A method of reviewing medical images and clinical data to generate a diagnosis or treatment decision is provided. The method includes receiving, at a computer-aided detection (CAD) system, the medical images and clinical data, processing the medical images and clinical data; to generate initial finding candidates and clustering the initial finding candidates into a plurality of groups. The method further includes classifying the initial finding candidates using machine learning algorithms integrated into the CAD system into one or more categories one or more categories of the initial finding candidates using type 2 fuzz logic, and determining detection and assessment statistics based on at least the assessed categories and classified findings using Bayesian probability analysis. The method also includes modifying the classified findings and assessed categories based on additional interactive input, and generating the diagnosis or treatment decision based on the determined detection, assessment statistics, and the additional interactive input.