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Table 1 Summary of the quantitative analysis of the dose volume histograms for the target volume (CTV) and the organs at risk. Included also the data relative to the coverage of the virtual target expansions of 2 and 5 mm. In brackets the upper limit of the constraints. The comparator data derives from brachytherapy treatments. In the objective’s column, the values in brackets correspond to the upper hard limit for the corresponding metrics. The ranges are reported in square brackets

From: A novel external beam radiotherapy method for cervical cancer patients using virtual straight or bending boost areas; an in-silico feasibility study

Structure Parameter Objective SFRT_1 SFRT_2 SBRT Comparator
CTV D90% 30 Gy 30 30 30
  V45Gy (150%) ≥ 50–55% 43.1 ± 7.5
[33.0,55.9]
56.6 ± 5.6
[45.4,64.8]
2.3 ± 3.8
[0,10.6]
61.0 ± 3.8
[56.0,66.4]
  V60Gy (200%) ≥ 30% 15.4 ± 5.6
[6.9,23.9]
26.8 ± 6.6
[17.3,34.2]
0
[0,0]
37.2 ± 3.6
[31.6,41.8]
PTV2mm D90% 30 Gy 23.2 ± 1.3
[21.0,24.5]
23.4 ± 1.7
[21.1,24.7]
23.1 ± 1.1
[21.5,24.3]
PTV5mm D90% 30 Gy 20.0 ± 1.4
[19.0,21.8]
22.6 ± 2.1
[17.4,22.2]
19.9 ± 1.1
[17.9,26.2]
Bladder D2cm3 ≤ 23.75 (27.5) Gy 22.4 ± 2.0
[20.2,27.0]
22.6 ± 2.1
[20.6,27.3]
21.6 ± 2.3
[17.9,26.2]
Rectum D2cm3 ≤ 17.0 (19.45) Gy 13.9 ± 2.9
[11.2,19.6]
13.2 ± 3.0
[10.3,18.7]
12.7 ± 3.9
[8.0,21.6]
Sigmoid D2cm3 ≤ 19.5 (21.65) Gy 2.6 ± 3.1
[0.5,10.4]
2.8 ± 3.0
[0.5,9.9]
2.5 ± 2.7
[0.4,8.1]
Bowel D2cm3 ≤ 17.0 (19.45) Gy 9.1 ± 5.9
[1.2,17.6]
9.7 ± 7.3
[1.0,18.4]
9.6 ± 6.6
[2.7,18.0]
  1. Dx: dose received by at least X% or Xcm3 of the volume, SFRT: spatially fractionated radiation therapy, SBRT: stereotactic body radiation therapy, CTV: clinical target volume, PTV: planning target volume