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    Womens Imaging Specialists

    Randy D. Hicks, M.D., M.B.A.

    Dr. Hicks, co-owner and CEO of RMI, is a distinguished expert on women’s imaging who has co-authored several medical journal articles on topics related to imaging for breast cancer. He also has special interest and expertise in parathyroid and thyroid imaging, interventional breast biopsy procedures, and product development.

    He is a committed advocate for women’s healthcare, especially for breast cancer prevention, early detection, and treatment. Dr. Hicks works closely with medical colleagues to encourage multidisciplinary, best-practice approaches to care. This includes such efforts as establishing local “tumor boards” that bring together radiologists, surgeons, oncologists, and other physicians from leading health systems and practices in the region.

    He serves as a thought leader and spokesperson for the role of information technology in enhancing the quality and efficiency of health care. He led RMI’s efforts as the first radiology practice to achieve Meaningful Use (electronic health records) implementation.

    A graduate of Michigan State University’s College of Human Medicine, Dr. Hicks completed a residency in diagnostic radiology at Michigan State University Affiliated Hospitals, and was board certified by the American Board of Radiology in 1989. After joining RMI in 1989, Dr. Hicks also earned an MBA enabling him to direct the seven-office, 130-employee organization and better serve his patients and the community.

    His leadership role also includes service on various boards and advisory committees including:

    • Michigan Radiological Society (Board of Directors), Co-chair of the Finance & Budget committee and Chair of the Automation & Technology committee
    • Hologic, a manufacturer of diagnostic and medical imaging equipment focused on women’s health
    • Merge Healthcare (advisory), a leading provider of enterprise imaging and interoperability solutions in radiology, cardiology, and orthopedics
    • The State Bank (Board of Directors), a local financial institution based in Fenton
    • Fentura, Inc. (Board of Directors), parent company of The State Bank

    MBA: 1997, Program and Integrative Management, Michigan State University, The Eli Broad Graduate School of Management

    Board Certified: 1989, American Board of Radiology

    Residency: 1985–1989, Michigan State University Affiliated Hospitals (Chief Resident 1987–1988)

    Internship: 1984–1985, Michigan State University Affiliated Hospitals

    Medical School Education: class of 1984, Michigan State University, College of Human Medicine

    The lifelong Michigan native completed his undergraduate degree at Kalamazoo College.

    David A. Strahle, M.D.

    Dr. Strahle’s early in aviation, beginning in 1965, led to his becoming an avid pilot and flight instructor. By the age of 21, he had already taught hundreds of people to fly in the Flint community. Expanding on his extensive aviation background, Dr. Strahle graduated cum laude with a degree in aerospace technology in 1972, which included studies in aeronautics and advanced computer systems. During his senior year, his research paper won first place at the American Institute of Aeronautics and Astronautics (AIAA) Research Forum. It presented a new concept for identifying and tracking thunderstorms, which was installed nationwide in 2000. As discussed below, this research paper would have an impact later in his medical career.

    His background eventually led to an upper level position with IBM, through which he earned an equivalent Master’s Degree in 1974. He was assigned to IBM’s largest commercial account, the Chevrolet Motor Car Division of General Motors, where his responsibility included all 23 Chevrolet Manufacturing Plants.

    Subsequently, the field of medicine caught his interest, and he left IBM to return to pre-med courses, in which he achieved a 4.0 grade point average. He entered medical school as the first student to be accepted in his class of 100 positions. During medical school, he continued to teach flying at the Lansing Community College Aviation Center.

    Michigan State University’s Medical School is unique. The first two years are on the MSU campus in Lansing, and the last two years are off-site at one of five locations in Michigan. Dr. Strahle chose to complete the last two years of his medical training in Flint. This included rotations through all three of Flint’s hospitals, working with most of the community physicians. In his first year following medical school, he completed an internship at McLaren General Hospital in Flint, rotating between internal medicine, radiology and surgery.

    Near the end of his internship year, Dr. Strahle was approached by Michigan State University with a proposal to organize, initiate and operate a diagnostic radiology residency program in the Flint area. In the spring of 1982, he was the first and only resident in the newly developed Flint Diagnostic Radiology Residency Program. He developed and controlled most of the program, including the rotation schedule and the call schedule between all three of Flint’s hospitals. This gave him direct one-on-one training with the instructors at the radiology department of Michigan State University.

