Can a second opinion change a dementia diagnosis?

A second-opinion radiology report is an additional input into the workup, not a diagnosis in itself. Our Clinical Lead applies MTA, GCA, Koedam, and Fazekas visual rating scales to the brain MRI and provides an independent structured opinion on the pattern of atrophy and the vascular picture. The diagnosis rests with the treating physician or memory clinic team, who considers the imaging alongside cognitive testing, medical history, blood tests, and where appropriate further investigations. The report is designed to make that conversation sharper and more specific.