PB88-.14S297
    Kinetics of:  Ingested (222) Rn  in
    Humans Determined t-rom
    Measurements with (133) Xe
    Massachusetts General Hospital, Boston
    Prepared  for

    Health  Effects Research  Lab.
    Research  Triangle Park,  KC
    Dec  87

aatiiiaiejfl5g!iBa33Basffigss3i^gia«^


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                                               EPA/600/1-87/013
                                               December 1987
    The Kinetics of Ingested  222Rn In Humans
   Determined from Measurements with 133Xe
                                by


John A.Correia, Ph.D., Steven B. Weise, Ronald J. Callahan, Ph.D.
                  and H. William Strauss, M.D.
                     Department of Radiology
  Division of Radiological Sciences and Division of Nuclear Medirine

                  Massachusetts General  Hospital
                        Boston, MA  02114
                            CR810942
                         Project Officer

                         Norman E.  Kowal
               Toxicology and Microbiology Division
                Health  Effects Research Laboratory
               U.S.  Environmental Protection Agency
                     Cincinnati,  Ohio  45268
                HEALTH EFFECTS  RESEARCH LABORATORY
                OFFICE OF RESEARCH AND DEVELOPMENT
               U.S. ENVIRONMENTAL PROTECTION AGENCY
          RESEARCH TRIANGLE PARK, NORTH CAROLINA  27711

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                                  TECHNICAL REPORT DATA
                           (ftetie renl Inttnicnont on tht ttotnt before comptttintf
. REPORT NO.
   KPA/nOO/1-87/013
                             2.
. TITLC AND SUBTITLE         -
HE KINETICS  OF INGESTED 222Rn TIN HUMANS
ETERMINED FROM MEASUREMENTS WITH 133Xe
                                                          4. REPORT OAT*
                'OUT OATC  ,001
                Ik-comber 1937
            i. PERFORMING ORGANIZATION CODE
. AUTHORISI
ohn A. Correla,  Steven B. Weise. Ronald J.  Callahan,
nd U. William Strauss
                                                          8. PERFORMING ORGANIZATION REPORT NO.
 . PERFORMING ORGANIZATION NAME AND ADDRESS
apartment of  Radiology, Division of Radiological
ciences and Division of Nuclear Medicine,
assachusetts  General Hospital. Boston,  MA
2114
            10. PROGRAM ELEMENT NO.
            CBMC1A
            II. CONTRACT/GRANT NO.
                                                           CR810942
 2. SPONSORING AGENCY NAME AND ADDRESS
ealth Effects  Research Laboratory  (UERL)
ffice of  Research and Development  (ORD)
.S. Environmental Protection Agency  (USEPA)
•search Triangle Park, North Carolina  27711
            13. TYPE OF REPORT AND PERIOD COVERED
             Project Report/Summary
            14. SPONSORING AGENCY CODE
             EPA-600/11
 S^SUPPLEMENTARY NOTES
 .0. Norman E.  Kowal, BMTB/TMD/HERL/USEPA (CI)
 LTfie problem of naturally occurring 222-radon contamination has received a great
 deal of  public and scientific attention over the past several years,  and has become
 a major  public health issue worldwide.   The purpose of the work reported in this
 document was to provide information about the behavior of ingested  222-radon in
 the digestive system and other organs of the human body.  l33-Xenon,  an element
 which  behaves in the same manner  as 222-radon in tissue and differs only in
 tissue solubility, was used in studies on human subjects.  The tissue solubility
 differences were accounted for by using the tisiue/blood partition  coefficients of
 the two  gases.\5-Ihis report was submitted in fulfillment of cooperative agreement
 CR810942 by Massachusetts General Hospital, Boston, MA, under the sponsorship of the
 U.S. Environmental Protection Agency.  This report covers a period  from 24 October
 1983 to  23 April 1886, and itark was completed as of 26 August 1987.
IT.
                                KEY WORDS AND DOCUMENT ANALYSIS
                  DESCRIPTORS
                                              b.lOENTIFIERS/OPEN ENDED TERMS
                          .  COSATi Field/Croup
 IS. DISTRIBUTION STATEMENT
   RELEASE TO PUBLIC
19. SECURITY CLASS (Hill Rtpor
  UNCLASSIFIED
21. NO. OF PAGES
     900
                                              20. SECURITY CLASS Illilt faftl
  UNCLASSIFIED
 gPA fvm 2220-1 (R«». 4-77)    previous COITION i* OBIOLCTC

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NOTICE
     This  document:  has  been  reviewed  in  accordance  with  U.S.
 Environmental Protection Agency  policy through cooperative agree-
 ment  CR810942  to  Massachusetts  General  Hospital. Boston.  MA and
 approved  for  publication.   Mention  of  trade  names  or  commercial
 products  does  not constitute endorsement or  recommendation for
 use.
                                ii

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FOREWORD
     The  many  benefits  of  our  modern,  developing,  industrial
 society  are  accompanied  by certain hazards.   Careful  assessment.
 of  the  relative risk of existing and  new man-made environmental
 hazards  is necessary for  the establishment of  sound  regulatory
 policy.   These regulations serve to  enhance the  quality  of  our
 environment  in  order to promote the public health and welfare  and
 the productive  capacity of our Nation's population.

     The  complexities of  environmental problems  originate  in  the
 deep  interdependent relationships  between the  various  physical
 and biological segments of man's natural and social world. Solutions
 to  these environmental problems require an integrated program of
 research and development using input from a number  of disciplines.
 The  Health Effects Research  Laboratory,  Research  Triangle Park,
 NC  and   Cincinnati,  OH,   conducts  a   coordinated environmental
 health  research program in toxicology,  epidemiology, and clinical
 studies  using human volunteer subjects.  Wide ranges of pollutants
 known  or  suspected  to  causg health problems  are studied.   The
 research  focuses  on  air  pollutants,  water  pollutants,  toxic
 substances, hazardous wastes, pesticides, andnonionizing radiation.
 The  laboratory participates  in the development and  revision of
 air  and water  quality criteria  and  health assessment documents on
 pollutants  for  which  regulatory actions are  being  considered.
 Direct  support  to the regulatory function of the Agency  is provided
 in the  form of expert testimony and preparation of affidavits as
 well as expert advice to  the  Administrator to assure the adequacy
 of environmental  regulatory decisions  involving  the protection of
 the  health and welfare of  all U.S.  inhabitants.

      This  document reports   the  results  of   research  on  the
 behavior  of ingested  radon  in  the human digestive  system  and
 other organs  of the body,  which  was performed  because  of  the
 recently  recognized public  health  problem of  human  exposure to
 naturally occurring radon La  the environment.
                                       F.  Cordon Hueter,  Ph.D.
                                       Director
                                       Health  Effects Research Laboratory
                                iii

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ABSTRACT
  The problem of naturally occurring " -radon contamination has
  received  a gveat deal  of  public and scientific attention over
  the past  several years,  and has become  a major public  health
  issue worldwide.   The  purpose  of  the  work reported  in this
  document was to provide  information about the behavior of ingested
     -radon  in the digestive  system and other organs  of  the human
  body.  liiij-Xenon, an element  which  behaves  in the  same  manner
  as "-radon in  tissue  and differs  only  in  tissue  solubility,
  was used  in  studies  on human subjects.    The tissue solubility
  differences were accounted for by using the tissue/blood partition
  coefficients  of  the  two gases.   This  report was  submitted  in
  fulfillment of cooperative  agreement CR810942  by  Massachusetts
  General  Hospital,  Boston,  MA,  under  the  sponsorship of the U.S.
  Environmental Protection Agency.  This  report  covers  a  period
  from 24  October 1983  to  23  April 1886, and work was completed  as
  of 26 August 1987.
                                 iv

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CONTENTS
 Foreword
 Abstract
      1   INTRODUCTION ...................    i

      2   EXPERIMENTAL METHODS ..............   4
      2.1  Introduction ...................   4
      2.2  Experimental Study Population ...........   5
      2.3  Xenon and Radon  Partition Coefficients ......   7
      2.4  Radioactivity Administration and Calibration  ...   9
      2.5  Experimental Imaging Methodology .........  11
          2.5.1  instrumentation and data collection for
                 ingestion  studies ..............  11
          2.5.2  subject study protocol ...........  13
          2.5.3  inhalation studies .............  14
          2.5.4  data analysis ................  17
          2.5.5  analysis of inhalation data .........  27

      3   RESULTS ......................  31
      3.1  Introduction ...................  31
      3.2  Results from Direct Analysis of Quantitative Data.  32
      3.3  Results from Analytic Treatments of Quantitative
           Data .......................  33
      3.4  Comparisons of Sub-populations ..........  37
      3.5  Results of Separate Analysis of Early Ingestion
           Data .......................  41
      3.6  Results from Inhalation Studies ..........  41

      4   CONCLUSIONS  .  . .  ,  ...............  46

 Bibliography .................  ........  49
 Appendices

   A .........................  ....  54
   B. .  . .......................... 443

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Chapter  1
INTRODUCTION
The purpose of the work reported in this document was to provide infor-
mation about the hehavoir of ingested "2Rn in the digestive system and
other organs of the body. The problem of naturally occuring 222Rn contam-
ination has received a great deal of public and scientific attention over the
past several years and has become a major public health issue worldwide
136)181 [45].
   One potentially serious source of radiation dose to the population at
large from 222Rn  comes from  the ingestion of drinking water laden with
this substance [13][1][5] [44]. To date this problem has been studied only in
a preliminary way. Very little data has  been  collected in human subjects.
There have been  several studies in which a small number of subjects in-
gested radon laden water and were followed over time either by whole body
counting of the penetrating emissions from the 222Rn daughter or by mea-
suring equilibrated 222Rn daughters in expired air 7MBi [3][48]  (1][17](13]
[5] [19]. All of these studies suffer from  the limitation that direct regional
measurements of  organ concentrations could not be carried out with the
experimental preparation used, and the fact that they depend on infer-
ring 222Rn and daughter  concentrations from an equilibrated mixture of
the parent and daughters. Also, because of the difficulties in carrying out
the measurements, only a few subjects were evaluated in each experiment.
   In the present  work we have attempted to use an alternative preparation
which  would overcome these  limitations.  Rather than using 222Rn itself
we have used a substance,  I33Xe, which behaves in the same manner as
"2Rn in  tissue, differing only in tissue solubility.   The tissue solubility

                                 1

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differences may be accounted for in situations where organ concentrations
are equilibrated at all times (a usual assumption for compartmental models)
using the tissue/blood partition coefficients of the two gases[51][l6][28).
   133Xe is used routinely a.-) in gaseous form for clinical nuclear medicine
lung ventilation and brain organ flow studies[40] [50][29](11][18](37] [32l[12]['25][10]
It has not however been used routinely in dissolved form.  133Xe emits pen-
etrating  photons  at  81 and 35 keV,  the  former being within  the  range of
energy for which clinical scintillation cameras  are designed (2j[42][15j[35|.
[26]. A significant effort was expended at  the early stages of the project to
develop a method for producing and administering sterile doses of l33Xe in
solution  and to the development of human imaging protocols. A  series of
animal studies, not reported in this  work, were carried out as part of this
development phase.
   Thirty-five subjects were imaged after the administration  of a drink of
water laden with rnillicurie levels of 133Xe. They were followed for periods
of up to  ten hours with a scintillation camera. Organ radioactivity concen-
tration vs time curves were generated for  the digestive system, quantUaled
in absolute concentration units and converted to 222Rn kinetic curves using
partition coefficient  data gleaned from the literature. Various parameters
were then computed from these 2"Rn concentrations, including cumulative
radioactivity concentrations for 2"Rn and its  five daughters, organ mean
transit time for J22Rn and a set of average analytical organ rate constants
for 2"Rn kinetics determined from least squatares fits. Fifteen of the  sub-
jects were also studied with high frequency imaging (1hz) during the initial
post-ingestion period to test for rapid escape of radioactivity from the body.
    An additional twelve subjects were studied after inhalation of J33Xe to
assess the contribution of  "2Rn recirculated from the lungs to  the organs
of the body.  These studies were conducted because recirculation was felt
to be the major  source of muscle and fat radioactivity following ingestion
of "3Rn and might also be a significant source of radioactivity in other
organs.
    This project was carried out in a university hospital environment (Mas-
sachusetts General Hospital)  because such an  institution is the only place
where the imaging technology, experience in handling large (mCi) quantities
of radioisotopes  for use  in human subjects, and expertise in mathematical
 modeling and data handling could all be found in the same institution.
    The following chapters of this report present ihe detiuls of experimental

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methods (Chapter 2), Results (chapter 3) and conclusions (chapter 4).

