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Oral Histories

Medical Physicist Kathering L. Lathrop and Physician Paul V. Harper


Foreword

Short Biographies

Lathrop's Education and Early Career (Manhattan Project, 1945-46)

Lathrop's Work at Argonne National Laboratory (1947-54)

Lathrop's Work as a Chemist at the Argonne Cancer Research Hospital (Beginning in 1954)

Harper's Education and Early Career (1940s to Early '50s)

Harper's Thoughts on the Mixture of Medicine and Science (Late '40s and '50s)

Lathrop's Early Cancer Therapy Research

Harper's Early Determinations of Radiation Doses

Development of Iodine-125 Production Methods and the AEC Review Process

Discussion of Radiation Research Standards

Lathrop and Harper Collaborative Research (1965-67)

Thallium Research

Antifibrinogen Research

Various Radioactive Isotope Research by Lathrop and Harper

Argonne Cancer Research Hospital History (Early '70s)

Research on Brain Tumor Imaging Agents

Collaborative Metabolic Studies

Selenium Tumor-Imaging Studies (Early '70s)

Other Isotope Research

Alpha Emitter Studies Using Radioactive Isotopes

Difficulties Involved With Using Human Volunteers

1diagnostic and therapeutic medical techniques using radionuclides

2Radioiodine (131I) is widely used to diagnose thyroid function and also is a highly effective therapy for hyperthyroidism, Graves' disease, and thyroid cancer.

3an endocrine gland located at the base of the neck and secreting two hormones that regulate the rates of metabolism, growth, and development

4The U.S. Government's secret project, launched December 28, 1942, by the U.S. Army Corps of Engineers' Manhattan Engineer District, to develop the atomic bomb. Headquartered in Washington, D.C., the Manhattan Project was the Office of Scientific Research and Development Section on Uranium and was codenamed S-1 (Section One of the Office of Scientific Research and Development).

5C. Lad Prosser was well-known in the field of Comparative Physiology. He went on to teach at the University of Illinois.

6a professor at University of Chicago and Senior Biologist, Division of Biological and Medical Research, Argonne National Laboratory

7Groves, of the U.S. Army, assumed command of the Manhattan Engineer District in 1942 and led it to completion of the Manhattan Project in 1945.

8Also known as the Met Lab, the Metallurgical Laboratory was set up at the University of Chicago during World War II to lead the secret research and development of methods for production and chemical separation of plutonium for atomic weapons under the Manhattan Project.

9Argonne National Laboratory outside Chicago, Illinois; operated by the University of Chicago

10an excess assimilation of a radioisotope, indicating abnormality

11a radioactive, luminous white, metallic element that occurs in very small quantities in combination with minerals. Radium emits alpha particles and gamma rays to form radon gas. Radium has been used in luminous surface materials, such as the numbers on watch faces, and used in treating cancer. At that time, no radioisotope had been more thoroughly characterized for its biomedical effects.

12research dealing with the effects, antidotes, detection, etc. of poisons.

13products such as the elements strontium and cesium that are formed during the splitting of uranium atoms in a nuclear reactor

14In the early 1930s, under president Robert Hutchins and professor Mortimer Adler, the University of Chicago had developed the "Great Books" program, in which undergraduate students studied the approximately 100 books judged to be the most important works of Western civilization. For many years, the program became popular in reading circles across America.

15Marie Curie (1867–1934), a physicist and chemist who, with husband Pierre, discovered radium in 1898. Both would die from the radiation exposure they received in the course of their pioneering experiments.

16Italian-born physicist under whose leadership Met Lab researchers produced the first sustained nuclear chain reaction in Chicago on December 2, 1942

17the Argonne Cancer Research Hospital, one of three clinical facilities created by the Atomic Energy Commission (AEC) in 1948. While the AEC owned the 58-bed Chicago hospital, the University of Chicago medical school administered and staffed the facility. Patients were admitted on a selective basis: physicians chose persons whose condition best suited the hospital's research and treatment applications. The hospital admitted its first patient in January 1953. The AEC terminated its contract with the hospital in 1974.

