A system for creating a decision support material indicating damage to at least a part of an anatomical joint of a patient, wherein the created decision support material 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 at least part of the anatomical joint from the storage media; ii) obtain a three-dimensional image representation of the at least part 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, or receiving said three-dimensional image representation from a storage media; iii) identify tissue parts of the anatomical joint, including at least cartilage, tendons and/or ligaments, 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 at least part 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; v) mark damage to the anatomical joint in the obtained three-dimensional image representation of the anatomical joint; vi) add an annotation in connection with one or more pixels/voxels identified as being located on, or surrounding, a determined damage; and vii) generate a decision support material comprising a 2D damage image and a 3D damage image, representing a 3D visualization or 3D model of the at least part of the anatomical joint, and the annotation added, where the determined damage to the at least part of the anatomical joint is marked in at least one of the one or more damage images of the decision support material, and the 3D damage image is generated based on the obtained three-dimensional image representation of the at least part of the anatomical joint. i) receive a series of radiology images of the at least part of the anatomical joint from the storage media; ii) obtain a three-dimensional image representation of the at least part 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, or receiving said three-dimensional image representation from a storage media; iii) identify tissue parts of the anatomical joint, including at least cartilage, tendons and/or ligaments, 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 at least part 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; 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; v) mark damage to the anatomical joint in the obtained three-dimensional image representation of the anatomical joint; vi) add an annotation in connection with one or more pixels/voxels identified as being located on, or surrounding, a determined damage; and vii) generate a decision support material comprising a 2D damage image and a 3D damage image, representing a 3D visualization or 3D model of the at least part of the anatomical joint, and the annotation added, where the determined damage to the at least part of the anatomical joint is marked in at least one of the one or more damage images of the decision support material, and the 3D damage image is generated based on the obtained three-dimensional image representation of the at least part of the anatomical joint.