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Table 3

Dosimetric comparison of OARs between IMRT plans and IMPT plans.

IMPT
IMRT
P-value
Median (range) Median (range) Wilcoxon signed rank test
Heart Dmean (cGy) 9.524 (0.033 ~ 42.380) 205.219 (13.059 ~ 2668.997) 0.012
Dmax (cGy) 952.361 (0.010 ~ 4180.165) 1465.509 (99.437 ~ 5194.389) 0.161
Ipsilateral Lung Dmean (cGy) 596.527 (125.173 ~ 974.657) 1073.826 (527.924 ~ 2997.944) 0.036
Dmax (cGy) 5150.084 (4465.475 ~ 5744.415) 5092.091 (4584.739 ~ 5297.524) 0.208
V5 (%) 31.162 (6.387 ~ 51.699) 48.744 (17.934 ~ 98.980) 0.069
V20 (%) 10.224 (0.589 ~ 16.911) 18.712 (8.740 ~ 62.213) 0.050
V30 (%) 4.190 (0.247 ~ 7.170) 12.568 (0.058 ~ 38.278) 0.050
Contralateral Lung Dmean (cGy) 6.149 (0.234 ~ 38.747) 34.790 (8.092 ~ 494.343) 0.012
Dmax (cGy) 1182.443 (6.621 ~ 2632.009) 409.237 (92.442 ~ 4102.270) 0.779
V5 (%) 0.098 (0 ~ 2.086) 0.006 (0 ~ 38.995) 0.398
V20 (%) 0.000 (0.000 ~ 0.005647) 0.000 (0.000 ~ 1.113) 0.753
V30 (%) 0 (0 ~ 0) 0 (0 ~ 0) 0.068
Spinal Cord Dmean (cGy) 5.787 (0.000 ~ 66.194) 138.988 (13.896 ~ 936.309) 0.012
Dmax (cGy) 122.691 (0.000 ~ 1276.097) 506.093 (36.456 ~ 2761.027) 0.123

Significant data is presented in bold. IMPT: intensity modulated proton therapy, IMRT: intensity modulated radiotherapy, V5, V20, V30: volume receiving ≥ 5, 20, 30 Gy, respectively, Dmax: dose encompassing 2% of the volume, Dmean: mean dose.

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