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Table 5 SIB comparison using IMRT and VMAT

From: A dosimetric comparison of 3D conformal vs intensity modulated vs volumetric arc radiation therapy for muscle invasive bladder cancer

Variable

IMRT BOOST

VMAT BOOST

 
 

Mean(min-max, st dev)

Mean(min-max, st dev)

p-value

CTV MAX

76.1(75.1-77.2, 0.69)

77.4(76–78.4, 0.66)

0.004

CTV MIN

63.2(61.7-66.3, 1.33)

61.5(60.2-63.5, 1)

0.011

CTV MEAN

71.5(68.7- 74.3, 1.75)

71.2(68.6-73.2, 1.43)

0.398

CTV MEDIAN

72.3(67–74.6, 2.88)

71.9(66.9-74.1, 2.62)

0.068

CTV D98%

64.8(62.8-69.7, 2.2)

64.4(62.9-68, 1.73)

0.625

CTV D2%

75.4(74.6-76.4-0.55)

76(75–76.6, 0.48)

0.007

CTV D99 > 60.8Gy

64.5(62.5-69.1, 2.08)

63.8(62.4-69.1, 1.85)

0.044

PTV MAX

76.7(75.1-78.3, 0.9)

78.3(76.1-80.2, 1.15)

0.006

PTV MIN

55.1(47.3-57.4, 2.9)

55.5(15.5-57.6, 1.93)

0.476

PTV MEAN

68.8(67.5-70.4, 1.2)

68.8(67–70.4, 0.89)

1.000

PTV MEDIAN

67.9(65.5-71.6, 2.58)

67.7(65.9. 70.1, 1.37)

0.688

PTV V95% (cc)

557(254–798, 171)

552(267–804, 173)

0.756

PTV D95%

63.1(62.5-63.7, 0.46)

62.9(62–63.9, 0.56)

0.450

PTV D2%

75.5(74.5-76.3, 0.49)

75.9(73.4-76.8, 0.96)

0.056

PTV D50%

68.2(65.8-71.6, 2.45)

67.7(65.9-70.1, 1.37)

0.350

PTV D99 > 60.8Gy

61.5(60.5-62.5, 0.58)

61.9(60.3-70, 2.73)

0.307

PTV D98 > 60.8Gy

62.2(61.5-62.9, 0.47)

61.9(61–63, 0.63)

0.307

BOOST GTV MAX

75.7(74.9-76.9, 0.57)

76.6(75.4-77.6, 0.74)

0.006

BOOST GTV MIN

73.2(72.3-74, 0.52)

72.9(71–77.2, 1.58)

0.142

BOOST GTV MEAN

74.5(74.4-74.5, 0.02)

74.5(74.4-74.5, 0.03)

0.357

BOOST GTV MEDIAN

74.5(74.2-74.6, 0.1)

74.5(74.4-74.6, 0.04)

0.308

BOOST GTV D98%

73.5(72.9-74.2, 0.45)

73.2(72.5-73.8, 0.39)

0.075

BOOST GTV D2%

75.3(74.8-76, 0.38)

75.7(75.1-76.5, 0.46)

0.029

BOOST GTV D99 > 70.30Gy

73.5(72.7-74.2, 0.49)

73.1(72.2-73.3, 0.46)

0.068

BOOST PTV MAX

76.6(75.1-78.3, 0.9)

78.6(77–80.2, 0.9)

0.004

BOOST PTV MIN

66.4(63.3-69.5, 1.9)

67.1(65.2-69.5, 1.45)

0.168

BOOST PTV MEAN

74.2(73.6-74.5, 0.26)

74.1(73.7-74.4, 0.22)

0.056

BOOST PTV MEDIAN

74.4(73.8-74.6, 0.28)

74.3(74–74.6, 0.17)

0.350

BOOST PTV V95% (cc)

193(60.8-273, 65.1)

179(61.3-250, 55.9)

0.083

BOOST PTV D95%

71.9(71–72.9, 0.65)

71.3(70.2-72.2, 0.6)

0.023

BOOST PTV D2%

75.8(74.7-76.6, 0.53)

76.7(75.8-77.5, 0.48)

0.004

BOOST PTV D50%

74.4(73.8-74.6, 0.28)

74.3(74–74.6, 0.17)

0.350

BOOST PTV D99 > 70.30Gy

70.4(68–72, 1.08)

70.3(69.3-72, 0.78)

0.683

BOOST PTV D98 > 70.30Gy

71.1(69.9-72.4, 0.81)

70.7(69.7-72.4, 0.75)

0.185

RECTUM MEDIAN

36.4(19.2-43.9, 6.31)

37.1(19.2-49.1, 8.02)

0.351

RECTUM D98%

5.36(2.28-15.4, 4.3)

6.3(2.62-19.5, 4.78)

0.045

RECTUM D2%

66.1(50.8-72.6, 6.18)

66.8(44–75, 8.44)

0.100

RECTUM D60 < 40Gy

32.5(14.5-38, 6.39)

32.5(14.9-41.9, 7.6)

0.423

RECTUM D50 < 50Gy

36.4(19.2-43.9, 6.32)

37.1(19.2-49.1, 8)

0.415

RECTUM D40 < 64Gy

41(24–52.5, 6.9)

41.8(22.7-55.9, 8.68)

0.398

RT FEMUR MEDIAN

24(19.5-27.9, 2.23)

23.9(16.6-31.8, 4.28)