18Bill Neal, M.D., a surgeon, was in residency training together with Paul Harper at the University of Chicago. Neal also worked at the Manhattan Projects Biology Division at Site B, just off-campus at the University of Chicago.

19Joseph Garrott Allen, M.D. (born 1912), a professor of Surgery at the University of Chicago, served as a research associate in radiation pathology on the Manhattan Project there.

20Wald (born 1906), a biochemist at Harvard University, received the Nobel Prize in Physiology in 1967.

21the fluid part of blood, as distinguished from the cellular components

22Lester Dragstedt, M.D., chairman of the Department of Surgery, University of Chicago. A physiologist by training, his main contributions were in gastric physiology. Dragstedt developed the procedure of vagotomy, cutting the vegus nerve for acid peptic ulcer. The procedure became obsolete after the introduction of Tagamet™ by SmithKline Beecham.

23radioactive tags on biomolecules, used to study a biological, chemical, or physical system

24positively charged particles, each consisting of two protons and two neutrons, emitted in radioactive decay or nuclear fission; an alpha particle is the nucleus of a helium atom.

25Bainbridge and Street were two professors at Harvard who taught courses in physics in the 1930s.

26a device that uses deflection of ions in an electromagnetic field as a basis for identifying the elements (or elemental components) present in a substance

27Dr. Dwight Clark, M.D., started nuclear medicine at the University of Chicago. Clark, a surgeon, was accidentally infected with hepatitis during an operation and died (during the 1950s).

28During World War II, the Manhattan Project had built a vast complex of highly classified facilities in and near Oak Ridge, Tennessee, to process uranium for use in atomic bombs. The Atomic Energy Commission assumed control of these facilities upon its creation and, today, they belong to the Department of Energy.

29a malignant tumor composed of epithelial tissue—the tissue layer covering body surfaces or lining the internal surfaces of body cavities, tubes, and hollow organs

30established in 1946 by the Manhattan Engineer District and operated under a Manhattan Project (and later Atomic Energy Commission) contract. ORINS was responsible for training physicians and researchers in the safe handling of radioisotopes and in the development of isotope applications in medicine. In addition, ORINS was responsible for selecting both students and established scientists for fellowships and other temporary research assignments. Today, the educational and training functions of ORINS are carried out by its successor, Oak Ridge Institute for Science and Education (ORISE).

31overactivity of the thyroid gland, resulting in basal metabolic rate and other physiological problems

32having undergone the removal of the pancreas

33clearance from the body and replacement by new intakes of the same materials

34composed of phosphoric esters, present in living cells

35incorporated with a radioactive isotope to make it traceable

36a radioactive isotope of carbon having a half-life of about 5,730 years: widely used in the dating of organic materials; also called radiocarbon

37a salt or ester of acetic acid

38a product of the chemical processes that take place in the body

39separated or divided into component parts

40small, flat dishes or plates used to support samples for determination of radioactivity; the samples usually are evaporated on the planchettes.

41an instrument for detecting ionizing radiation and measuring dose rate

42William Rainey Harper dreamed of establishing a world-class research university in the Midwest. John D. Rockefeller endowed the project with the money needed to build the campus and make the university operational. The University of Chicago opened its doors in 1892; Harper served as its first president.

43in the uterus; before being born

44a condition characterized by stunted growth, deformity, and mental retardation

45a large, elongated gland behind the stomach. Its secretions are concerned in digestion.

46introduce the radioactive component after the receiving assembly is in place around the organ to be treated

47In the early 1950s, an established cancer treatment was adapted for use at the Argonne Cancer Research Hospital in patients with carcinoma of the pancreas. This procedure was used to treat carcinoma of the pancreas in seven patients, ranging in age from 42 to 66 years. The calculated total radiation dose to the tumors ranged from 5,000 to 9,200 rads. This method of treatment provided palliative (relief, not cure) benefit for four patients and appeared to extend the survival of one patient. For more details, see UC-32, "Treatment of Pancreatic Cancer Using Implanted Iodine 131," in Human Radiation Experiments Associated with the U.S. Department of Energy and Its Predecessors (213 pages), DOE/EH-0491, July 1995.

