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Table 3 Estimates of the relative risk of cardiac failure and Excess absolute risk (EAR) (per 10,000 patient-years) of secondary cancer induction estimated with the full model. Results are shown as averages (with uncertainty expressed as 1 standard deviation). The p value is relative to the Wilcoxon signed rank paired test

From: Volumetric modulated arc therapy versus intensity-modulated proton therapy in neoadjuvant irradiation of locally advanced oesophageal cancer

Organ

Model

Endpoint

RA_RP

IMPT_2F

IMPT_3F

P

Whole heart

RR

CHF

1.7 ± 0.1

1.3 ± 0.1

1.3 ± 0.1

B,C

Left Ventricle

RR

CHF

1.5 ± 0.1

1.1 ± 0.1

1.1 ± 0.1

B,C

Coronaries

RR

CAD

1.6 ± 0.4

1.2 ± 0.3

1.2 ± 0.3

A,B,C

Lungs

EAR

RSCI

19.2 ± 5.7

6.1 ± 2.7

5.7 ± 2.4

A,B,C

  1. RR Relative risk, CAD Coronay artery disease, CHF Chronic heart failure, EAR Excess absolute risk, RSCI Risk of secondary cancer inducton, RA_RP RapidArc Volumetric modulated arc therapy with RapidPlan optimization, IMPT Intensity modulated proton therapy with robust optimization (2 fields: _2F; 3 fields: _3F). Statistical significance: A: IMPT_2F vs IMPT_3F; B: IMPT_2F vs RA_RP; C: IMPT_3F vs RP_RP