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Chapter  2



EXPERIMENTAL  METHODS



2.1    Introduction

The purpose of this chapter is to describe the experimental and computa-
tional approaches used in producing the results reported in other sections.
The overall goal of the work was to determine regional quantitative radioac-
tivity concentrations and cumulative radioactivity concentrations which re-
sult from the ingcstion of 222Rn.  The experimental preparation was based
on the administration of a drink of 153Xe, a chemical analog of radon, to
a series of volunteer subjects and following the regional radioactivity dis-
tribution in  the body over time with a nuclear medical  imaging device.
l33Xe was chosen because it emits penetrating photons (SlkeV and SOkeV)
which are easily imaged and because it is routinely used  in gaseous form
for nuclear medical studies.
   The remainder of this chapter describes the details of the measurements
and  data analysis that  were carried out to achieve the  stated goal.  It
is organized as a  series of sections, each describing a separate aspect  of
methodology. The order of presentation is chosen to approximate as closely
as possible the chronological steps in arriving at the results.  The topics
discussed include:

   •  Subject recruitment and population characteristics

   •  Xenon and Radon Partition Coefficients

   •  Radioactivity Dose Preparation and Calibration

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   • Experimental Imaging Methodology

   • Data Analysis


2.2    Experimental Study Population

Paid normal volunteer subjects were recruited by advertising on bulletin
boards at local academic institutions and within the local community. The
advertisments were reviewed and approved by  the Massachusetts General
Hospital (MGH)  human  studies committee.   Approximately seventy re-
sponses to the advertisements occured during  a two year period. An ini-
tial interview by  telephone was conducted with each respondent.  In  this
interview the nature of the study and its goals as well as the specific mea-
surements to be done  were explained to the respondent by an experienced
interviewer.  A set of questions concerning the  subject's reasons for  volun-
teering  were also  asked for the purpose of psychological screening. During
the phone interviews twenty percent of the responding subjects were elimi-
nated by the interviewer or themselve* decided against participation based
on a disproportionate perception of radiation risk. Approximately ten  per-
cent were eliminated based on their psychological status or state of health.
    Potential subjects  from the above group were re-contacted by telephone
and a time for cither  an ingestion or an inhalation a study was scheduled.
Subjects scheduled for ingestion studies were instructed at this time either
to fast  for eight  to twelve hours, to eat a low fat meal four to six hours
before the study,  or to eat a low fat meal one hour before the study. When
a subject  arrived  on the day of the study, one of the investigators agsiin ex-
plained the overall goals of the study and the specifics of the measurements.
In the course of this discussion the subject was shown the couipment to be
used.  A medical  history  was taken and  the subject's diger.tivc status was
confirmed. Finally, the subject was asked to read and sigii an approved con-
sent form and was asked to express any  concerns or questions that  he/she
might htive  concerning the study.  No subjects dropped out at this stage.
reB Five  studies  were judged to be technical  failures based on equipment
problems or inability of the subject to cooperate. A total of thirty succssful
ingestion studies and twelve  successful inhalation studies wore performed.
The characteristics of the ingestion study population, including the  time of
each participant's last meal prior to the study, is shown in Table 2.1.  This

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Table 2.1: Subject Population for Ingestion Studies
Subject JO




•hern
trrol
»ytr
brock
by rut
clin*
elmden
•pling
frccdmtn
gcllop
gmcVinley
h«nd
htwkint
hill
hntchint
jmckinley
krlleher
littell
m»io
mulcorn
m»rmill*n
miller
morgvn
monroe
muchrchr
perk
iMtet
t»ylor
wnolck
wiltie
AVEilAGE

S.D.
i *g*(yr,)
*
i
,

!~48
48
: 40
! 32
i ««
1 *T
i "
1 30
. 33
42
: 20
54
1 40
' 41
45
28
45
21
20
21
25
38
28
27
i 21
27
25
' 25
32
33.1

10.
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: m
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: f
: m
m
: m
m
" m
m
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m
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—
weight (Ibt)




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115
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| ISO
225
180
;
• 120
' 140
130
; 175
. 1SS
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140
174
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175 i
180
130
168.7(m),
120.0(f)
30(m). 38(f)
height (in)




T2
60
63
62
60
67
65
69
70
60
67
63
68
66
I3S
70
70
72
67
73
70
66
70
68
71
73
71
62 ;
74
GO
70.3(m),
64.n(f)
l.9(m). J.rt(l"i '
time
Sine*

Meal
(hi-.)
12
l.S
I
S
8
8

&
1
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0.5
I
1
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6
11
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$ '
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4
—

_

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population consisted of twelve females and eighteen males. Their mean age
was 33.1 ± 10.0 years.  All but five of the subjects (2 males and 3 females)
had normal body weight for their height and those five were mildly obese.
Six subjects had fasted for more than eight hours, fifteen had had a  light
meal within one and one half hours  before the study and nine had had a
similar meal four to six hours before  the study.


2.3    Xenon and  Radon Partition Coefficients

This study exploits the fact that Radon and Xenon, both chemically  inert
,  behave in a very similar way in tissue and blood. The main differences
in their behavior result from differences in solubility in tissues, a physicnl
effect.  Both elements diffuse freely into tissue and blood and their typical
root of egress is  by diffusion into to venous blood and subsequent transfer
to air in the lungs. If  one assumes that  two tissues, blood and intestinal
wall for example, are equilibrated with respect to a given inert gas, then the
concentrations of in the two tissue types t and ji are related by a constant
called the partition coefficient, Af these  gases

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(38J17]|9](14][41) [52][53] as well as a resonable amount of human data[38][20]
[23][24j[33][39]f46]l51][28][6][13][17l.
   For the purposes of the work  reported here the human data was used
where possible. In several instances (the digestive organs in particular) no
human Xe data was available. In these cases however data was available
for animals and for another inert gas, Kr[4][22] [21]|31][33j[41][51] [27J. Di-
gestive organ partition coefficients for Xe were inferred from human Kr and
Rn partition coefficents.  This was felt to be justifiable since, for other or-
gans where partition coefficients were known for all three gases, the ratios
among the three were constant. Also, comparisons of partition coefficients
in all three gases in several animal species yielded approximately the same
ratios. The partition coefficients  used in the computations undertaken as
part of this work are given in  table 2.2.

   In the case of fat there is wide range of Rn partition coefficients reported
(from 10  to 20). For the computations in this work the value  11.93 was
assumed to be correct but this decision is arbitrary.

   For most of the other organs of interest  in this work,  the Radon and
Xenon partition coefficients were very similar. This allowed us to make the
assumption of a single phase for these gasses  in the  digestive system rather
than being concerned about whether the two substances would behave dif-
ferently in the gas phase before  entering tissue.  One problem with this
assumption is that differing amounts of fat in the food present in the diges-
tive  system would dissolve Xe and Rn differently. Therefore experimental
subjects ate only low fat foods in the period before the studies.
   Table 2.2: Human Tissue-Blood Partition Coefficients for Rn and Xe
Organ
liver
ttomach
inttttinn
kidney
muicle
fat
brain
Radon A
0.75
0.70
0.76
0.70
0.54
11.93(30.0)
0,76
Xenon X
O.T5
0.72
0.7?
0.68
0.60
9.s
0.02

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2.4    Radioactivity  Administration and Cali-

        bration

In order to provide a sterile preparation of 133Xe for ingestion, it was neces-
sary for us to develop a method of producing individual (unit) doses of this
gas dissolved in liquid  (dissolved Xenon doses are not currently available
commercially) and to develop a safe and effective method of administering
the dose to a human subject. The unit dose and subject delivery systems
must be both sterile and resistant to corrosion from saline. To provide unit
doses from a high-radioactivity source a chrome-plated stainless steel ves-
sel was constructed. The vessel contains a screw-driven press which can be
operated from the outside when the vessel is closed and two fittings which
are compatible with standard sterile hospital fittings. A commercially pur-
chased glass ampule containing approximately one Curie of l33Xe is placed
in the chamber, the chamber is then sealed and filled with saline from  a
reservoir which remains connected. The screw press is then operated from
the outside to crush the ampule and the Xe gas is dissolved. Unit doses may
be drawn form the device by adding saline to the inlet port and collecting
displaced saline, already equillibrated with the gas, in a sterile syringe at
the outlet port. The gas/saline solution in the vessel then equilibrates at
slightly lower U3Xe concentration. A schematic of this device is shown in
figure 2.1. It is sterilized before each new ampule is loaded.
    The unit dose, about 5cc in volume, is then injected into a sterile plastic
bag containing lOOcc of saline  with no air bubbles. The transfer is made
through a sterile injection membrane which was  fitted to it along with a
three way valve and a plastic straw. The straw serves as the administration
route to the subject. A sketch of this device is also shown in figure 2.1.
    Typically, a unit dose was made up between  four and eight hours before
the study to  allow for 133Xe equilibration within the bag.  Such a dose
consisted of 3-6 mCi of l33Xe with the assumption that  1-3 mCi would be
delivered to the subject and the remainder would  adhere to the plastic bag
and valves. The radioactivity  level in each  dose  was measured just prior
to administration and immediately after administration using a standard
nuclear pharmacy dose calibrator  (ionizalion chamber based  well counter
calibrated to ±10To for IMXe).
    At the start of an ingestion study, the subject was told to seal  his/her

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                                                   I • Lead Shield
                                                   2 • Vinyl Bag
                                                   3 • Valve
                                                   4 • Filling Port
                                                   5 • Drinking Stem
1 • Base
2 • Cover
3 • Window
4 • 0-Ring #2-124 Viton
5 • Bleeder Valve                  '     •—O
6 • Ampule Crusher Assy.
7 • Valve (2) Circle Seal'
8 - Luer Lock Adapter
9 • Pipe Fitting 1/8 to 1/4 NPT (#316SS)
10 • Millipore Filter Assy. (Cat.#XX35-52500)
11 - (4) #6-32(SS) x l/2in. Cap Screws
                                                       i	
Figure 2.1:  I'pper: Diagram of Sterile Administration Aparatus for l33Xe
Ingestion, Lower:  Machine Drawing of'"Xt*  l'nil  P->se Disponscr
                                   10

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lips around the plastic straw and at a signal from the investigator to be-
gin drinking normally. The bag was then opened to the subject.  During
drinking the bag was squeezed slightly by the investigator to prevent the
formation of gas bubbles. Typically, it took a subject about twenty seconds
to swallow the lOOcc dose. This simple system worked very well in practice.
In approximately 35 administrations there were no subject complications
or radioactivity spills.
    Radioactivity was administered to inhalation subjects from a commer-
cial 133Xe gas delivery system which is routinely used for clinical lung scans.
It consists of a rebreathing reservior containing 3-6 mCi  per liter of ra-
dioactive gas mixed with air, and an activated charcoal trap. The subject
is connected to the reservoir via a tight fitting mask.  During the first 2.5
minutes of the study, the subject breathed from the reservior and for  the
subsequent ten minutes he/she breathed in room air and exhaled into the
activated charcoal trap. The mask was removed after 12.5 minutes and the
subject continued breathing normally for the remainder of the study.
2.5    Experimental Imaging  Methodology

2.5.1   instrumentation and  data  collection  for inges-
         tion studies

All imaging studies were carried out at  the Massachusetts General Hospital
Nuclear Medicine Division  in clinical  scanning rooms.  The radioactivity
distribution in each subject's torso was imaged from the anterior projec-
tion during and  after the administration of 133Xe using a nuclear medical
scintillation camera. All but four of the subjects were studied using a Tech-
nicare Q500 rectangular field camera.  This camera was chosen because its
large imaging field ( 56 x 38 cm) and its rectangular geometry allow for the
viewing of all of the digestive system  and the pelvic area in most  adults.
A smaller circular field camera was used to image the remaining four sub-
jects  at times when  the 0500 camera was unavailable due to an emergency
clinical study. Both of these devices give a projection image with a spatial
resolution of approximately 1 cm (Full Width at Half Maximum response
of a point source of radioactivity).  The dead time characteristics of these
devices are such that no significant dead time effects occur  below 20,000

                                 11

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detected events per second. This fact was experimentally verified for both
of the imaging cameras used in this study.  Since no patient data set was
collected at countrates in excess of the 20,000 event per second limit, no
dead time corrections were made to the data.  The sensitivity and limiting
detectibility of the  fiSOO imaging camera were measured using point and
plane sources of 133Xe in a torso equivalent scatterer. The sensitivity was
determined to be 11.3 detected events per second per/iCi for a uniform dis-
tribution of l33Xe in a torso-like phantom.  The main source of limitation
to detectibility was found to be the presence of a 1,980 event per minute
background due to  cosmic rays and other sources of environmental radia-
tion. It was determined that the detection, at 90%  confidence, of 0.75/iCi
distributed in the torso  requires a approximately fifteen minute imaging
time. This was assumed to be the practical lower limit of detectibility for
our studies.
    Image data were acquired using a Technicare 560 nuclear medical com-
puting system which is interfaced to the imaging cameras. This computer
has a specially designed operating system which allows for acquisition and
display of image data, simple image arithmetic and the selection of a re-
gion to be identified on all images in a given data set (Regions of Interest or
ROI's). It was used to produce events vs time curves. Since the Technicare
computer does not have the capacity  to carry cut sophisticated compu-
tations on large numerical data  sets, all processing beyond the extraction
of  ROI data was done on  a Digital Equipment Corporation VAX 11/780
computer. Software for the transfer of data from the Technicare 560 to the
VAX 11/780 was developed as part of this project.
    A simple device to monitor expired air during inhalation and inges-
 tion studies was constructed.  It consists of a constant speed pump which
 withdraws a continous sample of expired air from a mask or nasal canula,
 through a fixed  geometry coil in a sodium iodode well detector. The events
 measured in one second epochs are recorded on a multichannel  analyzer
 operated in multiscalar mode. This device  gives relative air concentration.

