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Table 3 Comparisons of dosimetry data in NPC patients receiving PBT versus VMAT and with versus without TLN

From: Risk of temporal lobe necrosis between proton beam and volumetric modulated arc therapies in patients with different head and neck cancers

 

Radiation dose to right temporal lobe

Radiation dose to left temporal lobe

Staging distribution

Dmax

D0.5 cc

D1cc

D2cc

V50Gy

(c.c.)

V20Gy

(c.c.)

Dmax

D0.5 cc

D1cc

D2cc

V50Gy (c.c.)

V20Gy (c.c.)

T4 (%)

T3/T4 (%)

VMAT versus PBT

VMAT

7297 (5994, 7460)

6678 (5619,7198)

6307 (5454,7009)

5906 (4836,6477)

4.38 (1.67,8.09)

26.41 (15.55,41.36)

7342 (5963,7493)

6445 (5615,7321)

6196 (5397,7248)

5855 (4832,7135)

4.64 (1.80,8.93)

24.00 (14.65,40.36)

34.90%

60.60%

PBT

6880 (6467,7414)

6057 (5472,6867)

5675 (5108,6627)

5076 (4485,6211)

2.15 (1.23,5.68)

11.89 (9.63,19.86)

6979 (6027,7379)

5980 (5340,6845)

5650 (4952,6548)

5001 (4303,6169)

2.03 (0.81,4.98)

12.55 (8.27,18.12)

23.30%

50.00%

p value

0.71

0.32

0.15

0.05

0.02

< 0.01

0.82

0.10

0.03

< 0.01

< 0.01

< 0.01

0.08

0.14

With TLN versus without TLN

With TLN

7453 (7137,7489)

7070 (6345,7359)

6873 (6078,7305)

6489 (5854,7208)

7.00 (5.00,9.00)

43.00 (18.54,53.00)

7583 (6713,7722)

7300 (6426,7448)

7018 (6250,7409)

6651 (5849,7357)

8.00 (4.00,16.00)

40.00 (20.00,51.00)

45.50%

63.60%

W/O TLN

7096 (6283,7444)

6211 (5497,7082)

5870 (5221,6807)

5491 (4590,6320)

3.01 (1.39,6.62)

17.97 (10.56,27.65)

7115 (5983,7443)

6192 (5412,7148)

5806 (5100,6972)

5346 (4413,6486)

2.71 (1.14,6.54)

15.77 (10.31.26.56)

28.80%

55.40%

p value

0.03

0.01

< 0.01

< 0.01

< 0.01

0.03

0.01

< 0.01

< 0.01

< 0.01

< 0.01

< 0.01

0.31

0.6

  1. The doses were presented as median (quartile 1, quartile 3). The data were examined using Mann–Whitney test
  2. Gy Grays; NPC Nasopharyngeal carcinoma; PBT Proton beam therapy; TLN, Temporal lobe necrosis; VMAT Volumetric modulated arc therapy; W/O Without