A system for creating a decision support material visualizing the extent of damage to at least a part of an anatomical joint of a patient, wherein the created decision support material is in the form of one or more computer files and comprises one or more damage images, the system comprising a storage media and a processor, wherein the processor is configured to: i) receive a series of radiology images of the anatomical joint from the storage media; ii) obtain a three-dimensional image representation of the anatomical joint which is based on said series of radiology images by generating said three-dimensional image representation in an image segmentation process based on said series of radiology images, and/or receiving said three-dimensional image representation from a storage media; iii) identify tissue parts of the anatomical joint in at least one of the series of radiology images and/or the three-dimensional image representation using image analysis; iv) determine damage to the anatomical joint by analyzing said at least one of the series of radiology images and/or the three-dimensional image representation of the anatomical joint, wherein the analysis uses the identified tissue parts and comprises a selection of: detecting an irregular shape of a contour of at least one tissue part of the anatomical joint; and/or detecting that the intensity in an area within or adjacent to bone and/or cartilage parts of the anatomical joint is higher or lower than a predetermined value; and/or comparing at least one identified tissue part with a template representing a predefined damage pattern for an anatomical joint; and v) generate a decision support material, where the determined damage to the anatomical joint is marked in at least one of the one or more damage images of the decision support material, wherein the one or more damage images is in the form of an interactive 3D model of the anatomical joint or part of it, wherein the processor is further configured to associate the radiology images and the three-dimensional image representation, so that a marking made in one of the images appears in the same position in the other image, and vice versa. i) receive a series of radiology images of the anatomical joint from the storage media; ii) obtain a three-dimensional image representation of the anatomical joint which is based on said series of radiology images by generating said three-dimensional image representation in an image segmentation process based on said series of radiology images, and/or receiving said three-dimensional image representation from a storage media; iii) identify tissue parts of the anatomical joint in at least one of the series of radiology images and/or the three-dimensional image representation using image analysis; iv) determine damage to the anatomical joint by analyzing said at least one of the series of radiology images and/or the three-dimensional image representation of the anatomical joint, wherein the analysis uses the identified tissue parts and comprises a selection of: detecting an irregular shape of a contour of at least one tissue part of the anatomical joint; and/or detecting that the intensity in an area within or adjacent to bone and/or cartilage parts of the anatomical joint is higher or lower than a predetermined value; and/or comparing at least one identified tissue part with a template representing a predefined damage pattern for an anatomical joint; and detecting an irregular shape of a contour of at least one tissue part of the anatomical joint; and/or detecting that the intensity in an area within or adjacent to bone and/or cartilage parts of the anatomical joint is higher or lower than a predetermined value; and/or comparing at least one identified tissue part with a template representing a predefined damage pattern for an anatomical joint; and v) generate a decision support material, where the determined damage to the anatomical joint is marked in at least one of the one or more damage images of the decision support material, wherein the one or more damage images is in the form of an interactive 3D model of the anatomical joint or part of it,