48P.V. Harper and K.A. Lathrop. "Isotope Therapy for Intra-Abdominal Tumors." Semiannual Reports to the U.S. Atomic Energy Commission. Vol. 1, Part 2, 1954. Chicago: Argonne Cancer Research Hospital, pp. 54–61. The University of Chicago, Office of Legal Counsel, Semiannual Reports of the Argonne Cancer Research Hospital.

49photographed by means of autoradiography, a technique whereby photographic film is placed over thinly sliced tissue to record, in image form, the radiation tracks from the tissue that pass through the film's emulsion

50release of electrons or positrons during radioactive decay

51a highly penetrating photon of high frequency, usually 1019 Hz or more, emitted by an atomic nucleus

52A milliliter is one-thousandth of a liter; about three-hundredths of a fluid ounce.

53the polyethylene tubing used in Dr. Harper's experiment

54the act of separating a substance in solid form from a solution

55a white, crystalline, water-soluble powder used chiefly in the manufacture of photographic emulsions, as a laboratory reagent, in biological staining, and to treat thyroid conditions

56a measure of the absorbed dose to tissue from exposure to radiation

57The Paterson-Parker system is a series of tables for radium dosimetry; see "A Dosage System for Gamma Ray Therapy," Part I (R. Paterson) and Part II (H.M. Parker) in British Journal of Radiology, vol. 7, 592–632, 1934.

58At the Neurological Institute in New York, Edith Quimby was working with G. Failla to develop ways to determine dose estimates from total-body and interstitial irradiation.

59dead portion of animal tissue

60any localized areas of diseased or injured tissue or of abnormal structural change

61the small gland attached to the base of the brain, constituting the master endocrine gland affecting all hormonal functions of the body

62a surgical procedure exposing brain tissue via the skull covering the frontal lobe

63across the sphenoid sinus

64one of the sinus cavities or chambers

65tissue region containing the pituitary gland

66nerves controlling eye movement

67the use of a fluoroscope (a tube or box fitted with a screen coated with a fluorescent substance, used for viewing deep body structures by means of x-ray or other radiation)

68radiation, especially braking radiation, gamma rays, or x rays, emitted by decelerating charged particles

69a dosimeter worn routinely to measure accumulated personal exposure to radiation on photographic film

70Alexander Gottschalk, M.D. (born 1935), previously a research associate at Donner Laboratory, UC Berkeley; professor of Radiology and chief of nuclear medicine, University of Chicago Hospitals and Yale Medical School; conducted research in isotope development

71victims of Down's syndrome, a genetic disorder associated with the presence of an extra chromosome 21, characterized by mental retardation, weak muscle tone, and epicanthic folds at the eyelids

72deficiency in thyroid secretions, resulting in goiter, myxedema (thickening of the skin, blunting of the senses and intellect, and labored speech), and, in children, cretinism (stunted growth, deformity, and mental retardation)

73release of radiation during radioactive decay

74a noble gas; symbol Xe

75Dowex-50 column—a column of glass filled with Dowex-50 ion-exchange resin beads for separating chemicals

76a resort city in Austria known for its thermal spas

77in terms of the structure of tissue

78the region immediately surrounding a deposition site

79the AEC, predecessor agency to the U.S. Department of Energy and Nuclear Regulatory Commission (NRC); established January 1, 1947

80Lester Skaggs, Ph.D., professor of Medical Physics at the University of Chicago 1953–76; emeritus professor, known for his work on high-energy and neutron therapy of cancer and associated dosimetry

81In 1966, the National Institutes of Health made recommendations to the Surgeon General's Office for the creation of what are now known as Institutional Review Boards (IRBs). IRBs review and approve medical research involving humans.

