44

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 ''“I dose. Neck measurements were
continued for 45 min longer. The neck uptake
curves in 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 thy-

roidectomyin 1964) the neck uptake was almost

enurely due to iodide circulating in the blood, no

correction having been made for this factor. In 3

other patients (Nos. 2, 54, and 65) there was a

brisk uptake to about 18% of the dose. Following
KCIQO,. there was no loss of iodine from the neck

If the thyroid gland had contained iodine which

had been trapped as iodide but not organified,
this should have been discharged by the KCIO,
‘\ phenomenon ofthis kind has been seen in radiauon-damaged thyroid glands after treatment of
hyperthyroidism with radioiodine"! '- but was not
observed in the Marshallese subjects.
Computer analysis of the ''‘I data obtained
from all the patients so studied is presented in

Table 2!. This includes data obtained in the Marshall Islands in March 1966 and preoperativelyat
BNL in June 1965 and June 1966..Computer
analysisof the data obtained at.BNLin June 1966.
was evaluated in several ways: with er 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 théuncorrected data
gave somewhat greater reliability. The very low
urine excretionrates 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 uséd excéptfor the data al

BNL, June 1965. In. the. -Marshail Islands in~
March 1966, blood ' "J was “measured.etcgand 4

hr in order to calculate theiodide 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 subjeet (No. 39).
who was on thyroxine therapy and:one (No 69)

after partial thyroidectomy. Fwo subjectsdNos. 2
cata

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

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