                                  12

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2.5.2   subject study protocol

ingestion studies

The overall  approach to collecting 1MXe kinetic radioactivity concentra-
tion data was to place the subject's torso in contact with the scintallation
camera in anterior (front) view and to then administer a 100 c.c drink con-
taining between 1  and 5  mCi 133Xe in saline via a straw connected to the
sterile administration device.  At the start of ingestion the image collodion
computer was started and images collected for some time period in order to
follow the tranisit of radioactivity through the digestive system. In practice,
about half the subjects were  given the drink  while standing because they
were concerned about gagging while drinking in the supine position. These
subjects were followed  for ten minutes in the standing position and then
placed in the supine position  on the imaging table, realigned, apd imaging
continued. The remainder of the subjects received the drink while lying on
the imaging table. Images of short duration were collected during the ini-
tial 25 minutes. These consisted, in half the subjects, of sixty-four 5 second
images, then thirty-two 15 second images,  and then thirty-two 30 second
images. In the remaining half of the subjects, high frequency sampling of 1
or 2 seconds per image was used for the first 4 minutes and then the 5,  15
and 30 second sampling protocol just described was followed. After the ini-
tal thirty minutes, images summing events  over one minute intervals were
collected for the remainder of the study. Most subjects were not able to lie
still in the supine position for more than four hours. Therefore, they were
allowed to get  up at between three and four  hours to take a one hour break.
Before a subject was allowed to get  up,  three marker sources were taped
to his/her skin at known anatomical points and the sources imaged. The
reference points used were the zyphoid bone at the bottom of the sternum
and the left and right iliac protrusions of the pelvis. The positions of the
sources were marked on  the skin before removal as a secondary reference.
The subject then  returned after one hour,  the marker sources were again
placed on the body, and he/she was repositioned. A second imaging session
of sixty second images was then carried  out  for two to  four hours and, if
necessary, the subject  took another  break, being  repositioned again after
one hour and imaged. The cycle of imaging sessions and breaks was  re-
peated ,as long as the subject could tolerate it, for up to ten hours.  In ton
of the subjects, only the  first  imaging session  was undertaken due either to

                                  13

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equipment scheduling difficulties or subject fatigue.
   The image data sets resulting from the above described measurements,
consist of three to ten hours of data  having time gaps of approximately
one and one half to two hours including repositioning time in those which
extend beyond four hours.  Five subjects were also brought back for imaging
at twenty-four to thirty hours post ingestion to determine if residual 133Xe
radioactivity above the 0.75 /xCi detectability threshold was present. These
subjects were imaged for twenty minutes and a twenty minute background
was collected immediately before or after the imaging study. In all cases,
at least one twenty minute background measurement was made during the
day of the study.
   In ten subjects who were imaged at high frequency (typically 1 image per
second), the expired air was sampled through a nasal canula to determine
if a large amount of radioactivity escaped through the lung at early times
after ingestion.  Figure 2.2  shows a example of selected  images from an
ingestion study.
2.5.3   inhalation  studies

The purpose of the inhalation studies which were done as part of this work
was to characterize the response of tissues, particularly muscle and fat but
other organs as well, to  "JRn recirculated form the lung in arterial blood.
Each subject was positioned in the same manner as for the ingestion studies
and then connected to the breathing reservoir containing between three and
six mCi ofl33Xe mixed with air, Th? subject breathed from the reservoir
system for two and one half minutes  and then breathed room air for the
remainder of the study. The subject's exhalations during the first twelve
minutes of the study were trapped in an activated charcoal trap to minimize
room background. The imaging protocol used in these studies is the same as
that for the ingestion studies. A continous sampling of the subject's expired
air during the brcathup period  and subsequent ten minutes was measured
using the counting system described above. These data were used  to infvr
the blood arterial radioactivity concentration as a function of time in order
to provide input functions for the  various organs (see subsection on data
analysis). Figure 2.3 shows a selection of images from an inhalation study.
                                  14

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Figure 2.2: Anterior Scintillation Camera Images at Selected Times During
a Ten Hour Imaging  Protocol After Ingcstion of l"Xe.  The time (min) at
which each image was taken is shown.
                                         '

                                                          J.

                                                                     .
                                15

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Figure 2.3:  Selected Scintillation Camera Images from Inhalation Study.
The times at which the images were taken are shown at the right. Lung is
seen in the early phazc while radioactivity is being breathed. Liver, kidney
and fat arc seen in later images in this female subject
                                         £•
                                          -
                                       .
                              f .?"u-f*ri   li
                             LrVi is**

                                                           .5 ,  2.0 min.
                                                           1.0  ,  1.5 hr.
                                                            6.0  , 7.0 hr.

-------
2.5.4   data analysis

preliminary data manipulation

Initial analysis of image data was carried out on the Tcchnicare 560 imag-
ing computer. This anlysis consisted of selecting regions of interest and
the production of data sets consisting of events recorded  in each region
at each  time.  ROI's were selected  from images which were summed over
time periods of from eight to  twenty minutes. This allowed the visual-
ization of anatomic structures  which appear at different times during the
data collection interval. These regions were chosen to be smaller than the
anatomic boundary of  each organ  so that edge effects  due to finite scin-
tillation camera resolution and organ shape could be minimized, but large
enough  to minimize stastical fluctuations  in the measurements due to the
Possion nature of the radioactive decay process. An example of the region
selection process is shown in figure 2.4. In the ingestion studies an attempt
was made to define regions for all organs of the digestive system including
stomach, small intestine, whole intestine, ascending colon, transverse colon,
descending colon(when visualized), and liver.  Also a muscle sample from
thigh and a whole body  sample based on the  outline of the torso in the
image field, were obtained. In  several small individuals a lung sample was
also obtained and in several subjects fat was visualized to  a degree where
a sample could be obtained.
   In the inhalation subjects  lung, whole body, fat, liver, whole intestine,
stomach, kidney (when visualized)  and muscle  ROI's were selected.
   When ROI selection and curve generation  were completed for a given
subject, the curve data was transmitted to the VAX 11/780 computer for
further  analysis.

absolute normalization of curve data

A normalization factor  converting measured events per minute per unit ROI
area (N) to organ 133Xe radioactivity concentration was determined for each
subject using the peak  counting rate per unit ROI area in the stomach (C).
This rate was assumed  to occur at the time at which nil of the radioactivity
was in  that organ.  The standard  stomach volume, V,  = 
-------
Figure 2.4: Example of Region of Intcrvst Selection for an Ingestion Study.
At left is shown a fifteen Minute cummation Image (Jscil to Define Regions.
At Right is Shown the Selected Regions for stomach, liver, small intestine.
descending colon and ascending colon

                                  18

-------
the study were asked to eat only a small (100-200 cc chewed)  volume of
food.  The calibration factor (F) is given by F = D/(VtC) where D is the
administered dose determined by measuring ihe dose container immediately
before and immediately after administration. The calibration factors along
with administered doses of lMXe are shown in Table 2.2.
   Four of the studies listed in table 2.2 were not performed on the 0500
Gamma Camera. Their calibration factors are not included in the average
which is displayed in the table for that camera.
   This method of calibration was compared to the use of a generic camera
calibration derived from a chest phantom. It was deemed superior because
it controls for differences in absorption and photon scatter in different sized
bodies.  Using this calibration method the  absolute quantitative accuracy
of the data is estimated to be approximately ±20%.  This clnim is substan-
tiated by the data of table 2.2. For the sub-population of women all having
approximately the same body build (n = 7) the average calibration factor
is  0.0067±0.00082 (95% confidence) yielding a fractional error spread of
24% including fluctuations due to the small sample size. The  sources of
systematic error which cause this  variation include differences  in  photon
absorption and scatterering due to organ geometry and differing distances
of organs from the scintillation camera surface.


primary data  processing

The primary data processing leading to absolute organ 222Rn  concentra-
tions was carried out  on the  VAX 11/780. The steps executed on  each
organ curve for each subject are as follows:

    •  Normalize data for different collection time.; yielding data in events/minute
      and account for collection gaps.

    •  Inspect curve data for transfer errors, verify errors and correct.

    •  Integrate data to uniform one minute time samples. This was done to
      reduce the size of the data sets and to make variance weighting nnd
      other aspects of non-linear least squares fitting more tractable.  The
      early data, sampled at high frequency was also treated separately (see
      below).

                                  19

-------
   • Subtract background. An individual background correction for each
     region in each subject was generated from  background images col-
     lected at the time of each study.

   • Convert Curves to absolute concentrations using measured calibration
     factors, correct for partition coefficient differences where appropriate
     and correct for difference between133Xe and "3Rn half lives. The lat-
     ter correction results in a J"ltn data set which is not decay corrected
     (i.e., as measured).

   • Interpolate data between collection gap endpoints. Single exponen-
     tial interpolation was chosen over linear, spline and colocation poli-
     nomial interpolations because it  gave the best visual impression of
     the transitions, most of which occur at late times in the data pets.
     This interpolation is only a convenience to simplify plotting and data
     integration computations.

   • Smooth data once with unweighted three point smoothing to reduce
     stastical fluctuations and variations in the data due to minor subject
     motion and contractions of digestive organs.

   These steps lead to absolute organ curve data sets which are sampled
uniformly at one minute intervals. The entire data base is  presented in
graphical form in Appendix A  and in  numerical form in appendix  B. An
example of a data set in one subject is  presented in Figure 2.5. A separate
data base,  which preserves the rapid time sampling of the early phase of
the studies was also prepared for separate analysis. This database includes
data from fifteen subjects and covers the first ten to fifteen minutes of data
collection ( to the time when one minute collection intervals were begun) in
each subject. This data has also been included in the larger data base but
has been integrated to one minute epochs there. A sample of an early data
set is shown in figure 2.6.  Air sampling data (by nasal canula) collected
in eleven subjects was also transferred  to the VAX 11 '780.  An example of
this data in the is also presented in figure 2.6.
    The inhalation data sets were treated in the same manner as the inges-
tion data sets to produce organ curves uniformly sampled at one  minute
intervals.  The  resulting data sets, however are in relative and not abso-
lute concentration units. Expired air data in all of those subjects was also

                                  20

-------
     1000
                    STOItAOH
                                        AfiROl
                                        NIUSTIOI
                                        RADON
0   .00  COO  300  400  500
        tail iMftiwi
                                             \    l>.tO  if
                                             'J
                                                 001
                                           FT
                                           *•
                                                     0   100 200  3CO 400  *00
                   ?M INTIST
  g   0 10
  g

  I
      001
           „..
0   '.00  COO  l:>0  400  '>00
        t>t '» »l"*Sl
                                                              1C :NTnST
                                                      rr-ri-1 —•
                                                              . \
                                                 o :o  t-  •    v  v.
                                  f   oo:
                                                     0   100 COD  f'OC 400
                    »H 'dTilft
           0   ICO  2CO 300  400 500
                                                               WVS--U!
                                                 001  r
                                                      t.
                                                      r
                                                     0   100 200  300 4CO  500
        10 S-
      001
           0  :00  COO 100  |;)0 500
                  til .»»i-ai
Figurr 2.5:  Example of Quantitative Radioactivity  r* Time Curves for an
Ingestion  Study
                                      21

-------
mu«
>/._— _• ' J
;oor
10 r
• f,,-, 	 	

i
t
I
— .a
um
k'"*I ' ' * U i 1 ;
» [ ;Xi» " •^V~^ :
1 ;-^: '
* i ' . 1 . .1.. ..!....
             0  2  4   •   1  10
                                           9  a  «  «
            19 p
             0144   I  10
                                           r^

                                           9  1  4  «  •  (*
        10 0000 ^" --'-.-...-

        SO 1000 ~    *'
        00100 —
        00010 »-
       I 00001 r-
       Jooooo t-
       I0 0000 t-
       10 0000 —
        ooooo m.'.:	
             0  J  «  «   »  10

                                           3   I   «  6  t  10
C:cnden  '.33-XE
                                      Air Curve
Figure 2.6: Example of Radioactivity  vi Time Curves M  High Sampling
Frequency for the First Ten Minutes of an  Ingestton  Study. Also shown is
the early expired air curve for this subject
                                    22

-------
transferred lo the VAX 11/780. A complete inhalation data curve data set
is shown in figure 2.7.

Analysis of Ingestion Sttidies

direct cumulative radioactivity computations   Cumulative radioac-
tivity concentrations of JJJRn and its sucessive daughters mPo (TV,  =
0.051/ir), 1MPb  (T,/, =  0.447/ir), IMBi (Tin =  0.328/ir), }|4Po (7, ,  «
4.44 x 10~'/ir) and 3: Po (T,/, = 22.yrj) were determined form the data
sets uniformly sampled at one minute. The "Jiln cumulative radioactivity
conccnlration(Cfln)was computed from the following expression:

                          " CRn(t') dt' + CWB(U.,)/AU1,           (2.3)
where 
-------
the cumulative activities.
where Di(t) is the concentration of daughter i at time t, A< is the decay con-
stant of the t'th daughter, and 6t is the collection time interval ( 1  minute).
This expression takes into account the production of daughter nuclide in the
current epoch plus the production ot daughter at that time from residual
parent assuming that the daughters, once produced do not migrate from
the organ within times on the order of five to ten halflives.  The  resulting
daughter concentrations  were integrated, including a tail correction, using
the numerical integration routine mentioned above to produce daughter cu-
mulative radioactivity concentrations In the case of the daughters, the tail
correction is  fairly large in some instances due to buildup of daughter.
    Tables of daughter cumulative radioactivities averaged over  the subject
population are given in the Results section.
    Mean  transit  tiir";s of 22IRn  radioactivity  through  the  organs of the
body were computed from the absolute radioactivity curves by numerically
evaluating the following expression:

               f = /'"" tCmgan(t) dtl /'""" Cwflan(0 dt           (2.5)
                    ^o                 Jo
where C^gon(t) is the "2Rn organ concentration.
    These mean transit  times represent the averagt time for a molecule of
J22Rn  to transit a given organ after a tf-function < f radioactivity is intro-
duced into the stomach. The traditional organ tr.usit time is the average
time for a molecule to transit an organ after the ini eduction of a ^-function
into the organ, can easily be computed from the transit times defined above
but are not  useful for  dosimetry calculations in practical situations and
therefore  have not been considered. Transit time data p.vcraged over the
subject population and  several sub-populations are presented in the results
section of this report.

non-linear  least squares fits  to uniformly  sampled dnt.n sots  It
can be seen from the examples shown in figure 2.5 .nut in Appendix  A, that
there  is considerable structure in the digestive system curves, especially
those of the stomach, small intestine, ascending rolun and drscrnding colon.

