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Table 5 Comparison between IMRT and VMAT for 39 head and neck plans with a prescription of 69.3 Gy

From: A treatment planning study comparing Elekta VMAT and fixed field IMRT using the varian treatment planning system eclipse

 

IMRT(n = 38)

1A(n = 38)

1Am(n = 38)

2A(n = 38)

2Am(n = 38)

PTV 69.3Gy

     

Dmax (%)

107.6 (103.9 - 110.3)

107.9 (104.4 - 112.7)b+

108.0 (105.7-111.8)ac+

106.8 (104.4- 109.2)a+b+

107.0 (104.4 - 109.9)c+

V95% (%)

93.4 (88.1 - 97.8)

91.5 (85.3 - 99.1)a+

91.0 (82.9 - 98.1)a+c

91.9 (86.1 - 99.1)a+

91.6 (85.4 - 98.8)a+c

HI

1.10 (1.07 - 1.14)

1.11 (1.06 - 1.15)a+b+

1.12 (1.07 - 1.17)a+c+

1.10 (1.06 - 1.14)b+

1.11 (1.06 - 1.14)c+

CN

0.77 (0.22 - 0.91)

0.81 (0.26 - 0.91)a+b+

0.83 (0.30 - 0.92)a+c+

0.84 (0.29 - 0.93)a+b+

0.85 (0.40 - 0.93)a+c+

PTV 56.1Gy

     

Dmax (%)

127.8 (124.0 - 135.1)

122.7 (115.6 - 130.4)a+

123.2 (116.7-129.0)a+c+

122.3 (117.0 - 126.4)a+

122.1 (118.2-127.2)a+c+

V95% (%)

93.1 (81.7 - 97.9)

93.3 (85.5 - 97.3)b+

87.6 (80.3 - 94.9)a+c+

96.1 (92.2 - 99.1)a+b+

92.0 (84.1 - 97.2)c+

HI

1.21 (1.12 - 1.31)

1.19 (1.14 - 1.24)ab+

1.21 (1.14 - 1.28)c+

1.16 (1.10 - 1.22)a+b+

1.18 (1.10 - 1.25)a+c+

CN

0.67 (0.46 - 0.82)

0.69 (0.42 - 0.83)b+

0.69 (0.49 - 0.81)c+

0.71 (0.44 - 0.85)a+b+

0.73 (0.50 - 0.85)a+c+

D50% (%)

101.2 (99.0 - 104.3)

102.6 (101.1-105.9)a+b+

100.8 (99.5 - 102.1)

102.2 (101.0 -104.6)a+b+

100.6 (98.9 - 101.9)a

PTV 54Gy

     

Dmax (%)

129.9 (106.5 - 136.3)

126.8 (114.5 - 134.6)ab+

126.8 (112.5 - 133.0)a

124.5 (110.7 -129.8)a+b+

125.6 (109.1 - 132.9)a+

V95% (%)

90.1 (85.0 - 95.3)

94.0 (90.8 - 97.5)a+b+

89.0 (79.2 - 92.9)

96.1 (92.5 - 98.7)a+b+

92.5 (87.3 - 97.5)

HI

1.22 (1.09 - 1.28)

1.20 (1.12 - 1.25)b+

1.21 (1.12 - 1.31)c+

1.17 (1.09 - 1.24)a+b+

1.19 (1.09 - 1.27)a+c+

CN

0.70 (0.57 - 0.79)

0.73 (0.63 - 0.87)a+b+

0.74 (0.65 - 0.81)a+

0.76 (0.66 - 0.88)a+b+

0.76 (0.65 - 0.87)a+

D50% (%)

100.1 (98.4 - 101.5)

102.4 (101.3-103.4)a+b+

100.6 (98.9 - 102.2)

101.9 (101.1- 103.2)a+b+

100.5 (99.8 - 101.8)

PTV 52.8Gy

     

Dmax (%)

114.0 (103.9 - 134.7)

114.9 (109.6 - 128.2)b+

112.9 (108.0 - 126.5)

113.1 (109.1 - 127.3)b+

112.0 (106.2 - 128.3)

V95% (%)

92.7 (73.0 - 99.5)

96.5 (91.7 - 99.3)ab+

91.9 (83.8 - 97.9)c+

97.9 (95.5 - 99.8)a+b+

95.1 (87.1 - 99.2)c+

HI

1.11 (1.07 - 1.21)

1.13 (1.09 - 1.18)b+

1.13 (1.09 - 1.18)c+

1.10 (1.07 - 1.14)b+

1.11 (1.07 - 1.15)c+

CN

0.64 (0.47 - 0.75)

0.71 (0.63 - 0.84)a+

0.72 (0.64 - 0.87)a+c

0.72 (0.64 - 0.84)a+

0.74 (0.63 - 0.88)a+c

D50% (%)

99.9 (98.0 - 102.7)

102.7 (101.5-104.5)a+b+

100.5 (99.5 - 101.5)

102.2 (101.0 -103.6)a+b+

100.5 (99.1 - 101.8)

Body

     

Dmean (Gy)

7.1 (3.9 - 18.2)

6.7 (3.7 - 17.0)a+

6.6 (3.6 - 16.8)a+c+

6.7 (3.7 - 17.0)a+

6.6 (3.6 - 16.6)a+c+

V5Gy (%)

21.2 (10.6 - 56.6)

21.4 (10.7 - 58.2)a+b+

21.4 (10.7 - 57.5)a+c+

21.6 (10.7 - 58.5)a+b+

21.5 (10.8 - 58.7)a+c+

Brain

     

Dmax (Gy)

38.8 (3.7 - 62.9)

41.5 (5.2 - 60.4)ab

40.1 (5.1 - 58.6)

40.1 (5.2 - 63.3)b

39.9 (5.0 - 60.7)

Brain stem

     

Dmax (Gy)

39.3 (20.6 - 51.0)

44.6 (22.2 - 51.5)a+

42.9 (18.9 - 52.5)a

44.3 (15.0 - 51.6)a+

43.1 (17.0 - 51.0)a

Lips

     

Dmax (Gy)

28.6 (2.1 - 71.4)

29.1 (2.4 - 70.4)

28.3 (2.2 - 64.7)

30.4 (2.2 - 70.3)

29.8 (2.2 - 69.3)

Parotid gland

     

Dmean (Gy)

30.2 (7.8 - 62.7)

30.7 (9.7 - 55.7)a+b+

29.5 (9.7 - 55.8)

30.3 (9.6 - 55.7)ab+

29.2 (9.8 - 56.0)

V28Gy (%)

48.1 (8.7 - 100.0)

49.6 (11.0 - 92.9)a+b+

46.6 (12.1 - 93.0)

48.2 (10.3 - 93.2)ab+

45.6 (10.4 - 93.3)

Spine

     

Dmax (Gy)

37.4 (33.1 - 44.3)

36.3 (33.2 - 44.6)ab+

36.1 (32.7 - 44.0)ac+

35.1 (32.5 - 41.0)a+b+

35.3 (32.6 - 42.8)a+c+

MU

649.2 (458–802)

370.5 (313–524)a+b+

372.9 (326–482)a+c+

393.1 (322–558)a+b+

393.6 (320–538)a+c+

  1. Single and double arc plans before (1A, 2A) and after modification (1Am, 2Am) of the optimization penalties; values are expressed as the mean (range).
  2. ap < 0.05 for Wilcoxon matched-pair signed rank test vs. IMRT; bp < 0.05 1A vs. 2A; cp < 0.05 1Am vs. 2Am; +p < 0.01.