Role of 68Ga-DOTA-TOC PET/CT in the Evaluation of Meningiomas with Osseous Involvement Authors Sharjeel Usmani Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research Center (SQCCCRC), University Medical City, Muscat Oman;Hull Molecular Imaging and Research Center, UK Syed Furqan Hashmi Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research Center (SQCCCRC), University Medical City, Muscat Oman; Anjali Jain Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research Center (SQCCCRC), University Medical City, Muscat Oman; Khulood Al Riyami Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research Center (SQCCCRC), University Medical City, Muscat Oman; Rashid al Sukaiti Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research Center (SQCCCRC), University Medical City, Muscat Oman; Najeeb Ahmed Hull Molecular Imaging and Research Center, UK Muhammad Shahzad Shamim Section of Neurosurgery, Aga Khan University hospital, Karachi, Pakistan. DOI: https://doi.org/10.47391/JPMA.26-14 Abstract Meningiomas with osseous involvement present uniquediagnostic and therapeutic challenges due to their variablepatterns of bone remodelling, hyperostosis, and directbone infiltration. While MRI and CT remain the standardimaging modalities for evaluating soft-tissue extension andbony architecture respectively, they often fall short inaccurately distinguishing true tumour invasion fromreactive changes, particularly in complex skull-base andcalvarial locations. 68Ga-DOTA-TOC PET/CT represents apivotal advancement in the imaging of meningiomas withosseous involvement, enhancing diagnostic accuracy,enabling multimodality management, and supportingpersonalized therapeutic strategies.Keywords: 68Ga-DOTA PET/CT; meningiomas; radiotherapyplanning Downloads Full Text Article Published 2026-01-27 How to Cite Sharjeel Usmani, Syed Furqan Hashmi, Anjali Jain, Khulood Al Riyami, Rashid al Sukaiti, Najeeb Ahmed, & Muhammad Shahzad Shamim. (2026). Role of 68Ga-DOTA-TOC PET/CT in the Evaluation of Meningiomas with Osseous Involvement. Journal of the Pakistan Medical Association, 76(02), 272–274. https://doi.org/10.47391/JPMA.26-14 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 76 No. 02 (2026): FEBRUARY Section EVIDENCE BASED NEURO-ONCOLOGY License Copyright (c) 2026 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.