Launching soon · oncologic teleradiology

Precision in measurement.
Confidence in the treatment decision.

We are about to launch expert CT teleradiology for oncology — drug programmes, monitoring of chemo-, immuno- and radiotherapy response, and clinical trials, in line with RECIST 1.1 and iRECIST criteria. We are already building the team and forming partnerships.

20+
years of the team’s experience in oncologic radiology
100 000+
CT studies in our radiologists’ track record
RECIST 1.1
and iRECIST — standards for treatment-response assessment
100%
of reads performed by experienced radiologists — no exceptions
COMPANY IN FORMATION
Go-live coming soon. We are building the team and forming partnerships with oncology centres, CROs and teleradiology companies. Get in touch now — we’ll agree terms ready for launch.
Register interest
About us

A narrow specialty. The highest quality.

RECIST Oncologic Teleradiology brings together radiologists who have worked in oncologic imaging for over two decades. We are not a general-purpose teleradiology service — we have deliberately narrowed our scope to what we do best.

We report computed tomography only — for oncologic drug programmes and for monitoring the efficacy of chemotherapy, immunotherapy and radiotherapy. Every study is assessed in full clinical context, compared against all of the patient’s available imaging: prior CT, MRI, PET, SPECT and more.

Our radiologists have taken part in international clinical trials and understand the requirements of sponsors and CROs as well as the realities of drug-programme reimbursement. We know that the decision to continue therapy hinges on the precision of a target-lesion measurement. see how we show this in a report

Modalities in our work

We report CT — we compare against everything available.

Computed tomography (CT)WE REPORT
Magnetic resonance (MRI)WE COMPARE
PET / PET-CTWE COMPARE
SPECT / scintigraphyWE COMPARE
Ultrasound & prior studiesWE COMPARE
Our product — the report

The report your treatment decision rests on

This is not an ordinary study result. It is a structured document with a RECIST 1.1 measurement table, a calculated response category and conclusions ready for drug-programme documentation and tumour boards. See what it looks like in practice — below is an excerpt of a real report structure.

CT_report_response-assessment.pdf RESPONSE ASSESSMENT
First treatment-response assessment
Breast cancer T2N1M1 · drug programme · compared with baseline
−37%
Partial response (PR)Sum of target-lesion diameters: 121 mm → 76 mm. No new lesions.
Target lesionBaselineCurrentChange
Right breast tumour33 mm20 mm−39%
Liver metastasis (segm. 8)45 mm29 mm−36%
Right-lung lesion13 mm8 mm−38%
Mediastinal node (short axis)16 mm9 mm−44%
Sum of diameters (SLD)121 mm76 mm−37.2%
→ PR — partial response · nadir SLD 76 mm
Original: PDF with a qualified electronic signature · reporting radiologist’s name and licence number
Services

Oncologic radiology across the full CT spectrum

From drug-programme eligibility to final response assessment — we deliver reads you can base treatment and reimbursement decisions on.

Oncologic drug programmes

CT reads that meet the requirements of reimbursed drug programmes — complete, on time and prepared around eligibility and monitoring criteria.

  • Baseline eligibility assessment
  • Follow-up studies on the programme schedule
  • Tabulated target / non-target lesion assessment

Treatment-response assessment

Monitoring of chemotherapy, immunotherapy and radiotherapy efficacy against recognised criteria — with an unambiguous response category (CR / PR / SD / PD).

  • RECIST 1.1 and iRECIST
  • Pseudoprogression assessment in immunotherapy
  • Consistent measurement baseline across studies
see a sample response assessment (PR)

Clinical trials

Imaging support for research sites, sponsors and CROs. Our radiologists have worked in international clinical trials and know the rigour of the protocols.

  • Assessment per the trial protocol
  • Experience with audits and queries
  • Single-reader continuity across assessments

Second opinion

A fresh expert read of CT studies in doubtful, discordant or treatment-critical cases — including a review of prior measurements.

  • Verification of progression / response
  • Consultation ahead of a treatment decision
  • Opinion for multidisciplinary teams
RECIST 1.1 iRECIST Reimbursed drug programmes Chemotherapy Immunotherapy Radiotherapy
Response-assessment pitfalls

A correct measurement is not enough

In oncologic response assessment two radiologists can both measure correctly — and reach opposite conclusions. We know these mechanisms from practice, which is why our rule is continuity of one team, one methodology and full multimodal comparison.

PITFALL 01 · RECIST 1.1

Measurement drift between centres

The same tumour cut in a different plane yields a different longest diameter. Both radiologists measure correctly, yet the conclusions are opposite: −21% (response) for one, +23% (progression) for the other. Without a continuous measurement baseline the numbers stop being comparable.

RISK TO THE PROGRAMME / TRIALFalse progression or false response — and a treatment decision based on a measurement artefact rather than disease biology.
PITFALL 02 · iRECIST

Pseudoprogression in immunotherapy

A lesion “grows” because immune cells infiltrate it — the treatment is just starting to work. Assessed by RECIST 1.1 alone it would be called progression; iRECIST requires confirmation on the next scan before therapy is stopped.

