
 
each image for detecting the single color regions, 
and the region (s) that represents the sick zone were 
marked as relevant. By applying a certain drugs 
treatment on some patients, at some time intervals 
strictly established by the physician, the images 
were again collected from the same patients and the 
same algorithm is applied for detecting the color 
regions. The relevant region(s) that represents the 
sick tissue is marked again. The comparison 
between the new and old regions detected as 
relevant for the same patient, taking into 
consideration the number of pixels, can help the 
physician to establish in what percentage the sick 
region is reduced because of the administrated 
drugs. This approach may lead to a more rapid 
estimation and correct enough of the percentage in 
which the medication has a good effect in the ulcer 
diagnosis. This may come in the help of the patients, 
specialists, and the drugs producers that intend to 
test a medical product. The experiments showed that 
there were slight differences between human 
observer and computer system in order to appreciate 
healing staging. The speed of the retrieval process 
was also tested, comparing the time spent by the 
observer and the computer to find each patient’s 
record in the database. This process was 
electronically measured and stored in the computer 
for statistics. The result is that the software has a 
significantly higher speed than human observer with 
no significant decrease of the retrieval quality.  
5 CONCLUSIONS 
As a result of effectuating an important number of 
experiments (synthetically presented here) in the de 
content-based visual retrieval process on databases 
with images extracted from DICOM files generated 
by medical tools, some conclusions are clear. In the 
case of the content-based image query on color 
feature, the series of effectuated tests indicated that 
the best results were obtained for the color space 
HSV quantized at 166 colors and using the 
histogram intersection for computing the image 
similitude. In the case of the content-based image 
query on color texture feature, better results are 
obtained using the co-occurrence matrices. The two 
algorithms (Gabor filters and co-occurrence 
matrices) have the same complexity O(n
2
) where n 
represents the maximum dimension of the image 
(Burdescu, 1998). As a result, the co-occurrence 
matrices method is recommended in this type of 
query. The retrieval system can combine two 
methods: one based on color feature and the other 
based on color texture detected with co-occurrence 
matrices, which complete one another. The statistic 
studies for the color set back-projection algorithm in 
keeping track of the patient evolution, during the 
treatment of a certain disease, emphasize a superior 
speed in sick region detection and a similar quality 
between the computerized mode and the process 
effectuated by the specialist. 
In the future, the studies will be extended on 
more types of color medical images and new 
methods will be implemented and compared, taking 
into consideration the same factors: the complexity 
of the algorithm and the retrieval quality. 
REFERENCES 
Burdescu, D.D., 1998. Analiza complexitatii algoritmilor, 
Ed. Albastra. Cluj-Napoca. 
Del Bimbo, A., 2001. Visual Information Retrieval, 
Morgan Kaufmann Publishers. San Francisco USA.  
DICOM Homepage, 2006. http://medical.nema.org/ 
LEAD Technologies, 2006.  
http://www.leadtools.com/SDK/Medical/DICOM/ltdc1.htm 
Muller, H., Michoux, N., Bandon, D., Geissbuhler, A., 
2004. A Review of Content_based Image Retrieval 
Systems in Medical Application – Clinical Benefits 
and Future Directions. Int J Med Inform. 73(1)  
Palm, C., Keysers, D., Lehmann, T., Spitzer, K., 2000. 
Gabor Filtering of Complex Hue/Saturation Images 
For Color Texture Classification. In: JCIS2000, 5th 
Joint Conference on Information Science. Atlantic 
City, USA. 
Smith, J.R., 1997. Integrated Spatial and Feature Image 
Systems: Retrieval, Compression and Analysis, Ph.D. 
thesis, Graduate School of Arts and Sciences. 
Columbia University.  
Stanescu, L., Burdescu, D., Mocanu, M., 2004. Detecting 
Color Regions  and Content-based Region Query in 
databases with Medical Images. Periodica 
Politechnica, Transactions on Automatic Control and 
Computer Science. 49(63)  
SIGMAP 2006 - INTERNATIONAL CONFERENCE ON SIGNAL PROCESSING AND MULTIMEDIA
APPLICATIONS
350