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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