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 7

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

Dosimetric parametersIMRT planCRT+IMRT plan Differencet valueP value

PTV
 Minimum dose/cGy3936.34189.774051.12183.68-114.78178.63-2.0320.073
 Maximum dose/cGy5350.0861.155373.66103.43-23.58112.33-0.6640.523
 Median dose/cGy)4979.0877.625017.789.25-38.7079.38-1.5420.158
 Conformity index0.800.040.800.030.000.050.0600.954
 Homogeneity index0.280.040.270.050.010.051.1270.289
 V105 (%)2.924.383.485.16-0.566.53-0.2710.792
OAR
 Spinal cord Maximum dose2636.20179.983181.48556.33-545.27529.43-3.2570.010
 Esophagus
  V50 (%)17.7914.0814.6813.393.1111.780.8350.425
  Maximum dose5270.17109.335205.1596.4065.02104.191.9730.080
 Heart
  V20 (%)20.7821.6520.7621.460.022.750.0290.978
  V30 (%)9.8310.1513.1215.14-3.295.38-1.9360.085
  V40 (%)4.875.245.325.49-0.450.51-2.8260.020
  V45 (%)3.593.843.864.20-0.260.42-1.9930.077
  Mean dose932.07702.92983.30742.64-51.2383.99-1.9290.086
 Normal lung
  V5 (%)49.596.1746.887.192.713.682.3250.045
  V10 (%)35.137.4231.746.643.394.072.6350.027
  V13 (%)30.316.3824.714.665.613.884.5690.001
  V20 (%)22.224.4817.952.564.273.553.8060.004
  V30 (%)8.631.4711.342.11-2.712.34-3.6610.005
  Mean dose1040.41147.821001.52127.1238.8957.132.1530.060
B-P
 V5(%)22.912.4820.492.712.431.564.9360.001
 V10(%)15.732.2114.322.431.420.835.3710.001
 V15(%)12.551.8311.923.920.633.230.6160.553
 V20(%)9.291.7910.043.22-0.742.96-0.7940.448
 V25(%)5.191.408.322.76-3.122.66-3.7050.005
 V30(%)2.730.815.762.33-3.031.94-4.9240.001
 V35(%)1.510.463.271.80-1.761.50-3.7160.005
 V40(%)0.710.201.721.46-1.001.36-2.3220.045
 V45(%)0.280.100.871.03-0.580.99-1.8570.046
 V50(%)0.030.030.060.060.030.03-2.3690.042