Global Clinical Consultation Platform & Specialist Precedent Network

No complex case stays unprecedented simply because the right specialist is not here right now.

Clarivius connects treating physicians and patients facing complex, rare, or unresolved diagnoses with verified sub-specialists worldwide who have documented hands-on experience resolving that exact pathology—even when it sits outside all 24 European Reference Networks.

What Clarivius Is: A global clinical consultation platform and specialist precedent network offering two dedicated pathways: Clarivius Peer (rapid, zero-PII doctor-to-doctor consultations for physicians and hospitals) and Clarivius Direct (consent-backed specialist second opinions and full DICOM MRI/CT reviews for patients). A global clinical consultation platform and specialist precedent network offering two dedicated pathways: Clarivius Peer (rapid, zero-PII doctor-to-doctor consultations for physicians and hospitals) and Clarivius Direct (consent-backed specialist second opinions and full DICOM MRI/CT reviews for patients).

Read the Case Study
Indexed by Documented Surgical & Diagnostic Precedent Hard Isolation Between Peer & Direct Pathways EU Data Residency (GDPR Compliant)
Specialist Precedent Index · Case #CV-204 Precedent Verified
Age: 42 yrs Sex: Male BMI: 24.6 kg/m² Reconstructive Urology / 3T Pelvic MRI

"Recurrent perineal fistula post-FiLaC laser closure with clear mucoprotein discharge triggered by sexual arousal. Retrograde urethrography (UCG) and pelvic CT negative; 3T T2-weighted pelvic MRI identifies communication with the right Cowper's gland (glandula bulbourethralis) in the deep perineal pouch."

Top Verified Sub-Specialists by Documented Precedent

1. Reconstructive Urethral & Andrology Unit (London, UK)

14 documented bulbourethral syringocele & fistula repairs · Published urethrography series

98% Match

2. Academic Endourology & Pelvic Floor Center (Perugia, IT)

9 adult Cowper's gland Holmium:YAG laser marsupialization cases · Peer endorsed

94% Match

3. Tertiary Reconstructive Urology Center (Utrecht, NL)

7 transperineal bulbourethral extirpations & deep perineal pouch reconstructions

91% Match
Platform Definition & Three-Pillar Architecture

What Is Clarivius?

Clarivius is a Global Clinical Consultation Platform and Specialist Precedent Network. Unlike generic hospital directories or consumer symptom checkers, Clarivius combines an indexed global registry of verified specialist case histories with two purpose-built consultation workflows—one for treating physicians and hospitals, and one for patients.

01
The Core Intelligence Network

Global Specialist Precedent Index

Hospital directories list clinicians by broad department ("Urology" or "Surgery"), hiding who has actually solved a rare anomaly. Clarivius indexes verified sub-specialists worldwide by documented anatomical precedent—specific rare pathologies operated on, published surgical series, high-resolution MRI protocols, and peer endorsements.

02
For Physicians & Hospitals

Clarivius Peer (Doctor-to-Doctor Platform)

A zero-PII clinical consultation workflow for treating physicians, multidisciplinary tumor/radiology boards, and hospital departments. Submit a structured 4-field clinical case (Age, Sex, BMI, Clinical Narrative) in 90 seconds and receive a signed peer consultation summary from an international colleague who has treated that exact presentation.

03
For Patients & Families

Clarivius Direct (Patient-to-Specialist Service)

A dedicated, consent-backed specialist second-opinion and diagnostic review service for patients facing unresolved or complex conditions. Upload full DICOM imaging (3T MRI, CT) and clinical records in an isolated EU vault for deep sub-specialist review and three-way alignment with your local treating physician and hospital.

End-to-End Clinical Workflows

How Clarivius Works

Clarivius operates two strictly separated clinical pathways so hospital physicians can consult international peers rapidly with zero personal data, while patients can submit full identifiable imaging dossiers under explicit per-consultation GDPR consent.

Pathway A · Doctor-to-Doctor & Hospital Network

Clarivius Peer — Anonymised Physician-to-Specialist Consultation

1

Structured 4-Field Case Intake

The treating physician enters only four clinical parameters in under 90 seconds: Age, Sex, BMI, and a Free-Text Clinical Narrative detailing symptom triggers, negative imaging or lab results, prior procedures, and the specific diagnostic or surgical question., Sex, BMI, and a Free-Text Clinical Narrative detailing symptom triggers, negative imaging or lab results, prior procedures, and the specific diagnostic or surgical question.

