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                   ISSUE:  Establishment of regional and multi-regional resources

                           B.  Radiation dosimetry services

                        The Division staff offers the following background and

                   recommendation in this regard:

                        The Division has received six formal applications, and has
                        knowledge of a number of others in preparation, for  projects
                        which propose the provision of radiation dosimetry  services.
                        Nearly all of these represent a major investment in equip-
                        ment, particularly computer consoles and related electronic
                        communication networks.

                        In the discussion of a single proposal at the November meeting,
                        the Council expressed concern regarding the high initial cost
                        of these projects in relation to the relatively small  number
                        of patients both in the nation and in individual regions,
                        which require these services; and was uncertain about the
                        relative merits of presently available communications  links.
                        Therefore, the staff recommends:

                        .  A temporary hold on funding.of such projects, and

                        .  The appointment of an ad hoc committee to consist of members

                           of Council, Division staff, and selected expert consultants

                           including representatives of the American College of Radiology

                           and the Committee on Radiation Therapy Studies (National

                           Cancer Institute), to advise the Division and the Council.

                           The committees special attention should be directed to the
                           possible use of the new grant authority (Section 910)  for

                           Multiprogram services.