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Table 2 Dose volume metrics for all radiotherapy plans

From: The effect of dose escalation on gastric toxicity when treating lower oesophageal tumours: a radiobiological investigation

Comparison of dose-volume metrics, TCP and NTCP values

 

50Gy3D

50GyRA

60GyRA

Wilcoxon signed-rank test

 

Median (range)

Median (range)

Median (range)

50Gy3D–50GyRA

50Gy3D–60GyRA

50GyRA–60GyRA

PTV1

      

 V95%

98.2 (96.0–100)

99.1 (95.2–100)

97.0 (95.0–98.2)

Z = 0.53 (p = .57)

Z = 1.07 (p = .28)

Z = 1.36 (p = .17)

PTV2 (GTV + 0.5 cm)

      

 V95%

  

95.1 (92.4–97.4)

   

 TCP (%) Geh

38.7 (37.5–41.1)

37.8 (37.5–38.7)

50.9 (50.7–51.4)

Z = 2.11 (p = .04)

Z = 2.67 (p = .01)

Z = 2.81 (p = .01)

Lung

      

 Mean dose (Gy)

9.8 (6.0–11.1)

10.2 (5.8–14.3)

10.7 (6.4–15.2)

Z = 1.78 (p = .07)

Z = 2.40 (p = .02)

Z = 2.80 (p = .01)

 V13Gy (%)

26.8 (20.0–35.9)

32.8 (15.1–51.6)

34.4 (18.0–54.2)

Z = 2.19 (p = .03)

Z = 2.55 (p = .01)

Z = 2.09 (p = .04)

 V20Gy (%)

19.7 (12.3–24.3)

11.3 (4.6–17.4)

15.6 (6.5–23.4)

Z = 2.55 (p = .01)

Z = 1.72 (p = .09)

Z = 2.81 (p = .01)

 NTCP (%) De Jaeger

5.1 (1.9–6.0)

4.3 (2.8–8.0)

4.7 (3.1–9.0)

Z = 1.49 (p = .14)

Z = 2.09 (p = .04)

Z = 2.80 (p = .01)

Heart

      

 Mean dose (Gy)

26.8 (13.9–31.2)

21.2 (14.6–23.6)

20.2 (16.4–23.2)

Z = 1.68 (p = .09)

Z = 1.58 (p = .11)

Z = 0.15 (p = .88)

 V30Gy (%)

55.1 (9.7–67.9)

17.2 (8.2–25.3)

18.7 (10.3–22.6)

Z = 2.67 (p = .01)

Z = 2.55 (p = .01)

Z = 0.87 (p = .39)

 V40Gy (%)

16.2 (5.9–24.5)

10.1 (4.5–14.8)

10.6 (5.6–13.6)

Z = 2.67 (p = .01)

Z = 2.67 (p = .01)

Z = 1.58 (p = .11)

 NTCP (%) Gagliardi

8.9 (3.1–12.8)

4.9 (2.2–7.3)

6.1 (2.9–7.9)

Z = 1.90 (p = .06)

Z = 1.38 (p = .17)

Z = 2.80 (p = .01)

Stomach

      

 Mean dose (Gy)

29.8 (5.5–44.2)

24.1 (5.4–40.4)

23 (6.5–36.1)

Z = 1.17 (p = .24)

Z = 0.97 (p = .33)

Z = 1.60 (p = .11)

 Max dose (Gy)

52.6 (49.6–53.4)

51.9 (42.4–52.9)

60.9 (51.6–61.6)

Z = 0.83 (p = .41)

Z = 2.61 (p = .01)

Z = 2.81 (p = .01)

 V45 (cc)

47.3 (7.3–80.4)

32.8 (0–49.8)

34.3 (5.4–25.4)

Z = 2.60 (p = .01)

Z = 2.50 (p = .01)

Z = 0.36 (p = .72)

 V50 (cc)

31.5 (0–23.4)

17.7 (0–14.8)

21.4 (2.2–19.2)

Z = 2.31 (p = .02)

Z = 1.78 (p = .07)

Z = 1.27 (p = .20)

 StomachIn max dose (Gy)

52.6 (49.6–53.4)

51.9 (42.4–52.9)

60.9 (51.6–61.6)

Z = 0.77 (p = .44)

Z = 2.61 (p = .01)

Z = 2.81 (p = .01)

 StomachOut max dose (Gy)

51.4 (49.4–53.1)

44.4 (36.6–43.6)

44.8 (42.3–46.1)

Z = 1.76 (p = .07)

Z = 1.79 (p = .07)

Z = 0.14 (p = .88)

 NTCP (%) Burman

0.6 (0–2.5)

0.2 (0–1.3)

0.3 (0–3.4)

Z = 2.38 (p = .02)

Z = 0.35 (p = .73)

Z = 2.03 (p = .04)

Stomach wall

      

 Mean dose (Gy)

29.5 (8.2–42.6)

22.9 (7.9–38.7)

22.4 (9.1–35.0)

Z = 0.97 (p = .33)

Z = 0.76 (p = .45)

Z = 0.87 (p = .39)

 Max dose (Gy)

52.6 (49.6–53.4)

51.9 (43.4–52.9)

61 (51.6–61.6)

Z = 0.77 (p = .44)

Z = 2.55 (p = .01)

Z = 2.81 (p = .01)

 V45 (cc)

28 (6.2–39.9)

17.9 (0–26.9)

17.9 (5.4–25.4)

Z = 2.19 (p = .03)

Z = 2.19 (p = .03)

Z = 0.46 (p = .65)

 V50 (cc)

15.8 (0–23.4)

9.1 (0–14.8)

9.2 (2.2–19.2)

Z = 2.31 (p = .02)

Z = 1.48 (p = .14)

Z = 1.28 (p = .20)

 NTCP (%) Feng

17.4 (3.5–24.9)

11.1 (3.6–18.9)

17.5 (3.2–39.4)

Z = 1.72 (p = .09)

Z = 1.99 (p = .05)

Z = 2.70 (p = .01)

Cord PRV

      

 Dmax 0.1 cc (Gy)

36.9 (16.1–41.3)

31.1 (26.2–44.1)

34.9 (28.4–39.6)

Z = 0.47 (p = .64)

Z = 0.18 (p = .86)

Z = 1.67 (p = .10)