2

Automated Zero-PII Privacy Shield

Before the case leaves the browser or enters the index, our Compliance Gate automatically scans and blocks any accidental personal identifiers (names, dates of birth, national ID numbers, hospital record numbers, phone numbers, or email addresses).

3

Precedent & Endorsement Matching

The Matching Engine ranks verified international sub-specialists by documented clinical similarity—matching specific anatomical structures, prior surgical series, high-field imaging protocols, and peer endorsements rather than generic department titles.

4

Collegial Exchange & Signed Summary

The matched specialist reviews the structured presentation and delivers a signed peer consultation summary outlining differential MRI sequences, anatomical pitfalls, and surgical options. Full clinical responsibility remains with the treating physician.

Pathway B · Patient-to-Specialist Direct Review & Chat

Clarivius Direct — Consented Case Review & Direct Specialist Dialogue

1

Consented Intake (Imaging Optional)

Under per-consultation GDPR (Art. 6 & 9) informed consent, the patient submits their chronological medical history, previous discharge letters, and lab reports. Imaging is completely optional: if you have MRI, CT, or X-rays, upload them; if not, that is completely fine—many complex cases are resolved through clinical history and histology alone.: if you have MRI, CT, or X-rays, upload them; if not, that is completely fine—many complex cases are resolved through clinical history and histology alone.

2

Sub-Specialist Precedent Selection

Clarivius matches the case to a verified international sub-specialist who has documented clinical experience, surgical series, or published research addressing that exact anatomical or rare condition.

3

In-Depth Dossier & Timeline Review

The matched sub-specialist meticulously reviews your diagnostic timeline, previous surgical and medical interventions, histology results, and any available imaging sequences against known physiological triggers.

4

Interactive Chat & Signed Handover Brief

Not a one-off report: you enter a private, secure textual chat room with your specialist to ask follow-up questions and chat directly over several days. You also receive a signed Specialist Report and a 1-page Handover Brief for your local doctor. you enter a private, secure textual chat room with your specialist to ask follow-up questions and chat directly over several days. You also receive a signed Specialist Report and a 1-page Handover Brief for your local doctor.

Founding Clinical Case Study · De-Identified 18-Month Journey

18 Doctors, 18 Months, and a Unilateral Cowper's Gland (Glandula Bulbourethralis) Anomaly

Clarivius was founded after an 18-month diagnostic odyssey across five medical specialties (General Surgery, Proctology, Urology, Radiology, and Microbiology). Here is the exact clinical progression showing why rare anatomical pathologies stall inside departmental silos—and how indexed specialist precedent resolves them.

18 Doctors
Consulted across regional & university hospitals
18 Months
From initial perineal mass to definitive surgical indication
5 Specialties
Surgery · Proctology · Urology · Radiology · Microbiology
0 / 24 ERNs
Outside every official European Reference Network catalogue
< 72 Hours
Target match to published European bulbourethral specialists
Predictable Clinical Access

Transparent Pricing for Hospitals & Patients

No hidden fees, no recurring software subscriptions required for basic access, and zero advertising kickbacks. Clear per-consultation pricing.

Pathway A · For Doctors & Hospital Departments

Clarivius Peer

Rapid, de-identified peer-to-peer consult for hospital physicians, surgical teams, and outpatient clinics facing rare anatomical or unresolved diagnostic presentations.

€190
/ case consult (or €850 / 5-case pilot)
Zero Paperwork: 4-field intake (Age, Sex, BMI, Narrative) takes under 90 seconds. Fully compliant with GDPR Recital 26 without patient forms.
  • ✓ Rapid 90-Second Intake: 4 non-PII clinical parameters only.
  • ✓ Specialist Precedent Matching: Ranks specialists by published case history.
  • ✓ < 48-Hour Turnaround SLA: Fast peer input before scheduled procedures.
  • ✓ Signed Peer Brief: Diagnostic sequence pitfalls and surgical indications.
  • ✓ Institutional Billing: Department invoice with full EU VAT compliance.
View Full Institutional Volume Tiers & Pricing FAQ →
Interactive Platform Preview · Clarivius Peer

Test the 4-Field Case Structuring & Privacy Shield

See how Clarivius structures a complex presentation into four clinical fields, automatically blocks accidental personal identifiers in real time, and ranks verified international sub-specialists by documented precedent.

Clarivius Peer — 4-Field Clinical Case Profile Zero-PII Verified · Ready to Match
Matched Sub-Specialists (Ranked by Precedent) Non-Diagnostic Peer Index
Reconstructive Andrology & Urethral Surgery Lead (London, UK) 98% Match

14 documented bulbourethral duct & syringocele cases · Co-author of European urethrography & perineal fistula series.

