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Table 3 Summary of the patients’ therapies and follow-up results

From: Combination of peptide receptor radionuclide therapy with fractionated external beam radiotherapy for treatment of advanced symptomatic meningioma

Pat. no.

177Lu- DOTATOC/ DOTATATE

Therapeutic activity (GBq)

Whole body residence time (h)

Maximum voxel activity (kBq)#

Lifetime in Tumor (h)§

Maximum absorbed voxel dose (Gy)

Gy/GBq

EBRT target dose (Gy)

No. of fractions used for EBRT dose delivery

Change of EBRT dose due to PRRT (Gy)

Follow-up MR

Follow–up symptoms

1

DOTATOC

7.0

39.3

71

72.4

4.0

0.57

60

30

0

No change

Improvement of pituitary insufficiency,decreased vision unchanged

2

DOTATOC

7.3

19.1

277

29.7

6.6

0.90

48.6

27

−7

No change

Retroorbital pressure fully resolved

3

DOTATOC

7.5

25.7

NA

60.1

4.0*

0.53

50

28

−4

No change

Cranial nerve palsy fully resolved

4

DOTATOC

7.2

14.7

3

94.2

0.2

0.03

54

30

0

Complete remission

Exophthalmus fully resolved

5

DOTATOC

7.6

17.1

191

44.0

6.7

0.88

54

30

0

No change

Partial loss of vision, decresed general performance constant

6

DOTATOC

7.9

22.1

539

52.4

22.3

2.82

42

22

−11

No change

Headache, hypesthesia improved

7

DOTATATE

7.9

27.2

557

68.2

30.7

3.89

60

30

0

No change

Hemiparesis unchanged

8

DOTATATE

7.2

26.6

124

74.6

7.2

1.00

40

20

0

No change

Paresis left leg unchanged

9

DOTATATE

7.3

32.3

305

69.6

16.6

2.27

54

30

0

Partial remission

Epilepsy, tremor worsened, new hearing problems, resolved to pretherapeutic state after 2 months

10

DOTATATE

7.4

32.5

161

64.8

8.2

1.11

52

20

−6

No change

Dizziness, ptosis constant

  1. # at 1 hour p.a. in 0.11 ³ voxel volume.
  2. § tumor residence time normalized to initial uptake.
  3. * no SPECT/CT data available, value deduced from PET uptake.