82a suspension of a solid in a liquid, where the solid does not dissolve

83an organ, located at the cardiac end of the stomach, that helps form mature lymphocytes, helps destroy worn-out red blood cells, and serves as a reservoir for blood

84a tumor growing from the spread of disease-producing organisms or of malignant or cancerous cells to other parts of the body by way of the blood or lymphatic vessels or membranous surfaces; or, the condition so produced

85a nerve serving the diaphragm and used for breathing

86placement of sealed radiation sources into cavities of the body for treatment of cancer, such as uterine cancer; these sealed sources are later removed when treatment is completed.

87same as "gamma rays"

88an accelerator in which particles move in spiral paths in a constant magnetic field

89a test reactor facility near Arco, Idaho, at the Idaho National Engineering Laboratory

90the small gland attached to the base of the brain, constituting the master endocrine gland affecting all hormonal functions of the body

91through the skin

92lateral nerve pathways from the spinal chord

93surgical cutting of nerves

94relating to the nervous system

95drugs approved for human use

96atomic species in which the atoms all have the same atomic number but different mass numbers according to the number of neutrons in the nucleus

97physicians who diagnose disease, broken bones, and other physical conditions, using x rays or other imaging techniques

98physicians who treat medical conditions, using x rays or other forms of radiation

99pertechnetate—the chemical form TcO4

100Mallinckrodt is a St. Louis–based pharmaceutical company that sells or distributes technetium-99m generators to nuclear medicine clinics.

101Brookhaven National Laboratory, Upton, NY

102the rate at which chemical processes take place in the liver

103Leif Sorensen (born 1928), a professor of medicine at the University of Chicago, is a Danish physician and specialist in gout, purine metabolism, and aging of the immune system.

104a liver metabolite, without which children express unusual behavior

105an essential contributor in metabolism

106an isotope formed by radioactive decay of another isotope

107a family of cells that function in the immune system's defense against foreign bodies

108the soft, fatty, vascular tissue in the cavities of bones; it is a major site of blood cell production.

109Harold L. Atkins, M.D. (born 1926), a physician in nuclear medicine at the State University of New York, Stony Brook. Atkins collaborated in radiation research with the medical department at Brookhaven National Laboratory.

110scanners that moved across the patient, shifted a short distance longitudinally, and then rescanned the patient, to form a whole-organ or whole-body count image

111the National Institutes of Health (Bethesda, Maryland)

112relating to the functions and activities of living organisms and their parts

113Battelle Memorial Institute, headquartered in Columbus, Ohio, operates the Pacific Northwest Laboratory for the U.S. Department of Energy in Richland, Washington.

114George J. Andros, M.D. (born 1916), an obstetrician and gynecologist and a professor at Jefferson Medical College, Philadelphia, Pennsylvania

115A medical doctor, formerly a pathologist at Lovelace Clinic in Albuquerque, Kniseley left Lovelace for Oak Ridge, where he served as associate director of the Medical Division.

116having two phosphonates

117Gopal Subramanian, Ph.D., a nuclear medicine scientist known for having developed the bone imaging agent. Subramanian is now at Upstate Medical Center in Syracuse, New York.

118an essential nutritional component

119a bone-seeking agent for nuclear medicine imaging

120a quantity expressing the strength of a field of force in a given area

121determined the amount of material present in tissue, urine, or feces by any trial measurement

122the U.S. Government's secret project, launched December 28, 1942 by the U.S. Army Corps of Engineers' Manhattan Engineer District, to develop the atomic bomb.

123any of several cancers of the bone marrow characterized by an abnormal increase of white blood cells in the tissues, resulting in anemia, increased susceptibility to infection, and impaired blood clotting

124a particle with the mass of the electron but with a positive electric charge; the detectors measured the accompanying 0.511-Mev gamma rays emitted during positron decay.

