RT Journal Article SR Electronic T1 90Y-DOTATOC as a Therapeutic Option for Complex Recurrent or Progressive Meningiomas JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1748 OP 1751 DO 10.2967/jnumed.115.155853 VO 56 IS 11 A1 Karine Gerster-Gilliéron A1 Flavio Forrer A1 Helmut Maecke A1 Jan Mueller-Brand A1 Adrian Merlo A1 Dominik Cordier YR 2015 UL http://jnm.snmjournals.org/content/56/11/1748.abstract AB The standard treatment of meningiomas is surgery or radiotherapy. Complex, especially recurrent or progressive cases, may exhibit tumor growth involving critical neurovascular structures or diffuse growth, resulting in limited efficacy and higher risk of standard treatment. We evaluated whether somatostatin receptor–targeted radionuclide therapy with 90Y-DOTATOC may be a therapeutic option. Methods: Fifteen patients with recurrent or progressive meningiomas after multimodal pretreatment or unfavorable medical risk profile were treated with systemic 90Y-DOTATOC. Endpoints were progression-free survival and toxicity. Results: Usually applied doses were 7,400 MBq/m2 of 90Y-DOTATOC in 2 fractions. Mean observation time was 49.7 mo (range, 12–137 mo). Overall median progression-free survival was at least 24 mo. Toxicity was moderate, mostly hematologic (n = 8) and transient. Conclusion: 90Y-DOTATOC therapy is feasible and may represent a promising second- or third-line option for complex meningiomas, which are progressive or otherwise not treatable with a reasonable risk–benefit ratio.