But you are at a single point in time where decisions are being made for treatments. If one has 5 times the amount (volume) of the other, that means nothing to you? I mean sure, other information is helpful, history is good information, but why is 5 times the volume of the other meaningless? The system seems invented from past when imaging was not available is the problem. We need better solutions, here is something that can be worked in, doesn't mean we don't count history but no ignoring it (as seemingly suggested) and staying the status quo is not a good strategy going forward. Science progresses, here is a real easy fix.