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 5

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

Dosimetric parametersCRT planCRT+ARC plan Differencet valueP value

PTV
 Minimum dose/cGy4353.7169.414305.23114.4848.48127.341.2040.259
 Maximum dose/cGy5397.29 82.695328.3258.0068.97101.562.1480.060
 Median dose/cGy)5001.5614.335068.4477.68-66.8873.16-2.8910.018
 Conformity index0.690.050.860.02-0.180.05-12.2270.001
 Homogeneity index0.210.020.200.030.000.040.2600.801
 V105 (%)15.113.643.759.4211.3619.941.8010.105
OAR
 Spinal cord Maximum dose3214.23285.342870.81535.92343.42622.221.7450.115
 Esophagus
  V50 (%)8.499.9417.0212.75-8.539.27-2.9110.017
  Maximum dose5110.67113.325229.3479.93-118.67125.23-2.9970.015
 Heart
  V20 (%)23.7721.9320.5621.203.203.452.9330.017
  V30 (%)11.9812.9714.3913.89-2.412.16-3.5290.006
  V40 (%)6.927.434.884.732.052.802.3100.046
  V45 (%)5.155.482.942.422.213.182.1960.056
  Mean dose1061.75777.82872.64788.90189.11256.432.3320.045
 Normal lung
  V5 (%)54.248.0648.779.225.475.553.1140.012
  V10 (%)37.288.7428.305.438.984.486.3300.001
  V13 (%)33.627.9522.404.2811.225.326.6730.001
  V20 (%)26.627.2314.742.0811.895.946.3190.001
  V30 (%)11.591.6410.360.811.231.562.4940.034
  Mean dose1006.29522.53952.15120.9254.14452.680.3780.714
B-P
 V5(%)27.318.4225.2212.402.1014.420.4600.656
 V10(%)18.975.5314.866.454.117.201.8060.104
 V15(%)16.034.7710.134.225.915.023.7190.005
 V20(%)12.494.877.992.654.504.373.2610.010
 V25(%)7.333.416.831.990.502.900.5460.598
 V30(%)4.292.765.331.80-1.033.03-1.0770.309
 V35(%)2.942.293.421.89-0.472.97-0.5010.628
 V40(%)1.951.321.581.710.372.100.5600.589
 V45(%)1.241.060.681.190.571.551.1490.280
 V50(%)0.230.240.120.330.120.390.9330.375