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Table 2 Percentage/number of LDDs for CTVs and OARs and the number of verification or cumulative doses evaluated for each structure

From: Dose delivery reproducibility for PBS proton treatment of breast cancer patients with and without mask immobilization

 

CTV

OAR

Boost D95%

Breast/CW D95%

Axilla D95%

SCV D95%

IMN D95%

Ipsi-lung V40%

Esophagus D0.01cc

Heart mean

All patients

V-CT versus P-CT doses

With mask

LDD (%)

0.0

0.0

1.2

3.9

8.2

5.7

8.2

1.0

V-CT (#)

63

105

82

77

73

105

73

96

No mask

LDD (%)

6.7

1.5

7.3

16.7

20.8

31.8

27.3

0.0

V-CT (#)

15

66

55

60

53

66

55

65

Breast patients

V-CT versus P-CT doses

With mask

LDD (%)

0.0

0.0

2.0

6.8

10.0

6.0

7.1

0.0

V-CT (#)

42

68

50

44

40

67

42

61

No mask

LDD (%)

10.0

0.0

11.8

17.6

40.0

23.8

23.5

0.0

V-CT (#)

10

21

17

17

15

21

17

20

CW patients

V-CT versus P-CT doses

With mask

LDD (%)

0.0

0.0

0.0

0.0

6.1

5.3

9.7

2.8

V-CT (#)

21

37

32

33

33

38

31

36

No mask

LDD (%)

0.0

2.2

5.3

16.3

13.2

35.6

28.9

0.0

V-CT (#)

5

45

38

43

38

45

38

45

Patients with at least 3 V-CTs

V-CT versus P-CT doses

With mask

LDD (%)

0.0

0.0

0.0

3.3

7.7

11.8

6.7

0.0

V-CT (#)

31

34

30

30

26

34

30

30

No mask

LDD (%)

16.7

2.3

7.5

20.0

22.5

25.6

22.5

0.0

V-CT (#)

6

43

40

45

40

43

40

43

Cum versus planned doses

With mask

LDD (#)

0

0

0

0

1

1

0

0

V-CT (#)

8

9

8

8

7

9

8

8

No mask

LDD (#)

1

0

1

2

3

4

1

0

V-CT (#)

2

13

12

12

12

13

12

13

  1. LDD, large dose deterioration; CTV, clinical target volume; OAR, organ at risk; CW, chest wall; SCV, supraclavicular nodes; IMN, internal mammary nodes; V-CT, verification computed tomography; P-CT, planning computed tomography; Cum, cumulative