Skip to main content

Table 4 Dosimetric changes affected by tumor regression and baseline obstructive pneumonitis/atelectasis

From: Accumulation of the delivered dose based on cone-beam CT and deformable image registration for non-small cell lung cancer treated with hypofractionated radiotherapy

Variables

Relative change (median) #

Proportion of patients achieving above 5% reduction/increase*

Tumor regression [quick(n = 13) vs. slow(n = 14)]

Obstructive pneumonitis/atelectasis [Yes(n = 11) vs. No(n = 16)]

Tumor regression [quick(n = 13) vs. slow(n = 14)]

Obstructive pneumonitis/atelectasis [Yes(n = 11) vs. No(n = 16)]

PTV-GTV

 V51

0.2% vs. -0.7%(P = 0.185)

−0.3% vs. -0.1%(P = 0.394)

7.7% vs. 14.3%(P = 0.593)

10% vs. 11.8%(P = 0.89)

 D95

0.3% vs. -0.1%(P = 0.867)

−0.05% vs. 0.4%(P = 0.942)

0% vs. 7.1%(P = 0.335)

10% vs. 0%(P = 0.192)

Total lung

 Dmean

2.2% vs. 0.2%(P = 0.009)

2.3% vs. 0.4%(P = 0.023)

7.7% vs. 0%(P = 0.299)

9.1% vs. 0%(P = 0.228)

 V20

2.7% vs. 0.5%(P = 0.006)

3.3% vs. 0.9%(P = 0.110)

23.1% vs. 0(P = 0.061)

9.1% vs. 12.5%(P = 0.786)

 V30

3.5% vs. 0.2%(P = 0.022)

3.9% vs. 0.2%(P = 0.039)

38.5% vs. 7.1%(P = 0.055)

36.4% vs. 12.5%(P = 0.150)

Esophagus

 Dmean

2.2% vs. 0.2%(P = 0.009)

2.3% vs. 0.4%(P = 0.023)

7.7% vs. 0%(P = 0.299)

9.1% vs. 0%(P = 0.228)

 Dmax

4.0% vs 5.0%(P = 0.239)

3.2% vs. 4.8%(P = 0.272)

23.1% vs. 50%(P = 0.155)

27.3% vs. 43.8%(P = 0.393)

Heart

 Dmean

0.1% vs. 0.8%(P = 0.488)

3.9% vs. 0.2%(P = 0.251)

38.5% vs. 0%(P = 0.012)

36.4% vs. 6.3%(P = 0.046)

 V30

−5.2% vs. -1.7%(P = 0.375)

8.1% vs. -5.2%(P = 0.162)

38.5% vs. 14.3%(P = 0.16)

54.5% vs. 6.3%(P = 0.006)

 V40

−16.1% vs. -5.7%(P = 0.458)

2.1% vs. -16.1%(P = 0.272)

30.8% vs. 28.6%(P = 0.902)

45.5% vs. 18.8%(P = 0.143)

  1. #Relative change = (Accumulated plan-Original plan)/Original plan×100%
  2. *proportion of patients who had above 5% reduction in PTV-GTV dosage or above 5% increase in OARs dosage