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. 2022 Nov;63(11):1636–1641. doi: 10.2967/jnumed.122.264373

FIGURE 3.

FIGURE 3.

Dramatic improvement in a patient refractory to anti–PD-L1 (avelumab) receiving a single off-label dose of 177Lu-DOTATATE for heavily metastatic MCC and resuming avelumab. (A) Pretreatment 68Ga-DOTATATE PET/CT scan. (B) 177Lu-DOTATATE SPECT/CT scan during TRT. (C) 68Ga-DOTATATE PET/CT scan 1 mo after treatment. (Reprinted with permission of ( 44 ).)