diation effect oceurs, but they also reflect changes that are isiduced by
i@ radiation.
The data have been gradually accumulated and subsequent evaluatiog of
e course of the disease has been considered in the light of these findings.
ese studies go far beyond the usual routine observations commonly sade on
tients treated with I 31, The ultimate value of the data is not full
own because the long term effects of ti3l are only recently coming tc
ght.

Our laboratory represents one of 19 centers included in the Public

alth follow-up study of J/31 treated patients.

Our detailed data on

proximately 175 of these patients, studied under this contract, have
oven to be the most thorough in this national study. The kinetics off the

31 in these treatment petients, along with the collateral observatiore
@ now serv:

vior of r131.

as the basis for attempting to define the patterns of be-

It ig the hope of those in charge of the national project

at, having established kinetic patterns from the data on our patients

on fragmenta of data from other less completely studied patients fron other
iters can be analyzed and the missing data eatimated for thoss patients
the use of computors, The reasons for the variations in the therapelitic
tcome may thus be learned in a large number of patients now being folkowed.
: responsible investigator of this contract has been appointed Chairman of
> Steering Committee concerned with the analysis of the clinical data] that
‘e now been assembled from the 19 centers. It should be admitted tha
th of the data that have been acquired under this grant are not fully
lerstood by us, but with the collaboration of others more knowledgeable
the study of kinetica and the use of patients from other centers, more
uld be learned. We continue to carry out a detailed study on selected
‘lents when: 1) an appropriate patient is to be treated, 2) when he is
lable for intmeive study, and 3) when the personnel working under
itract have a sufficient block of consecutive days to complete the stady
that patient.

, Synthesis in Radiated and Stimulated Rat Thyroids
Gradually, as the project has progressed, emphasis has shifted somewhat
e from the purely physiologic toward the morphologic changes caused |!

1 radiation. The Large bizarre nuclear forms originally found and
cribed (1,¢) at the beginning of this project have received increasing
ention.

The production of the odd nuclear forms in animals after ony

12 doses of 1131 followed by a stimulus of thiouracil has been re-

ted(1,2) from this project. The finding of excessively large amounts
DNA as demonstrated(3) by Feulgen staining and quantitative microspedtrotometry in nuclei of thyroid cells of animals was reviewed in detail
complete review submitted last year.

A manuscrppt entitled "The Acute and Long Term Effects of Var3us Hoses
Radioiodine on the Thyroid of the Rat as Demonstrated by Mitotic Activity

ng Tritiated Thymidine"(4) wes apperJed as a separate manuscript with

our

orehensive report one year ago. That mar ‘ccript was sent to Endoc
polos
publication. Some relatively minor editirial suggestions were made
editor. With the lapse of time, and rer » ideration of the manuacript,
3eemed the paper could be improved upon, .-. only by making some suggested
x3 revisions, but by redesigning the presentation with some change in
1asis. In that study tritiated thymidine was used in rats to show ratlio-~
graphically which cells were forming DNA in preparation for mitosis.

Select target paragraph3