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Table 2 Dose parameters for the PTVs and OARs for all four techniques

From: Elective breast radiotherapy including level I and II lymph nodes: A planning study with the humeral head as planning risk volume

 

HTF

HTF –

HTF hh

p-value

HTF hh

HTF hh –

IMRT

p-value

IMRT

IMRT –

VMAT

p-value

VMAT

HTF hh – VMAT p-value

PTVp V90% (%)

99.9 (99.7–100)

≤0.01

99.5 (95.6–100)

0.08

99.8 (99.2–100)

≤0.01

99.5 (98.8–99.9)

0.08

PTVp V95% (%)

97.8 (97.2–99.5)

0.02

97.2 (91.8–99.5)

0.65

97.3 (96.7–98.8)

0.09

97.1 (96.6–97.4)

0.14

PTVn V90% (%)

97.9 (96.6–99.3)

≤0.01

89.4 (73.3–98.7)

≤0.01

98.2 (91.3–99.9)

0.51

99.5 (98.2–99.9)

≤0.01

PTVn V95% (%)

86.5 (81.4–94.2)

≤0.01

73.6 (56.9–87.6)

≤0.01

91.1 (77.8–98.2)

0.05

95.4 (88.3–98.3)

≤0.01

CI95%

1.24 (1.04–1.41)

≤0.01

1.16 (1.01–1.29)

≤0.01

1.06 (0.93–1.18)

≤0.01

0.90 (0.77–1.06)

≤0.01

CI90%

1.49 (1.25–1.66)

≤0.01

1.41 (1.22–1.51)

≤0.01

1.33 (1.14–1.41)

≤0.01

1.09 (0.97–1.25)

≤0.01

Lungs Dmean (Gy)

4.8 (3.9–6.1)

0.02

4.7 (3.9–6.1)

0.33

4.8 (3.8–5.9)

0.24

5.2 (4.2–6.8)

0.17

Heart Dmean (Gy)

3.3 (1.7–6.2)

≤0.01

3.3 (1.6–6.1)

≤0.01

2.9 (1.6–5.7)

0.04

3.6 (2.0–5.7)

0.51

Contralat. breast Dmean (Gy)

0.7 (0.3–0.9)

≤0.01

0.6 (0.3–0.9)

0.02

0.6 (0.3–0.7)

≤0.01

2.3 (0.6–4.2)

≤0.01

hh+10 V40Gy (cc)

20.7 (0–66.9)

≤0.01

0.5 (0–1.2)

0.37

0.6 (0–1.8)

0.31

0.6 (0–1.3)

0.26

  1. HTF High tangential fields, HTF hh HTF with sparing of the humeral head, CI95% Conformity index of the 95% isodose, CI90% Conformity index of the 90% isodose, hh+10 humeral head + 10 mm. Values are averages with the range indicated in brackets. p-values are written in bold when statistical significance is reached (p ≤ 0.0125)