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Table 4 Radiation doses to the PGTVnx and brain stem for the patients with locally-advanced nasopharyngeal carcinoma stratified by T classification and the distance from the primary tumor to the brain stem (Dbs)

From: Prognostic value of the distance between the primary tumor and brainstem in the patients with locally advanced nasopharyngeal carcinoma

Mean (range)

Dbs ≤ 4.7 mm

Dbs > 4.7 mm

7th AJCC T3

7th AJCC T4

Tumor volume

 GTV-P (ml)

63.0 (16.5–204.8)

33.6 (5.9–164.0)

25.3 (6.3–73)

49.2 (5.9–204.8)

 SV-PGTVnx (ml)

0.52 (0–12.4)

0.002 (0–0.2)

0.02 (0–0.44)

0.24 (0–12.4)

PGTVnx

 Dmin (Gy)

46.4 (21.9–66.6)

63.1 (21.7–74)

62.5 (38.6–73.6)

55.4 (21.7–74)

 Dmean (Gy)

75.4 (65.6–83.9)

75.8 (67.6–84.1)

76.2 (71.0–81.1)

75.6 (65.6–84.1)

 Dmax (Gy)

80.3 (69.5–88.7)

79.3 (70.9–88.8)

79.8 (76–84.1)

79.7 (69.5–88.8)

 D95 % (Gy)

69.0 (49.9–80.5)

73.1 (64.9–81)

72.8 (57.9–78.4)

71.2 (49.9–81)

 V95 % (Gy)

94.8 (84.4–98.8)

99.1 (90–100)

98.8 (90.2–100)

97.2 (84.4–100)

Brain stem

 Dmax (Gy)

54.1 (45.1–68.4)

51.8 (41.7–68.8)

50.9 (42.7–56.3)

52.5 (41.7–68.8)

 D1 %

49.1 (38.8–59)

46.7 (34.8–58.6)

46.3 (34.8–50.6)

47.9 (36.9–59.9)

 D1cc (Gy)

47.6 (36.7–56.7)

45.3 (35.4–52.4)

44.9 (35.4–49.8)

46.4 (35.7–56.7)

 D1/3 (Gy)

39.9 (28.7–51.2)

37.2 (22.8–53.8)

37.4 (22.8–53.8)

38.4 (26.1–51.2)

 Dmean (Gy)

36.4 (25.8–49.8)

31.6 (19.7–41.7)

31.6 (19.7–37.5)

33.8 (21.1–49.8)

  1. SV-PGTVnx: sacrificed volume of the PGTVnx