Metastatic Breast Cancer Coordinated Treatment
When breast cancer spreads to the brain, patients now have access to a coordinated care team at the University of Michigan Rogel Cancer Center.
The Improve Metastatic Breast Cancer Patient Access to Coordinated Treatment (IMPACT) Team is a collaboration of brain cancer and breast cancer physicians, nurse practitioners and nurses. Metastatic breast cancer patients also have access to genetic testing and counseling, rehabilitation medicine, neuropsychology, and palliative care.
Our goal is to Improve Metastatic breast cancer Patient Access to Coordinated Treatment that is personalized for your needs through our IMPACT the Brain program.

Treatment options could include:
Supportive care options could include:
IMPACT Team encompasses the following members:

Aki Morikawa, M.D.
Medical Oncology

Jason Heth, M.D.
Neurosurgery

Michelle Kim, M.D.
Radiation Oncology

Denise Leung, M.D.
Neuro-oncology

Sean Smith, M.D.
Physical Medicine and Rehabilitation

Nicolette Gabel, Ph.D.
Physical Medicine and Rehabilitation, Neuropsychology

Sofia Merajver M.D., Ph.D.
Breast Cancer Genetics

Ayano Kiyota, M.D.
Palliative Medicine

Donna Pierce-Gjeldum, R.N.
IMPACT the Brain Program Coordinator
Donna has been an oncology nurse for more than 15 years. She has been part of the breast cancer team since 2012. She is a constant advocate for her patients and passionate in providing the best care for them.
If you have questions, please contact Donna at 734-277-8464 or fill out the online referral form.