Abstract: Content-based image retrieval (CBIR) framework for diverse collection of medical images of different imaging modalities, anatomic regions with different orientations and biological systems is proposed. Organization of images in such a database (DB) is well defined with predefined semantic categories; hence, it can be useful for category-specific searching. The proposed framework consists of machine learning methods for image pre-filtering, similarity matching using statistical distance measures, and a relevance feedback (RF) scheme.