The application of Digital Twin (DT) technology and Federated Learning (FL) has great potential to change the field of biomedical image analysis, particularly for Computed Tomography (CT) scans. This paper presents Federated Transfer Learning (FTL) as a new Digital Twin-based CT scan analysis paradigm. FTL uses pre-trained models and knowledge transfer between peer nodes to solve problems such as data privacy, limited computing resources, and data heterogeneity. The proposed framework allows real-time collaboration between cloud servers and Digital Twin-enabled CT scanners while protecting patient identity. We apply the FTL method to a heterogeneous CT scan dataset and assess model performance using convergence time, model accuracy, precision, recall, F1 score, and confusion matrix. It has been shown to perform better than conventional FL and Clustered Federated Learning (CFL) methods with better precision, accuracy, recall, and F1-score. The technique is beneficial in settings where the data is not independently and identically distributed (non-IID), and it offers reliable, efficient, and secure solutions for medical diagnosis. These findings highlight the possibility of using FTL to improve decision-making in digital twin-based CT scan analysis, secure and efficient medical image analysis, promote privacy, and open new possibilities for applying precision medicine and smart healthcare systems.