 The
3 rd International Workshop on Space
Radiation Research will be held in conjunction with the 15th Annual Space
Radiation Health Investigators' Workshop May 16-20, 2004 at Danfords on
the Sound on the north shore of Long Island in Port Jefferson, New York.
This third International Workshop follows in the tradition of those
held in Arona, Italy in 2000 and in Nara, Japan in 2002 and will provide
an opportunity for investigators from around the world to share the
results of their work and common goals of research to benefit the health
and well-being of those who live and work in space.
A distinguished International Scientific Committee has been enlisted to
steer the Workshop. Members are James Adams, Mauro Belli, Antone Brooks,
John Dicello, Marco Durante, Dudley Goodhead, Jack Miller, Greg Nelson,
Takeo Ohnishi, Vladislav Petrov, Guenther Reitz, Orlando Santos, Walter
Schimmerling, Betsy Sutherland, Marcelo Vazquez, John Wilson, and Hiroshi
Yasuda. The Organizing Committee, chaired by John Gatley, includes Francis
Cucinotta, Marvin Frazier, Adrian LeBlanc, Derek Lowenstein, Greg Nelson,
Walter Schimmerling, Frank Sulzman, Betsy Sutherland, and Marcelo Vazquez.
Preliminary program plans include plenary sessions, a poster session,
and a special tour of the new NASA Space Radiation Laboratory at
Brookhaven National Laboratory. Scientific sessions are anticipated on
such topics as low dose radiation damage, dosimetry, DNA repair, cell
signaling, shielding technologies, the bystander response,
radiation-induced cataracts, and cosmic rays. Additional information about
the Workshop may be found at the conference
website.
Three weeks of commissioning experiments for the new
NASA Space Research Laboratory (NSRL) at Brookhaven National Laboratory
(BNL) were successfully accomplished from July 7 th through 23 rd, following the completion of the facility's
construction on June 30, 2003. The goals of the commissioning experiments
were to test all major components of the new facility and to allow
Brookhaven support staff to gain experience with new equipment and
procedures prior to the first experimental campaign (called NSRL-1)
scheduled for October 2003. Scientists participating in the commissioning
experiments were asked to volunteer by submitting a scientific proposal
with goals that supported commissioning. Participants included E.
Behravesh (USRA, Houston), F. Cucinotta (NASA, JSC), E. Davis (MRC, UK),
N. Desai (NASA, JSC), M. Durante (U. Naples, Italy), K. George (NASA,
JSC), A. Gewirtz (U. Pennsylvania School of Medicine), L. Green (LLU), S.
Guegersloh (LBNL), P. Guida (BNL), L. Heilbronn (LBNL), T. Jones (LLU), A.
Kronenberg (LBNL), J. Miller (LBNL), G. Nelson (LLU), P. O'Neill (MRC,
UK), M. Pecaut (LLU), A. Obenaus (LLU), C. Quesada (LLU), A. Rusek (BNL),
A. Smith (LLU), B. Sutherland (BNL), J. Sutherland (BNL), H. Wu (NASA,
JSC), M. Vazquez (BNL), and C. Zeitlin (LBNL). The participants were
unanimous in their praise of the new facility for space radiation
research. Lessons-learned from the commissioning experiments were
collected from the participants and are under review by BNL and NASA-JSC
personnel.
To assess beam characteristics, 150 beam hours were delivered for a variety
of biological and physics experiments that studied three different
charged particles in ten experimental groups. The three beam lines
were iron (1 GeV/n, LET = 151 keV/µm), carbon (290 MeV/n, LET = 13
keV/µm), and titanium (1 GeV/n, 114 keV/µm). The first beam, Fe, was
selected to allow direct comparisons to previous results at the BNL
Alternating Gradient Synchrotron (AGS). The second beam, C, was selected
to compare to data from the HIMAC facility in Japan, while the third
beam, Ti, (1 GeV/n, 114 keV/µm) was selected as an unexplored ion
representative of the many galactic cosmic ray (GCR) heavy ions with
LETs near the predicted peak in biological effectiveness. For a few
excerpts on these commissioning experiments from the news media, see
the article - Radiation in Space: BNL Leads Research.
|
| Figure-1: First test experiments at the NASA
Space Research Laboratory (NSRL-0) during July
2003. |
This unique radiation research facility will enhance NASA-sponsored
radiobiology efforts to study the biological effects of accelerated
charged particles simulating galactic cosmic rays and solar energetic
particles and to develop mitigation approaches to these harmful rays.
