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J Am Med Inform Assoc 1997;4:184-198 doi:10.1136/jamia.1997.0040184
  • Medical Imaging Informatics
  • Synthesis of Research

Medical Image Databases

A Content-based Retrieval Approach

  1. Hemant D Tagare,
  2. C Carl Jaffe,
  3. James Duncan
  1. Affiliations of the authors: Departments of Diagnostic Radiology, Medicine (Cardiology) and Electrical Engineering, Yale University, New Haven, CT
  1. Correspondence and reprints: C. Carl Jaffe, MD, FACC, Center for Advanced Instructional Media, Yale University, 47 College Street, Suite 224, New Haven, CT 06510. E-mail carl.jaffe{at}yale.edu
  • Received 15 November 1996
  • Accepted 21 January 1997

Abstract

Information contained in medical images differs considerably from that residing in alphanumeric format. The difference can be attributed to four characteristics: (1) the semantics of medical knowledge extractable from images is imprecise; (2) image information contains form and spatial data, which are not expressible in conventional language; (3) a large part of image information is geometric; (4) diagnostic inferences derived from images rest on an incomplete, continuously evolving model of normality. This paper explores the differentiating characteristics of text versus images and their impact on design of a medical image database intended to allow content-based indexing and retrieval. One strategy for implementing medical image databases is presented, which employs object-oriented iconic queries, semantics by association with prototypes, and a generic schema.

Footnotes

  • This investigation was supported by a Public Health Service grant from the National Library of Medicine RO1-LM05007.

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