Structure | Parameters | IMRT | VMAT | VMAT-IMRT | P |
---|---|---|---|---|---|
Ipsilateral lung | V2.5 (%) | 68.7 ± 8.1 | 75.4 ± 7.0 | 6.7 |  < 0.001 |
 | V5 (%) | 46.5 ± 3.2 | 46.1 ± 2.9 |  − 0.4 | 0.409 |
 | V10 (%) | 33.6 ± 1.7 | 30.8 ± 1.8 |  − 2.8 |  < 0.001 |
 | V20 (%) | 23.5 ± 1.7 | 20.2 ± 1.5 |  − 3.3 |  < 0.001 |
 | V30 (%) | 17.5 ± 1.4 | 14.1 ± 1.3 |  − 3.4 |  < 0.001 |
 | V40 (%) | 11.3 ± 1.3 | 8.3 ± 1.2 |  − 3.0 |  < 0.001 |
 | Dmean (Gy) | 12.6 ± 0.7 | 11.5 ± 0.7 |  − 1.1 |  < 0.001 |
Heart | V2.5 (%) | 61.0 ± 14.1 | 68.7 ± 11.6 | 7.7 | 0.002 |
 | V5 (%) | 27.9 ± 7.9 | 20.9 ± 7.8 |  − 7.0 |  < 0.001 |
 | V10 (%) | 12.2 ± 3.8 | 9.1 ± 3.4 |  − 3.1 |  < 0.001 |
 | V20 (%) | 7.4 ± 2.6 | 4.6 ± 1.7 |  − 2.8 |  < 0.001 |
 | V30 (%) | 4.5 ± 1.7 | 2.3 ± 1.0 |  − 2.2 |  < 0.001 |
 | V40 (%) | 2.0 ± 1.1 | 0.7 ± 0.5 |  − 1.3 |  < 0.001 |
 | Dmean (Gy) | 6.0 ± 1.1 | 5.2 ± 0.9 |  − 0.8 |  < 0.001 |
Contralateral breast | V2.5 (%) | 28.1 ± 10.0 | 28.0 ± 11.8 |  − 0.1 | 0.987 |
 | V5 (%) | 13.5 ± 5.3 | 11.6 ± 5.2 |  − 1.9 | 0.109 |
 | V10 (%) | 3.7 ± 2.2 | 4.0 ± 2.5 | 0.3 | 0.504 |
 | V20 (%) | 1.0 ± 1.0 | 0.9 ± 0.9 |  − 0.1 | 0.179 |
 | Dmean (Gy) | 2.5 ± 0.6 | 2.5 ± 0.8 | 0.0 | 0.677 |
Contralateral lung | V2.5 (%) | 16.9 ± 11.5 | 19.3 ± 10.0 | 2.4 | 0.199 |
 | V5 (%) | 2.3 ± 2.0 | 2.8 ± 2.7 | 0.5 | 0.114 |
 | V10 (%) | 0.1 ± 0.1 | 0.1 ± 0.3 | 0.0 | 0.709 |
 | Dmean (Gy) | 1.5 ± 0.5 | 1.6 ± 0.4 | 0.1 | 0.087 |
Body-PTV | V2.5 (%) | 41.9 ± 7.4 | 40.7 ± 5.7 |  − 1.2 | 0.314 |
 | V5 (%) | 27.7 ± 4.6 | 24.9 ± 3.3 |  − 2.8 |  < 0.001 |
 | V10 (%) | 17.4 ± 2.5 | 15.5 ± 1.8 |  − 1.9 |  < 0.001 |
 | V20 (%) | 10.3 ± 1.3 | 8.3 ± 1.0 |  − 2.0 |  < 0.001 |
 | V30 (%) | 6.1 ± 0.9 | 4.7 ± 0.6 |  − 1.4 |  < 0.001 |
 | V40 (%) | 3.3 ± 0.5 | 2.5 ± 0.3 |  − 0.8 |  < 0.001 |
 | Dmean (Gy) | 6.3 ± 0.8 | 5.7 ± 0.6 |  − 0.6 |  < 0.001 |
Lung-All | V2.5 (%) | 40.3 ± 9.3 | 44.6 ± 8.2 | 4.3 | 0.002 |
 | V5 (%) | 22.3 ± 2.4 | 22.4 ± 2.7 | 0.1 | 0.806 |
 | V10 (%) | 15.2 ± 1.1 | 14.0 ± 1.1 |  − 1.2 |  < 0.001 |
 | V20 (%) | 10.6 ± 0.9 | 9.1 ± 0.8 |  − 1.5 |  < 0.001 |
 | V30 (%) | 7.9 ± 0.7 | 6.4 ± 0.7 |  − 1.5 |  < 0.001 |
 | V40 (%) | 5.1 ± 0.6 | 3.7 ± 0.5 |  − 1.4 |  < 0.001 |
 | Dmean (Gy) | 6.5 ± 0.5 | 6.1 ± 0.6 |  − 0.4 |  < 0.001 |