39
During the March 1966 survey, '**I studies were

donein 8 subjects with thyroid abnormalities. In

addition to urine and neck radioactivity measurements, as described above from the 1965 survey, 6

subjects were given 500 mg KCIO, by mouth =4
hr after the '*7I dose. Neck measurements were

continued for 45 min longer. The neck uptake

curvesin these subjects are shown in Figure 30. In
3 subjects (Nos. 3 and 5, who had severe growth
retardation, and No. 69, who had a subtotal thyroidectomyin 1964) the neck uptake was almost
entirely due to iodidecirculating in the blood, no
correction having been made forthis factor. In 3
other patients (Nos. 2, 54, and 65) there was a

brisk uptake to about 18% of the dose. Following
KCIO,, there was noloss of iodine from the neck.

If the thyroid gland had contained iodine which
had been trappedas iodide but not organified,
this should have been discharged by the KCIO,.
A phenomenonofthis kind has been seen in radi-

ation-damagedthyroid glandsafter treatment of

hyperthyroidism with radioiodine*'-*? but was not
observed in the Marshallese subjects.
Computer analysis of the '*7I data obtained
from all the patients so studied is presented in

Table 21. This includes data obtained in the Marshall istands in March 1966 and preoperativelyat

BNL in June 1965 and June 1966. Computer
analysis of the data obtained at BNL in June 1966

wasevaluatedin several ways: with or without the
corrected neck counts using a lead shield, with or
without inclusion of urine data. None of these
made an important difference in the value for thyroid accumulation rate, but the uncorrected data
gave somewhat greaterreliability. The very low
urine excretion rates in some cases are probably
due to incomplete urine collection, and result in
comparable errors, in the opposite sense, in the
computed thyroid fraction. In Table 21, uncorrected neck counts are used except for the data at

BNL, June 1965. In the Marshall Islands in
March1966, blood '*7I was measured at 2 and 4

hr in orderto calculate the iodide space. The data

obtained in March 1965 on Marshallese without
thyroid abnormality are included for comparison.
The two cases with severe growth retardation
(Nos. 3 and 5) had markedly diminished thyroid
accumulation of '**I as did one subject (No. 59)
who was on thyroxine therapy and one (No. 69)
after partial thyroidectomy. Two subjects (Nos. 2

Figure 29. Bone dysgenesis of heads of humeri in subject No. 5, typical of hypothyroid disease.

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