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Table 3 Changes in tumor volume and dose intensity based on dose volume histogram before and after surgical spacer placement

From: Surgical spacer placement for proton radiotherapy in locally advanced pancreatic body and tail cancers: initial clinical results

 

Parameter

Preoperative

Mean value

Postoperative

Mean value

T-test

Tumor

Volume (ml)

34.1

45.9

0.023

GTV

V95% (%)

49.7

71.9

0.001

 

V60(Gy [RBE]) (%)

66.4

84.7

 < 0.001

 

D95% (Gy [RBE])

49.7

53.7

 < 0.001

 

Dmean (Gy [RBE])

61.5

64.5

 < 0.001

 

Dmin (Gy [RBE])

46.2

48.1

0.019

CTV

V95% (%)

50.8

66.7

0.004

 

V60(Gy [RBE]) (%)

64.1

78.4

0.002

 

D95% (Gy [RBE])

48.0

50.1

0.005

 

Dmean (Gy [RBE])

61.4

63.6

0.003

 

Dmin (Gy [RBE])

44.6

45.2

0.030

PTV

V95% (%)

39.3

52.8

0.005

 

V60(Gy [RBE]) (%)

51.1

65.2

0.002

 

D95% (Gy [RBE])

45.3

45.9

0.021

 

Dmean (Gy [RBE])

48.7

61.1

0.002

 

Dmin (Gy [RBE])

37.9

37.1

0.451

Stomach

D0.5 cc (Gy [RBE])

46.6

45.8

0.190

 

V48(Gy [RBE]) (cc)

0.211

0.16

0.144

 

V40(Gy [RBE]) (cc)

22.3

12.2

0.018

 

V30(Gy [RBE]) (cc)

40.0

27.5

0.038

Small intestine

D0.5 cc (Gy [RBE])

47.5

47.1

0.239

 

V48(Gy [RBE]) (cc)

0.331

0.3

0.337

 

V40(Gy [RBE]) (cc)

11.9

9.99

0.031

 

V30(Gy [RBE]) (cc)

21.1

16.8

0.020

Large intestine

D0.5 cc (Gy [RBE])

20.7

14.0

0.228

 

V48(Gy [RBE]) (cc)

0.068

0.0008

0.101

 

V40(Gy [RBE]) (cc)

4.23

0.12

0.088

 

V30(Gy [RBE]) (cc)

8.29

0.4

0.089

  1. GTV gross tumor volume, CTV clinical target volume, PTV planning target volume, RBE relative biological effectiveness, V95% the volume that 95% of the treatment planning dose is irradiated, V60 the percentage of volume irradiated more than 60 Gy (RBE), D95% a dose intensity covering 95% of the target volume, Dmean, the average dose of the target volume, Dmin the minimum dose of the target volume; D0.5 cc, maximum dose at which more than 0.5 cc of an organ volume is irradiated; V48, V40 and V30, the volume irradiated by more than 48, 40 and 30 Gy (RBE), respectively