PRIMAGE is a major European research project focused on enhancing childhood cancer management through advanced medical imaging and artificial intelligence, funded by the EU with a budget of 10 million euros. The project aims to develop a cloud-based platform that provides predictive tools and in-silico analysis for malignant solid tumors, utilizing machine-learning techniques. With contributions from 16 European institutions, PRIMAGE seeks to implement state-of-the-art clinical decision support systems leveraging high-performance computing and cloud resources.