In accordance with one or more embodiments herein, 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, is provided. The system comprises a storage media and a processor which 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 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； 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. The analysis of said at least one of the series of radiology images and/or the three-dimensional image representation of the anatomical joint 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.
