Subspecialties

Like many other medical specialties, within radiology there are subspecialty practices concentrating on single body parts or disease processes. Radiologists have the option of completing specialized training (fellowship) after residency to concentrate their practice in one or more of these subspecialties. They then concentrate their practice to these confined fields, increasing their expertise in serving the imaging needs of patients and referring physicians.

Huron Valley Radiology is staffed based on subspecialty training and interpretation, providing many fellowship trained radiologists in multiple radiology subspecialties. Our electronic image integration (PACS) allows us to display images anywhere in our system to provide this timely subspecialty expertise, no matter where in our practice a procedure is performed.

Some of our radiologists have also obtained Certification of Added Qualifications for their respective subspecialty (Pediatric Radiology, Neuroradiology), and all are accredited and board certified by the American College of Radiology in their areas of specialized interpretation.

HVR's Subspecialties:


Body MRI/CT

Division Director: Michael Fatt, M.D. and Robert Taila, M.D.

Body Imaging focuses on disease processes in the chest, abdomen, and pelvis. Techniques used include conventional x-ray, CT, PET/CT, MRI, Ultrasound, and image guided biopsy.


Breast Care Services

Division Director: Donna Hoff, M.D..

Breast Care Services concentrates on the screening, early detection, diagnosis, and treatment of breast cancer and other diseases of the breast. Services include digital mammography including CAD (computer aided diagnosis), breast ultrasound, breast MRI, galactography, needle localization, fine needle aspiration, and ultrasound-guided or stereotactic breast biopsy. Our radiologists work closely with other breast care physicians to provide a comprehensive patient oriented service. At Saint Joseph Mercy Health System, we participate with the Breast Care Advisory Committee, and all cancer patient care is discussed at a Multispecialty Breast Cancer Treatment Board where coordination and consultation on treatment options are decided.


Interventional Radiology

Division Director: Paul Lee, M.D.

Interventional Radiology uses minimally invasive (catheter and image guided) techniques to provide treatment of a variety of vascular and non-vascular diseases. Techniques usually can be performed in an outpatient or single day inpatient setting, and provide quicker treatment, less complication, reduced recovery time, and are less expensive, compared to conventional surgery. Vascular techniques include angiography, angioplasty, endovascular stenting, embolization, and thrombolytic therapy. Several techniques are utilized for long term vascular access (PICC line and tunneled catheter placement). Non-vascular procedures include fluoroscopic and Ultrasound guided biopsies, drainage of abscesses/cysts, treatment and evaluation of hepatic and renal interventions, feeding tube placement, vertebroplasty, uterine fibroid embolization, Cyberknife marker placement, and radiofrequency ablation.


Musculoskeletal (MSK) Radiology

Division Director: Sean Theisen, M.D.

Musculoskeletal (MSK) Radiology uses conventional x-ray, CT, MR, Ultrasound and arthrography to diagnose conditions of the bone, joints, and muscles. Various minimally invasive techniques are also available such as joint, bursa, and tendon injections for further diagnosis and treatment of musculoskeletal disease. Specially trained radiologists work closely with orthopedic surgeons and rheumatologists to appropriately diagnose and treat acute traumatic and chronic conditions of the joints and muscles.


Neuroradiology

Division Director: Michael Kasotakis, M.D.

Neuroradiology is a subspecialty that uses all radiology techniques in evaluating and treating disease of the head, neck, sinuses, and spine. MR, CT, MRA, CTA, angiography, myelography, lumbar puncture, and conventional x-ray are all used in this subspecialty. Neuroradiologists work closely with neurologists, ENT (ears nose and throat) surgeons, orthopedic surgeons, and neurosurgeons to provide imaging that supports various image guided surgical procedures and treatments.


Nuclear Medicine

Division Director: John Freitas, M.D.

Nuclear Medicine involves the injection of small amounts of radioactive substances to produce images for the diagnosis and treatment of several medical conditions. Major areas of interest include non-invasive imaging of the heart, bones, lungs, liver/gall- bladder, and thyroid. Also, PET/CT is now utilized to screen, diagnose, stage, and monitor treatment for a variety of cancers. Nuclear Medicine trained physicians also treat several medical conditions with radioactive tracer injection; primarily diseases of the thyroid and adrenal glands.


Pediatric Radiology

Division Director: Kimberly Garver, M.D.

Pediatric Radiology uses all radiology techniques to evaluate disease in the neonatal, infant, childhood, and adolescent age groups. Emphasis on non-ionizing radiation techniques are preferred in this population with special attention to Ultrasound and MR. Techniques using conventional x-ray and CT are adjusted to reduce radiation exposure. Our pediatric radiologists have received special training in the diagnosis and bedside treatment of this special group of patients.


Ultrasound

Division Director: Richard Bowerman, M.D.

Ultrasound (Sonography) uses high frequency sound waves to create images. This technique is extremely operator and machine dependent, and our physicians, technologists, and equipment meet and exceed all current accreditation standards to provide these services. Also, since the technique is real time and user dependent, images are reviewed by the radiologist at the time of scanning to provide the most accurate and timely diagnosis. Ultrasound is used to evaluate a variety of conditions in the body, with emphasis on obstetrics, gynecology, hepatobiliary, renal, thyroid, vascular, and scrotal disease. Ultrasound is also used in a variety of other radiology subspecialties to support the imaging of other body parts and disease processes (breast, MSK, pediatrics, etc).