Control of experimental variables at NSRL, such as beam size, and
dose-rates or particle intensity, including protons (with energies up to 3
GeV/n) and oxygen, silicon, titanium, iron (with energies exceeding 1
GeV/n), will enable new research possibilities. Based on the success of
the NSRL commissioning experiments, it is anticipated that the NASA
radiation biology research will be stepping ahead in the area of
scientific achievement with goals that will enable the future human
exploration of the space frontiers.
 |
| Figure-2: Photographs of the optical bench
at the target area of the NSRL facility showing the dosimetry system
and automated binary filter for studying variable amounts of
polyethylene shielding. Also, shown is the observed Bragg peak for
an iron beam with kinetic energy of
1GeV/n. |
NRA 02-OBPR-02
National Aeronautics and Space Administration (NASA) Research
Announcement (NRA) NRA 02-OBPR-02 was released August 30, 2002 to solicit
proposals for ground-based research in space radiation biology and space
radiation shielding materials. This solicitation was planned to utilize
the high-energy heavy nuclei produced at the new $34 million NASA Research
Laboratory (NSRL) and the Alternating Gradient Synchrotron (AGS) at
Brookhaven National Laboratory (BNL). These beams simulate the
high-energy, high-charge (HZE) components of galactic cosmic rays that
constitute the biologically most significant component of space radiation.
The new NSRL irradiation facility at BNL, funded by NASA, is expected to
start delivering beams for experiments in Fall/Winter of 2003.
After an extensive peer review process of the proposals received, the
following researchers were selected to receive funding from this program:
- John O. Archambeau
Loma Linda University Medical College Loma
Linda, California "Quantification of the Dose Response of the
Microvessel Parameters in Retina, Cortex and White Matter Following
Iron-56 Irradiation and Proton"
- Jeff W. Bacher
Promega Corporation Madison, Wisconsin "A
Novel Biodosimetry Method for Monitoring Radiation-Induced Genetic
Damage"
- Susan M Bailey
Colorado State University Fort Collins,
Colorado "HZE Radiation: Modulation of Genetic Effects by RNA
Interference of NHEJ"
- Eric Benton
Eril Research Inc. Richmond,
California "Radiation Shielding Properties of Multifunctional
Spacecraft Materials"
- Eleanor A. Blakely
Lawrence Berkeley National
Laboratory Berkeley, California "Early Markers of
Space-Radiation-Induced Human Cataractogenesis"
- Fredric J. Burns
NYU School of Medicine Tuxedo, New York "A
Study of Dietary Retinoid for Prevention of 56Fe-Induced Cancers in Rat
Skin"
- Polly Chang
SRI International Menlo Park,
California "Tissue-Specific Acute and Late Molecular Surveillance of
Particle Radiation Effects"
- S. John Gatley
Brookhaven National Laboratory Upton, New
York "MicroPET Studies of Brain Damage by Heavy Ion Particles"
- Andrew Grosovsky
University of California,
Riverside Riverside, California "Mechanisms of Radiation-Induced
Recombination and Mutagenesis"
- Eric J. Hall
Columbia University New York, New
York "Individual Genetic Susceptibility"
- Kathryn Held
Massachusetts General Hospital Boston,
Massachusetts "Induction of Bystander Effects by High LET Radiation
in Cells and in Tissue Models"
- David G. Hoel
Medical University of South Carolina Charleston,
South Carolina "The Analysis of the Potential Health Risks from High
LET Radiation"
- Raj Kaul
NASA Marshall Space Flight Center Huntsville,
Alabama "Experimental and Analytical Assessments of
Polyethylene-Fiber Based Composites as Space-Radiation Shielding and
Structural Materials"
- Warren Kelliher
NASA Langley Research Center Hampton,
Virginia "Development of an Inflatable Multifunctional Damage
Tolerant Wall Structure with High Radiation Attenuation Properties"
- Ann R. Kennedy
University of Pennsylvania School of
Medicine Philadelphia, Pennsylvania "Mechanisms by Which
Selenomethionine Protects Against Space Radiation Biological Effects"
- Amy Kronenberg
Lawrence Berkeley National Laboratory Berkeley,
California "Comparative Analysis of Fe Ion-Induced Autosomal
Mutations in Marine Tissue and Cell Lines"
