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Table 2 Treatment plan comparison cancer for hypopharynx/larynx

From: Application of volumetric modulated arc therapy (VMAT) in a dual-vendor environment

Structure

Parameter

DVO

Dual Arc

Single Arc

IMRT

PTV

D50%

Uniform

60.0 Gy

60.5 Gy

59.7 Gy

 

H

Dose

7.0

9.4

8.0

 

V95%

60 Gy

97.8%

95.4%

95.7%

Normal Tissue

D1%

≤ 60 Gy

58.4 Gy

58.1 Gy

57.8 Gy

 

D20%

≤ 21 Gy

20.1 Gy

20.4 Gy

21.5 Gy

 

D60%

≤ 4 Gy

1.9 Gy

1.9 Gy

2.0 Gy

Left Parotid

D50%

≤ 26 Gy

23.7 Gy

23.1 Gy

29.4 Gy

Right Parotid

D50%

≤ 26 Gy

20.6 Gy

23.3 Gy

26.4 Gy

Spinal Cord

D1 ccm

≤ 39 Gy

36.9 Gy

39.8 Gy

37.6 Gy

Brain Stem

D1 ccm

≤ 43 Gy

34.4 Gy

41.5 Gy

36.9 Gy

Left Joint*

D50%

-

2.6 Gy

2.7 Gy

2.9 Gy

Right Joint*

D50%

-

2.3 Gy

2.2 Gy

2.5 Gy

Monitor Units

MU/2.0 Gy

-

715

552

799

Time

Calculation

-

33:10 min

16:30 min

4:52 min

 

Delivery

-

5:00 min

2:08 min

14:15 min

  1. *temporomandibular joint
  2. DX% and D1 ccm are the doses delivered to X% of the volume and 1 cm3 respectively, V95% the volume receiving 95% of the prescription dose in%, Homogeneity H = (D5% - D95%)/Daverage.