125dose quality—the linear energy transfer and relative specific ionization, energy distribution in tissue, the exposure rate, etc., that influenced the biological effectiveness of the radiation

126the process or method of measuring or calculating the dose of ionizing radiation, or energy absorbed per unit mass, using data from bioassay and other radiation measurements

127Medical Internal Radiation Dose Committee of The Society of Nuclear Medicine

128an apparatus that measures radionuclides in man using shielded detectors and multichannel energy analyzers. The sensitivity and non-invasive nature of this instrument permitted studies at levels 10 to 100 times below established limits of exposure. It opened an entire area of clinical diagnosis and the development of new diagnostic methods.

129orthoiodohioppurate, used for imaging the kidneys, labeled with iodine-131

130In 1966, the National Institutes of Health made recommendations to the Surgeon General's Office for the creation of what are now known as Institutional Review Boards (IRBs). IRBs review and approve medical research involving humans.

131proton bombardment of a thallium target, yielding a subsequent emission of three neutrons

132antibody-recognizing receptor sites on fibrinogen molecules

133a biophysicist at the University of Rochester

134Irving Spar (born 1926), an immunologist, was a professor of Radiation Biology and Biophysics, School of Medicine and Dentistry, University of Rochester. He conducted early research on cancer therapy and antibodies labeled with iodine-131.

135the University of Rochester (Rochester, New York)

136breakdown of blood clot fibrin

137the concentration of radioactive material (units=activity/gram)

138drew off in solution

139the fraction of blood serum that contains most of the antibodies protecting the organism from infectious diseases

140in the beginning stages

141malignant tumors that arise from bone-forming cells and chiefly affect the ends of long bones

142antibodies produced by a laboratory cell clone to achieve greater abundance and uniformity than provided by a natural collection of polyclonal antibodies. Studies are currently ongoing to test the anticancer effectiveness of monoclonal antibodies labeled with iodine-131 at several medical centers in the United States; initial results have been very positive.

143involving the treatment of disease by means of toxic chemicals that kill cells or inhibit their ability to grow and multiply

144from the procurement of a radioisotope from the reactor to follow-up on patients until they died; a facetious variation on "from cradle to grave"

145the radioactive isotope in pure form, without an added amount of stable isotope of the same element

146ethylene diaminetetraacetic acid, a common chelating agent and food preservative

147Hal Anger at UC Berkeley developed the gamma camera—a large, flat, circular crystal of thallium-activated sodium iodide, backed with photomultiplier tubes arranged in honeycomb geometry, for obtaining an image of gamma-emitting pharmaceutical in the patient.

148Leroy had been dean of the University of Chicago medical school. During the days of the Met Lab he researched the metabolism of radionuclides by man. At Argonne Cancer Research Hospital during the 1950s and '60s he researched lipid chemistry to understand the role of cholesterol in atherosclerosis. In 1951 he served as biomedical director of the AEC's Operation Greenhouse series of atomic-bomb tests. Several of the publications he coauthored can be found in the University of Chicago section of Human Radiation Experiments Associated with the U.S. Department of Energy and Its Predecessors (213 pages), DOE/EH-0491, July 1995.

149within the cavity of the peritoneum containing the intestines

150to the inner side of the peritoneum, a membrane lining the abdominal wall

151relative value on a scale of acidity and alkalinity, in which 7.0 is regarded as neutral

152a membrane lining the abdominal wall

153R.G. Gould, G.V. LeRoy, G.T. Okita, J.J. Kabara, P. Keegan, and D.M. Bergenstal. "The Use of C14-Labeled Acetate to Study Cholesterol Metabolism in Man." The Journal of Laboratory and Clinical Medicine. Vol. 46, No. 3, September 1955, pp. 372–384.

