From: Cochlea sparing optimized radiotherapy for nasopharyngeal carcinoma
Organ and dosimetric parameter | Original plans (median value) | Optimized plans (median value) | p value |
---|---|---|---|
Left cochlea Dmean | 24.09 Gy (range 12.52–68.45 Gy) | 14.97 Gy (range 7.31–67.48 Gy) | < 0.001 |
Right Cochlea Dmean | 26.05 Gy (range 14.46–60.53 Gy) | 18.47 Gy (range 8.37–60.14 Gy) | < 0.001 |
Left Cochlea Dmax | 32.12 Gy (range 22.75–70.66 Gy) | 24.64 Gy (range 10.86–69.8 Gy) | < 0.001 |
Right cochlea Dmax | 41.47 Gy (range 21.29–67.87 Gy) | 33.66 Gy (range 12.28–69.05 Gy) | 0.001 |
PTV Dmean | 69.96 Gy (range 66.00–70.42 Gy) | 69.96 Gy (range 66.00–71.23 Gy) | 0.201 |
PTV HI | 0.095 (range 0.05–0.14) | 0.070 (range 0.04–0.13) | 0.001 |
PTV CI | 0.595 (range 0.51–0.77) | 0.595 (range 0.54–0.79) | 0.046 |
PTV D2% | 72.47 Gy (range 69.35–73.65 Gy) | 71.98 Gy (range 67.86–73.54 Gy) | 0.001 |
PTV D98% | 65.99 Gy (range 62.91–68.75 Gy) | 66.85 Gy (range 62.94–68.97 Gy) | < 0.001 |
PTV V95% | 97.49% (range 92.73–99.8%) | 98.73% (range 94.3–100%) | 0.001 |
Brainstem Dmax | 50.59 Gy (range 20.23–62.57 Gy) | 50.81 Gy (range 20.38–64.96 Gy) | 0.965 |
Left parotis Dmean | 24.95 Gy (range 14.49–62.21 Gy) | 23.68 Gy (range 14.53–61.61 Gy) | 0.024 |
Right parotis Dmean | 24.59 Gy (range 16.94–50.4 Gy) | 21.92 Gy (range 15.43–50.4 Gy) | 0.009 |
Spinal cord Dmax | 40.27 Gy (range 33.69–54.01 Gy) | 38.99 Gy (range 33.45–54.04 Gy) | 0.011 |
Oral cavity Dmean | 30.41 Gy (range 22.74–44.03 Gy) | 31.56 Gy (range 23.16–42.41 Gy) | 0.452 |
Mandible Dmean | 30.03 Gy (range 21.16–37.37 Gy) | 30.46 Gy (range 20.97–36.96 Gy) | 0.985 |
Mandible V70Gy | 0.000 (range 0–0.258) | 0.000 (range 0–0.246) | 0.789 |
Chiasm Dmax | 10.70 Gy (range 3.12–60.23 Gy) | 9.21 Gy (range 3.14–60.23 Gy) | 0.231 |
Chiasm D0.03 cc | 8.68 cc (range 2.99–57.17 cc) | 7.33 cc (range 3.03–67.67 cc) | 0.956 |
Left optic nerve D0.03 cc | 12.94 cc (range 2.51–70.16 cc) | 9.58 cc (range 2.48–69.81) | 0.076 |
Right optic nerve D0.03 cc | 17.35 cc (range 2.86–58.31 cc) | 12.71 cc (range 2.86–57.06) | 0.007 |
NTCP tinnitus | 11.33% (range 3.52–91.10%) | 4.60% (range 1.46–90.10%) | < 0.001 |
NTCP hearing loss | 0.03% (range 0.00–98.97%) | 0.00% (range 0.00–98.54%) | < 0.001 |