Clinical Study

Monte Carlo-Based Dose Calculation in Postprostatectomy Image-Guided Intensity Modulated Radiotherapy: A Pilot Study

Table 1

Comparison between XiO S&S, Monaco S&S, and Monaco VMAT treatment plans for five postprostatectomy patients: CTV coverage, OAR dose-volumes. and treatment delivery parameters (means (SD)).

ParameterXiO S&SMonaco S&SMonaco VMAT

CTV 100% TD (%)97.98 (0.01) 99.85 (0.00)99.44 (0.00)
Rectum V40Gy (%)58.06 (0.06)46.36 (0.09)54.66 (0.05)
Rectum V60Gy (%)31.25 (0.04)19.89 (0.05)21.09 (0.04)
Rectum V65Gy (%)14.29 (0.09)11.34 (0.03)10.35 (0.03)
Bladder V50Gy (%)41.91 (0.13)32.97 (0.09)37.96 (0.08)
Lt. femoral head mean dose (Gy)19.89 (3.78)16.18 (1.86)14.69 (0.93)
Rt. femoral head mean dose (Gy)14.76 (8.40)12.74 (7.18)11.52 (7.46)
Number of segments/fraction116.8 (22.0)78.6 (8.3)141.0 (27.0)
MU/fraction770.7 (76.2)677.6 (76.3)676.7 (29.6)
Delivery time (minutes)7.6 (1.1)5.7 (0.9)4.8 (0.3)

Monaco S&S versus XiO, . Monaco VMAT versus XiO, . Monaco S&S versus Monaco VMAT, .