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Table 3 Summary of calculated volume and dose to (a) ipsilateral breast and tumor bed, to (b) axillary levels I, II, and III and to (c)sentinel lymph node (SLN) clips

From: Axillary lymph node dose with tangential whole breast radiation in the prone versus supine position: a dosimetric study

a) Dose to ipsilateral breast and tumor bed

  

Supine (n = 23)

Prone (n= 23)

Comparison (two-tailed unpaired t-test)

Ipsilateral breast mean dose (%) ± SD*

 

96 ± 3.8

95 ± 1.8

p = 0.26 (CI†† = -0.77 to2.8)

V95% ipsilateral breast

 

77 ± 6.5

74 ± 5.3

p = 0.09 (CI = -0.52 to 6.5)

V95% tumor bed

 

99 ± 1.7

98 ± 4.6

p = 0.33 (CI = -1.1 to 3.1)

b) Dose to axillary volumes

 

Mean dose (%) ± SD

Level I

66 ± 20

36 ± 30

p< 0.0001 (CI =15 to 45)

 

Level II

6 ±15

3 ± 3

 
 

Level III

3 ± 2

< 1 ± 0.4

 

Mean V95% ± SD

Level I

37 ± 18

14 ± 19

p < 0.0001 (CI = 12 to 34)

 

Level II

0

0

 
 

Level III

0

0

 

Mean V90% ± SD

Level I

50 ± 20

21 ± 25

p< 0.0001 (CI = 16 to 43)

 

Level II

1 ± 5

0

 
 

Level III

0

0

 

Mean V50% ± SD

Level I

67 ± 19

35 ± 33

 
 

Level II

5 ± 17

< 1 ± 2

 
 

Level III

0

0

 

c) Dose to sentinel lymph node (SLN ) clips

 
  

Supine ( n = 9)

Prone ( n = 7)

 

SNB clips in treatment field

 

9

2

 

V95% SLN clips ± SD

 

47 ± 43

0 ± 0

p<0.0001 (95% CI =29 to 65)

SLN clips receiving > 90% dose

 

8

1

 

Mean dose to SLN clips (%) ± SD

 

95 ± 5

43 ± 34

 
  1. *SD = standard deviation; SLN = sentinel lymph node; ††CI = confidence interval.