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 9

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

Dosimetric parametersARC planCRT+IMRT plan Differencet valueP value

PTV
 Minimum dose/cGy4285.12159.094051.12183.68234.00191.683.8610.004
 Maximum dose/cGy5348.3061.225373.66103.43-25.36122.01-0.6570.527
 Median dose/cGy)5025.606.275017.789.257.829.972.4800.035
 Conformity index0.880.020.800.030.080.038.3810.001
 Homogeneity index0.210.040.270.05-0.050.06-2.7950.021
 V105 (%)0.74.843.485.16-2.745.08-1.7070.122
OAR
 Spinal cord Maximum dose2383.08353.893181.48556.33-798.40303.74-8.3120.001
 Esophagus
  V50 (%)17.7914.0814.6813.394.807.562.0070.076
  Maximum dose5270.17109.335205.1596.40-341.53120.23-0.8980.392
 Heart
  V20 (%)20.7821.6520.7621.46-6.788.27-2.5910.029
  V30 (%)9.8310.1513.1215.14-6.469.26-2.2050.055
  V40 (%)4.875.245.325.49-1.542.34-2.0900.066
  V45 (%)3.593.843.864.20-0.961.81-1.6760.128
  Mean dose932.07702.92983.30742.64-284.71339.66-2.6510.026
 Normal lung
  V5 (%)49.596.1746.887.199.182.4511.8290.001
  V10 (%)35.137.4231.746.644.854.053.7910.004
  V13 (%)30.316.3824.714.664.492.864.9540.001
  V20 (%)22.224.4817.952.561.541.523.1850.011
  V30 (%)8.631.4711.342.11-2.492.09-3.7610.004
  Mean dose1040.41147.821001.52127.12-29.12286.09-0.3220.755
B-P
 V5(%)26.153.1420.492.715.661.7610.1430.001
 V10(%)16.542.4114.322.432.231.036.8240.001
 V15(%)10.971.8011.923.92-0.943.24-0.9200.382
 V20(%)6.461.4310.043.22-3.582.41-4.6840.001
 V25(%)3.720.938.322.76-4.602.19-6.6480.001
 V30(%)2.130.555.762.33-3.63-1.99-5.7540.001
 V35(%)1.220.293.271.80-2.051.65-3.9210.004
 V40(%)0.660.141.721.46-1.051.39-2.3970.040
 V45(%)0.250.040.871.03-0.621.02-2.1360.049
 V50(%)0.000.00.060.06-0.050.0510.1430.007