Dosimetric comparisons of VMAT, IMRT and 3DCRT for locally advanced XXXX with simultaneous integrated boost.

@entity5 @entity1 @entity343
UNASSIGNED: The simultaneous integrated boost radiotherapy for preoperative locally advanced @entity5 (LARC) can improve the local control and overall survival rates. The purpose of this study is to compare the dosimetric differences among volumetric modulated arc therapy (VMAT), fixed-field intensity modulated radiotherapy (IMRT) and three-dimensional conformal radiotherapy (3DCRT) for the LARC. Ten LARC @entity1 treated in our department using the simultaneous escalate strategy were retrospectively analyzed in this study. All @entity1 had T3 with N+/- and were treated with IMRT. Two additional VMAT and 3DCRT plans were created for each @entity1 . VMAT plans were designed using SmartArc planning module. Both IMRT and SmartArc had similar optimization objectives. The prescription was 50 Gy to the planning clinical target volume ( @entity343 -C) and 56 Gy to the planning gross target volume ( @entity343 -G). The target coverage and organs at risk (OARs) were compared for all the techniques. The paired, two-tailed Wilcoxon signed-rank test was applied for statistical analysis. Results of this study indicate that IMRT and SmartArc were all significantly superior to 3DCRT in most of the relevant values evaluated of target response, OARs and normal tissue sparing. They provided comparable dosimetric parameters for target volume. But IMRT shows better sparing for OARs and normal tissue.