                                  24

-------
This is  due to  the fact that  llir digestive system is pulsitile in the sense
that food and digestive biproducts arc  moved through it by non-periodic
muscular contractions.  A  numbrr  of approaches  to the modeling of this
data were invcstigated[43]  including the possibility of f'ting  the data  to
pulsitile models.  The  pulsitile model approach  was abandoned when the
results of our simulation studies demonstrated that it was very difficult  to
achieve convergence of the  fit  in the presence of noise. Further simulation
studies  demonstrated that  simple compartmental models did fit the noisy
pulsitile data well on the average and hence this approach was pursued.
    All nonlinear least squares fitting was done using the Marquardt- Lev-
enberg  Method (30][34|  on the VAX 11/780.  An interactive fitting package
including a  curve display was written to handle the  data sets as part  of
this project. Using this package, each fit, its residuals and the raw data
were displayed  and evaluated on-line and the fits  were repeated as neces-
sary to achieve acceptable  convergence  and fit quality.  In most cases the
errors in the parameter sets  determined from the fits (diagonal elements
of the variarice-covanance  matrix from  the fitting routine) were less limn
ten percent. Typically  the  residuals of the fits showed structure which was
associated with pulsitile changes in organ data.
    The stomach  and whole field were fit to a sum of exponentials  under
the assumption that they behave like compartmental systems into which a
^-function input has been injected.  The function fitted was of the form:
where .4; and kt are the unknown parameters.
   The small intestine and whole intestine were treated as compartmental
systems whose input functions were given by the rate of change of radioac-
tivity in the stomach. The model for the concentration in the target organ
in this case is:
                  C~,-n(0 = £ /' ,l /(O 
where f(t) is the input function to the organ.
   Two approaches to fitting these data  were  tried.  In the first the con-
centration curve from the organ feeding the orgnn of interest  was used to
directly compute an input function  and in the second the organ of interest

                                  25

-------
data were fit to a function which is the analytic convolution of the feeding
organ output function, determined from least ?<|uares, with the exponential
response function of the organ of interest  For a single exponential input (
denoted by subscript f) and response this function has the form:

               d(t) = {AfAikf/d - Jb/JKe-*'1 - e-fc")           (2.8)
   There were a number of convergence difficulties with the fits using tli-:1
direct numerical the input function from the organ data. As a result of this,
the information reported  here  is based on fits to the convolved analytic
model.  However, in cases where go<.«i  fits uere achieved with the direct
approach (approximately  f.vo thirds of the subjects)  the results of both
approaches were in good agreement.
   Convergence difficulties were enour.tered in  attempting to fit  the as-
cending colon and descending  colon data either to an analytic model or
to the model based on a numerical input from the previous organ.  Since
this difficulty is still unresolved, no analytic results lor these organs are
presented.
   An attempt was made to fit the liver data to the convolved model us-
ing analytic input functions derived from  the whole intestine data.  The
estimated livei rrvle constants were consistently very large, indicating thai
radioactivity was cleared by the liver as fast as it was input. The liver was
therefore  treated  in the same nmnner as the whole body and  fit t*> a. sum
of exponentials. Lung data were derived from the liver data assuming that
all radioactivity reaching the liver from the portal circulation was rapidly
transferred to the lung.  The lung concentrations untie*  th'* assumption are
related to the liver concentrations by a scale fartor  which is the ratio of the
organ volumes.
   Muscle data (and the few direct fat samples obtained) were modeled a*
& compartment which was driven by the fraction of the lung radioactivity
that is re-dissolved in the arterial blood and recirculated. Thus the muscle
input function was  taken  to bo the lung rurvc times the radon blood/air
partition coefficient. Muscle and fat samples were indirectly obtninrd in fit-
ting stomach and liver curves.  The ROI's placed over these organs tended
to view muscle in young males  and fat in obese males and most females at
late times .  The  parameters estimated  from exponential components cor-
responing to muscle and fat were grouped with muscle and fat parameters
from direct samples.

                                  26

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   Cumulative radioactivities of 222Rn were computed from the comparl-
mental parameter sets obtained by least squares fitting.  The cumulative
radioactivity for each organ in each subject was computed and then these
results combined to form a population average. Average values of the pa-
rameter sets for each organ over the subject population were also computed.
These data are presented in the results section of this report.  The fit pa-
rameters and concentration data computed from them are presented in the
results section  of this report where they are compared to computations by
the direct approach described above. Examples of several least squares fits
to the da*a are shown in figures 2.8.

separate evaluation of early data   In order to determine whether or
not significant amounts of radioactivity leave the body at early times  after
ingestion by direct transfer through the stomach wall, the early data in 15
subjects was analysed separately. The stomach and whole body curves in
these subjects  for the first 5-10 minutes were fit to a sum of exponentials
and  were  also  qualitatively inspected in an effort to observe any peaks or
very fast decays. The time of appearance of radioactivity in the organs of
the intestinal system  was also noted.  Expired air curves  measured in ten
of these subjects were also qualitatively graded.

2.5.5   analysis of inhalation data

The inhalation data sets were also analysed by nonlinear least squares. In
this case the the arterial input function which drives a given organ is Jeter-
mined by  computing the curve of end tidal expired air concentration.  This
method is used routinely for inert gas cerebral blood flow measurements! 10]
.  The organ curves were fit to a model which is a convolution of  the ar-
terial input function determined  in this way with a sum  of exponentials
representing the organ responsc(equation 2.6).
                                 27

-------
                    LUHO
                                                I 00
r
         O   V>  100  IM) UOO  ..'
                                            !   o
                                            3
                       i
                                                00:
                                                     r.
                                                    o   50   ico  !V>
                  • M IHTtiT
    0 It)
                                                  i')  ~
                fill
                                                              C  :'.<)  .-•
                     fAT
                                            £
                                            p
                                                     j ••« • • • , r *-* T T T-*- T -v r r~r t ~rv ••
s
         0   f>0  100 IV)  ..'DO ^*
                                            i
                                                     L_
                                                     •>    50   100  :*io ;•»<)  jft.
                   •H nru
S   001  t
 Figure 2.7:  Relative Radioactivity vs Time Curves for an Inhalation Study
 in a Female Subject
                                       28

-------
LSQ  Fit  »o  Summed Exponentials -  3 Compartments
         10°
   u
   **^

   0
   o
   J
       •10"l  —
                                T
10
  -2
                             Tim* thrsj
   LSQ Fit  to Convolved One Compartment Model
   u
   u
   I
   e
   o
   u
   c
   o
                                      Sm IntesLme
0 10
       005
                                                1
                                                 \
                         I              Z
                             Time(hrs)
 Figure 2.8: Examples of Nonlinear Least squares Fits to a Stomach Curvr
 (Summed Exponentals) and a Small Intestine Curve (Convolved Model)
                             29

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Tab!-: 2.3:
Subject
Scintillation Camera  Calibration Factors Measured for  Each
1 Subject ID


•hern
i arrol
ayer
: brock
; byrn*
\ elint
. elmdrn
epling
freedrnan
gallop
' gmekinlcy
, hand
hawlcin*
hill
hutehini
jmckinley
kelleher
lilltU
1 maio
malcom
macmillan
miller
morgan
monroe
muchrrhe
park
j laalei
: wetolek
• wiltte
! AVERAGE
: S.D: "~ 	
Radioactivity
Administered
(mCi)
0.86
2.13
1.46
1.40
1.36
1.2S
' 1.13
0.64
2.93
0.90
, 1,89
0.95
0.60
2.22
1.94
0,35
2.60
O.SO
1.87
1.79
2.00
2. SO
0.60
2.87
1.47
2.47
2.42
i 1.62
0.42
! 1 54
' 0.77
Cn'.ibralion
Factor

" 0.0104
0.0077
0.0061
0.0066
: 0.0081
, 0.0082
0.012
i 0,0145*
0.0447*
0.0109
0,0187
0.0074
0.0081
0,0062
: 0.0063
0.0315*
0.012
, 0.022
0.010«
0.0076
0.0100
0.007
0.0054
0.0168
0.0106
0.0131
0019
i! 0.0131*
' 0.007S
2 0.0103
* : 0.0040
                                  30

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Chapter  3


RESULTS



3.1    Introduction

This chapter presents the results of the measurements and computations
described in the chapter on methods. As evidenced by appendices A and B,
a very large volume of data has been produced from the original image mea-
surements. In order to provide an understandable and useful presentation of
these results, the information presented here is mostly in the form of tables
of averages over the subject population and  several sub-populations. The
results presented here were selected because of their  pertinence to dosime-
try calculations. Since  it may be of interest to some users of this report
to compute other information, the quantitative radioactivity concentration
data base for 225Rn and it  five  daughters is included in the  Appendices
in both graphical and numerical forms. This data, as wHl as the original
image data are available on industry-standard magnetic  tape. Also avail-
able, though not included in the appendices, are the separate database of
ingestion curves sampled at high frequencies and early times,  and the in-
halation study data base. The latter two data bases are not included in the
appendices since both provide secondary information in some sense.
    In the  case of the ingestion studies the results fall into two cnlagories,
those generated directly from the quantitative  data base (direct results)
and those generated from parameters derived from least-squares fits to the
curves in  the database  (analytic results).  As discussed in the chapter on
methods,  the direct results arc  more complete than the analytic results
(do to difficulties in fitting some of the data to simple models) and are

                                31

-------
therefore treated as the primary results. The analytic results are, however,
fairly complete and are presented as supplimentary support for the direct
results.
   The main purpose of the inhalation studies was to determine the effect
of radioactivity reaching the various organs, particularly muscle and fal, via
recirculation from  the lungs after ingestion. The results reported  here are
therefore aimed toward that purpose at the expense of a detailed reporting
of cumulative radioactivity concentrations and other parameters associated
with the inhalation of *2ZRn.
3.2     Results from Direct Analysis of  Quan-
        titative  Data

Table 3.1 summarizes the results of direct computation of cumulative ra-
dioactivy concentrations of 2"Rn and its daughters per ingested milliairic
of 222Rn. These data represent averages over the entire population of inges-
tion subjects and have been computed as described in the Methods chapter.
In the case of stomach,  small intestine, whole intestine, whole body , liver
and muscle  the averages presented are over thirty subjects, while that for
ascending colon  is over  twenty two subjects and that for descending colon
is over ten subjects.  The smaller samples in the latter organs  are due to
difficulties in selecting unambiguous regions in some cases and to lack of
visualizitation of those organs in  others,  the latter being tn»e particularly
for  the descending colon in studies having relatively short imaging times
and in some fasted subjects where no radioactivity was observed.
    The lung cumulative radioactivity concentrations reported in table 3.1
are derived  from the  liver data assuming that all of the  radioactivity ap-
pearing in the portal  circulation was delivered to the lung over very short
times.
    In most  organs the  I22Rn concentration was  close to zero at the end
of the measuring interval.  There are  some exceptions to this in the short
studies of the tail correction used  to extrapolate the data  l<»  lung timer.
adequately  corrects for this,as demonstrated by  computer simulation, in
most  instances.  The possible exceptions to this are the fat and muscle
samples for which the data of Table  3.1 show significant umlcresitimates
of 222Rn cumulative radioactivity concentrations compared lt> the analytic

                                  32

-------
estimates presented in the following sections.
   The standard deviations given in table 3.1 are sample deviations and
in most instances they are fairly large.  This  reflects normal physiological
variability and differences in digestive status among the subjects.
   The daughter cumulative radioactivity concentrations per milllicurie of
222Rn ingested are i^iven in fnCi/cc)-hrs and  are computed under the as-
sumption that deposited daughter atoms remain where they arc deposited
and do not migrate during the intervals over which the measurements and
computations are carried out.   Measurements in  five subjects at  times
greater  than twenty four hours post-ingestion indicate that  the level of
22JRn radioactivity in the body  per ingested millicurie is less than 0,75/^Ci.
This supports the arguement that all of the  deposited energy due to  the
daughters is local with the possible exception of long lived 2!0Pb. Refine-
ments of these estimates could  be made by accounting for the kinetics of
the heavy metal daughters.
   For the long  lived product 210Pb, the entries of table 3.1 are expressed
as total radioactivity concentration under the  assumption that virtually all
atoms produced  are still present in an organ at the end  of the computation
interval.
   Table 3.2 gives the mean transit time of 222Rn through each organ aver-
aged over the subject population for a ^-function input to the stomach. It
should be noted  that the sample standard deviations in this parameter are
somewhat smaller (percentagewise) than for the cumulative activities. This
is probably due  to  the fact  that the mean transit  time is independent of
the absolute calibration factor for  each subject and the uncertainty  in  the
calibration factor is approximately ±20% (Methods chapter).  These num-
bers represent a convienient, model  independent characterization of each
organ and could be useo, in combination with estimates of initial  organ
radioactivity concentrations, for simple dosimetry calculations.


