RELEASE ON RECEIPT CONTACT: Katherine Jackson U.VA. PROFESSORS HAD HAND IN DESIGNING NEW MAMMOGRAPHY MACHINE By Detecting Cancer Earlier, It Could Save Lives CHARLOTTESVILLE, VA., April 4 -- An innovative mammography machine that University of Virginia professors helped design could save the lives of thousands of women with breast cancer by detecting cancerous tissues at their earliest stage. Breast cancer, the most common cancer in women, is curable 95 percent of the time if detected early. Nationally, it is estimated that about 184,300 new cases of invasive breast cancer will occur and about 44,300 women will die from the disease this year. U.Va.'s full-breast digital imaging machine "permits radiologists to view and manipulate images to bring out findings or abnormalities that may be invisible to the eye," said Dr. Laurie Fajardo, associate professor of radiology and one of the designers. Computer programming allows the machine to enhance potentially dangerous lesions as small as 1/20 of a millimeter. By enhancing images of minute breast lesions, doctors are able to intervene early if abnormal tissues are present, Fajardo added. Mark Williams and Hong Liu, assistant professors of radiology, have been working for several years on digital detectors for mammography. "These detectors allow doctors to manipulate the image using computers for optimized visualization of subtle breast lesions," said Williams. Located in U.Va.'s Diagnostic Center for Women, the machine is supported by an industrial grant and nearly $500,000 from the National Institutes of Health. It was built by Thermotrex/LORAD, and the corporation collaborated with U.Va. on its design. The Federal Drug Administration trials at U.Va. have included 75 volunteers using the machine for mammograms since November 1995 and will continue through the fall of 1996. "The digital breast imaging system is most useful for detecting abnormalities on mammograms in younger women, as well as for women with dense breast tissue, or those having multiple lesions," Fajardo said. Unlike conventional mammography, the digital image procedure offers several options. "It uses a unique computer chip, rather than film to produce pictures of breast tissues. Clearer images produced by the digital technique can be displayed and adjusted on a television monitor. In most cases this process eliminates the need to repeat procedures, reducing radiation exposure. This technique also allows images to be printed on film using a laser film printer," Fajardo said. "Although the breast is positioned in much the same way as the conventional X-ray procedure," said Williams, "the digital system has two moving cameras that capture the image of the entire breast, which usually takes about six seconds, although the X-ray exposure is less than six seconds because the X-ray beam is turned off while the cameras are moved." Another benefit over conventional X-ray film is that "mammographic images can be telecommunicated in real time across the country enabling consultations or second readings with other physicians," she said. Some abnormal breast tissues are invisible on conventional X-ray film because there is no mechanism to adjust the contrast or change the film's image. "What you see is what you get on the film," Fajardo said. "But with the digital system, there are many more options and features to produce better mammographic examinations." Women interested in participating in the study should call (804) 982-2572 or 924-5194. ### April 3, 1996 For more information, call Dr. Laurie Fajardo at (804) 982-4239 or Katherine Jackson at (804) 924-5679. Television reporters should contact our TV News Office at (804) 924-7550.