Research Article

The Dosimetric Comparisons of CRT, IMRT, ARC, CRT+IMRT, and CRT+ARC of Postoperative Radiotherapy in IIIA-N2 Stage Non-Small-Cell Lung Cancer Patients

Table 11

Comparisons of PTV, OAR, and B-P dosimetric parameters between CRT+IMRT plan and CRT+ARC plan .

Dosimetric parametersCRT+IMRT planCRT+ARC plan Differencet valueP value

PTV
 Minimum dose/cGy4051.12183.684305.23114.48-254.11132.76-6.0530.001
 Maximum dose/cGy5373.66103.435328.3258.0045.34115.421.2420.246
 Median dose/cGy)5017.789.255068.4477.68-50.6674.52-2.1500.060
 Conformity index0.800.030.860.020.070.03-7.3340.001
 Homogeneity index0.270.050.200.030.060.035.3640.001
 V105 (%)3.485.163.759.42-0.2711.52-0.0740.943
OAR
 Spinal cord Maximum dose3181.48556.332870.81535.92310.67262.393.7440.005
 Esophagus
  V50 (%)14.6813.3917.0212.75-2.344.33-1.7090.122
  Maximum dose5205.1596.405229.3479.93-24.1973.44-1.0420.325
 Heart
  V20 (%)20.7621.4620.5621.200.200.531.1780.269
  V30 (%)13.1215.1414.3913.89-1.272.18-1.8430.098
  V40 (%)5.325.494.884.730.450.881.6170.140
  V45 (%)3.864.202.942.420.921.881.5470.156
  Mean dose983.30742.64872.64788.90110.66322.921.0840.307
 Normal lung
  V5 (%)46.887.1948.779.22-1.885.28-1.1270.289
  V10 (%)31.746.6428.305.433.443.073.5460.006
  V13 (%)24.714.6622.404.282.312.173.3760.008
  V20 (%)17.952.5614.742.083.221.457.0260.001
  V30 (%)11.342.1110.360.810.992.041.5280.161
  Mean dose1001.52127.12952.15120.9249.3730.515.1170.001
B-P
 V5(%)20.492.7125.2212.40-4.7311.15-1.3410.213
 V10(%)14.322.4314.866.45-0.545.74-0.3000.771
 V15(%)11.923.9210.134.221.794.961.1430.283
 V20(%)10.043.227.992.652.053.371.9230.087
 V25(%)8.322.766.831.991.492.741.7150.120
 V30(%)5.762.335.331.800.432.470.5530.594
 V35(%)3.271.803.421.89-0.152.56-0.1860.856
 V40(%)1.721.461.581.710.132.190.1950.850
 V45(%)0.871.030.681.190.191.570.3930.703
 V50(%)0.060.060.120.33-0.060.32-0.5530.594