RISK TO THE PROGRAMME / TRIALPremature discontinuation of effective immunotherapy and loss of the patient from the programme on the basis of apparent progression.
PITFALL 03 · BONE LESIONS

Bone flare

An osteolytic lesion can be barely visible at first. As the bone heals it sclerotises and “reveals itself” on imaging — looking like a new lesion, though it is proof of treatment response. Without comparison against the full imaging history the error is easy to make.

RISK TO THE PROGRAMME / TRIALReading “new lesions” where healing is under way — an unjustified switch of response category to progression.

We expand on each of these mechanisms — with a full explanation, worked numbers and how we prevent them. See also the model report structure that counters these pitfalls.

Read about assessment pitfalls Sample reports
“The decision to continue therapy hinges on the precision of a target-lesion measurement. That is why we measure as if a life depended on it — because it does.”

The RECIST Oncologic Teleradiology team

B2B partnership

Three partnership models

Soon we will work with oncology centres, clinical-trial organisations and other teleradiology companies. Choose your model and let’s agree terms before go-live.

For hospitals and cancer centres

We take over the CT reads generated within drug programmes and oncologic treatment monitoring — relieving your radiology department while guaranteeing a uniform standard of assessment.

  • Reads prepared for reimbursed drug-programme requirements
  • Steady, predictable turnaround (SLA matched to the dosing schedule)
  • Comparison against the patient’s full imaging history (CT, MRI, PET, SPECT)
  • Target / non-target lesion table ready for programme documentation
  • Direct consultation with the reporting radiologist
Request a quote for your centre

Why centres trust us

Uniform reporting standardEvery read in the same structured form — legible to the oncologist and the payer.
Timing aligned with therapyThe read is ready before the eligibility visit and the next treatment cycle.
Measurement continuityThe same team follows the patient across successive scans — no shifts in methodology.

For sponsors and CROs

We provide radiological assessment of CT studies in clinical trials — from site reads to consistent serial assessments of patients across protocol time points.

  • Radiologists experienced in international clinical trials
  • Assessment per RECIST 1.1 / iRECIST and protocol-defined criteria
  • Single-reader continuity throughout the patient’s participation
  • Experience with EDC systems and query responses
  • Confidentiality and work compliant with GCP
Let’s talk about your project

Value for the research project

Protocol rigourWe know the specifics of the imaging charter and time-point assessment requirements.
Measurable reproducibilityA fixed measurement methodology minimises variability between assessments.
Flexible scaleFrom single sites to multi-centre projects — we respond quickly.

For teleradiology companies

We are the expert back-end for broad-profile teleradiology companies. Send us the oncologic CT from drug programmes — we provide the specialist assessment, you keep the client relationship.

  • Sub-contracting in a narrow niche only — we do not compete for your clients
  • RECIST assessment you don’t have to build in-house
  • We take on studies requiring multimodal comparison (MRI, PET, SPECT)
  • Flexible billing models: per study or in packages
Establish a partnership

The partnership model

We complement, not replaceWe operate solely in the oncologic CT niche — your service portfolio stays yours.
Predictable throughputGuaranteed volumes and turnaround — including at peak periods.
Relationship confidentialityNDAs and clear rules for contact with the end client.
How we work

A simple process, a rigorous methodology

From study upload to finished report — with no friction on your side.

Secure study transfer

DICOM transfer over an encrypted channel together with prior comparison studies (CT, MRI, PET, SPECT) and the necessary clinical context.

Analysis in full context

The radiologist assesses the study against the patient’s entire imaging history, maintaining continuity of the existing measurement baseline.

Structured report

A report with a target / non-target lesion table, measurements, sum of diameters and an unambiguous response category per RECIST 1.1 / iRECIST. see the template

Delivery and consultation

The report within the agreed SLA. In ambiguous cases — direct contact with the reporting radiologist.

Careers

Join the RECIST team

We are looking for experienced oncologic radiologists who want to work in a narrow specialty at the highest level. We are building the team and happy to talk already now.

Oncologic radiologist (CT reporting)

We are looking for physicians for whom oncologic response assessment is a daily craft — not an add-on to on-call shifts.

  • Board certification in radiology — a minimum of 3 years post-specialisation
  • A documented track record at high-referral oncology centres
  • Proficiency in RECIST 1.1 / iRECIST and familiarity with drug-programme realities
  • Clinical-trial experience is a plus
Apply — get in touch

What we offer

Fully remote workYou report from your own reading room, on a flexible engagement.
Oncologic CT onlyNo on-call “read-everything” shifts — one field, deep expertise.
Terms matched to expertiseB2B billing and rates that reflect the specialist nature of the work.
Contact

Let’s talk before launch

We go live soon. Write now — we’ll share a sample report structure and agree terms of collaboration ready for launch, tailored to your organisation. We reply within one business day.

Poland · fully remote (teleradiology)
Diagnostic monitors in the RECIST reading room

or email us directly: kontakt@recist.pl