What should happen first?
More testing, surgery, medication, another hospital, or expert review? In complex care, the order of decisions can change the entire path.
When Your Health Changes Everything,
Bring the World’s Best
Medical Minds to Your Side.
Cortexia combines trusted medical AI with world-leading specialists and Key Opinion Leaders to help you make sense of complex records, conflicting opinions, and difficult treatment choices. Wherever you live, we help you understand your options, reach the right experts, and find the strongest path forward.
A critical diagnosis can make the world suddenly feel very small. Cortexia opens it back up.
01 / When the next decision matters
When the diagnosis is serious, the hardest question is often:
What do we do next?
You may already have scans, pathology, test results, and several medical opinions. What you need now is not more information. You need to know what matters, what can wait, and who has the expertise to guide the next decision.
Which opinion should we trust?
When doctors disagree, the answer requires deeper expertise, relevant evidence, and a specialist who understands this exact problem at the deepest level.
Are there better options somewhere else?
The right specialist, a clinical trial, an advanced procedure, or a center of excellence may be outside your local health system — or even in another country.
02 / Trusted Medical AI · Organize the story before deciding the answer
AI That Understands the Medical Story Before It Organizes the Answer.
Cortexia’s medical AI is designed around real medicine — medical records, clinical guidelines, published evidence, treatment pathways, drug information, and physician expertise. It structures fragmented records, identifies the decision that matters now, surfaces missing information, and prepares the case for expert review. AI does not replace the physician: it gives the physician a clearer starting point, and gives you a way to understand what matters before the next decision is made.
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Understand what matters now
Turn a large medical history into the specific decision that needs to be made next.
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Compare the realistic paths
Show which options may fit, what each path is trying to achieve, and where the important trade-offs are.
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Identify what is still missing
Missing records, tests, imaging, pathology, or unanswered questions are clearly surfaced rather than assumed.
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Show what could change the path
Highlight which new result, specialist review, or piece of evidence could materially change what happens next.
Case shown with personal details removed · Ms. C. · Stage IIIA lung adenocarcinoma · Before physician review
Preliminary case intelligenceBased on the records submitted so far
Based on current records, discuss this first
Confirm whether the central chest lymph nodes are involved before deciding the treatment sequence
- Why it matters
- Current imaging raises concern for lymph-node involvement. That finding could change whether surgery or systemic treatment should come first.
- What remains uncertain
- Imaging alone may not establish the full extent of involvement, and additional pathology or specialist review may be needed.
- What could change the path
- Further confirmation of the mediastinal lymph nodes could materially change the treatment sequence — and the specialists who should be involved.
This is a preliminary analysis based on the records available — not a diagnosis or a treatment order. Key questions must be confirmed by the relevant specialists or a multidisciplinary team (MDT).
Start with the records you already have. Cortexia can organize the case, identify what is missing, and show what kind of specialist judgment may matter next — the initial review is free.
Whether to have physicians take a closer look, or to set up ongoing follow-up, is your decision — made after you’ve seen what’s involved and what it costs.
03 / Second Opinion & Virtual MDT · When the decision needs deeper expertise
One Case. The Right KOL.
Or the Right Team of KOLs.
For a defined question, Cortexia can seek the personal judgment of a world-leading specialist. When the case crosses specialties, Cortexia can build a Virtual MDT around the patient — bringing together the right experts to review one organized record and converge on one actionable path. This is not about collecting more opinions. It is about finding the opinion with enough depth, context, and authority to change what happens next.
What the experts are asked to answer
Is the diagnosis and proposed treatment path right for this exact case?
Reviewed against the complete organized record — not a summary of a summary.
What should happen first — and what can safely wait?
The order of decisions, made explicit.
Are the local options sufficient — or should another specialist, center, trial, or treatment be considered?
Including options outside your health system or country.
What uncertainty remains — and what new evidence could change the recommendation?
Stated in the opinion itself, not left unsaid.
