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 4

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

Dosimetric parametersCRT planCRT+IMRT plan Differencet valueP value

PTV
 Minimum dose/cGy4353.7169.414051.12183.68302.5962.844.8150.001
 Maximum dose/cGy5397.29 82.695373.66103.4323.6350.750.4660.653
 Median dose/cGy)5001.5614.335017.789.25-16.226.23-2.6040.029
 Conformity index0.690.050.800.03-0.110.04-7.9100.001
 Homogeneity index0.210.020.270.05-0.060.06-3.0060.015
 V105 (%)15.113.643.485.1611.6319.111.9240.086
OAR
 Spinal cord Maximum dose3214.23285.343181.48556.3332.75188.930.1730.866
 Esophagus
  V50 (%)8.499.9414.6813.39-6.1910.77-1.8170.103
  Maximum dose5110.67113.325205.1596.40-94.48109.08-2.7390.023
 Heart
  V20 (%)23.7721.9320.7621.463.003.262.9130.017
  V30 (%)11.9812.9713.1215.14-1.142.68-1.3470.211
  V40 (%)6.927.435.325.491.602.112.3910.041
  V45 (%)5.155.483.864.201.291.362.9960.015
  Mean dose1061.75777.82983.30742.6478.4583.122.9850.015
 Normal lung
  V5 (%)54.248.0646.887.197.354.285.4350.001
  V10 (%)37.288.7431.746.645.545.243.3420.009
  V13 (%)33.627.9524.714.668.905.545.0820.001
  V20 (%)26.627.2317.952.568.675.325.1530.001
  V30 (%)11.591.6411.342.110.241.680.4570.659
  Mean dose1006.29522.531001.52127.124.77447.350.0340.974
B-P
 V5(%)27.318.4220.492.716.837.073.0530.014
 V10(%)18.975.5314.322.434.653.903.7800.004
 V15(%)16.034.7711.923.924.111.1311.4810.001
 V20(%)12.494.8710.043.222.451.814.2870.002
 V25(%)7.333.418.322.76-0.981.56-1.9920.078
 V30(%)4.292.765.762.33-1.471.16-3.9670.003
 V35(%)2.942.293.271.80-0.320.78-1.2820.232
 V40(%)1.951.321.721.460.240.243.2090.011
 V45(%)1.241.060.871.030.370.129.5820.001
 V50(%)0.230.240.060.060.170.202.7300.023