3.3      Results   from   Analytic  Treatments  of

        Quantitative Data

Non-lineai least squares fits were carried out on  the quantitative  222Rn
curves as described in the Methods chapter. The parameter estimates from
these fits, avrnigrd over the subject population arc prosrntrd  in table 3.3.

                                 33

-------
Table 3.1:  Average "2Rn and daughter Cumulative Activities Computed
Directly from Time-Activitv Curves
Organ
•tom«ch
•mail intrt*
tine
whole intet-
tine
••rending
colon
deicending
colon
liver
lung
mutcle
whole body
fat
"*Rn
(tiCi,'ce)-hr
2.6012.31
0.4410.41

0.3710.4S

0.2110.20

0.33*0.31

0.09fll0.078
0.18±0.14
0.03810.033
0.2910. J6
.0281.015
3liPo
(nCi/cc)-hr
1.8411.43
0.2910. 2S

0.23±0.:«

0.14±U.13

0.2010. Itf

0.05D±0.048
0.204±O.I68
0.023^0.020
010±0 18
0.017±0.009
3Hf>b
(nCi/cc)-hr
I3.«3±11.33
21.&&119.S4

1.81*1.91

0.9310.8T

l.a«il.27

0,4&t0.38
l.S2±l.J8
O.IT±0.15
l.Otl.30
0,12±0.08
"*Ui
(nCi/ce)-hr
0«4t8.62
0.15*0.14

1,17*1.27
i
o.eato.stt

0.«9iO,7T

0,35t030
003T±0.033
' 0,13tO.U
1 07i098
0.081 tO OflO
"MJo 31"rb
(nCi/ec)-hr (nCi/cc)
031 ±029 90.1S11222
0.051 ±0049 15.5ir.*.28

O..T3±0.44 ' 8.44*6.07

0.027*0.023 S.4B±S.70

1 0.03310.023 3.361321

0.011 ±0.009 ; 3.1713.GS
0.020±0.017 5821671
0.00410003 0.8911.08
003110033 10491138
0.00310.0021 0.791076
      Table 3.2; Organ Mean Transit Times of "2Rn after Ingestion
                Organ
ilomach
•mail intestine
whole inteitm*
liver
lung
whole body
                        Mean Traniil Time (inin)
                                       43.8120.2
                                        102.B138.S
                                        83.0133.1
                                        87.IH33.0
                                        B0.7127 «

-------
In all cases a compartmental model was assumed. As explained in detail in
the Methods chapter, the stomach, whole body and liver curves were fit to
sums of exponentials while the other organs were fit to a model which is an
analytic convolution of an input function derived from a fit to the output
function of the previous organ and a sum of exponentials. Difficulties with
convergence of the fits were encountered in  attempting to fit the ascending
and descending colon data.  Therefore no results are reported in the table
for those organs. The number of parameters used to describe each organ
was  chosen  retrospectively after fitting the data to different numbers of
exponentials.  In some instances the signal from a given organ was contam-
inated by a contribution  from overlying muscle or ;"at. These contaminants
were  accounted for by the fits and the parameters of the  muscle and fat
components stripped  out of the organ curves were grouped with  the pure
muscle and  fat parameters.  Most  of the fat samples reported here were
obtained as  contaminant signals.
   As in the case of the directly computed cumulative radioactivity concen-
tration data, the large sample standard deviations in table 3.3 refect physio-
logical and digestive-status variations in the subject population The errors
in the individual parameter estimates as  determined from the variance-
covariance matrix of the fits are less than 10% in all cases  and thus repre-
sent only a small contribution to the overall variances. Since the amplitude
parameters of the  fits are in quantitative units, these average parameters
can be used to compute  cumulative radioactivity concentrations.  A possi-
ble problem with this is  that in some organs there is a  wide variation  (an
order of magnitude in the case of the stomach) in the rate constants and
the average rate constant might not yield  the correct cumulative activity
as compared to the average of the  individual cumulative activities due to
the non-linear effects introduced by exponentiation.
   Table 3.4 presents cumulative 212Rn radioactivity concentrations com-
puted from individual analytic cumulative concentrations averaged over the
subject population.  A comparison with table 3.1 shows that these argee
well with cumulative  activities computed from ths uveinged rate constants
in most instances.  Also shown in table 3.-1 are the organ cumulative concen-
trations for  "2Rn computed by the direct approach. Again the agreement
is quite good  except in muscle and fat. In these cases the analytic values
arc deemed to be the more reliable for the reasons discussed in the last
section.

                                  35

-------
Table 3.3: Average Analytic Rate Constants and Ampltudcs from Fits to
322Rn Ingestion Quantitative Concentration Curves
organ
stomach
tmall intci-
tine
liver
whole body
lung
muiele
fat
whole intet-
tint
n
27
23

27
28
28
75
10
28

At
4.24*2.43
0.5010.66

0.20*0.26
O.as*0.1«
0.50*0.36
0.042*.049
0.0:i±0.010
o.:u±o.38

k|
2.67±2.80
1. 3510.69

3.304:1.73
3.3711.07
3.37*1.97
0.44*0.18
0 OOBt 0.028
0.815*0.47

' Ai
-
! -

0.06*0.07
; 0.21*0.28
! 0.34*0.51
i _
' -
-

' k,
-
-

0.88*0.50
0.84*0.33
0.838*0.33
i
1 _
; -
!
A,
-
-

-
0.042*0.041
0.077*0.075
-
-
-

kj
-
-

-
0.1S±O.I.1
0.53*0.127
-
-
-

Table 3.4: Analytic vs Direct Average "2Rn Cumulative Radioactivity Con-
centration! in (/zCi/cc)-hr
Organ
stomach
j Knoll inteilint
1 whole intettinc
! Mcending tolon
, deicending colon
' liver
• lung
muiele

whole body
r»t
analytic
1.67*2.42
0.40*0.41
0.47*0,45
—
' —
1 0.099*008
' 0.18*0.15
1
1 0.099*0.10
|
035*0.39
0.019*0,014
Direct
2.66*2.31
,; 0.44*0.41
j 0.37*0.45 |
1 0.21 ±0.20 |
.1 0.33*0.31 i
. 0.00«±0.078
! 0.17*0.14 •
0.038*0.033

0.29±0.26
0.03B±0 015
                                  36

-------
   Table 3,5 gives an example of the rate constants and cumulative "2Rn
radioactivity concentrations (both direct and analytic) in the individual
subjects for the small intestine.  This data, averaged over subjects yields
one entry in table 3.1 or tabl^ 3.3.
Table 3.5: Example of Organ Rate Constants and Cumulative Concentra-
tions in Individual Subjects - Small Intestine
Subject
Ahern
Arrol
Ayrr
Brock
Clint
Elnidnn
Eplinu
Gftllnp
lUnd
lUwk
Hill
Hutch
Jmcknley
K.ll.htr
Liu til
M»io
Mkleom
NUcMiltan
Morgan
Muehrt
Purk
T»»te«
Will.,
>l (flCi/CC)
0.243
0.76
0.032
0.217
1.62
0.123
0.73
0.2S
0,030
3.88
1.20
0.17
0.152
O.U7
0.018
0.23
0.022
2.13
0.215
0.049
0.572
0.160
0.35
Mlir-')
O.T72
0.74
O.-'S
I.T4
2.11
0.1S
1.24
0.43
0.84
0.90
1.00
1.19
1.02
1.81
0.29
0.39
0.53
3.S3
1.13
0.09
J.7J
2.08
1.39
Anmlytic
(ltd/te)-hr
0.33
1.69
0 755
0.219
l.Ot
1.01
0 15
0.42
022
0.09
1.036
0.43
0.078
o.ss
0.096
1.042
0.34
0.38
0.17
009
O.S7
0.30
0.16
Oirrtt
(nCi/rclhr
031
1.93
o.ios
0.200
1.023
076
0.1ft
0.60
0.076
007
0.80
0.53
0.075
0.20
002
0.09
057
0.48
0,19
0.11
0.68
0,26
0.15
3.4     Comparisons of Sub-populations

ajIRn cumulative radioactivity concentrations and mean transit times com-
putcd by the direct approach were compared among several sub-groups
of subjects.  These include males, females, fasted subjects and the two
catagories of fed subjects. The cumulative radioactivity concentration val-
ues for the groups are presented in table 3.6 and the transit time values in
                                37

-------
table 3.7. As before, the standard deviations are sample standard devia-
tions.
   One tailed T-tests[34] comparing these two parameters among the groups
were carried out to test for differences. The results of these tests are sum-
marized in tables 3.8 and 3.9. These tables give the prccentage differences
between pairs of subject groups for a given parameter and the probability
that this difference is due to noise alone from the T-tests. Differences with
P 0.10 are not assumed to be significant but may demonstrate trends which
would emerge if a larger population were studied. More differences reached
significance for the mean transit times than for the concentrations.  This
is again a reflection of the superior statistical quality of the  transit  time
estimates.
   Several features of these differences should be mentioned. First, females
show higher  cumulative radioactivity  concentrations and corrispondingly
longer transit times in most organs than males. This is probably due to
the fact that overall body retention of inert gases is expected to be higher in
females than  in males due to the presence of more fatty tissue. The stomach
in females shows a faster mean transit time while the stomach cumulative
concentration difference does not reach significance. This is consistent with
the fact that stomach emptying times in females  are faster than those in
males.  Both of the fed groups (
-------
Organ
itomftch
•mall intestine
whole
intetline
ascending
colon
dricendinR
colon
liver
lung
imucle
• hole body
foiled
2.24±260
0.48±0.3J
037±0 1«

0.25*0.24
0.20±0.09
0.17±0.04
0.30±O.OT
0,0fl±0.04
0.29±O.IS
fed (IKr)
3.14±2.3«
0.44±0.46
0.40±O.S4

0.17±0.1S
0.43±0.3«
0.10±OO»
0.19±0.18
o.o4±o.oa
0.34±0.31
fed (4.6hr)
i es±o.7i
0.4B-t0.a-4
0.2»±0.l«

0.31±0.31
0.20±0.07
00«i003
0 12±0.00
0.02±0.0l
0.17±00«
mitlri
• ?.«1:200
0. 3110.18
02810.18

0.20*0. It
O.ISiO.OH
0.0940.07
O.l7i0..l»
O.Q4i004
0.31 iO 31
ffmaln
2(l7t2fl3
0 B3tO 52
0.40tOfl3

0.1H0.2S
0 13f 030
n ioio n*
0 .ISiU .14
0.0410.03
02910 Jl
Table 3.6: Average Radon Cumulative Activity Concentrations in (/iCi/cc)-
hrs for Different Subject Sub-Groups
Table 3.7: Mean Transit Times (min) of Ingested J22Rn for Different Subject
Sub-Groups
Org»n
•lomach
im«ll intcttine
whole
intotine
••cending
colon
deicending
colon
liver
lung
muicle
whole body
fatted
37.0±18.ft
lM.7±fl«.7
138.3i47.S
H1.0±70,9
!CT.8ifl2.2
93.31:30.0
93. 3 ±30.0
180.6±43.7
105 8i74 6
fed(lhr)
48.1±21.32
948±4S.O
107.9±338
129.4±«1.5
144.0±88.S
89.5±31.3
89.5±31.3
137.0±53.5
789±24.1
fed (4-ehr)
3T.8±10.4
69.8±24.0
74.7±19.6
101.0±21.0
at.o±4.a
51 0±13.t
S1.0±13.&
854±11.3
SS 6±3i.4
m&tei
no.etiso
i 81.2±31,2
10I.O±39.7
1I8.0±39.4
1
103.2121.0
774 + 29.0
77.4t:o.n
138.3iDO T
73.8131. H
fcmnlei
49.0124.0
j 111.3465. 7
105.S1388
1 147.1*78.2
j ;
1 IT1.0i92,2
1
' K0.0f.18 1
flOOlw.rt
M3.3 150.1
«74131 S
                                 39

-------
Table 3.8: Percent differences and levels of significance by T test Of cumu-
lative radioactivity concentrations in sub groups
Organ
•tomach
tnutll tntetline
whole
intcitinc
ascending
colon
descending
colon
liver
lung
muicle
whole body
Filled/ Fed
• 25 (P .20)
8(.)
'(•)

31 (P 38)

-S3 (P .10)

41 (P .05)
37 (P 02)
SO(P .10)
1S(.)
Far rd/(Shr)
i .P. 28)
•2(.)
22 ( P. 25)

!»(-)

0.01 (.)

84 (P .01)
60 (P .01)
87 (P. 01)
41 (P .05)
Fed/(Shr)
47 (P .03)
.!(.)
28(.)

4S (P .25)

S3(P .10)

40 (P .10)
40 (P .12)
50 (P .05)
SO (P .10)
mule/remote
-13(-)
-42 (P .03)
-43 (P .10)

46 (P .25)

-58 (P .10)

'IO(-)
-10(.)
0(.)
8(.)
Table 3.9: Mean transit time differences and levels of significance by T-Test
among sub-groups
Organ
•tomach
•mull inleitinc
whole
inteitinc
atcending .
colon
descending
colon
liver
lung
muiele
whole body
Faded /Fed
21 (P .10)
17 (P 20)
22 (P 0.10)

I4(.)

