensity modulated proton therapy; PSPT = passive-scattered proton therapy; RBE = Radiobiological Effectiveness, OAR = organ-at-risk; DIBH = deep inspiration breath-hold; SB + AC = shallow breathing and abdominal compression; N/A = Not available; VxGy = volume of OAR receiving × Gy; Dmean = mean dose; Dmax = max dose; Dmedian = median dose; Dx% = Dose to x% volume of OAR.

*

p ≤ 0.05.

**

p ≤ 0.01.

***

p ≤ 0.001.

ns

p > 0.05.

n/a

p-value not reported.