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Bio-medical Ontologies Maintenance and Change Management

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Multimedia Medical Databases 75<br />

Being given a collection C of N images, it is required to find all images αT ∈ C<br />

that have at least R symbols existing in the same spatial arrangement as the R<br />

symbols of the query image.<br />

In the case of the absolute spatial images query it have to be solved the<br />

following problem [83, 86]:<br />

Being given a collection C of N images <strong>and</strong> a spatial distance function vf , it is<br />

required to find the most appropriate k images αT ∈ C that have at least R regions<br />

R R R<br />

such that uf (αQ ,αT )≤ σf ,where αQ is the query image with R regions, <strong>and</strong> σf is a<br />

limit for the spatial distance.<br />

The most powerful images retrieval system must allows queries where are<br />

specified both the visual features <strong>and</strong> spatial properties for the desired images.<br />

Such query offers to the user the possibility to control the selection of regions <strong>and</strong><br />

attributes which are the most important in the similarity computation.<br />

1.3 The Need for Content-Based Visual Query in Multimedia Medical<br />

Databases<br />

The directions where content-based retrieval is needed in <strong>medical</strong> multimedia<br />

databases were fully specified. They are [67, 69]:<br />

• Diagnostic aid – from the conversation with the doctors, the following situation<br />

appears frequently: the doctor visualizes a <strong>medical</strong> image, he/she cannot establish<br />

the diagnosis exactly, he is aware of the fact that he has seen something<br />

similar before but doesn’t have the means to search for it in the database; the<br />

problem can be solved establishing that image as query image <strong>and</strong> the contentbased<br />

image query will provide the similar images from the database; it is very<br />

likely that among the retrieved images should be the searched image together<br />

with its diagnosis, observations, treatment; so the content-based image query<br />

can be directly used in the diagnosis process;<br />

• Medical teaching – there is a series of applications for content-based visual<br />

query including other ways for access (text-based, hierarchical methods). Students<br />

can see the images in the database <strong>and</strong> the attached information in a simple<br />

<strong>and</strong> direct manner: they choose the query image <strong>and</strong> they see the similar<br />

images; this method stimulates learning by comparing similar cases <strong>and</strong> their<br />

particularities or comparing similar cases with different diagnosis;<br />

• Medical research – using content-based visual query in this area brings up similar<br />

advantages for <strong>medical</strong> teaching. It can be used, for example, for finding<br />

certain types of images to be included in a study, for finding misclassified images,<br />

etc.;<br />

• PACS <strong>and</strong> electronic records for patients – the integration of the content-based<br />

visual retrieval techniques <strong>and</strong> the simple text-based retrieval in PACS <strong>and</strong> the<br />

electronic patients’ record might bring important benefits in clinical applications.<br />

The information that is stored in the image can be used together with the<br />

alphanumerical information.

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