    Dr. Strahle passed his first written and oral boards (including the radiation section of the written boards) in the spring of 1985. As a new Board Certified diagnostic radiologist, he started his private diagnostic radiology practice at 2486 Nerredia Street in Flint, Michigan, in the fall of 1985. Blending his unique approach to the radiological problems facing the medical community (technological expansion of diagnostic radiology at a rapid pace) and his professional contacts within the community, the practice grew rapidly, acquiring first a radiology physician’s assistant and, second, Dr. Randy D. Hicks, who in 1989 had completed the radiology residency program that Dr. Strahle started four years earlier.

    The practice continued rapid growth to its current seven offices offering all imaging modalities allowed by the State of Michigan, including the acquisition of five (5) CONs (Certificate of Need) from the State of Michigan for the installation, over time, of three CT scanners and two MRI scanners. Dr. Strahle continues as an assistant clinical professor for the radiology department at Michigan State University, College of Human Medicine, and is currently President and Chairman of Regional Medical Imaging, PC.

    In 2004 Dr. Strahle was notified of innovative Breast MRI research taking place on the West Coast. It was similar to Dr. Strahle’s prior development of the above-mentioned advanced radar reports for the aviation community (these aviation reports are currently produced every hour by each of 140 radar sites across the country using the protocols established by Dr. Strahle).

    Intrigued, Dr. Strahle developed an intense drive to develop 4-D (four-dimensional) breast MRI. For nearly a year, Dr. Strahle worked seven days a week on developing new protocols to markedly increase the ability to detect breast cancer at an early stage using MRI.

    Under Dr. Strahle’s direction, Regional Medical Imaging has had numerous other major achievements, many of which are listed below.

    Regional Medical Imaging’s Major Achievements

    American College of Radiology Accreditations—62 certificates in all twenty-two (22) ACR categories, including: Breast MRI, Breast Ultrasound, Mammography, Stereotactic Breast Biopsy, Ultrasound Breast Biopsy, Cat Scan, Body MRI, Head MRI, Vascular MRI, MSK (musculoskeletal) MRI, Spine MRI, Planar and SPECT Nuclear Medicine, Brain PET, Oncology PET, General Ultrasound, OB/GYN Ultrasound, Vascular Abdominal Ultrasound, Cerebrovascular Ultrasound, Deep Abdominal Ultrasound and Peripheral Vascular Ultrasound.

    Radiology group of choice to develop and operate Blue Care Network’s staff model program. Flint, Michigan, Richard Gumper MD and Jack Mckenzie, MD, Administrators.

    CareCore National site visit evaluation—100 out of a total possible score of 100.

    First private radiology facility in Michigan—ACR awarded Breast Imaging Center of Excellence

    First in Michigan to be approved by the Mammogram Medicare Screening Program.

    First in Michigan, and second in the nation, ACR approved Breast MRI Imaging Center.

    One of the first radiology facilities in Michigan to attest for Meaningful Use.

    Member—Class A—Physician Quality Reporting system (PQR).

    Recent Research Papers/Projects:

    • “Nodal Positivity in Breast Cancer Correlated with the Number of Lesions Detected by Magnetic Resonance Imaging versus Mammogram.” Presented at the 53rd Annual Conference, Midwest Surgical Association.
    • “The Prognostic Value of Additional Malignant Lesions Detected by Magnetic Resonance Imaging versus Mammography.” Presented at The American Society of Breast Surgeons, Chicago, IL.
    • “Routine Screening of Women for Occult Breast Cancer Using a Simplified Breast MR Protocol in Place of Screening Mammograms.” Presented at the Radiological Society of North America (RSNA) Scientific Assembly and Annual Meeting, November 2012, Chicago, IL.
    • $1 million grant successfully acquired for Screening Breast MRI Initiative project, June 2009 to June 2011.
    • Independent Review Board approval of Screening Breast MRI Initiative—Prospective Trial Comparing Mammograms and MRI in Breast Cancer Screening.
    • ICE3 Clinical Trial – cryoablation of breast malignant tumors under ultrasound guidance. Ongoing.

    PRODUCT DEVELOPMENT and ADVISORY POSITIONS –

    • MERGE Healthcare—national showcase site for PACS and RIS
    • Hologic, Inc.—MR guided breast imaging devices test site.
    • Siemens—test site for 3D vascular imaging workstations.
    • RBMA (Radiological Business Management Association)—three advisory seats.
    • Michigan State Radiological Society—one seat on the Board of Trustees.

    John P. Dobson, M.D.

