Table 4.
The nominal maximum dose D1% to various serial organs and mean dose Dmean to cochlea from the competing treatment plans and their worst case increase D1% and Dmean. Units are Gy RBE for proton and Gy for photon plans
| Structure | Indices | Techniques | ||||
|---|---|---|---|---|---|---|
| SFO | MFO | HB-MFO | IMRT | RB-IMRT | ||
| Brain stem | NM-D1% | 53.64±6.74 | 53.68±2.84 | 50.38±2.32 | 52.71±3.08 | 51.61±2.08 |
| WI-D1% | 63.11±3.64 | 66.97±2.82 | 63.55±2.33 | 67.78±3.14 | 64.32±2.14 | |
| Chiasm | NM-D1% | 52.84±1.72 | 52.81±1.38 | 50.09±1.81 | 50.10±3.65 | 50.10±1.80 |
| WI-D1% | 63.81±3.38 | 66.20±2.92 | 63.62±2.40 | 70.78±4.32 | 64.12±3.10 | |
| Spinal cord | NM-D1% | 46.65±3.00 | 47.02±3.70 | 44.55±2.30 | 45.52±3.70 | 45.10±3.10 |
| WI-D1% | 59.20±2.46 | 62.87±1.32 | 58.69±2.30 | 65.14±2.52 | 60.10±1.84 | |
| RT-optic nerve | NM-D1% | 58.14±8.21 | 54.92±8.50 | 52.35±2.32 | 53.09±6.31 | 52.01±3.30 |
| WI-D1% | 66.59±3.34 | 67.17±5.94 | 65.60±2.04 | 69.53±1.62 | 66.32±3.52 | |
| LT-optic nerve | NM-D1% | 51.22±2.18 | 51.40±3.70 | 49.50±1.10 | 49.15±2.90 | 50.71±3.10 |
| WI-D1% | 63.48±5.20 | 64.83±1.69 | 63.20±1.76 | 69.32±3.03 | 64.10±1.89 | |
| RT-temporal lob | NM-D1% | 62.88±4.71 | 61.67±3.43 | 57.26±3.53 | 62.56±3.85 | 61.54±2.81 |
| WI-D1% | 67.54±2.80 | 68.77±3.14 | 65.76±3.58 | 70.06±4.18 | 67.14±2.90 | |
| LT-temporal lob | NM-D1% | 6349±3.93 | 62.53±5.86 | 57.39±4.44 | 63.93±4.40 | 62.13±3.30 |
| WI-D1% | 68.03±2.72 | 68.84±4.26 | 65.60±3.74 | 71.47±4.39 | 66.60±3.39 | |
| RT-cochlea | NM-Dmean | 36.63±8.19 | 34.47±7.25 | 27.45±3.08 | 37.27±8.34 | 33.12±4.89 |
| WI-Dmean | 39.66±10.35 | 41.76±11.45 | 35.06±11.12 | 44.69±8.24 | 40.89±5.32 | |
| LT cochlea | NM-Dmean | 31.77±17.3 | 30.97±17.40 | 28.84±18.8 | 34.74±15.10 | 32.12±14.35 |
| WI-Dmean | 42.16±5.23 | 47.74±8.39 | 41.40±4.43 | 48.68±5.20 | 45.32±6.20 | |
SFO: Single field uniform optimization, MFO: Multi field optimization, HB-MFO: Hybrid-multi field optimization, IMRT: Intensity modulated radiotherapy, RB-IMRT: Robustly optimized-intensity modulated radiotherapy, NM-D: Nominal maximum dose, WI-D: Worst case increase dose