REALM (Radiology Education and Learning Meeting) or Discrepancy Meetings let colleagues review cases, discuss findings, and improve accuracy. This guide offers flexible steps for running such meetings on CMRAD, adaptable to local preferences
Step 1. Create a Private Group to Host Cases
Set up a dedicated group for posting and managing cases.
Tip: Add and promote trusted group members to owner to help with group administration.
Trusted users can also invite colleagues to join the group via email — [see how here].
Use the group description field to share key information with members — [see how here]. This can include:
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The purpose of the group and learning
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objectives
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Meeting dates, times, or links to online meeting sessions
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Hyperlinks to shared seminars, collections, survey tools, or other resources - [see how here]
The group description field acts as your main communication channel with group members.
Step 2. Post De-Identified Cases as "Anonymous"
CMRAD automatically de-identifies patient information during upload. If preferred, you can post a case anonymously to the group by deselecting your username in the “Publish As” option whilst in draft.
Include in your published case:
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A clear case summary and any discussion questions.
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Clinical context, redacted report text, and any additional images or files (JPEG, PNG, PDF) using the “Add study to case” feature to enrich the case.
Note: To create a multi-study case, the Patient ID DICOM tags must match (even if previously anonymised). If IDs differ, post each study as a separate case and title them accordingly.
- Create a playist via a collection / seminar for the meeting and add link to group description.
🔐 Access Options – Choose What Works Best for Your Meeting
Option A: Private Group (Login Required)
Ideal for recurring meetings with regular attendees, and active case discussions.
Pros:
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Possible participant tracking, group and user notifications and media hosting.
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Case commenting, replies, and ongoing case dialogue.
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Easy access to all cases via the My Groups menu
How:
Trusted group moderators can invite colleagues to join the group via email (new users will need to create an account).
Option B: Share a Password-Protected Seminar link (No Login Needed) 
Best suited for one-off review sessions, guest speakers, or meetings with rotating participants.
Pros:
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Quick, no-login access ( auto expiring link and password)
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Can include anonymous polls and questions in each case
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No need to manage group membership
How:
The uploader creates a Seminar (interactive case collection) and shares access via an auto-expiring link and password. Access details are then shared with participants before the meeting.
Note: The case uploader must create the collection/seminar to enable this option.
Option A + B : Group + Shared Seminar.
💡 Tip: Even if participants are members of the group, you can still use the Seminar feature for the live session case review. This lets you present cases in a focused, interactive playlist while preserving them in the group for follow-up replies, case edits, and long-term teaching. It combines the ease of access with the collaborative benefits of group functionality.
📘 After the Meeting
🗂 Keep cases available in the group as a long-term teaching and learning resource.
🛠 Use features like:
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✏️ Edit Case , ➕ Add Study to Case , 💬 Reply features
…to add: 📄 Summary notes, 📑 Redacted gold standard reports , 🖼 JPEG/PNG images
🔗 Relevant hyperlinks to supporting materials
👥 Logged-in members can revisit cases anytime via their My Groups menu to:
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🧠 Reflect and review, 🔄 Suggest alternative reads , 🔗 Add links or 💬 comment
💡 This flexible approach supports both structured education and informal peer learning.
Final Thoughts
Every site or country may have different rules around case sharing and discrepancy meeting setup. This guide offers a flexible approach to help you set up and run meetings tailored to your preferences. Whether you want a tightly controlled group with case reply features or a password-protected session playlist for occasional participants, CMRAD supports both.
Additional information
Example from the UK 🇬🇧:
Standards for Radiology Events and Learning Meetings – Royal College of Radiologists