Content-based medical image retrieval (CBMIR) has become an important part of computer-aided diagnostics (CAD) systems. The complex medical semantic information inherent in medical images is the most difficult part to improve the accuracy of image retrieval. Highly expressive feature vectors play a crucial role in the search process. In this paper, we propose an effective deep convolutional neural network (CNN) model to extract concise feature vectors for multiple semantic X-ray medical image retrieval. We build a feature pyramid based CNN model with ResNet50V2 backbone to extract multi-level semantic information. And we use the well-known public multiple semantic annotated X-ray medical image data set IRMA to train and test the proposed model. Our method achieves an IRMA error of 32.2, which is the best score compared to the existing literature on this dataset. The proposed CNN model can effectively extract multi-level semantic information from X-ray medical images. The concise feature vectors can improve the retrieval accuracy of multi-semantic and unevenly distributed X-ray medical images.
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