A method is for providing an annotated medical image data set for a patient's radiotherapy planning. In an embodiment, the method includes providing a planning image rule for the radiotherapy planning, including a scanning rule and a first reconstruction rule; retrieving an annotation rule from storage, containing annotation instructions and a second reconstruction rule, different from the first reconstruction rule; acquiring raw data of the patient in accordance with the scanning rule; reconstructing a first and second medical image data set in accordance with the first and second reconstruction rules using the raw data; annotating the second medical image data set in accordance with the annotation instructions, to determine annotated image information; combining the first medical image data set with the annotated image information, to produce the annotated medical image data set; and providing the annotated medical image data set for radiotherapy planning of the patient.