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Table 3 Mean difference in plan quality and OAR dosimetric parameters between treatment techniques

From: Cochlear sparing in LINAC-based radiosurgery for vestibular schwannoma: a dosimetric comparison of dynamic conformal arc, IMRT and VMAT treatment plans

Parameter

Technique

Mean difference (95% CI)

Comparison P value

Global

P value

Conformity index (RTOG)

DCAT vs IMRT

− 0.3 (− 0.4, − 0.1)

0.0002

 

DCAT vs VMAT

0.1 (− 0.04, 0.3)

0.14

< .0001

IMRT vs VMAT

0.4 (0.3, 0.5)

< .0001

 

Conformity index (Paddick)

DCAT vs IMRT

0.098 (0.056, 0.14)

< .0001

 

DCAT vs VMAT

− 0.027 (− 0.070, 0.016)

0.21

< .0001

IMRT vs VMAT

− 0.13 (− 0.17, − 0.083)

< .0001

 

Gradient index

DCAT vs IMRT

− 0.4 (− 0.6, − 0.3)

< .0001

 

DCAT vs VMAT

− 0.4 (− 0.6, − 0.3)

< .0001

< .0001

IMRT vs VMAT

0.01 (− 0.2, 0.2)

0.89

 

Brainstem D1cc (Gy)

DCAT vs IMRT

0.5 (0.1, 1.0)

0.030

 

DCAT vs VMAT

1.1 (0.6 1.5)

< .0001

< .0001

IMRT vs VMAT

0.6 (0.1, 1.0)

0.016

 

Cochlea D0.03cc (Gy)

DCAT vs IMRT

− 0.1 (− 0.8, 0.5)

0.64

 

DCAT vs VMAT

2.4 (1.8, 3.0)

< .0001

< .0001

IMRT vs VMAT

2.5 (2.0, 3.2)

< .0001

 

Cochlea Dmean (Gy)

DCAT vs IMRT

0.2 (− 0.4, 0.7)

0.48

 

DCAT vs VMAT

2.3 (1.8, 2.9)

< .0001

< .0001

IMRT vs VMAT

2.1 (1.6, 2.7)

< .0001

 
  1. D1cc = maximum dose at 1 cc; D0.03cc = maximum dose at 0.03 cc; Dmean = mean dose