A computer-implemented method for combinational computer aided diagnosis (C-CAD) includes providing volume data of tissue, providing a database of disease and pathologies, and providing action items for processing the volume data. The method further comprises selecting at least two diseases of interest for the volume data, selecting at least one action item to be performed for each selected disease, determining a set of decision rules based on an output of a selected action item, and producing a combinational report predicting of the tissue of the volume data.