Journal of Clinical Endocrinology & Metabolism Vol. 12, No. 10 1356-1372 doi:10.1210/jcem-12-10-1356 Copyright © 1952 by the Endocrine Society. OBSERVATIONS ON THE NODULAR THYROID GLAND WITH THE GAMMAGRAPH*HERBERT C. ALLEN, JR., M.D., FRANK J. KELLY, M.D. and JAMES A. GREENE, M.D.Radioisotope Unit, Veterans Administration Hospital, Houston, Texas, and the Department of Medicine, Baylor University College of Medicine Houston, Texas THE introduction of the scintillation counter (1, 2, 3, 4) to clinical medicine, as a possible replacement for the less-sensitive gammadetecting Geiger-Mueller counter for in vivo studies in human beings, has led to many interesting observations and has suggested several new applications of radiotracers. Because of the increased efficiency of the scintillation counter for gamma radiation, it became possible to construct a specially designed gamma-detecting scintillation counter with an optical geometry whose resolution is such that the isotope-concentrating tissue can be outlined in such a manner that a silhouette indicating the size and shape of the tissue can readily be obtained. The silhouette of the isotope-concentrating tissue, for the sake of simplicity and clarity, has been designated a gammagram, so named because the principle of its production is similar to the principle involved in making a photograph. Instead of an image created by photons of visible light, a gammagram represents an image created by photons of gamma rays as recorded by means of an automatic scanning device, utilizing a calcium tungstate scintillation counter as a detector or "camera." Thus it is possible to "photograph" or gammagraph any gamma-emitting, isotope-concentrating tissue located beneath the surface of the body. The automatic scanner or gammagraph used in these studies represents a refinement of the manual scanner presented in 1950 (5).
* Read at the Annual Meeting of the American Goiter Association, St. Louis, Missouri, May 1–3, 1952. This article will be included in the bound volume of the 1952 "Transactions of the American Goiter Association" published by Charles C Thomas, Publisher, which will be available for sale early in 1953. Received May 17, 1952.
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