- Chuan-Yuan Li
Duke University Medical Center Durham, North
Carolina "Mechanisms of HZE Particle-Induced Genetic
Instability/Oncogenic Transformation and Their Prevention"
- Charles Limoli
University of California, San Francisco San
Francisco, California "High LET Radiation and Neurogenesis:
Implications and Mechanisms Underlying Cognitive Impairement"
- Joanne R. Lupton
Texas A&M University College Station,
Texas "Gene Expression Patterns Predictive of Radiation-Enhanced
Colon Tumorigenesis: Diet as a Countermeasure"
- Louis Mansur
Oak Ridge National Laboratory Oak Ridge,
Tennessee "Materials Science and Particle Transport Assessment of
Novel and Multifunctional Shielding Materials"
- Michael Moyers
Loma Linda University Medical Center Loma
Linda, California "HZE Upgrade and Verification of 3-D Transport
Code"
- Andre Obenaus
Loma Linda University Loma Linda,
California "Non-Invasive Assessment of Neuropathology Following CNS
Radiation Exposure"
- Bernard M. Rabin
University of Maryland Baltimore
Campus Baltimore, Maryland "Behavioral and Neurochemical Effects
of Exposure to Heavy Particles"
- Kanokporn Rithidech
SUNY at Sony Brook Stony Brook, New
York "In Vivo Induction of Chromosomal Damage: A Spectral Karyotyping
Study"
- Michael D. Story
University of Texas M. D. Anderson Cancer
Center Houston, Texas "Gene Expression Profile Analysis as a
Prognostic Indicator of Normal Tissue Response to Simulated Space
Radiations"
- Betsy M. Sutherland
Brookhaven National Laboratory Upton, New
York "Complex Space Radiation-Induced DNA Damage Clusters in Human
Cell Transformation: Mechanisms, Relationships and Mitigation"
- Ya Wang
Thomas Jefferson University Philadelphia,
Pennsylvania "Checkpoint Reduced Cell Sensitivity to High Energy
Particles-Induced Killing"
- Yongliang Zhao
Columbia University New York, New
York "Functional Role of the Betaig-H3 Gene in High-Energy Heavy
Ions-Induced Carcinogenesis"
Office of Science Department of Energy Notice
03-07 Low Dose Radiation Research Program - Basic Research
The Department of Energy and NASA announced their interest in receiving
grant applications for new research to develop a better scientific basis
for understanding exposures and risks to humans from low dose and low
fluence radiation. Projects of interest to the NASA/OBPR Space Radiation
Health Program that will receive partial NASA support include the
following:
New 2003 projects
- Eric Hall
Columbia University "Individual Genetic
Susceptibility"
- Allan Balmain
University of California San
Francisco "Identification of Mouse Genetic Susceptibility to
Radiation Carcinogenesis"
- J. Leslie Redpath
University of California Irvine "Low Dose
Suppression of Neoplastic Transformation in vitro"
Currently funded (since 2002) projects
- Eric Ackerman
Pacific Northwest National Laboratory "Effects
of low doses of radiation DNA repair"
- Michael Cornforth
University of Texas Medical
Branch "Cytogenetic response to low doses of Ionizing radiation"
- John Ford
Texas A & M University "Low dose response of
respiratory cells in intact tissues and reconstituted tissue
constructs"
- Lora Green
Loma Linda University "Low dose gamma irradiation
potentiates secondary exposure to gamma rays or protons in thyroid
tissue analogs"
- Terumi Kohwi-Shigamatsu
Lawrence Berkeley National
Laboratory "SATB1 deficiency accounts for high susceptibility to
low dose radiation" (funding augmented in 2003)
- Betsy Sutherland
Brookhaven National Laboratory "DNA damage
clusters in low level radiation responses of human cells"
Future Funding Opportunities NRA 03-OBPR-02
A solicitation for proposals to fund a team of space radiation health
investigators who have complementary skills and who work together to
solve a closely focused set of research questions was closed June 2,
2003. This solicitation, NRA 03-OBPR-02, sought to fund NASA Specialized
Centers of Research (NSCORs). In the past, NASA has funded NASA
Specialized Centers of Research and Training (NSCORTs) in several areas,
but the center(s) described in this solicitation were not planned to
have an explicit training component and, hence, the abbreviated acronym.