14(-)

«(•)
«(•)
24 (P .05)
2S(P .03)
Fatl«d/(Shr)
10(.)
39 (P .10)
48 (P .01)

11 (P. 10)

(1 (P .OS)

45 (P .01)
45 (P 01)
52 (P .01)
20 (P .01)
Fed/(Shr)
21 (P .10)
26 (P .10)
31 (P .03)

20 (P .20)

43 (P 0.12)

43 (P .01)
43 (P .011)
38 (P .01)
29 (P .05)
mule/female
19 (P .10)
-30 (P .05)
-MO

-21 (P .12)

-40 (P. 10)

•24 (P .10)
-24 (P .10)
«(•)
-16(P .08)
                                  40

-------
3.5     Results  of Separate  Analysis  of Early

        Ingestion  Data

A group of fifteen ingestion subjects were imaged at high frequency (typ-
ically 1 sec images for 2min and 5sec images thereafter) during the initial
ten minutes after the beginning of ingestion. In nine of these subjects the
expired air from the respiratory system was sampled during the same pe-
riod.  The purpose of these measurements was to determine if there were
large transfers of radioactivity out of the body via routes  such as direct
transfer across the  stomach wall.
   The results presented in table 3.10 suggest that such loss does not occur.
As can be seen in  the table, when single exponental rate constants fit to
the early stomach data are compared to the stomach rate constants from
fits to the full data sets,  in many cases  the early rate constants are smaller
than  those from the complete data set reflecting the  pulsitile nature of
the stomach and in all  other cases they  are approximately the same as
the rate constants from the full  data  sets.  In the  fasted  subjects there
was a rapid disapearance of radioactivity from the body (k  ~~  10/ir"1) but
tho radioactivity can be traced through the small intestine to the lung.
In all instances where the expired air was  monitored, the  appearance of
radioactivity in the lung correlated with arrival of radioactivity at the liver
via the small intestine. The whole body rate constants show the same type
of behavior as the stomach rate constants  again yielding no evidence of an
early escape from the body of large amounts of radioactivity.


3.6    Results from Inhalation  Studies

The purpose of the inhalation studies was to assess the effect  of "2Rn
radioactivity  reaching the various organs  via recirculation  from the lung.
Recirculation occurs because a fraction of the radioactivity reaching the
lung from the portal circulation of the liver is dissolved in arterial blond
and carried throughout  the body  by blood  flow.  This  phenominon is tin*
primary source of radioactivity in  the muscle and  fat following ingestion of
an inert gas(49][51|.
    Table 3.11  shows the rate constants for  the clearance I3IH.n front vari-
ous organs after inhalation of 2"Rn. These rate  constants were obtained

                                 41

-------
by non-linear least squares fits to the inhalation organ curves. The model
assumed was a sum of exponentals convolved with the experimentally  mea-
sured arterial input function from  th" lung.
   All of the major organs showed a very fast turnover of J22Rn which was
consistent with clearance by blood flow.  In Table 3.11  organs have  been
grouped for simplicity.  The data of table 3.11 for all  organs other  than
muscle  and fat may  he interpreted as  meaning that rcr.irculation effects
in high flow  organs are negligible compared to direct effects of ingcstion
because of the rapid clearance of radioactivity due to blood flow. In fat and
resting muscle however the accumulated radioactivity is significant because*
of slow clearance by  blood flow.  Multiple fat and muscle samples  i"crc
taken in each individual.  Many of these samples were slower components
of fits to the organ curves.  The mildly obese subjects in tl,e inhalation
group usually had  a fat  component in each abdominal curve and  most
females showed distinct fat deposits in  the hips and breasts in the image
data. Muscle samples were reliably obtained fioin the abdominal curves of
lean males as well as from hip and thigh muscle when  possible. The rate
constants for muscle and  fat determined from the inhalation studies  agree
well with those obtained from the  ingestion studies.
    Muscle and fat cumulative radioactivity concentrations for ingestion
were computed from  the  inhalation single exponential  rate constants and
amplitudes.  The amplitudes were put  on an absolute  scale by  using the
average scintillation camera calibration  factor from  table 2.3 (methods sec-
tion). The input function used for this computation i& made up of the two
fast  components from the ingcslion lung curves multiplied by the air-blood
partition coefficient for 222Rn (A = 0.187). The result of this calculation is
compared to the direct and analytic esitmates of muscle and fat cumulative
2"Rn concentrations  computed from the ingestion data in Table 3.12. The
inhalation fat estimate agrees fairly well with the direct ingestion compu-
tation but is low compared to the  ingestion analytic estimate by a factor
of three.  The inhalation muscle estimate is about a factor of two  lower
than either of the ingestion  results. A  possible explanation  for  these dis-
crpancies is  that,  since the  rale constants are very similar,  many «>f llir
muscle and fat samples used in the ingestion computations may have btvn
contaminated with signal from digestive organs producing artificnlly high
curve amplitudes.  Another  possible explanation is that the radioactivity
is more uniformly distributed in tin- body as  a result  of inhalation  ilinn

                                  42

-------
Table 3.10: Early Ingestion Rate Constants for Stomach nnd \Vn«j!e Uudy
lubjcct




ayer
arrol
cline
elmcttn
gallop
gmekinlcy
hand
hill
hulthini
htlleher
maie
malcom
nmnrne
park
Unlri
•ample
time (tec)



I












2
1
early •torn-
nth rate

-------
it is for ingestion, causing the calibration factors to undercompe'isate for
absorption and  scatter in the inhalation case. A separate calibration for
the inhalation studies could possibly remedy this.
                                   44

-------
Table 3.12;  Comparison of Muscle and Fat rcsiilu from Inhalation and
Injestion Studii-s
parameter
amplitude
(MCi/cc)
rate constant
Analytic
cumula-
tive concentra-
tion (MCI/CC)-
hr
Direct cumu-
la.
tive concentra-
tion (yCi/cc)-
hr
ingeition mu«-
ele
0.042
0.442
0019




0.026



inhalation
muicle
D.OS2
0.-137
0.0107




.



ingetlinn fat
0021
0.002
0099




0038



inhalation fat
0.027
0.087
0.0343




.



                                  45

-------
Chapter  4
CONCLUSIONS
A database consisting of Quantitative radioactivity concentrations per in-
gested mCi of *"Rn has been produced from measured data in thirty sub-
jects. l33Xe ingestion kinetic curves were measured in each subject for the
otgans of the digestive system, muscle, fat, lung and whole body.  From
these data, kinetic curves of radioactivity concentration per mCi of  mltn
ingested for the five radon daughters have also been produced.  These data
are presented in graphical and tabular forms in the appendices of this re-
port. They may be used  as a basis for dosimetry calculations  and kinetic
studies by other investigators.  In addition, a database of "2Rn kinetic
curves at high sampling frequency (1 sec) and a data base of 2"Rn relative
concentrations after inhalation of that gas have also been produced. These
latter databases are not included in the appendices but are available  along
with the  primary data base on industry standard magnetic tape.
   Quantitative ci-mulalivc radioactivity concentrations for *"Rn and its
daughters have been computed by direct manipulation of the kinetic curves.
For 2"Rn, these concentrations vary  from a high of 2 66 /iCi/cc per mCi
ingested  for  the stomach  through values in the range of 0.30  /iCi/cc por
mCi ingested for the intestinal system and whole body to a low of  0.038
and  0.026 /^Ci/cc per mCi ingested for muscle and  fat respectively (table
3.1 ). The cumulative concentrations of radon daughters, presented in table
3.1 , are in the one to ten  nanocurie range for all daughters except the IMIIK
lived 210Pb for  which the stomach concentration is  99.15 nC'i/cc.  Tlu-sr
cumulative concentration  data constitute a body of information for radon
dosimetry compulations.

                                 46

-------
   Fits of compartmental models to the  222Rn  kinetic curves confirm the
results of the direct computations and also form a useful data set for dosimc-
try studies and additional, more detailed, modeling studies. The average
kinetic rate constants over the subject population arc  given in table 3.3.
   Organ Mean tiansit times for Z22Rn after ingestion  have also been com-
puted. These data indicate that the majority of  the radioactivity is cleared
from most organs within ten  hours.  Exceptions  to this are fat and to some
degree muscle.  Measurements in  five subjects at times greater than twenty
four  hours post ingestion indicate that no l33Xc radioactivity was  present
in any individual at  the 0.75/iCi  level (table 3.2).
   The results of high frequency measurements at early times post-ingestion
indicate that there is  no rapid  escape of radioactivity from the body by
routes other than  through the intestines. Although a  fast component was
observed in fasted subjects,  it was consistent with a fast component seen
in the analysis of the  one minute data extending over the entire imaging
period and it correlated with radioactivity transiting the small intestine at
early times.
   Inhalation measurements confirm that the turnover of "2Rn radioactiv-
ity recirculated from the lungs is rapid in the major organs and does not,
therefore, contribute significantly to cumulative radioactivities. Estimates
of rate constants for muscle and  fat from the inhalation studies agree well
with those from the ingestion studies. However,  estimates of muscle and
fat tissue  concentration using the inhalation data  vary by up to a factor nf
two with respect to those computed directly from the ingestion data. These
differences are most likely due to  technical factors such as the inappropriate
use of ingestion calibration factors  for the inhibition studies.
   Differences between the male  and female sub-populations were observed
as were differences between subpopulations having different digestive sta-
tus.  Females appear to have higher cumulative radioactivity concentrations
and  longer  mean  transit  times  than males. Fasted subjects have higher
concentrations  and longer transits  than fed subjects in general and those
fed one hour before  the study have higher valuos of these parnmelers than
those fed five hours before the study. Dilfrrrrircs mixing «• digestive stnttis
groups reached significance in fewer instances than those in llir malo,'f««inale
groups possibly because of small sample sizrs.  Tin- digestive group differ-
ences mentioned here arc not conclusive for this reason.
   The work completed in thir. project ran !>«•  rxlnidrd and improved in

                                   •17

-------
several ways.  Organ radiation closes cnn be generated for 2Z2Rn and its
daughters directly from  the cumulative concentration data.  The kinetic
curves can be used as a basis for attempting to model the digestive system
in more detail, to model the migration of the daughters within the body
and to take into account a"Un  bound  to food in the digestive system.  .
The inhalation data could  be used to generate a separate dosimetry data
base for z"Rn inhalation, although more subject measurements might be
needed first.  Further work could be done to improve the fits of convolved
models to the organs of  the lower digestive system since this presented a
source of difficulty in the present investigation.
   Also, the experimental preparation developed in the course of this work
could be used for more extensive studies of the effects of digestive status
and different types of dietary intake on  J"Rn kinetics.
                                  •18

-------
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                                 53

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                     APPENDIX A
   Quantitative 222Rn and Daughter Concentrations
                vs Time in  Graphical Form

   The following graphs present the quantitative  radioactivity  va time
curves for "2Rn and its daughters for the ingestion subjects studied in this
project. The JJ5Rn. and the daughter curves both have units of/iCi/cc. The
order of presenlaiton is such that the J3JRn curves for all subjects are given
first then all subject curves for each daughter are sucessively presented.
   This data is available in tabular form (Appendix B) and on industry
standard magnetic tape along with subroutines to read and manipulate it
in FORTRAN 77.
                                51

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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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                   TIME (MINUTES)
                                                     to
                                             U
                                             O


                                             1
                                                       -5
                                                     10
                                                       -6
                                                                   LIVER
                                                                             i ( " • i
                                                       0    100  200  300  400  5C
                                                                TIME (UWUTK3)

-------
o
f-
z
w
CJ
•z.
8
                                           MACMILLAN
                                         XE INGESTION
                                            Po-218
    10
      -4
    10
      -5
    10
      -6
                    SM INTEST
             i i l I i i  i l I I t I i I  i l i i |  i i I i:
              • i I i  ' ' t \ I I I I I I I I I 1  I t 1—L
          0    100  200   300   400  500
                   TtWE (MINUTES)
                                              o
                                              i
                                              w
                                                  8
                                                                       STOMACH
                                                      10
                                                      10
                                                        _0
                                                        -4
10
                                                        -5
                                                  10
                                                        -6
                                                              llI I I I I  I 1 I I I I I  I I I I I I I I I I-
                                                         ;rn i i i i i  i i i i i i
                                                         %     I      I
                                                                i t ! i  i i i ' i i i  i I i t t i I i i i i-
                                                            0    100  200  300  400   5C
                                                                     TIME (WMUTE3)
                                                                                            CD
o
o
o
Z
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1CT
           t! I I
    10
      -4
    10
    10
      -5
                     TR COLON
                 i i i i i rr i  i I i i i i  i i i i
                                                                       WH INTEST
                 I     I      II    —
           =T"i i i  I i  . i I t i i i I i .  i i I i i i i-
          0    100   200  300  400   500
                   TIME (M'NUTES)
                                                  o   10
                                                        -4
                                                  I   10

                                                  o
                                                  o
                                                        -5
                                                                      " I " •' | " •• I • • ••:
                                                               I     I      I      I
                                                          i » i  i I i i I I I  t I I I I I  i < i I i : I I
                                                            0   100   200  300  400  5C
                                                                     TIME (MINUTES)

-------
                                              MAiO

                                         XE INGE57ION

                                            Po-218
                      STOMACH
u
z
o
w
u
8
    10
    10
      -3
      -4
           E\
            i i i i  i i i i  till lit)  i i
                    .|,.,.|M..|...,|.,
          0   100  200 300  400  500
                   TIME (MINUTES)
                                                                         LIVER
                              o
                              H
                              W
                              O
                                                      10
                                                        ~5
                                                             -I I I I I I 1 I I I T lilllilflllllll-t
                                                             -i i i i I I I I I I I I  I I I i I i i I I I i

