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Named, in 1828, by its discoverer Jons Jacob Berzelius for the Scandinavian
god of war Thorium, this metallic element led to one of the most unfortunate medical sagas of the 20th
century when it was incorporated into the radiographic product called
Thorotrast®. Thorotrast®,
was a 25% colloidal suspension of 232
ThO2 (occasionally
enriched with Th230). It was
considered to be the "ideal radiographic-contrast material" for many
diagnostic procedures including myelography, angiography, etc. It
was first injected, for diagnostic purposes, in legions of patients throughout
the world starting in 1929 (United States in 1932). Thorotrast® "fell
into disuse" in about 1960. It was only many years later
that the medical community, through epidemiological studies first began to
realize that
Thorotrast® was dangerously radioactive emitting alpha
particles, and the other decay products, which incorporated themselves into body
tissues such as the arachnoid membrane as well as the reticuloendothelial
system causing subsequent arachnoiditis, malignant tumors of the neuraxis,
leukemia, hemangioendothelial sarcomas as well as liver cancer and other
malignancies. Thorotrast®
has a half-life of 1.4 x 10(10) years. Biological retention of
Thorotrast® in the body has
been estimated to have a half-life of 400 years. As a highly
radioactive substance (Th232
is primarily a alpha emitter) it was not surprising to find that when
standardized mortality ratios from around the world were studied those
persons exposed to Thorotrast® had
significantly higher death ratesand significantly higher incidences of
cancer, particularly those malignancies having a hematological etiology.
Thorotrast® stands as only
one of many examples of the medical community's chronic naiveté regarding
toxic substances, particularly those of a radioactive nature. One of
the many proofs of this was a study by the National Institute of
Standards and Technology which found that the radium-tipped applicators
routinely used to shrink tonsils and adenoids in children during the
1950-1960s (patient numbers estimated at 500,000 to 2.5 million) subjected
the individuals to unexpectedly large doses of beta radiation. The
influence of this on standardized morbidity ratios for subsequent head and
neck malignancies in this patient population is still unknown.
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