Volume
|
Pelvic RT
|
EFRT
|
---|
|
HT
|
IMPT
|
IMRT
|
VMAT
|
HT
|
IMPT
|
IMRT
|
VMAT
|
---|
OAR Parameters
|
Bowel V
10Gy
(%)
|
99.1 ± 1.3a,b,c
|
52.4 ± 15.8d,e
|
93.7 ± 4.1
|
94.6 ± 2.8
|
96.5 ± 4.3a
|
40.3 ± 7.1d,e
|
90.9 ± 6.6
|
94.0 ± 5.8
|
Bowel V
20Gy
(%)
|
74.8 ± 12.6a,c
|
37.7 ± 13.3d,e
|
73.7 ± 12.0
|
74.2 ± 3.1
|
61.9 ± 1.4a,c
|
28.2 ± 7.0d,e
|
60.6 ± 9.3
|
59.8 ± 8.5
|
Bowel V
30Gy
(%)
|
47.1 ± 18.8a,c
|
28.4 ± 10.6d,e
|
45.6 ± 12.9
|
44.8 ± 10.8
|
36.0 ± 10.6a,c
|
18.2 ± 5.5d,e
|
34.2 ± 8.5
|
32.7 ± 9.3
|
Bowel V
50Gy
(%)
|
6.7 ± 3.6
|
5.6 ± 2.1d,e
|
11.8 ± 4.5
|
8.9 ± 2.5
|
6.5 ± 3.3a
|
2.9 ± 0.9d,e
|
8.8 ± 2.5
|
8.0 ± 2.8
|
Bowel D
mean
(Gy)
|
27.6 ± 5.6a
|
18.6 ± 5.9d,e
|
30.2 ± 4.0
|
34.1 ± 7.0
|
24.0 ± 4.1a
|
13.8 ± 2.8d,e
|
26.3 ± 3.2
|
25.3 ± 3.7
|
Rectum D
mean
(Gy)
|
47.8 ± 3.6a
|
41.4 ± 5.3e
|
47.2 ± 4.8
|
48.3 ± 1.6
|
48.2 ± 2.4a
|
41.3 ± 3.0d,e
|
48.5 ± 3.2
|
48.3 ± 1.5
|
Bladder D
mean
(Gy)
|
49.2 ± 1.4a
|
41.6 ± 5.8d,e
|
49.1 ± 3.4
|
50.1 ± 1.6
|
48.4 ± 2.8a
|
40.8 ± 6.4d,e
|
49.5 ± 3.8
|
48.9 ± 2.3
|
PTV Parameters
|
HI PTV_A
|
0.88 ± 0.02
|
0.87 ± 0.01
|
0.88 ± 0.01
|
0.87 ± 0.01
|
0.87 ± 0.01
|
0.87 ± 0.01
|
0.88 ± 0.01
|
0.88 ± 0.01
|
HI PTV_B
|
0.94 ± 0.01a,b
|
0.96 ± 0.01d,e
|
0.92 ± 0.01f
|
0.94 ± 0.01
|
0.94 ± 0.02a
|
0.96 ± 0.01d,e
|
0.93 ± 0.01
|
0.94 ± 0.01
|
CN PTV_A
|
0.88 ± 0.03a,b
|
0.92 ± 0.01d,e
|
0.82 ± 0.02f
|
0.88 ± 0.03
|
0.85 ± 0.13
|
0.88 ± 0.01d
|
0.82 ± 0.06
|
0.88 ± 0.03
|
CN PTV_B
|
0.87 ± 0.02
|
0.88 ± 0.05
|
0.84 ± 0.06
|
0.88 ± 0.03
|
0.86 ± 0.06a,c
|
0.89 ± 0.03d
|
0.78 ± 0.08
|
0.87 ± 0.08
|
CI PTV_A
|
1.09 ± 0.05a,b,c
|
1.03 ± 0.02d,e
|
1.20 ± 0.03f
|
0.98 ± 0.01
|
1.16 ± 0.07
|
1.05 ± 0.02d,e
|
1.22 ± 0.11f
|
0.97 ± 0.01
|
CI PTV_B
|
1.07 ± 0.06
|
1.08 ± 0.07
|
1.16 ± 0.09f
|
1.09 ± 0.05
|
1.15 ± 0.11
|
1.07 ± 0.06d
|
1.24 ± 0.13f
|
1.08 ± 0.10
|
- HI: homogeneity index; CN: conformality number; CI: conformality index. VxGy: volume receiving at least x Gy. HT: helical tomotherapy; IMPT: intensity modulated proton therapy; IMRT: intensity modulated radiation therapy; VMAT: volumetric modulated arc therapy. EFRT: extended field radiation therapy. Statistical significance when p < 0.05. aHT vs IMPT; bHT vs IMRT; cHT vs VMAT; dIMPT vs IMRT; eIMPT vs VMAT; fIMRT vs VMAT.