Expert Age of Injury Analysis

Become a Driving Force of Innovation and Care

Our radiologists have over 15 years of diagnostic radiology experience, and they are well-trained in “age of injury” analysis specifically so that they can better assess your patients’ injuries.  An “age of injuryanalysis allows the radiologist to examine an MRI report alongside the corresponding images in order to determine the time frame in which the injury actually occurred. We believe insurers want to pay justified claims without delay, and we deliver our AOI reports in a reliable and prompt manner. Our dedication extends beyond the medical field; we are always prepared to confidently state our professional opinion, whether in an AOI report, as a second opinion, in a formal or an informal deposition, or in the courtroom.

Premier’s cutting-edge services in B-readings and AOI reportings will allow you to provide a wide-range of specialized services—not only that, but it will enable you to become a driving force of innovation within your business as well.

Age of Injury Reporting

Highly Trained Radiologists – Our exceptional team allows Premier to provide an expansive network of qualified support to enhance your services and improve the patient experience.

Timely, Reliable Reports –Premier stands behind its commitment to provide the best customer care possible, so your patients can receive the care they deserve.

Specialized Services – Teleradiology is the best way to offer more to your patients, while lowering your overhead and gaining access to a full range of fellowship-trained radioloigsts. With a commitment to Lagniappe, you’ll find that Premier can make it a seamless, stress-free process to get started.

Dr. Kenneth C. Fortgang

With over 25 years of experience in the diagnostic radiology field, Dr. Fortgang is uniquely qualified to give an expert report on all injury-related matters. He previously practiced as a partner in  a level-one and level-two trauma center. He is skilled in differentiating chronic conditions from acute injuries that may require more rapid management. In an age of injury report, Dr. Fortgang carefully reviews the MRI, CT, and X-ray reports, as well as the actual study images. He then narrows down the time of injury to a specific time frame and draws a conclusion whether the findings described are related or unrelated to  the date of the injury.

In his practice in the area of legal review work, he has worked with some of the topranked law firms in Florida. His testimony has never been challenged or disqualified, and his testimony and opinions meet the Daubert criteria for peer review and for generally accepted concepts. His experience in the area of trauma radiology and his review of literature are published in widely read and acclaimed textbooks of radiology. Dr. Fortgang’s work remains throughout later editions and re-prints of said textbooks,  as his expertise clearly stands the test of time.Dr. Kenneth C. Fortgang is board-certified in diagnostic radiology by the American Board of Radiology. In 1979. he received his M.D. at the Medical College of Georgia in Augusta, GA. He completed his internship and residency in diagnostic radiology at the University of Southern California Medical Center, where he also became chief resident for the Department of Radiology. Dr. Fortgang has also completed a fellowship in vascular and interventional radiology, with a focus on CT/US body imaging and an emphasis on musculoskeletal imaging. Dr. Kenneth C. Fortgang specializes in expert testimony including case reviews, film interpretation, conferences, depositions, and expert witness work for insurance companies and attorneys.

For more information on AOI, please contact us!

For more information about age of injury reports, ​browse the frequently asked questions below.


What is an Age of Injury Report?

What is an Age of Injury Report?

An age of injury report consists of a diagnostic radiologist reviewing an MRI report and images, and relating the reported findings to a specific time frame. The radiologist then draws a conclusion as to whether or not the findings described are related or unrelated to the injury itself.

What kind of conclusions may a claims manager expect from an age of injury (AOI) report?

The specially trained radiologist will give an opinion based on the findings of an MRI and their knowledge of the date of injury, and will place the claim in one of three categories:

  1. a) Not related to date of injury (DOI)
  2. b) Related to date of injury (DOI)
  3. c) Indeterminate findings

What percentage of claims will be in the indeterminate category?

Initial experience is less than 10 percent.

Can we provide additional help in the indeterminate category?

Yes, we can further subdivide the indeterminate category into:

  1. a) Indeterminate, but probably unrelated to date of injury (DOI)
  2. b) Indeterminate, but probably related to date of injury (DOI). When completed, less than 5 percent of initial reports will be completely indeterminate.

Can anything else be done in the indeterminate category?

Yes, we can provide a sequential AOI report, which will look at multiple studies over a post-injury time frame. Frequently, claimants have one or more prior MRI studies before a DOI, or have an undisclosed MRI immediately after a DOI. Often, it may be helpful to conduct follow-up MRI studies. We will provide guidance on what would most accurately determine a relationship between any particular finding and an injury.

Will this be helpful?

Definitely, as we believe insurers want to pay justified claims without delay and to deny unjustified claims without delay. Our AOI report is prompt, reasonable, reliable, and reproducible.

Is our method supported by scientific data?

Yes, our radiologists are all well-trained in diagnostic radiology (generally) and, more specifically, in AOI analysis. An MRI study is an objective piece of information that will be available and unchanged forever. In broad terms, radiologists are familiar with the signs of acute injury and also the signs of chronic changes within imaging exams. Among all radiologists, there will be only a small intraobserver and interobserver variability. Our radiologists are specifically trained so that we can reduce that small variability even further.

What if we disagree with the finding from the primary reporting radiologist?

We at Premier understand that, while radiologists reading “compensation” MRI exams are typically professional, minimal findings are sometimes overstated.

Are we willing to become involved in legal proceedings?

Yes, we have experience and success in that area. Our goal is to make sure justified claims are paid and unjustified claims are denied. To that end, we are prepared to fully, truthfully, and confidently state our professional opinionwhether in an AOI report, in a formal or an informal deposition, or in the courtroom.

Will you work with IME physicians?

Yes, we believe that a comprehensive solution is best. We are a fee-based organization, and will work in all avenues to ensure that claims are managed appropriately.