NSCOR team members may be located at home laboratories geographically
contiguous or dispersed, as long as the team members have a mechanism
for working together. The research will be conducted using ground-based
irradiation facilities at the NASA Space Radiation Laboratory (NSRL) at
Brookhaven National Laboratory (BNL) in Upton, New York.
It is anticipated that there will be one award to each of three
focused NSCOR research teams dealing with the biological consequences of
space radiation on 1) increased risk of leukemia, 2) mechanisms of DNA
damage and repair, and 3) the central nervous system. Each award will be
funded as a research grant. Selected proposals will be funded in
one-year increments for activities lasting up to five years. The funding
duration will depend on proposal requirements, review panel
recommendations, and continuing progress of the activity. All proposals
will be evaluated for overall scientific and technical merit by
independent peer review panels. It is estimated that initial selections
will be announced by August 2003 and grants awarded shortly thereafter.

The 14 th Space
Radiation Health Investigators' Workshop was held April 27-30, 2003 at the
South Shore Harbour Resort and Conference Center, League City, Texas. A
total of 102 participants from the United States, Canada, Germany, Italy,
Japan, and the United Kingdom were treated to Texas hospitality, enjoying
a "pier review" of the Kemah waterfront and a gala banquet at Space Center
Houston in addition to a jam-packed scientific program. Fifty-two oral
talks and 16 posters were presented. The Proceedings
includes a Final Program with links to abstracts, images of the Workshop
activities, and a list of Workshop participants.
 |
Leo T. Chylack, Jr.,
M.D. Director, Center for Ophthalmic
Research Brigham and Women's Hospital Boston, MA
02115 |
Internationally known for both his clinical and
research expertise, Leo T. Chylack, Jr., M.D. is adding his research on
the formation, epidemiology, and classification of cataracts to the body
of space radiation health knowledge. As Principal Investigator for the
grant "Precise Assessment of Prevalence and Progression Rates of Cataracts
in Astronauts" Dr. Chylack will use his experience in classifying
cataracts to assess the risk of accelerated lens opacification in
astronauts. In a newly initiated NASA Supplementary Medical Objectives
(SMO), "Precise Assessment of Prevalence and Progression Rates of
Lens Opacities in Astronauts as a Function of Radiation Exposure in Space
Flight and Development of Improved Routine Clinical Assessment of Ocular
Lens Status," Dr. Chylack and his institution, the Brigham and
Women's Hospital, will team with the NASA Johnson Space Center, the Baylor
College of Medicine Department of Medicine, Clear Lake Eye Associates, and
Wyle Laboratories for a five-year, multi-centered research study. The goal
of the SMO is to determine the prevalence and progression rates of the
three main types of age-related lens opacities in astronauts and to
determine the risk of incident cataract and cataract progression
associated with each component of radiation exposure during space flight.
After receiving his undergraduate degree in Biochemistry from Yale
University in 1960, Dr. Chylack entered Harvard Medical School, graduating
in 1964. He completed his internship in 1965, served as Chief Peace Corps
Physician with the U.S. Public Health Service in Lima, Peru from 1965-67,
and completed a fellowship in lens biochemistry in 1970 at the Howe
Laboratory of Ophthalmology. He continued his affiliation with Harvard
Medical School, completing a residency in Ophthalmology at the
Massachusetts Eye & Ear Infirmary in 1971. From 1971-1997, he served
as Chief, Division of Ophthalmology at Brigham & Women's Hospital. He
was named Professor of Ophthalmology in 1989; since 1993 he has served as
Director, Center for Ophthalmic Research, Brigham and Women's Hospital. He
retains hospital appointments and consultancies with Beth Israel Hospital,
Children's Hospital Medical Center, New England Deaconess Hospital, and
the Massachusetts Eye and Ear Infirmary. Since 1993 he has also
collaborated with the Human Nutrition Research Center on Aging at Tufts
University to address the effects of antioxidative micronutrients on
cataract.