Minimal-Access Endourology & Laser Unit (Perugia, IT) 94% Match

9 adult symptomatic Cowper's syringocele cases treated via transurethral Holmium:YAG laser marsupialization.

Academic Pelvic & Urogenital Reconstructive Center (Utrecht, NL) 91% Match

7 complex post-FiLaC urogenital-perineal fistulas resolved via 3T T2 MRI mapping and transperineal excision.

Specialist Matching Paused by Privacy Shield

Personal identifiers were detected in the clinical narrative. Click "1. Clean Anonymised Case" or edit the text to restore zero-PII compliance.

About Clarivius · Mission, Origin & Governance

Built so No Complex Case Stays Unprecedented

Our mission: "No complex case stays unprecedented simply because the right specialist is not here right now."

LS

Lukas Sirucek

Founder & Product Lead
Prague, Czech Republic

Senior technical product leader building high-reliability health routing systems with European clinical collaborators.

Founder's Note

"The medical knowledge existed in Europe. What didn't exist was any way to route the case."

Clarivius started from an exhausting personal reality: watching a loved one bounce across 18 doctors and 5 departments (Surgery, Proctology, Urology, Radiology, Microbiology) over 18 months—enduring misdiagnoses, a failed laser operation, and false-negative scans for a treatable bulbourethral gland condition that reconstructive urology teams in London, Utrecht, and Perugia had already published.

We are building Clarivius with a lean team of senior engineers and clinical researchers headquartered in Prague. We don't sell advertising, we don't automate diagnoses with black-box AI, and we believe patients and doctors deserve direct dialogue with verified human experts.

Meet Our Full Engineering & Advisory Team →

1. Precedent Over Prestige

Specialists are matched strictly by documented rare-case history, surgical series, and peer endorsements—never by paid placement or advertising.

2. Privacy by Architecture

Zero-PII peer consultations and consent-backed patient dossiers operate on physically separate schemas, encryption keys, and access roles.

3. Human Clinical Authority

Software structures cases and indexes precedent; only verified, licensed human sub-specialists author clinical consultation opinions.

4. Shared Care Alignment

Every consultation is structured to support and empower the patient's local treating physician and hospital surgical team.

Architectural Separation Between Clarivius Peer & Clarivius Direct

Dimension Clarivius Peer (Doctor-to-Doctor) Clarivius Direct (Patient-to-Specialist)
Permitted Data Fields Strictly 4 non-identifiable fields: Age, Sex, BMI, and de-identified Clinical Narrative. Full clinical timeline, laboratory reports, and multi-planar DICOM imaging (3T MRI, CT, Ultrasound).
Legal & Privacy Basis Zero-PII anonymised processing protected by automated client- and server-side identifier blocking. Explicit per-consultation patient informed consent under GDPR Art. 6(1)(a) and Art. 9(2)(a).
Database & Key Isolation Dedicated Peer schema, audit log, and vector index; zero cross-track foreign keys. Isolated encrypted EU patient vault with separate KMS key hierarchy and consultation-scoped access roles.
Clinical Deliverable Signed peer-to-peer consultation summary delivered directly to the treating physician. Comprehensive written specialist report + Treating-Physician Alignment Brief for shared local hospital care.
Clinical, Platform & Governance FAQ

Frequently Asked Questions

Clear answers on how Clarivius operates for treating physicians, hospital directors, sub-specialists, and patients facing complex or rare conditions.

What is Clarivius — is it a product, a platform, or a medical service?

Clarivius is a Global Clinical Consultation Platform and Specialist Precedent Network. It combines a searchable Global Specialist Precedent Index with two dedicated clinical pathways: Clarivius Peer (a zero-PII doctor-to-doctor consultation platform for treating physicians and hospitals) and Clarivius Direct (a consent-backed patient-to-specialist consultation and DICOM imaging review service).

How does Clarivius Peer work for treating physicians and hospital departments?

In Clarivius Peer, a treating physician submits a structured 4-field clinical case (Age, Sex, BMI, and de-identified Clinical Narrative) in under 90 seconds. Automated privacy filters verify that zero personal identifiers are present, the Precedent Engine ranks verified global sub-specialists by documented clinical experience with that exact pathology, and the matched specialist returns a signed peer consultation summary while clinical responsibility stays 100% with the treating doctor.

How does Clarivius Direct work for patients seeking a specialist review?

