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

done in 8 subjects with thyroid abnormalities. In
addition to urine and neck radioactivity measure-

ments, 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-

roidectomy in 1964) the neck uptake was almost
entirely due to iodide circulating in the blood, no
correction having been madefor this 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 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,,.

A phenomenonofthis kind has been seen in radiation-damagedthyroid glandsafter treatmentof
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 21. This includes data obtained in the Marshall Islands in March 1966 and preoperatively at
BNL in June 1965 and June 1966. Computer
analysis of the data obtained at BNL in June 1966
was evaluated in 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 uncorrecteddata

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. [n Table 21, uncorrected neck counts are used except for the data at
BNL, June 1965. In the Marshall Islands in
March 1966, blood '**I was measured at 2 and 4

hr in order to 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. 3, typical of hypothyroid disease.

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