In recognition for his research achievements, Dr. Chylack has been
honored with awards from the Alcon Research Institute, American Academy of
Ophthalmology, Association for Research in Vision and Ophthalmology,
National Foundation for Eye Research, New England Ophthalmological
Society, Research to Prevent Blindness, Rhoto Pharmaceutical Company,
Swedish Ophthalmological Society, and the Swedish Society of Medicine.
Dr. Chylack's interest in ophthalmology may have been genetically
ordained; his father, Leo T. Chylack, M.D., was an opthalmologist in
community practice in Pennsylvania, who greatly enjoyed his work and was,
in turn, loved by his patients. Dr. Chylack, Jr.'s interest in the lens
dates to his fellowship experiences with mentors Jin H. Kinoshita, Ph.D.
and David G. Cogan, M.D., both pioneers in lens research at the Howe
Laboratory and both of whom later continued their research at the National
Eye Institute of the National Institutes of Health.
From the beginning of his career, Dr. Chylack has focused his research
attentions on the lens of the eye - specifically on crystalline lens
metabolism and cataract formation, charting precataractous changes and
cataractous growth rates, classifying human age-related cataracts,
clinical testing of potential anticataractous drugs, the epidemiology and
etiology of age-related cataract, molecular mechanisms common to
Alzheimer's disease and age-related cataract, the molecular biology of
lens and cataract, growth and survival factors with focus on lens, digital
methods to detect cataract progression, and specular microscopy of the
crystalline lens. In addition to his extensive cataract studies, he has
also examined the ocular manifestations of juvenile rheumatoid arthritis.
In the mid-1970s, Dr. Chylack and his colleagues developed a
stereoscopic system of lens photography that enabled cataract changes to
be classified; this methodology was accepted and adopted by the
Cooperative Cataract Research Group. The ability to classify cataracts
according to their location and to the extent of their severity has made a
significant contribution to the standardization of cataract research. Over
time, greater experience with numbers of cases, refinement in the
diagnostic equipment used (slit-lamp images and retroillumination
photography), and the reproducibility of the observation techniques
applied have resulted in a much improved classification system: The Lens
Opacities Classification System III. The revised and improved system has
been widely used since 1993 as a method for measuring the severity of
cataracts and detecting and grading longitudinal changes in cataract
severity. More recently, Dr. Chylack and a group of international
researchers developed a simplified cataract grading system for the World
Health Organization. The WHO simplified cataract grading system should
enable relatively inexperienced observers to use a slit lamp to grade the
most common forms of cataract, increasing the reliability of
epidemiological record keeping for tracking age-related cataract, which is
the major cause of preventable blindness throughout the world.
Since the human exploration of space requires strict attention to the
health and safety of the explorers, and since the space radiation
environment is inherently hazardous and risk-filled, the goals of the
Space Radiation Health Research Program are to accurately predict and to
efficiently manage radiation risk. To that end, specific risks and
questions focused on radiation health have been addressed in NASA's
Bioastronautics Critical Path Roadmap (BCPR) document.
Based on new epidemiological information on degenerative risks from
radiation, the risk of cataract has been proposed as an addition to a
revised BCPR document. Root (or basic) questions that need to be addressed
include:
- What are the probabilities for cataractogenesis from protons and HZE
ions as a function of NASA's operational parameters (age at exposure,
age, gender, tissue, mission, radiation quality, dose-rate)?
- What are the most effective operational, shielding, or biomedical
countermeasures to cataract risks?
Specific critical questions, including those listed below, will be
addressed in Dr. Chylack's five-year research plan.
- What are the induction rates or RBE's for lens opacities
(sub-clinical cataracts) and cataracts as a function of radiation type?