The same patient · After physicians reviewed the preliminary analysis above
Formal opinion from the physician team
Confirm the key disease finding before finalizing the treatment sequence
- Why
- Imaging suggests the mediastinal lymph nodes may be involved, which directly affects whether surgery or systemic treatment comes first.
- Still unclear
- Current imaging can’t determine whether one or several stations are involved; no original pathology slides are available for re-review.
- What could change it
- The team may recommend EBUS (endobronchial ultrasound). If only one station is involved, surgery may still come first; if several are involved, the treatment order may need to change.
- Next step
- Complete EBUS within two weeks. Once the result is uploaded, this team reviews it again and updates the plan.
- Please note
- This opinion is based only on the records submitted online. It can’t replace in-person examination or prescriptions; if the condition changes suddenly, seek in-person care immediately.
Case shown with personal details removed. Reviewed by the participating specialist(s) or Virtual MDT — with specialty, institution, date, and remaining uncertainties clearly shown.
If one specialist re-examines the case and gives an opinion, that’s a second opinion; if the question spans several specialties that must confer, that’s a multidisciplinary consultation (MDT). Which one is needed depends on the condition.
Physician review is a paid service. The fee depends on how many physicians take part, their seniority, and the turnaround time. Before anything starts, we tell you who will take part, the expected turnaround, and the exact fee — nothing begins until you confirm.
04 / World-Leading Specialist Network
Not Just Physicians.
The Specialists Who Help Define the Field.
Experts are selected around the exact disease, procedure, therapy, or decision — not simply the broad specialty. The value is not a famous name: it is reaching the physician who understands this exact problem at the deepest level. Field leaders whose work shapes research, trials, and evolving standards of care — by video when travel is unnecessary, in person when being there could materially change the opportunity.
You can verify every participating physician
This information is written into the opinion you receive.
- HospitalThe hospital where the physician actually practices.
- Specialty & titleA specialty relevant to the current question, at senior consultant level or above.
- Personal signatureNo signing on someone’s behalf. If a physician hasn’t personally reviewed the case, their name and opinion never appear.
- Date signedThe date the opinion was formed — viewable at any time afterwards.
- What’s still openWhich questions can’t be settled yet, and what changes would call for a fresh review.
How several physicians reach one recommendation
After each physician weighs in, the differences and the next steps still have to be spelled out.
- Every physician reviews the same complete fileSo opinions don’t differ simply because the information did.
- Each answers the question of their own specialtyFor example: is surgery possible, should systemic treatment come first, what’s missing from imaging and pathology.
- Differences and reasoning are written outWhere they disagree, on what basis, and which test results would help settle it.
- A clear next step is formedWhat to do first and what would change it — signed jointly by the participating physicians.
We cannot promise treatment outcomes. What we can do: make sure you know who reviewed the records, which specialty they’re from, when the opinion was formed, and which questions remain open.
05 / Longitudinal care · Through treatment, recovery, and change
One important decision
is not the end of the journey.
Cortexia keeps the medical story together as treatment moves forward, so new symptoms, test results, or treatment changes can be understood in context. Your care manager keeps organizing results, medications, and changes in how the patient feels — what to watch this week, who handles it, when the next check-up is. Care managers record, remind, and coordinate; they do not diagnose or adjust treatment.
Case shown with personal details removed · Ms. L. · Stage IIIA lung adenocarcinoma, post-surgery
This week’s focusWeek 1 of 12 after surgery
Watch for lung changes this week; no multi-specialty consultation needed right now
- Morning medication as prescribedPatient · Done today 08:10
- Log oxygen saturation and temperatureSpouse · Twice daily
- Book pulmonology assessmentDaughter · This week, bring the latest CT
When something comes up, here is how it’s handled
Routine monitoring
Record expected progress and routine updates in this week’s file.
Care manager review
Look more closely when symptoms, results, or recovery do not follow the expected course.
Physician review
Escalate meaningful changes to the appropriate clinician or specialist.
Urgent / emergency care
When warning signs suggest immediate local medical attention, the process stops and safety comes first.
A new test result should update the path — not force you to start over.
