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Table 3 The changes of dose-volumetric indicators according to the magnitudes of MLC misalignments in spine 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

V100%

D95%

Mean

SC V10Gy

Esophagus Max

Cauda equina V14Gy

Brainstem Max

Bowel Max

N

8

10

10

3

2

1

1

5

0.25

Out

5.1 ± 2.2

2.4 ± 1.2

1.6 ± 0.7

28.5 ± 9.2

4.0 ± 1.0

133

7.4

1.4 ± 0.3

In

-6.6 ± 4.8

-1.9 ± 1.2

-1.6 ± 0.7

-22.9 ± 3.7

-5.5 ± 3.2

-45.9

-1.9

-1.3 ± 0.4

0.5

Out

10.0 ± 5.1

4.5 ± 2.2

3.1 ± 1.4

58.9 ± 13.4

10.3 ± 5.3

356.3

12.1

2.7 ± 0.7

In

-15.0 ± 7.7

-4.1 ± 2.3

-3.2 ± 1.4

-44.7 ± 6.8

-10.9 ± 7.0

-70.5

-7.4

-2.7 ± 0.7

1

Out

16.7 ± 9.3

7.2 ± 3.6

5.6 ± 2.5

113.9 ± 28.3

20.5 ± 12.2

610.6

19.5

4.8 ± 1.3

In

-32.2 ± 13.6

-7.7 ± 4.0

-5.8 ± 2.6

-71.7 ± 7.4

-19.0 ± 11.5

-91.8

-14.8

-4.8 ± 1.3

Shift

0.2 ± 1.5

1.1 ± 1.2

0.2 ± 0.3

36.8 ± 18.7

-9.6 ± 11.3

123.9

11.8

-2.4 ± 1.5

2

Out

28.5 ± 18.2

13.3 ± 6.4

10.9 ± 5.0

244.4 ± 41.9

45.0 ± 30.0

910.4

36.8

10.3 ± 1.8

In

-65.5 ± 22.5

-16.6 ± 8.3

-11.8 ± 5.2

-98 ± 1.9

-33.8 ± 18.0

-100

-30.1

-9.3 ± 2.5

Shift

-2.3 ± 2.8

-0.2 ± 1.9

-0.1 ± 0.7

66.4 ± 16.3

-15.2 ± 16.9

346.1

19.9

-4.3 ± 1.9

3

Shift

-5.4 ± 5.3

-3.3 ± 3.7

-0.8 ± 1.1

109.3 ± 23.5

-19.6 ± 20.0

628.3

27.6

-5.3 ± 2.5

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