154nutritional support by peripheral blood supply

155a condition in which something is lacking in salts equal to those in natural body fluids

156a malignancy of bone marrow, marked by abnormal plasma cells; causes fatigue and bone pain and is often fatal

157Putnam, F.W., F. Meyer, and A. Miyake. "Proteins in Multiple Myeloma V. Synthesis and Excretion of Bence-Jones Protein." Semiannual Reports to the U.S. Atomic Energy Commission. Vol. 1, Parts 1–6, 1954 to 1956. Chicago: Argonne Cancer Research Hospital, pp. 31–37. The University of Chicago, Office of Legal Counsel, Semiannual Reports of the Argonne Cancer Research Hospital.

158a device that uses deflection of ions in an electromagnetic field as a basis for identifying the elements (or elemental components) present in a substance

159G.T. Okita, E.J. Plotz, and M.E. Davis. "Placental Transfer of Radioactive Digitoxin in Pregnant Women and its Fetal Distribution." Semiannual Reports to the U.S. Atomic Energy Commission. Vol. 1, Parts 1–6, 1954 to 1956. Chicago: Argonne Cancer Research Hospital, pp. 26–30. The University of Chicago, Office of Legal Counsel, Semiannual Reports of the Argonne Cancer Research Hospital.

160Leon O. Jacobsen, M.D. (born 1911), specialized in internal medicine. He served as Director of Health, Plutonium Project of the Manhattan Engineer District at the University of Chicago. Jacobsen specialized in hematology, radiation biology, and the effects of chemotherapy and isotopes on leukemia and lymphoma.

161The U.S. Energy Research and Development Administration succeeded the AEC in the early '70s, and in turn was replaced by the DOE in 1977.

162E.C. Tocus, G.T. Okita, J.P. Evans, and S. Mullan. "The Localization of Octoiodofluorescein-I131." Semiannual Reports to the U.S. Atomic Energy Commission. Vol. 3, Part 101, 1961 and Parts 11–15, 1959 to 1961. Chicago: Argonne Cancer Research Hospital, pp. 104–113. The University of Chicago, Office of Legal Counsel, Semiannual Reports of the Argonne Cancer Research Hospital.

163Monte Blau, Ph.D., professor of Nuclear Medicine and Biophysics, Harvard Medical School. Dr. Blau was active in development of radiopharmaceuticals, counting instrumentation, and magnetic resonance imaging studies.

164Memorial Sloan-Kettering Cancer Center (New York, New York); formerly known as Memorial Hospital

165elementary particles in the nucleus of all atoms, carrying a positive charge

166a proton–alpha reaction: an isotope is bombarded by a proton in a cyclotron to generate a different radionuclide, i.e., 13N from 16O, with alpha particles as byproducts of the reaction

167an area of dead or dying tissues from obstruction of blood vessels supplying the tissue (of the heart muscle)

168a device for aligning a beam in a narrow column so that it does not diverge

169University of California at Los Angeles, Department of Nuclear Medicine

170positron emission tomography—the process of producing a PET scan, a medical image obtained by examination with a PET scanner, a device that produces computerized three-dimensional images of biochemical activity in the brain or other organ through use of radioactive tracers that emit positrons and twin 0.511-MeV gamma rays

171The significance of this anecdote is that Harper and Lathrop had previously made an important discovery in the science and art of brain imaging without realizing it at first.

172The Poisonous Plant Laboratory is part of the University of Wyoming.

173During the early 1970s, investigators at six institutions conducted collaborative studies on the pharmacokinetics of selenium-75 (75Se)–L-selenomethionine as a new radiopharmaceutical for imaging the pancreas in nuclear medicine diagnostic exams. A total of 40 subjects, comprising 30 patients with various diseases and 10 normal comparison subjects, participated. Each subject received a single intravenous injection of about 250 microcuries of 75Se. Retained activity in the body was measured by whole-body counting of 24 subjects at four institutions over a period ranging from 3 up to 923 days. Selenium-75 concentrations were later measured in tissues obtained at autopsy from a total of 23 subjects at four of the institutions. For a more detailed summary, see UC-42, "Pharmacokinetics of Selenium-75–L Selenomethionine" in Human Radiation Experiments Associated with the U.S. Department of Energy and Its Predecessors (213 pages), DOE/EH-0491, July 1995.