In Clarivius Direct, patients submit their chronological medical history, lab results, and full multi-planar DICOM imaging (such as 3T Pelvic MRI or CT scans) under explicit per-consultation GDPR informed consent inside an isolated EU vault. Clarivius matches the dossier to a verified international sub-specialist who inspects the raw imaging sequences and delivers a comprehensive written specialist opinion plus a Treating-Physician Handover Brief for shared care with the patient's local hospital.

Why do retrograde urethrography (UCG) and CT scans often miss Cowper's gland (glandula bulbourethralis) fistulas?

During retrograde urethrography (UCG), positive intraluminal contrast pressure inside the bulbar urethra frequently compresses the oblique bulbourethral duct orifice shut like a one-way flap valve, preventing contrast from entering the Cowper's gland duct and yielding a false-negative read. High-resolution 3T T2-weighted and fat-suppressed STIR pelvic MRI visualizes the mucin-filled bulbourethral gland and its fistulous tracks directly within the deep perineal pouch without requiring retrograde cannulation.

How does Clarivius protect patient data under GDPR and EU healthcare regulations?

Clarivius enforces hard architectural separation between its two tracks. Clarivius Peer processes only four non-identifiable parameters (Age, Sex, BMI, Clinical Narrative) with automated PII blocking. Clarivius Direct processes identifiable records and DICOM imaging in a completely separate database schema, encryption key hierarchy, and role boundary hosted in the European Union under explicit GDPR Art. 6 and Art. 9 consent.

Does Clarivius use AI to diagnose patients or replace my treating doctor?

No. Software and AI components on Clarivius are strictly restricted to case structuring, personal-identifier blocking, and specialist precedent indexing. They never generate medical diagnoses or treatment recommendations. Every clinical consultation is authored by a verified human sub-specialist and is designed to support the patient's local treating physician.

Clarivius Direct · Patient-to-Specialist Consultation & Shared Care

Direct Specialist Case & Imaging Review for Complex or Unresolved Conditions

When your case remains unresolved after multiple consultations, Clarivius gives you two immediate ways forward: invite your treating physician to consult a matched international peer via Clarivius Peer, or initiate a consent-backed specialist dossier & DICOM imaging review via Clarivius Direct.

Option A · Empower Your Local Treating Doctor

Generate a 1-Page Treating-Physician Consultation Brief

Many hospital specialists welcome international sub-specialist input when it takes less than 90 seconds and requires zero patient paperwork. Print or save our 1-page Treating-Physician Brief to hand to your urologist, surgeon, or radiologist at your next appointment.

Option B · Clarivius Direct Consultation Request

Request a Consent-Backed Specialist Dossier & DICOM Review

Register your consultation request below. Please do not paste medical history or imaging links in this initial contact form—our clinical coordination team will provision your isolated, GDPR-consented EU upload vault first.

Clarivius Peer Global Clinical Consultation Platform & Specialist Precedent Network (clarivius.com)
For the Treating Physician

Collegial Sub-Specialist Precedent Consultation — In Under 90 Seconds, Zero Patient PII

Dear Colleague, your patient is sharing this brief because their presentation involves a complex, recurrent, or rare pathology where international sub-specialist precedent may assist your local diagnostic or surgical workup.

How Clarivius Peer Protects Your Time & Governance

  • ✓ Strictly 4 Anonymised Fields: Age, Sex, BMI, and de-identified Clinical Narrative. Zero patient names, DOB, or hospital IDs. Age, Sex, BMI, and de-identified Clinical Narrative. Zero patient names, DOB, or hospital IDs.
  • ✓ Matched by Real Precedent: Connects you with verified sub-specialists who have published on or operated on this exact anomaly. Connects you with verified sub-specialists who have published on or operated on this exact anomaly.
  • ✓ 100% Treating-Physician Authority: You receive a signed peer summary; all clinical decisions remain in your hands. You receive a signed peer summary; all clinical decisions remain in your hands.

Example: Bulbourethral (Cowper's) Gland Precedent

In recurrent perineal fistulas with post-ejaculatory mucoprotein discharge where retrograde urethrography (UCG) and CT are negative due to one-way ductal valve compression, Clarivius Peer connects treating urologists and surgeons directly with European centers experienced in 3T T2/STIR pelvic MRI mapping, Holmium:YAG laser marsupialization, and transperineal bulbourethral excision.

Access Clarivius Peer at: https://clarivius.com · Clinical Desk: [email protected] · Clinical Desk: [email protected] © 2026 Clarivius. All rights reserved.