- What are the progression rates for lens opacities and cataracts, and
how do they change with age, gender, and radiation type?
- How can the discovery of the precise mechanisms of cataract
formation lead to improved risk assessment and countermeasures?
- Can the study of radiation cataractogenesis be used as a model
system for improving risk assessments or countermeasure development for
other radiation risks?
The primary goal of the five-year study, "Astronauts, Exposure to
Radiation in Space Flight, and Risk of Cataract" is to determine the
prevalence and progression rates of the three main types of age-related
lens opacities in the complete sample of astronauts and to determine the
risk of incident cataract and cataract progression associated with each
type of radiation exposure (protons, heavy ions, and galactic cosmic rays)
during space flight. There will be two groups of control subjects: (1)
military pilots and (2) ground-based JSC workers. These two control groups
will enable the assessment of the cataractogenic risks of radiation
encountered in high altitude flight (hence, the military pilots) versus
that encountered by astronauts during space flight versus the control
group of non-astronauts participating in the Longitudinal Study of
Astronaut Health (LSAH). Another goal of the study is to improve the
routine assessment of astronauts' lens status to enable the objective
assessment of cataract and to track cataract type-specific progression
rates. Results from the study should aid the planning of improved
strategies to prevent or slow cataract progression.
Selected Original Peer-Reviewed Publications
- Chylack LT Jr. Classification of human cataracts. Arch Ophthalmol
1978;96:888.
- Chylack LT Jr, Lee MR, Tung WH, Cheng HM. Classification of human
senile cataractous change by the American Cooperative Cataract Research
Group (CCRG) method. I. Instrumentation and technique. Invest Ophthalmol
Vis Sci 1983;24:424.
- Chylack LT Jr, White O, Tung WH. Classification of human senile
cataractous change by the American Cooperative Cataract Research Group
(CCRG) method. II. Staged simplification of cataract classification.
Invest Ophthalmol Vis Sci 1984;25:166.
- Chylack LT Jr, Ransil BJ, White O. Classification of human senile
cataractous change by the American Cooperative Cataract Research Group
(CCRG) method. III. The association of nuclear color (sclerosis) with
extent of cataract formation, age and visual acuity. Invest Ophthalmol
Vis Sci 1984;25:174.
- Chylack LT Jr, Leske MC, Sperduto R, Khu P, McCarthy D, and the LOCS
Research Group. Lens opacities classification system (LOCS). Arch
Ophthalmol, 1988;106:330.
- Leske MC, Chylack LT Jr, Sperduto R, Khu P, Wu SY, McCarthy D, and
the LOCS Research Group. Evaluation of a lens opacities classification
system. Arch Ophthalmol, 1988;106:327.
- Jacques PF, Hartz SH, Chylack LT Jr, McGandy RB. Antioxidant status
in persons with and without senile cataract. Arch Ophthalmol,
1988;106:337-40
- Chylack LT Jr, Leske MC, Sperduto R, McCarthy D. Progress in
expanding the lens opacities classification system LOCS II. Lens Res,
1988;5:109.
- Chylack LT Jr, Leske MC, McCarthy D, Khu P, Kashiwagi T, Sperduto R.
Lens opacities classification system II (LOCS II). Arch Ophthalmol,
1989;107:991-997.
- Jacques PF, Phillips J, Hartz S, Chylack LT Jr. Lactose intake,
galactose metabolism and senile cataract. Nutrition Res 1990;10:255.
- Jacques PF, Chylack LT Jr. Epidemiological evidence of a role of the
antioxidant vitamins and carotenoids in cataract. Amer J Clin Nutr
1991;53:352S-5S.
- Leske MC, Chylack LT Jr, Wu S-Y and the LOCS Research Group. Risk
factors for cataract: The Lens Opacities Case-control Study. Arch
Ophthalmol 1991;109:244-251.
- Chylack LT Jr, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey
IL, Friend J, McCarthy D, Wu S-Y and the LSC Study Group. The Lens
Opacities Classification System , Version III (LOCS III). Arch
Ophthalmol 1993;111:831-836.