174any of a class of organic compounds that are the building blocks from which proteins are constructed

175"Summary of Current Radiation Dose Estimates to Humans from Se75-L Selenomethionine." MIRD/Dose Estimate Report No. 1. January 1973.

176The biological data obtained in these studies were combined for analysis to determine the radiation absorbed dose to the total body and to individual organs from Se75-L-selenomethionine. The information was needed in assessing the usefulness of Se75-L-selenomethionine as a tumor imaging agent. See K.A. Lathrop, R.E. Johnston, M. Blau, and E.O. Rothschild. "Radiation Dose to Humans from Se75-L Selenomethionine." Journal of Nuclear Medicine. Suppl. No. 6, 1972, pp. 10–17.

177determination of the quantity of something, especially with precision

178high-resolution imaging by rotating a fine x-ray beam around a patient and using computer analysis to reconstruct the image

179magnetic resonance imaging (a process of producing images of the body regardless of the presence of bone by means of a strong magnetic field and low-energy radio waves)

180the practice of reflecting ultrasonic waves off interior body structures to produce a visual image, or sonogram, for diagnostics

181material that serves as a surrogate for a human being during calibration of radiological counters

182The implants were used for brachytherapy, use of devices into which isotopes are inserted for cancer therapy.

183At Los Alamos Scientific Laboratory in early 1944, Emilio Segrè had developed Little Boy, a lighter, smaller version of a uranium bomb that used a plutonium gun design. Little Boy was dropped, untested, at Hiroshima on August 6, 1945.

184The reaction was used for making high–specific-activity material in a nuclear reactor: With organic arsenic in neutron flux, the activated isotopes are excited and move from organic binding to an inorganic phase for separation as high–specific activity isotope.

185deoxyribonucleic acid—a type of nucleic acid, particularly found in cell nuclei, that is the basis for heredity in many organisms. DNA molecules are constructed of a double helix held together by hydrogen bonds.

1865-bromodeoxyuride, an analog of the DNA base thymide. BUdR is a halogenated pyrimidine; it is used as a radiation sensitizer, to make cancer cells more sensitive to radiation.

187linear energy transfer: as measured along a charged particle track, the relative specific ionization per unit track length in units of KeV/micrometer

188endometrial—of the endometrium, the inner lining of the uterus

189Robert Atcher, Ph.D., a radiochemist (born 1951) currently working at the University of South Alabama at Birmingham; formerly at the University of Chicago, Argonne National Laboratory, and National Cancer Institute (Bethesda, Maryland). Atcher conducted research on the production of short-lived isotopes for medical applications, the development of radiopharmaceuticals using radioactive metals, and the radiobiology of therapeutic radionuclides.

190Jacob Rotmensch, M.D., a professor at the University of Chicago and clinician with an interest in ovarian carcinoma

191Roger Maeklis, M.D., a cancer specialist, is currently director of Radiation Oncology at the Cleveland Clinic Foundation, Cleveland, Ohio.

192Note: It was actually bismuth-212, not astatine-211.

193a heavy, rare element of the halogen family

194million electron-volts

195counting the rate of radiation emissions from radionuclides inside the thyroid, using radiation detection instruments

196to remove or destroy by radiation

197a small, rounded mass or lump

198one who classifies and describes phenomena

199Eddington (1882–1944), an English physicist, astronomer, and mathematician, studied the motion, structure, and evolution of stars. He was one of the first to discuss the theory of relativity.

200Chandrasekhar (1910–93) was an Indian-born, U.S.-naturalized astrophysicist who, with William Fowler, won the 1983 Nobel Prize in Physics for formulating the currently accepted theories on development of dwarf stars. He was on the faculty at the University of Chicago starting in 1938 and was known to Lathrop and Harper.