0.965

RT FEMUR D98%

3.07(1.73-6.82, 1.54)

2.86(1.18-5.45, 1.09)

0.625

RT FEMUR D2%

39.5(30.7-54.8, 7.3)

42.4(33–55, 5.96)

0.142

RT FEMUR D100 < 35Gy

1.96(1.17-3.33, 0.65)

2.1(1.28-3.96, 0.75)

0.126

RT FEMUR D60 < 45Gy

22.9(17.5-27.2, 2.59)

22.8(14.4-34.5, 5.6)

0.760

RT FEMUR D10 < 50Gy

31.8(27.1-39, 3.83)

36.8(29.9-47.4, 4.86)

0.041

LT FEMUR MEDIAN

24(19.2-28, 2.27)

20(16.2-24.6, 2.31)

0.009

LT FEMUR D98%

3.18(1.73-7.74, 1.87)

3.19(1.81-5.81, 1.35)

0.213

LT FEMUR D2%

35.5(29.6-46.9, 5.33)

37.4(30.1-45.5, 5.57)

0.505

LT FEMUR D100 < 35Gy

1.96(1.2-3.33, 0.62)

2.27(1.28-3.96, 0.91)

0.044

LT FEMUR D60 < 45Gy

23.1(17.9-27.1, 2.35)

18.5(14.8-24.1, 2.66)

0.008

LT FEMUR D10 < 50Gy

29.2(27–32.9, 2.13)

32.7(27.4-40.2, 4.7)

0.053

NON-RECTAL BOWEL MEDIAN

48.3(29.5-65.8, 11.6)

46.3(28.7-63.6, 12.1)

0.029

NON-RECTAL BOWEL D98%

15.6(7.5-26.9, 7.38)

13.5(6.63-31.9, 7.86)

0.045

NON-RECTAL BOWEL D2%

72.3(66.8-75.5, 3.13)

72.3(67–76.1, 3.37)

0.894

NON-RECTAL BOWEL D30 < 40Gy

59.2(33.6-71.7, 9.99)

58.4(37.2-68.8, 9.38)

0.351

NON-RECTAL BOWEL D0 < 45Gy

75.3(71.5-77.1, 1.53)

76.2(71.6-78.7, 2.19)

0.023

SMALL BOWEL MEDIAN

42.5(18.3-65.7, 14.8)

37.5(14.4-63.5, 16.6)

0.019

SMALL BOWEL D98%

16.7(5.81-33.6, 9.95)

12.7(5.88-25.7, 6.73)

0.008

SMALL BOWEL D2%

62(37–75.8, 16.4)

59.5(28–77.2, 20.4)

0.221

SMALL BOWEL D30 < 40Gy

50.9(23.3-70.5, 17.1)

47.2(17.3-67.2, 20.4)

0.076

SMALL BOWEL D0 < 45Gy

68.8(43.5-76.3, 13)

67.6(30–78.7, 17.5)

1.000

LARGE BOWEL MEDIAN

50.7(28.4-67, 11.1)

48.5(25.4-65, 12.2)

0.023

LARGE BOWEL D98%

15.1(6.46-26.9, 6.71)

13.6(6.23-31.9, 7.34)

0.068

LARGE BOWEL D2%

71.3(65.3-75.7, 3.29)

71.6(66.8-76.3, 3.19)

0.286

LARGE BOWEL D30 < 40Gy

61.7(45.5-73.3, 6.52)

60.2(37.8-72.9, 8.91)

0.168

LARGE BOWEL D0 < 45Gy

74.8(71.5-77.1, 1.52)

75.4(71.6-78.6, 2.3)

0.142

PLANNING TIME (MINS)

65.5(45–100, 19.7)

159(60–250, 54.3)

0.005

TOTAL MU

822(684–1047, 94.1)

419(359–464, 34.4)

0.004

PTV CONFORMITY INDEX (CI)

1.12(1.04-1.29, 0.07)

1.11(1.05-1.22, 0.05)

0.953

PTV BOOST CONFORMITY INDEX (CI)

1.14(0.99-1.48, 0.16)

1.06(0.97-1.23, 0.08)

0.068

PTV HOMOGENITY INDEX (HI)

0.196(0.18-0.22, 0.014)

0.2(0.08-0.24, 0.04)

0.258

PTV BOOST HOMOGENITY INDEX (HI)

0.06(0.03-0.08, 0.02)

0.081(0.05-0.1, 0.014)

0.009

EUD PTV

67.3(65.8-69, 1.24)

67.3 (66–69.1, 0.8)

0.965

TCP PTV

74%(71%-78%, 3%)

74%(71%-78%, 2%)

0.965

EUD PTV2

66(64.6-67.7, 1.21)

66(64.7-67.7, 0.78)

0.965

TCP PTV2

71%(67%-75%, 3%)

71%(68%-75%, 2%)

0.965

EUD rectum

54.1(37.1-61.6, 6.71)

55.6(38.7-64.4, 7.11)

0.011

EUD RTFEM

29.4(21.1-43.7, 6.42)

30.6(22.1- 42.9, 5.8)

0.505

EUD NRB

62.6(52.4-72.1, 5.05)

62.6(52.8-71, 4.95)

0.894

NTCP NRB

68%(13%-96%, 23%)

67%(14%-95%, 23%

0.722

EUD LFH

24.5(19.8-32.4, 3.81)

25.9(19.6-33.2, 4.89)

0.450