Second Opinion in Radiology

Welcome to the Home page for Second Opinion in Radiology

Offered to you by the Radiology department of the Virchow Klinikum, Berlin

If you are new to this facility, please read the instructions on how to send material for second opinion. Currently, second opinion through Internet is available in the field of Radiology offered by the Virchow Klinikum. Currently, use of this facility is free of charge.

Request for second opinion in the area of Radiology can be sent through E-mail. If you want to include images, documentation and related material, enclose these files as attachments. If you are running Netscape 1.1 or up, or Internet Explorer 1.0 or up you can use the integrated mail facility and just click

With any other browser, send your E-mail with a mail package that supports MIME attachments to:

Although your material will be handled discretely, the data you enclose should be anonymous.

Offered by:

Strahlenklinik und Poliklinik
(Director: Prof. Dr. Dr. h.c. R. Felix)
Virchow Klinikum
Medical Faculty, Humboldt University Berlin
Augustenburgerplatz 1
13 353 Berlin

instructions on how to send material for second opinion


The easiest way of sending a second opinion request is to attach an image file to an Electronic mail message with an optional field in the 'Attachments' section of the mail header, or in case of a Windows mail package, under a menu option such as 'Message' and 'Attach document'.


The complete email should be kept small. If a package is rejected on its way through numerous mail nodes, it most likely will be returned to you along with an error message. In this case, use image compression or submit the images separately, every email containing information which allows us to identify the image as belonging to a sequence (eg. title of the image sequence, number of images altogether, and position of the image in the sequence). It is absolutely necessary for us to receive a brief patient history with all helpful clinical information.


The following image files can be processed:

  1. Imaging systems integrated in your local network: send images of any digital imaging source in original format (ACRNEMA or Dicom) attached to the electronic mail. ACRNEMA and DICOM are not supported as a standard MIME image format. To make automatic identification possible on the recipients side, a couple of changes need to be done to the configuration of the sending application, since otherwise our mail viewer may not be able to identify MIME-encoded files. In Netscape v2.0 on PCs, you would find the appropriate dialogue under Options/General-Preferences/Helpers. Here you create a new mime type (image) with sub type (ACR-NEMA or DICOM). Then you add the affiliated file extensions (do,ima,acr,nema). Hopefully, this way corrupted files can be avoided.
  2. Hardcopies of radiological images, scanning with a ccd-scanner: applicable for any kind of image. Send images in standard multimedia formats (e.g. GIF, TIFF, JPEG). Mammographies most likely will have limited quality.
  3. Scanning with a document camera: only applicable for CT or MRI images. Information loss will occur for any conventional x-ray (most cameras do not handle the number of grey shades displayed on conventional radiographs). Send images in standard multimedia formats.

For any other format, please ask us at

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Date last modified: Thursday, 25-Jan-96 13:56:48 cest