                                        0    100  200  300  400 500   CD
                                                  TIME: (WKIJTES)
fj
2
O
O
o
                    SM INTEST
           F"
               I  fill  ill)  iiiiiiii
            1 1 1 1  1 1 1
> i i i i i I i i i i  I i
                                  1 1 1 -J_L
          0   100  200  300  400  500
                   TIME (MINUTES)
                                                   LG [NTEST
                                                      10
                                                        -*
                                                      10
                                                      io
                                                        ~5
                                                        -6



                                        0    100  200  300  400  500
                                                  TIME (VONTJTrS)

-------
                                            MAIO

                                        XE INGE5TION

                                           Po-218
                    VH 1NTEST
    10
      -4

2
O
w
O
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    10
      -5
            i i i I i i r rr T riiiriiiiiiiiii-t
           I I I I I I I t I I I I I I I ! I I I I I I I I I I I
          0   100 200  300  400  500
                  TIME (MINUTES)
    10
      -5
o
I
e
                                                    10
      -6
                     MUSCLE

           l i i l l i i i i | i i i l ' l l l l i l  l I
j i l l l [ i i i l !
i.... I .... I.... I.... I. J
          0   100 200 300 400  500
                  TIME (imajras)             CO
                    WH FIELD
    10
      -4
o
u
c
o
o
    10
      -5
              i I i i i 11 i i 11 I 11 i i 11 11 i
          0   100 200  300  400  500
                  TfflE (

-------
u
o
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M
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    10
r   10
10
    10
      -3
      -4
  -5
      -6
                                            MALCOM

                                         XE INGESTION

                                            Po-218
                     STOMACH
       = 1  I ( I I I I t I I I I I I I I I I I I I I I I I I I I 3
          0   100 200 300 400  500
                   TIME (MINUTES)
                                              o

                                              1
                                                                    LTVER
                                                      10
                                                        -5
                                              8   10
                                                        -6
                                                             _i i i i: i i i i I i i 11 I i i i IF i t i i I i i 11
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                                                        0  100 200  300  400  500
                                                                TIME (MINUTES)
o
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                    LG INTEST
    10
      -6
               I i i i i I i i i i
          0   100 200 300  400  500
                   TIME (MINUTES)
                                                                  TfH INTEST
                                                  §  10
                                                        -5
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CO

i
                                                  10
                                                        -6
                                                                         i i i  i i i i i i i i i i i i 13
                                                                          '     *     '    -
                                                         i i t i I i i i i I i i i i I i i i i I i  i i i I i i i 7
                                                        0   100 200  300  400  500
                                                                 TIME (MINUTES)

-------
                                          MALCOM
                                       XE INGESTION
                                          Po-318
                                                O
                                                I
                                                                     MUSCLE
                                                    10
                                                    10
                                                    10
                                                £   10
                                                P   10
     -5
     -6
     -7
     -8
     -9
                                                     -lO
                                                   10
                                                     -12
n i i i I i i I I i i i i I I i i j
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          ~l I t t I « r I i I i I I I I I I t i I I I ' I I I I 11
                                                          0   100 200  300  400 500
                                                                   TIME (WNUTES)
                                         UO
                                         CP
                    WH FIELD
    10
      -4  _
o
    10
      -5  _
           I I I I I I I I I I I I I I I I I I I I I TT1
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          0  100 200 300 400  500
                   TOIE (MINUTES)
                                                u
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    10
                                                      -4
g   10
                                                      -5
                                                    10
                                                      -6
                    SM INTEST
                                                           -I I 1 1 I 1 I I I I I I I I I I < I 1 I I I I I I 1 I I -
          0   100 200  300  400 500
                   TIME (MIHUTESi

-------
                                         MONROE

                                      XE INGESTION
                                         Po-218
                    STOMACH
S   10
o

1
w
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5  10
    10
      -3
      -4
      -5
          -T n T r it ill i ii t r i iiti r i i r
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         0    100  200  300   400
                  TIME (MINUTES)
o
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                                              M
                                              O
                                                                   L[VER
                                                  10
                                                    -4
    10
                                                    -5
                                                        ~i i t i I i i i t  I i i t i I i i i i I i  i i r
                                                                                    CD
                                                       0    100  200  300   400
                                                                TIME
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CO
o
o
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   10
      -5
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          ::i"llllTrrTT"rlTri1
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         0    100  200  300   400
                  TIME (MINUTES)
                                              u
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                                              o
                                                  10
                                                    -5
   10
     -6
                                                                  MUSCLE
                                                           1111111 *  11111111111
                                                       0    100  200  300   400
                                                                TIME (MINUTES)

-------
o

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8
    10
                                            MONROE

                                         XE INGESTION

                                            Po-218
      -4  _
10"^  —


      0
               100  200  300

                   TIME (MINUTES)
                                                                                           co

-------
                                    MORGAN

                                 XE INGESTION
                                    Po-218
            STOMACH
             LIVER

1
I io-+
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TIME (MINUTES)

U
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SM INTEST
10-4

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0
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0     50     100    150   200
         TIME (MINUTES)
0     50    100    150    200
         TIME (KD4UTCS)

-------
fj
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                                             MORGAN


                                          XE INGESTION

                                             Po-218
io~D  b-
            '  i i i  I I i  . l I I  I l .  I i  I i i  I i
                                                                                            05

                                                                                            O
                50    100    150

                   TIME (MINUTES)
                               200

-------
u
o
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      -5
      -6
                                             HURCHE

                                         XE INGEST10N

                                             Po-816
                      STOMACH
                   1 1 1   lil
           —                        —
           - i i i i !  i i i i  t i  i i 1 i i t  i 1 i i i i=
          0    100  200  300  400

                   TIME (MINUTES)
                                                  G  10
                                                         -5
                                                  o
                                                  H
                                                  O
8   10'
                                                                         LIVER
           ~i i i i I i i  i i I i i i  i I i i
                                                            0    100  200  300  400

                                                                     TIME (MINUTES)
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u
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                     WH FIELD
i   10
      -5
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    10
      -6
          0    100  200  300  400

                   TIME (MINUTES)

-------
                                  MURCHE
                               XE INGESTION
                                  Po-318
           STOMACH
            LTVER
10 3
U _ 1
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o
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5 10 °
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2:
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) 100 200 300 400 501
TIME (MINUTES)
SM INTEST
-1 1 1 F i 1 1 1 1 j 1 1 1 1 I 1 1 1 1 1 I 1 1 t
~ f\ 1 1 1 L
I r*;\ A .
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: ^x. -
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TIME (MINUTES)
DBS COLON
1' 1^1 	 1 ' ' " i
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0   100  200  300  400  500
         TIWE
0   100  200  300  400  50t
         TIME ji

-------
                                            MURCHE


                                         XE INGESTION

                                            Po-218
(J

-------
                     STOMACH
    10
      -3
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10
  ~5
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                                            PARK


                                       XE INGESTtON


                                           Po-218
                                    i i
          0   100 200  300  400  500

                  TIME (MINUTES)
                                                    10
                                                      -2
                                                                STOMACH 2


                                                           "j ' ' ' ' I I I M 1 I I  l I [ t II I I I l|
                                                10
                                                  -3  ^
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                                             u
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                                             is
                                                  -4  _
                                                    10
10~°   —
                                                    10
                                                      0   100  200  300  400  500

                                                               TIME
                                                                                         CO
                    SM INTEST
          I! i I I I I 1
    10
      -4
z
o
u
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    10'
               i" " i' • • • i(" • i"'' r=
          0   100 200 300  400  500

                  TIME (MINUTES)
                                                    10
                                                      -4
                                             ^C



                                             2

                                             O
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                                                o
                                                    10
                                                      -5   _
                                                                  LIVER

                                                              ' 111111) M ' 1111
                1111; 1111111 i 111
                                                      0   100  200  300  400  500

                                                               TIME (MINUTES)

-------
                                           PARK

                                       XE INGESTiON

                                          Po-818
u   10
      -4  L_
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M
O


O
O
    10
      -5  _
           1 I I I I I M I t I I I I I I I
           i i i i I i i i i I i : I . I ! I I I I I I I I I II
         0   100  200  300  400  500

                  TIME (MINUTES)
                                                    10
                                                      -4
                                                8
                                                I   10-5
                                                u
                                                    10
                                                      -6
                                                                    ASC COLON


                                                           I I I I I I I M I I I M i M ! I | I I I  i I I
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ii I i i i ; I i i i i I i i i i I i i i  i
                                                          0  100  200  300  400  500

                                                                  TIME (WNUTES)
                     MUSCLE
                                                                    WH FIELD
o
z
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7.
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    10
      -5
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      -6
            TM I I I I I I I I I I I I I I I I I M I I I I
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          0   100 200  300  400  500

                  TtWE (MINUTES)
                                                §   10-*  LJ
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                                                          0   ICO 200 300  400  500

                                                                  TIME OONITTESI

-------
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1
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10
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      -4
      -5
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                                        TAATJES

                                      XE INGESTION

                                         Po-218
                   ASC COLON
         0   IOC  200  300  400 500
                  TIME (MINC7TE3)
                                                                                     10
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                                                                   JXUSCLE
I....I....I....I...MJ
         0    100   200  300  400  500
                  TIME (MINUTES)
0.000010000
0.000001000
o.ooaoooioo
0.00§000010
0.00^000001
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0.008000000
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                                                    0    100  200  300  400  50C
                                                             TIME ,'MINUTES)

-------
CJ
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    10
10
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      -4
      -5
      -6
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10~8
                                          TAATJES


                                       XE INGESTION

                                           Po-218
                    SM INTEST
           =iiiiij i i t I i i i i I i i i i I i i i i  I-
          0   100  200  300  400  500

                  TIME (WIMUTES)
                                            e-

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                                                    10
                                                    10
                                                  -3
                                                  -4
                                            I   10'
                                                10
                                                10
                                                  -6
                                                  -7
                                                                 STOMACH
111111111111111
                                                      0   100  200  300  400  50C  p

                                                              TIME (MINUTES)            J>
~   10
u
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2


P
M
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10~5





10~6
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                                                                WH INTEST
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          0   100  200  300  400  500

                  TIME (MINUTES)
                                            U

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                                                      0   100  200  300  400  50C

                                                               TiME (MINUTES)

-------
                                     TAYLOR
                                 XE INGESTION
                                     Po-218
            STOMACH
                                                                   LIVER
iO~3


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0      50     100    150    200
         TIME (MINUTES)
0      50     100    150    20
         TIME (MINUTES)
           SM INTEST
                                                                 ASC COLON

| 10"4
0
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1 1 1 1 1


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0      50     100    150    200
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0      50     100    150    20
          TIME (MINUTES)

-------
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o
I
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                         r     i
                                             TAYLOR
                                         XE INGESTION
                                             Po-218
                  II       1     —
           -iiiiiiiiiliiiiliiii-
          0      50    100    150   200
                   TIME (MINUTES)

o

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                     TR COLON
E.. .  . I .  . .  . I, ,, ,L
          0      50    100    150
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    10
      "5
                     LG INTEST
., , , , r , , , l- ,, ,
1 1 1 ! 1 1 1 1 1 1 1 1 1
r^.1:
1 1 II 1
          0      50     100    150    200
                   TIME (MINUTES)


                                                   o
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                                                      10
                                                         -4
    10
                                                         ~5
                     WH INTEST
                                                                    i  i i  i i  i i  i r i  r i  i i  \

                                                                                  .J....3
          0      50     100    150    20
                   TIME (MINUTES)

-------
                                            TAYLOR


                                         XE INGESTION

                                            Po-216
  0.0010 i
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1   10
-6
I 0.0001
w
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Ss
o
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                i  I i t  i i  I i i  i i  I i  i i i
          0     50    100"'   150    200

                   TBIE (MINUTES)

-------
             STOMACH
                                     WILTSE
                                 XE INGESTION
                                     Po-216
                                                                   LIVER

o
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25
10~5
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^^
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) 25 50 75 100 125
TIME (MINUTES)
SM INTEST
iiii IIIIIIMIIIIIIIIIII ii ii
— '^'v ' ' ' ~~-
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TIME (MINUTES)
ASC COLON

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0   25  50  75  100 125
         TIME (MINUTES)
0   25   50   75  100 125
          TIME (WNVTES)

-------
u
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O
w

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                      VfH 1NTEST
                                               WILTSE

                                            XE INGESTION

                                               Po-218
               1  1 1  1 1  1 1 1 1 1 1 1 1 1  1 1 1 1
                 1111  11LLIIIII
           0   25  50  75  100  125

                    TIME (MINUTES)
                                                                             MUSCLE
                                                          10
                                                            -6
                                                      w
                                                      o
                                                          10
                                                                   1 i 1  1 1 1 1   1 1 1  1 1  1 1  1 1
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------

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-------
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0
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SM INTEST ASC COLON
iiii i i i i iiii i i [ .
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1 / =
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0
50     100
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150
0       50      100     150
          TIME (VOLUTES)

-------
                                       CLINE
                                  XE 1NGESTION
                                      Bi-214
           VTH INTEST
                                                                      MUSCLE

10 ^
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TIME (MINUTES)
WH FIELD
- \ \ \ T"l IIII lilt I I i -
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TIMS (MINUTES)
*
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0
50      100     150
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-------
                     STOMACH


                         I \  I I I  l i i i
                                           ELMDEN


                                        XE INGESTION


                                           Bi-2i4
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1
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                50    100   150    200

                  TIME (MINUTES)
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                  TIME (MINUTES)
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                                                                  TIME (MINUTES)          r
                                                                    WH FIELD
                                                   io
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                                                                  TIME (MINUTES)

