Premier Radiology Services

Expert Age of Injury Analysis

Become a Driving Force of Innovation and Care

Our radiologists are well trained in AOI analysis specifically so that they can better serve your patients. Age of Injury allows our radiologist to examine an MRI report in connection with an MRI image and interpret an objective time frame of when the injury occurred based on his or her findings. We believe insurers want to pay justified claims without delay, and will deliver our AOI reports in a reliably prompt response-time. Our dedication extends itself outside the medical field; we are fully prepared to confidently state our professional opinion, whether in an AOI report, formal or informal deposition, or in the courtroom.

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

Highly Trained Radiologists – Allow Premier to provide an expansive network of qualified support to enhance your services and improve patient service.

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

Specialized Services – Teleradiology is the best way to offer more to your patients, while lowering your overhead. You’ll find with a commitment to Lagniappe 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 well trained to give an expert report on injury related matters. He previously practiced as a partner in a group that covers a level 1 and a level 2 trauma center. He is skilled in recognizing acute injuries that may require rapid management and in separating those from more chronic conditions. An age of injury report consists of reviewing the MRI, CT, X-ray reports as well as the actual study images. He will then relate reported findings to a specific time frame and draw a conclusion whether the findings described are related or unrelated with the injury.

In his practice in the area of legal review work he has worked with some of the top ranked law firms in Florida. His testimony has never been challenged or disqualified. His testimony and opinions meet the Daubert Criteria for Peer review and for Generally Accepted concepts. He relies on his experience in the area of trauma radiology and review of literature which is published in widely read and accepted textbooks of radiology. These textbooks are readily available to the public and are in later editions, having withstood 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. 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 special interest in CT/US Body imaging with an emphasis on Musculoskeletal Imaging. Dr. Kenneth C. Fortgang specializes in expert testimony including case reviews, film reading, conferences, depositions, and trial court witness work for insurance companies and attorneys.

For more information on AOI, please contact us!

For a quick deeper understanding, ​browse the frequently asked questions concerning Age of Injury, below. 


What is an Age of Injury Report?
An age of injury report from a Radiologist will review the MRI report and the actual MRI images and relate reported findings to a specific time frame and draw a conclusion whether the findings described are related or unrelated with the injury.

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 knowledge of date of injury in one of three categories.a) Not related to date of injury (DOI)
b) Indeterminate
c) Related to date of injury (DOI)

What percentage 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 into:a) Indeterminate, but probably unrelated to date of injury (DOI)
b) Indeterminate, but probably related to date of injury (DOI)So that when completed less than 5 percent of our 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. Many times follow-up MRI studies may be helpful. We will provide guidance on what we believe would be most helpful in determining a relationship
of any particular finding with an injury.

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

Is our method supported by scientific data?
Yes, our radiologists are all well trained in radiology in general and AOI analysis, specifically. An MRI study is an objective piece of information that will be available unchanged forever. In broad terms, radiologists are familiar with the signs of acute injury and also the signs of chronic changes on 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.Please also refer to more detailed information which will
be provided for specific body parts.

What if we disagree with the finding from the primary reporting radiologist?
We understand that while radiologists reading “compensation” MRI exams are in general professional, that at times minimal findings may be 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 opinion, whether in an AOI report, formal or informal deposition, or in the courtroom.

Will you work with IME physicians?
Yes, we believe a comprehensive solution is best. We are a fee based organization and will work in all avenues to ensure appropriate claim management can occur.