Everything already confirmed — the records, the patient’s and family’s wishes, the tasks in progress — is kept. The care manager organizes the new result, asks physicians to re-examine only what’s actually affected, and makes sure the reason for any change is explained.
Case update · EBUS result uploadedWhy the plan changes
This time, the treatment order changes
The result shows several mediastinal stations involved (multi-station N2 positive)
Previous judgment
Surgery still an optionCurrent judgment
Surgery no longer comes firstKept: prior records, the patient’s and family’s wishes, current medications and monitoring. To reconfirm: the treatment order and the next follow-up date.
This is the condition-management service. It can start after physicians have given a treatment recommendation — or earlier, with a care manager organizing and tracking what you have now.
06 / What you should leave knowing
Not another report.
Five things that should be clear before you move forward.
- 01What matters most right now
Know the single most important question — no more being pulled around by scattered information.
From: organizing the records and questions
- 02Why this step comes before the others
Know what the medical evidence supports — and which information could still change the judgment.
From: the preliminary analysis
- 03Which specialist or expert team stands behind the opinion
Reviewed and signed by the physicians themselves — hospital, specialty, title, and date all visible.
From: second opinion or MDT
- 04What should happen next — and who is responsible
Patient and family know what happens today, who handles it, when the next check-up is, and which changes need immediate action.
From: condition management
- 05What changes if new information or results appear
New tests, symptoms, or opinions are folded in by the care manager, who explains which plans change.
From: condition management
07 / Global Best-Care Search · Care Without Borders
Your Diagnosis Has No Borders.
Your Options Shouldn’t Either.
Sometimes bringing the right expert into the case is enough. Sometimes the strongest realistic option is somewhere else — another center, a clinical trial, a newly available therapy. Either way, the case stays whole: records, opinions, and next steps travel together.
If expert review is enough
- Bring a world-leading specialist into the case by video — without leaving home
- Keep the records, opinions, and recommendations together in one organized case
- Continue follow-up as the situation evolves — later reviews start from the full picture
If better care may exist elsewhere
- Search globally for leading centers, clinical trials, newly available therapies, and advanced procedures
- Compare what is medically realistic — fit, eligibility, timing, travel, and expected burden
- Help the family decide what is truly worth pursuing — then help build the route
Either way, new tests, symptoms, and treatment results keep being recorded. When a physician needs to take a fresh look, the history is right there — no retelling from the start.
08 / Trust & Medical Responsibility · Clear boundaries
Trusted AI. Visible Physicians.
Clear Boundaries.
Cortexia never lets automated organization stand in for a physician’s judgment. We can organize records, medical evidence, and the questions worth discussing — but a preliminary analysis cannot replace an in-person exam, a review of original imaging, or a prescription. Anything that requires a physician’s judgment is handed to a physician to confirm in person.
We only state what the records actually received can and cannot establish. Missing information is never treated as fact, and we never promise treatment outcomes.
Based on the records you actually provide
Missing information is identified, never invented; imaging never uploaded is never treated as reviewed.
AI supports the work — it never impersonates a physician
AI organizes and reasons over the record; it does not replace physician judgment.
Formal opinions are personally reviewed
By the participating physician or Virtual MDT — no personal review, no opinion shown.
Uncertainty and limitations are shown clearly
Including what remains open — and what new evidence could change the recommendation.
Urgent symptoms outrank the process
Local emergency care always comes first — no purchase discussions, no waiting for an online reply.
If there is difficulty breathing, a change in consciousness, persistent chest pain, heavy bleeding, or another potentially life-threatening symptom, go to the nearest emergency department or call your local emergency number immediately. Do not wait for an online reply.
Start here
When the Diagnosis Is Serious, Don’t Let Geography Decide What Is Possible.
Tell Cortexia what is happening. Upload the medical records you already have. We will help organize the story, identify the decision, and show what kind of world-leading expertise or global care search may matter next.
The initial review is free. Whether physicians take a closer look is your decision — made after you see who would take part, the turnaround, and the fee.
