Computer assisted detection (CAD) is made accessible to more medical offices. The CAD is provided as a service. Customers gain access to CAD service through a computer network but without the purchase of expensive software and/or hardware. The customers use software for extracting needed patient data to use the CAD service. The CAD service provider uses a server farm or third party server facilities, allowing growth without as substantial upfront costs. The CAD service provider collects patient data by providing the service. The aggregated patient data allows training of different or improved CAD algorithms. The service also identifies suspect data, such as associated with incorrect imaging settings, and provides help to the customers.