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Table 3 Mean absolute difference and standard deviation of the OARs DVH dosimetric parameters in the 11 cases studied

From: Impact of positioning errors in the dosimetry of VMAT left-sided post mastectomy irradiation

Perturbation

Left Lung

Heart

Shift

Direction

a V20

a V40

b Dm

a V25

a V40

b Dm

3 mm

inferior

1.9 ± 0.6

1.6 ± 0.5

1.0 ± 0.1

0.2 ± 0.2

0.1 ± 0.1

0.0 ± 0.1

superior

− 2.5 ± 0.5

− 1.2 ± 0.7

− 0.8 ± 0.1

− 0.2 ± 0.1

− 0.1 ± 0.1

− 0.2 ± 0.2

posterior

2.4 ± 0.5

2.5 ± 0.5

1.1 ± 0.1

1.6 ± 1.1

0.4 ± 0.2

0.8 ± 0.2

right

2.6 ± 0.5

2.3 ± 0.7

1.2 ± 0.4

0.6 ± 0.2

0.3 ± 0.3

0.2 ± 0.2

left

− 2.9 ± 0.8

− 1.9 ± 0.8

−1.0 ± 0.3

− 0.5 ± 0.1

− 0.2 ± 0.2

− 0.4 ± 0.2

anterior

− 3.0 ± 0.8

− 1.8 ± 0.3

−1.0 ± 0.1

−1.8 ± 0.5

− 0.2 ± 0.1

− 0.6 ± 0.2

5 mm

inferior

3.5 ± 0.5

3.1 ± 0.8

1.5 ± 0.2

0.6 ± 0.9

0.3 ± 0.1

0.3 ± 0.2

superior

− 3.6 ± 0.5

−1.8 ± 0.9

−1.2 ± 0.2

−0.8 ± 0.7

−0.2 ± 0.1

−0.4 ± 0.2

posterior

4.1 ± 0.6

4.2 ± 0.7

1.7 ± 0.5

3.0 ± 1.2

1.3 ± 0.8

1.4 ± 0.4

right

4.3 ± 1.3

4.1 ± 1.3

2.0 ± 0.4

0.9 ± 1.0

0.4 ± 0.2

0.3 ± 0.2

left

− 4.5 ± 1.1

−3.0 ± 1.7

−1.6 ± 0.4

−0.8 ± 0.7

−0.3 ± 0.3

−0.5 ± 0.3

anterior

−5.6 ± 1.6

− 4.1 ± 2.5

−1.7 ± 0.2

− 2.5 ± 1.3

−0.3 ± 0.2

− 1.0 ± 0.5

10 mm

inferior

7.1 ± 1.4

6.5 ± 1.1

3.1 ± 0.6

1.1 ± 1.0

0.5 ± 0.3

0.2 ± 0.2

superior

−6.5 ± 1.5

−2,7 ± 1.1

−2.2 ± 0.4

−1.0 ± 1.0

−0.4 ± 0.2

−0.2 ± 0.1

posterior

8.4 ± 1.2

8.4 ± 1.6

3.7 ± 0.5

7.0 ± 2.2

3.6 ± 2.6

3.0 ± 0.9

right

9.8 ± 1.8

8.5 ± 2.5

4.1 ± 0.8

2.1 ± 1.2

0.7 ± 0.4

0.4 ± 0.2

left

− 8.5 ± 1.8

− 4.13 ± 2.4

−2.8 ± 0.9

−1.4 ± 1.1

−0.4 ± 0.2

−1.1 ± 0.9

anterior

−9.6 ± 1.8

−4,2 ± 2.4

−3-0 ± 0.4

−3.4 ± 2.6

− 1.1 ± 0.9

−2.3 ± 1.0

  1. a Vx: absolute difference expressed in % of the volume covered by a dose of x Gy; b Dm absolute difference expressed in Gy of the mean dose. The absolute difference is obtained by subtracting the dosimetric parameter reference value from the corresponding perturbed one. In bold the isocenter shift directions contributing to worsen the OARs dosimetry and clinically unacceptable absolute differences