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Table 2 The changes of dose-volumetric indicators according to the magnitudes of MLC misalignments in lung SBRT plans

From: The sensitivity of gamma-index method to the positioning errors of high-definition MLC in patient-specific VMAT QA for SBRT

 

Percent differences compared to the original plan (%)

MLC error (mm)

Class

Target

Organs at risk

V90%

D95%

Mean

Trachea Max

SC Max

Rib Max

Lung V12.4Gy

Lung V11.6Gy

Heart Max

Esophagus Max

N

10

10

10

7

10

9

10

10

10

10

0.25

Out

1.2 ± 1.3

1.9 ± 0.9

1.5 ± 0.6

2.5 ± 1.5

1.7 ± 0.7

2.3 ± 1.0

16.7 ± 12.0

-1.1 ± 31.2

2.8 ± 1.2

2.4 ± 0.8

In

-1.7 ± 1.5

-1.9 ± 0.9

-1.5 ± 0.6

-2.9 ± 1.7

-1.7 ± 0.6

-1.8 ± 1.0

-18.1 ± 15.7

-8.9 ± 4.4

-2.2 ± 1.0

-2.3 ± 0.8

0.5

Out

2.0 ± 2.4

3.8 ± 1.7

3.1 ± 1.3

5.4 ± 3.1

3.5 ± 1.1

4.4 ± 1.9

33.1 ± 22.8

9.3 ± 35.5

5.4 ± 2.2

4.8 ± 1.7

In

-4.0 ± 3.1

-3.9 ± 1.6

-3.1 ± 1.2

-5.6 ± 3.0

-12.2 ± 27.4

-4.0 ± 1.9

-33.6 ± 25.3

-17.9 ± 8.8

-5.0 ± 1.8

-4.5 ± 1.5

1

Out

2.7 ± 3.4

6.6 ± 2.9

5.6 ± 2.3

9.1 ± 5.7

6.1 ± 1.6

7.6 ± 3.2

40.1 ± 56.1

21.3 ± 40.7

9.4 ± 4.0

7.9 ± 2.9

In

-10.1 ± 6.4

-7.1 ± 2.8

-5.6 ± 2.2

-9.1 ± 5.1

-5.8 ± 1.3

-7.0 ± 3.2

-50.3 ± 29.6

-32.8 ± 16.8

-8.5 ± 3.1

-7.5 ± 2.8

Shift

-0.4 ± 1.8

-1.3 ± 2.2

0.1 ± 0.6

-1.3 ± 4.1

0.4 ± 1.4

0.9 ± 1.5

1.3 ± 5.6

-0.5 ± 2.0

0.1 ± 2.0

-2.0 ± 6.0

2

Out

3.4 ± 4.6

12.3 ± 5.4

10.9 ± 4.5

17.8 ± 11.1

12.5 ± 3.0

15.8 ± 7.9

85.6 ± 86.9

49.8 ± 54.7

19.0 ± 8.1

15.6 ± 5.6

In

-40.0 ± 19.2

-15.1 ± 5.6

-11.5 ± 4.4

-17.2 ± 9.0

-11.8 ± 2.7

-13.8 ± 6.3

-68.8 ± 35.1

-62.0 ± 30.6

-17.5 ± 6.5

-14.7 ± 4.9

Shift

-2.4 ± 3.4

-3.0 ± 3.3

-0.1 ± 1.1

-2.1 ± 6.5

0.7 ± 2.6

2.5 ± 3.7

2.8 ± 9.5

-2.8 ± 5.5

0.1 ± 4.3

-0.7 ± 1.7

3

Shift

-6.9 ± 5.4

-6.8 ± 5.6

-1.1 ± 1.8

-3.1 ± 8.7

1.4 ± 4.4

5.1 ± 6.0

1.1 ± 12.8

-5.4 ± 7.0

0.4 ± 7.2

-1.2 ± 2.5

  1. Abbreviations: MLC multi-leaf collimator, SBRT stereotactic body radiation therapy, V n% the volume irradiated at least n% of prescribed dose, Max maximum dose, D n% the dose received by the n% volume of the structure volume, SC spinal cord, N number of plans.