- Karbassi M, Khu PM, Singer DM, Chylack LT Jr. Evaluation of Lens
Opacities Classification System III applied at the slitlamp. Optom Vis
Sci 1993;70:923-928.
- Wolfe JK, Friend J, Singer DM, Chylack LT Jr. Assessment of the
ability of methods of measuring cataract to detect clinically
significant change. Ophthalmol Res 1994;26(Suppl):55-60.
- Chylack LT Jr, Wolfe JK, Friend J, Tung W, Singer DM, Brown NP,
Hurst MA, Kopcke W, Schalch W. Validation of methods for the assessment
of cataract progression in the Roche European-American Anticataract
Trial (REACT). Ophthalmol Epidemiology 1995; 2:59-75
- Leske MC, Chylack, LT Jr., Wu S-y, Schoenfeld A, He Q, Friend J,
Wolfe J, The Longitudinal Study of Cataract Group. Incidence and
progression of nuclear opacities in the Longitudinal Study of Cataract.
Ophthalmology 1996;103:705-712
- Leske MC, Chylack LT Jr, He Q, Wu S-Y, Schoenfeld E, Friend JH,
Wolfe J, and the LSC Group. Incidence and progression of cortical and
posterior subcapsular opacities: Longitudinal Study of Cataract.
Ophthalmology 104;1987-93,1997
- Leske MC, Chylack LT Jr, He Q, Wu S-Y, Schoenfeld E, Friend JH,
Wolfe J, and the LSC Group. Antioxidant vitamins and nuclear opacities:
The Longitudinal Study of Cataract. Ophthalmol. 105;831-6,1998
- Thylefors B, Chylack, LT Jr, Konyama K, Sasaki K, Sperduto R, Taylor
HR, West S. A simplified cataract grading system. The WHO Cataract
Grading Group. Ophthalmic Epidemiology, 2002;9:83-95.
- Chylack LT Jr, Brown NP, Bron A, Hurst M, Kopcke W, Thien U, Schalch
W. The Roche European American Cataract Trial (REACT): a randomized
clinical trial to investigate the efficacy of an oral antioxidant
micronutrient mixture to slow progression of age-related cataract.
Ophthalmic Epidemiology 2002;9:49-80.
- Davison JA and Chylack LT Jr. Clinical application of the Lens
Opacities Classification System III in the performance of
phacoemulsification. JCRS. 2003;29:138-45.
Selected Reviews
- Chylack LT Jr. Review of: Cataracts. The New England Journal of
Medicine 1992;326:716.
Selected Books/Chapters
- Chylack LT Jr. Classification of human cataractous change by the
American Cooperative Cataract Research Group methods. In Ciba Foundation
Symposium, Vol. 106 Human Cataract Formation, (eds. Nugent J, Whelan J),
1984;3.
- Harding CV, Chylack LT Jr, Susan SR, Decker JG, Lo WK. Morphological
changes in the cataract: the ultrastructure of human lens opacities,
localized by Cooperative Cataract Research Group Procedures. In Red
Blood Cells and Lens Metabolism (ed. Srivastava SK), Elsevier North
Holland, Inc., 1980;27.
- Leske MC, Chylack LT Jr, Pennett M, McCarthy D, Sperduto R. Progress
toward developing a cataract classification system. In Developments in
Ophthalmology, Vol. 15 (ed. Straub W), Cataract Epidemiology (eds.
Sasaki K, Hockwin O, Leske MC), S Karger AG, New York, 1987;9.
- Khu PM, Chylack LT Jr. Subjective classification and objective
quantitation of human cataract. In Principles and Practice of
Ophthalmology, The Harvard System (eds. Albert DM, Jakobiec FA) WB
Saunders Company, Philadelphia, PA, 1993 591-602.
- Chylack LT Jr. Surgical Anatomy, Pathogenesis and Classification of
Cataracts. In Cataract Surgery, A Text and Atlas (ed. Steinert RF) WB
Saunders Company, Boston, 1994
- Chylack LT Jr. Surgical Anatomy, Pathogenesis and Classification of
Cataracts. In Cataract Surgery, A Text and Atlas (2nd ed. Steinert RF)
WB Saunders Company, Boston, Chapter 2, 2003, pp 11-19.
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