Radiological assessment of X-ray images and videos

Second Opinions and Evaluation of Diagnostic Imaging

We regularly receive requests from dog owners and referring veterinarians seeking a second opinion on radiographs (X-rays), CT scans, or MRI examinations. We are pleased to offer this service.

To provide the most meaningful assessment possible, we require not only the available diagnostic imaging but, whenever possible, current videos of the dog in motion. Depending on the specific case, recordings of the dog walking, trotting, or performing certain movements can be extremely valuable. Combining imaging findings with movement assessment often allows for a much more comprehensive evaluation than reviewing X-rays, CT scans, or MRI studies alone. Please note that any remote evaluation has inherent limitations. We have not personally examined the dog, observed its movement, performed palpation, or conducted an orthopedic or neurological examination. Our assessment is therefore based solely on the information and materials provided and cannot replace a complete clinical examination.

It is also important to understand that diagnostic imaging such as X-rays, CT scans, and MRI studies primarily reveals structural changes. While these modalities show bones, joints, and other anatomical structures, they do not always explain the functional causes of lameness or pain. As a result, significant imaging findings may sometimes have little clinical relevance, while dogs with minimal or unremarkable imaging findings may still experience substantial discomfort or movement abnormalities. Our evaluation therefore considers not only the imaging findings themselves, but also, where available, submitted videos and the patient’s clinical history. Nevertheless, a remote assessment cannot replace a comprehensive orthopedic, neurological, and functional examination. The most reliable evaluation is always achieved through a direct clinical examination of the patient.

The cost of a written second opinion typically ranges between CHF 150 and CHF 250, depending on the complexity and scope of the submitted materials.

Procedure: If you would like to request a radiological second opinion or remote case evaluation, please complete the registration form and include the note “Radiology Second Opinion / Remote Evaluation”. Once we receive your registration, we will contact you promptly and ask you to submit the relevant materials. These should include available radiographs (X-rays), CT or MRI studies, relevant medical reports, and current videos of your dog in motion. Files can conveniently be transferred using services such as WeTransfer. After reviewing the submitted information, we will estimate the required workload and issue an individual invoice accordingly. Upon receipt of payment, we will perform a thorough evaluation of the case. You will then receive a written veterinary report containing our professional assessment, key findings, and, where appropriate, recommendations for further diagnostic or therapeutic steps.

We appreciate your understanding and thank you for the trust you place in our expertise.