    Board Certified:
    American Board of Radiology 1993, National Board of Medical Examiners 1988

    Residency:
    1989-1993 Diagnostic Radiology, Michigan State University Affiliated Hospitals of Flint, Flint, Michigan (Chief Resident 1992-1993)

    Internship:
    1988-1989 Michigan State University Affiliated Hospitals of Flint, Flint, Michigan

    Medical School Education:
    1984-1988 Medical College of Wisconsin, Milwaukee, Wisconsin

    Sami Khan, M.D.

    Board Certified:
    Authorized User Status, Nuclear Regulatory Commission 2016
    American Board of Radiology 2015

    Fellowship:
    2016 Body & Women’s Imaging, Henry Ford Hospital, Detroit, Michigan

    Residency & Internship:
    2011-2016 Henry Ford Hospital, Detroit, Michigan

    Medical School Education:
    2007-2011 Wayne State University School of Medicine, Detroit, Michigan

    Kristin Krizmanich, M.D.

    Dr. Kristin Krizmanich primarily devotes her time to breast imaging at RMI. As a lifelong Michigan resident, she completed her medical training at Wayne State University School of Medicine in Detroit. Dr. Krizmanich pursued her interest in breast imaging during her radiology residency at the University of Michigan, and was active in research in that area.   She then went on to specialize in Breast Imaging at Henry Ford Hospital in Detroit from 2011-2012.

    Her interest in breast imaging was clear to her as far back as high school, and she even wrote her college entrance essay for The University of Michigan on that subject. “My entire childhood I was told how much I reminded everyone of my late grandmother, and I wished so badly I could have remembered meeting her when I was just a baby…instead she lives on in me every day as I fight against the disease that took her life. I knew very early on that I would try to make a difference in the fight against breast cancer…and I hope I am making her proud.”

    Dr. Krizmanich was drawn to RMI by their cutting edge approach to breast cancer screening including their use of UltimateMamm® and screening breast ultrasound. She is involved in the development of the Screening Breast MRI program, as well as multiple monthly tumor boards (multidisciplinary meetings to discuss patients newly diagnosed with cancer) which serve many patients throughout the community.

    In her spare time, Dr. Krizmanich enjoys staying active with running (“both as a sport and after my 3 small children!”), spending time with her family and friends, and traveling.

    Board Certified:
    American Board of Radiology 2011

    Fellowship:
    2011-2012 Breast Imaging, Henry Ford Hospital, Detroit, Michigan

    Residency:
    2007-2011 Diagnostic Radiology, University of Michigan, Ann Arbor, Michigan
    2006-2007 Transitional Year, Oakwood Hospital, Dearborn, MI

    Medical School Education:
    2002-2006 Wayne State University School of Medicine, Detroit, Michigan

    Miriam D. Pellerito, M.D.

    Board Certified:
    American Board of Radiology 1995

    Residency:
    1990-1994 Diagnostic Radiology, Michigan State University Affiliated Hospitals of Flint, Flint, Michigan

    Internship:
    1989-1990 Michigan State University Affiliated Hospitals of Flint, Flint, Michigan

    Medical School Education:
    1985-1989 University of Iowa College of Medicine, Iowa City, Iowa

    Zeynep Yilmaz-Saab

    Dr. Yilmaz comes to us from the department of radiology at Karmanos Cancer Institute in Detroit, where she has worked since 2012. There, she was medical director for breast imaging since 2016.

    Dr. Yilmaz’s imaging experience includes Digital Mammography; 3D Digital Tomosynthesis; Ultrasound; Breast MRI; Molecular Breast Imaging; CT Chest/Abdomen/Pelvis; Stereotactic, Ultrasound, MRI Guided Biopsy; Ultrasound-Guided Cryoablation of Fibroadenomas; Ultrasound-Guided Fine Needle Aspiration Thyroid Nodules; Ultrasound-Guided Paracentesis and Thorocentesis; Image Guided Wire Localization.

    Dr. Yilmaz has conducted clinical teaching of Wayne State Radiology residents since 2012, and has also lectured at the University of Michigan. Her researched work includes evaluation of a new ultrasound breast scanner and cryoablation of low-risk breast cancers. She lectured as a keynote speaker in emerging and novel technologies in breast imaging at ARRS meeting in Toronto in 2015.

    Board Certified:
    American Board of Radiology

    Fellowship:
    Breast/Body Imaging at University of Michigan Hospital, 2011-2012

    Residency:
    Diagnostic Radiology, University of Michigan Hospital, 2007-2011

    Internship:
    Transition Year, Henry Ford Hospital, 2006-2007

    Medical School Education:
    Wayne State University School of Medicine, 2002-2006