-------
                        STOMACH
                                                 ELMDEN
                                             XE INGESTION
                                                 Bi-214
              LEVER
w
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2
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-------
2
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     io~8  C-     I       I       i      -t
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                I  I I
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                     ' '  I I  I I I I  l l  I I
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                                                                   TINE OOWITCS)

-------
ASC COLON
                           EPLING

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                           Bi-214
io-*
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50       100
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               150
0
50       100      150
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-------
                                        EPLIKG
                                     XE INGESTION
                                        Bi-214
                                                                        STOMACH
— /I
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0
50       100       150
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0
50       100
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-------
             STOMACH
                                      GALLOP

                                  XE INCESTION
                                      Bi-214
                                                                    MUSCLE

^ 10 3
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0      50    100    150    200
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0      50    100    If    200
          TIME (ttlNUTES)

-------
              STOMACH
                                       GALLOP
                                    XE INGESTION
                                       Bi-214
                                                                       LCVER
10~3
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SM INTEST ^ ASC COLON
	 _ — 4—
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0      50     100    150    200
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200
                                                                  TIME (MINUTES)

-------
 1   10
w
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                     STOMACH
                                         C.MCKINLEY

                                        XE INGESTION

                                           Bi-214
    10
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10
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          0   100 200 300 400  500

                  TIME (MINUTES)
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                                                      0   100 200  300 400 500

                                                               TIME (MWUTE3)
2
O
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          I I I ' . ' 1 I I H I I I M II i
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                  TIME (MINUTES)

-------
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                                           C.MCKINLEY

                                          XE INGESTION

                                             BI-214
10~^



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                   TttfE (MINUTES)
SU INTEST

10~4
10~5
10~6
10-7

-MM MM Mil
r^^
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10-4
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                                                                     TIME (UDJUTE3|

-------
                      MUSCLE
                                           C.MCKINLEY


                                         XE JNGESTION


                                             Bi-214
8
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                   TIME (MINUTES)
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                                                                     I I I I M I I I I I  I I  M I I I I
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                                  0   100 200 300 400 500

                                           TIME (MINUTES)
                                                                                         C-l

-------
8
2
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                  TIME (MINUTES)
                                           HAND

                                       XE INGESTION

                                          Bi-214
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                                                        0    100  200  300   400
                                                                 TIME (MINUTES)
o
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                                                         " I I I I I I  I I I I 1 I I  I I I t I I I  I I l"
                                                        0    100  200  300   400
                                                                 TIME {MINUTES)

-------
CJ
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                                       XE INGESTION

                                          Bi-214
                     MUSCLB
          Ii i i  < I i i i i !  I I I I I I I  I
         0    100   200   300  400
                  TIME (MINUTES)
                                            o
                                                   10
                                                     -4
                                            ^   10
                                                  -5
                                                           I I I I I I  I I I t I I  I I I I I I  I I M I
                                                   10
                                                     -6
8   10
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                                                            I.... I.... I.... I..I!
                                                      0   100  200   300  400
                                                              TIME (MINUTES)

-------
                                         XE INGESTION

                                            Bi-214
                     STOMACH

-------
                                     HAND

                                XE INGESTION

                                    BI-214

in 4
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TIME (MINUTES)

MUSCLE
-i i i i i i i i i t i i i i iiii lit
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TIME (VONUTES)

VTH FIELD

; / S
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•
(S.
0)





0    100  200   300   400
         TIME (MINUTES)
0    100  200   300   400
         TIME (MINUTES)

-------
             STOMACH
                                      HAWKINS

                                   XE INGEST10N

                                      Bi-214
              LtVER
„ 10-3
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SM INTEST
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50       100      150
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0
50      100      150
 TIME (MINUTES)

-------
                                              HAWKINS
                                           XE INGESTION
                                               Bl-214
           P~n—T—T
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                  i  i  i—r—|
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50       100
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                                      150
                      WH FIELD

           p I  I  I  I  I I  l I  I  I  '  '  I

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                50       100      150
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                                      10
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                                                   10
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                                                            0
                                                                             MUSCLE
50      100
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                                                                                     150
                                                                                               04

-------
                      SM INTE3T
                                                HILL

                                           XE INGESTION
                                               Bi-214
             f 1 1 f  1 1  1 1

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                                                                           STOMACH
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                                                                       TIME (KINVTES)            QQ
                                                                           MUSCLE

10 4

10~5

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                                                                       TIME (MINUTES)

-------
                                     HILL
                                XE INGESTION
                                   Bi-214
            UVER
                                                                DUODENUM
in-4
j. \j
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------
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-------




















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-------
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-------
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-------
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          SM INTEST
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-------
                                          AHERN
                                      XE INGESTION
                                         Po-214
                   ASC COLON
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-------
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                                                        0   100  200  300  400  500
                                                                 TIME (MINUTES)
                   SM INTEST
    10
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                                                                 TIME (KD4UTCS)

-------
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                                            ARROL


                                        XE INGESTION


                                            Po-214
10




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    10
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                                                             TIME (MINUTES)
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-------
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                I I i i i I i i i i I i i i i I i i i i I t i i T
          0   100  200 300 400 500

                   TtWE (MINUTES)
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                                                                 TIME (MINUTES)
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                   TIME (MINUTES)

-------
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-------
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          0  100  200 300 400  500

                  TIME (MINUTES)
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                                                              TIME: (VONUTES)
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                                                              TIME (MINUTES)

-------
                                     BROCK

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-------
                                     BROCK

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           WH INTEST
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-------
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                                          XE INGESTION


                                              Po-214


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-------
                                   CLINE

                                XE INGESTION
                                   Po-214
            STOMACH

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                                                   TIME (MINUTES)
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-------
                                      CLINE
                                  XE JNCE5TION
                                      Po-314
           Yfll INTEST
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-------
             STOMACH
                                     ELMDEN

                                  XE INGESTION
                                     Po-214
              LIVER
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         TIME (MINUTES)

-------
                                     ELMDEN

                                 XE INGESTION
             STOMACH
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-------
    ELMDEN
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    Po-314
                                  WH INTEST
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-------
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                                           Po-214
                    ASC COLON
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                   TIME (MINUTSS)
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                                   150

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0

                                                                   50
                                                                         100
                                                                               150
                                                                    TIME

-------
                                              EPLING
                                          XE INGESTION
                                              Po-314
                     SM INTEST
5
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                        150
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                                                             WH INTEST
                  150
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50       100      150
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-------
8
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                                            GALLOP


                                         XE INGESTION


                                            Po-314
          0     50    100   !50    200

                   TCME (MINUTES)
                                                      IV,
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                                                                     TIME (MINUTES)             CO
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                   TIME (MINUTES)
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                                                            0     50    100   150   200

                                                                     TIME (MINUTES)

-------
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                                        XE INGESTION
                                            Po-214
                     STOMACH
          0     50    100    150   200
                   TIKE (MINUTES)
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                                                           0     50     100   150    200
                                                                    TIME (MINUTES)
                                                                                     03

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                    SM INTEST
                          III   1 1 1  1
          0     50    100    150   200
                   TIME (MINUTES)
    10

§   10

£   10'
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                                                           0     50     100   150    200
                                                                    TIME (MINUTES)

-------
            WH INTEST
                                      GALLOP
                                   XE INGESTION
                                      Po-214
                                                                    VH FIELD
10 5
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-------
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               TIME (MINUTES)
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-------
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-------
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-------
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-------
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                                                     10'
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-------
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                                                             TIME (MINUTES)

-------
                                             MAIO


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-------
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                                                            TIME (MINUTES)

-------
                                         MALCOM

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                                           8
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                                                    0   100 200 300  400 500
                                                             TIME (MINUTES)

-------
                                    MONROE
                                 XE INGESTION
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-------
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                                                                                           CO

                                                                                           00

-------
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-------
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                    TIME (MINUTES)

-------
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                                                                                        CO

-------
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                                                                      UVER
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                                                       TIME (WNUTES)             CO
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         0    100  200  300  400  500
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                                              0    100  200  300  400  50t
                                                       TIME (MINUTES)

-------

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                                                              TIME (MINUTES)
                                                                                    CO

                                                                                    CO

-------
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                                          Po-214
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         0   100  200  300 400 500

                  TIME (MINUTES)
                                                                 L[VER
                                                   10
                                                     -5
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                                                              TIME (KJMJTES)

-------
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          0   100 200 300 400  500
                  TIME (MINUTES)
                     MUSCLE
    10
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    10
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-------
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-------
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-------

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-------
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-------
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            0
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      10~3
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  50     100
   TCME (MINUTES)

     VfH FIELD
1 '  I '  ' * ' T
                                 150
                            I  I I  I I  I I _
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            0      50
                         100
                    TIME
                        100    150
                     (MINUTES)
                                                                   HH INTEST
   10
R  10

                                                 3   10
                                                      -4
                                                      -5
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                                                        0
                50     100    150
                 TIMG (MINiJTES)
                                                                                       O

-------
                                  MACMILLAN
                                XE INGESTION
                                    Pb-210
           ASC COLON
           DBS COLON
0.010000
0.001000
&000100
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0    100   200  300   400  500
         TIMS (MINUTES)
0    100   200   300   400   5C
         TIME (MINUTES)

-------
                             MACMILLAN
                           XE INGESTION
                               Pb-210
      SM INTEST
                                                           STOUACH
10 2
10~3

o 10

! io-5
1 i°"!
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1 10"b
8 1Q-9
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10 ^
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0 100 200 300 400 500 0 100 200
i i i M i i ~rr TT=
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300 400 5C
TEME (MINUTES) TIME (WNUTES)
TR COLON WH 'NTEST
r\
10 2
10"3
§ 10"4
I io~5
i io~6
i io-7
1 10-0
1 io-9
r i i i M i M i MM — rri i MM

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1 1 1 1 1 1 1 LLJ i"
100   200   300   400   500
    TIME (MINUTES)
0    100   200   300   400   5C
         TIME (MINUTES)

-------
                                    MAIO

                               XE SNGESTION
                                   Pb-210
STOMACH LlvtK
10 2
g 10~3
! 10-*.
1 10-5
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0 100 200 300 400 500 0 100 200 300 400 500
TIME (MINUTES) ™E (WWTES)
SM INTEST LG INTEST
0.010000
0.001000
Soooioo
fiooooio
(i. oooooi
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1 i i i i 1 i i i i 1 i i i i MM -r~rrr~n
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0   100  200  300  400  500
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0   100  200  300  400  500
         TIME (MINUTES)

-------
0

2
o
f-
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                                          MAIO
                                      XE INGESTION
                                         Pb-210
10
10
10
10
10
3   10
10
10
-2
-3
-4
-5
-6
-7
-8
-9
               WH INTEST
         I I I I I M I I I I I
           I I I I
           I i i i i I t i l I I I l t I I l I I I i
      0   100 200  300  400  500
              TIME (MINOTE3)
                   WH FIELD
          ei i i i i i i i i i i i i i i i i M i ri ri i i a
10
10
^   10
5   10
10
10
-3
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-7
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         0   100  200  300  400  500
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o
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10~3
10-4
10~5
10~6
                                                  10
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                                                        0   100 200  300  400  500
                                                                TIME (MINUTES)
                                                                                       CO
                                                                                       ea

-------
V
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10
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10
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                                        Pb-210
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                                               -7
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                                                     0  100 200  300 400  500
                                                             TIME (MINUTES)
u
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o
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             100 200  300 400  500
                 TIME (MINUTES)
                                         0.0100000
                                         0.0010000
                                         a.gooiooo
                                         0§000100
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                                                     1111 i 111 111 111 i 111 111111 * 111
                                                     0  100  200 300  400 500
                                                             TIME (MINUTES)

-------
                                        UALCOM

                                     XE INGESTION

                                        Pb-210
                                           0.0010000
                                           0.0001000
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                                                              TIME (MINUTES)
o

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0.010000

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                 TIME (MINUTES)

-------
                      MONROE

                   XE INGESTION
                      Pb-210
STOMACH


u
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10 ~
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10"5
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10"8
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                                          10
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                                               THE (iJNUTES)

-------
 t
          0   100  200  COO  400

                    TftfE (MINUTES)
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                                          XE 1NGESTION


                                             Pb-210

-------
    10
~   10
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                                        XE INGESTION
                                           Pb-210
                 STOMACH
          l  l I i l  l l I  l i i l  l i i  l l
      0     50    100   150   200
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                                                           0    50   100   150   200  00
                                                                   TIME (WNUTES)
u
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10
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                l l l l  l l l  l l l  i i i I
          0     50    100   150   200
                   TIME (MINUTES)
                                                 U
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                                                             50    100   150   200
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-------
    10
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           i  i I I  t l I l  I I t I  i
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CO
          0     50    100   150   200
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-------
                            MURCHE
                         XE INGESTION
                            Pb-210
STOMACH
rf_w
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CONCENTRATION
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-------
                                    MURCHE
                                XE INGESTIQN
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10 ^
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0    100  200  300  400  50«
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                                                                                      CO

-------
            «fH INTEST
                                     MURCHE
                                 XE INOESTION
                                     Pb-210
                                                                  MUSCLE
10~3
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10~3
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-------
                                     PARK
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                                                                                      rj*

-------
                                           PARK
                                       XE INGESTION
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-------
                                            TAATJES
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                    ASC COLON
O.G 10000
0.001000
&000100

-------
                                  TAATJES
                                XE INGESTION
                                   Pb-210
          SM INTEST
                                                                STOMACH

10 3
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0    100  200  300  400  r_OC
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-------
o
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                    STOMACH
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-------
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-------