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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>The medGIFT Group in ImageCLEFmed 2011</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Dimitrios Markonis</string-name>
          <email>dimitrios.markonis@hevs.ch</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ivan Eggel</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Alba G. Seco de Herrera</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Henning Mu¨ller</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>University of Applied Sciences Western Switzerland (HES-SO) Sierre</institution>
          ,
          <country country="CH">Switzerland</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>This article presents the participation of the medGIFT group in ImageCLEFmed 2011. Since 2004, the group has participated in the medical image retrieval tasks of ImageCLEF each year. The main goal is to provide a baseline by using the same technology each year, and to search for further improvements in retrieval quality. There are three types of tasks for ImageCLEFmed 2011: modality classification, image-based retrieval and case-based retrieval. The medGIFT group participated in all three tasks. For the image-based and case-based retrieval tasks, two existing retrieval engines were used: the GNU Image Finding Tool (GIFT) for visual retrieval and Apache Lucene for text. For the modality classification, a purely visual approach was used with GIFT for the visual retrieval and a kNN (k-Nearest Neighbors) classifier for the classification. Results show that the best text runs outperform the best visual runs by a factor of 10 in terms of mean average precision. Baselines provided by Apache Lucene and GIFT are ranked above the average among text runs and visual runs respectively in image-based retrieval. In the casebased retrieval task the Lucene baseline is the second best automatic run for text retrieval, and our mixed and visual runs are the best overall. For modality classification, GIFT and the kNN-based approach perform slightly better than the average of the visual approaches.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        ImageCLEF is the cross–language image retrieval track1 of the Cross Language
Evaluation Forum (CLEF). ImageCLEFmed is part of ImageCLEF focusing on
medical images [
        <xref ref-type="bibr" rid="ref4 ref5">4, 5</xref>
        ]. The medGIFT2 research group has participated in
ImageCLEFmed using the same technology as baselines since 2004. Additional
modifications of the basic techniques were attempted to improve results. Visual and
textual baseline runs have been made available to other participants of
ImageCLEFmed. The visual baseline is based on GIFT3 (GNU Image Finding Tool,
[
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]) whereas Lucene4 was used for text retrieval.
      </p>
    </sec>
    <sec id="sec-2">
      <title>1 http://www.imageclef.org/</title>
      <p>2 http://www.hevs.ch/medgift/
3 http://www.gnu.org/software/gift/
4 http://lucene.apache.org/</p>
      <p>
        This year, the bag–of–visual–words approach [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] was also used using local
descriptors also called visual words. This widely used method is applied as
follows: a training set of images is chosen and a number of local descriptors (in the
case of SIFT, Scale Invariant Feature Transform, 128–dimensional vectors) are
extracted from each image of this set. The descriptors are then clustered using a
clustering method (such as k–means) and the centroids of the clusters are used
as visual words. Based on this the visual vocabulary — the set of all the visual
words — is created. Local features are then also extracted from each image in
a database. The images are finally indexed as histograms of the visual word
occurrences (bags–of–visual–words) by assigning the nearest visual word to each
feature vector. When an image is queried, a similarity measure is used to
compare the query image histogram and the database images histograms, providing
a similarity score. In order to include spatial information to this representation,
several approaches have been proposed [
        <xref ref-type="bibr" rid="ref2 ref3">2, 3</xref>
        ], improving the performance.
2
      </p>
      <sec id="sec-2-1">
        <title>Methods</title>
        <p>This section describes the basic techniques that we used for retrieval in
ImageCLEFmed 2011.
2.1</p>
        <sec id="sec-2-1-1">
          <title>Retrieval Tools Reused</title>
          <p>This section details the existing retrieval tools that were reused for text and
visual retrieval.</p>
          <p>Text Retrieval The text retrieval approach in 2011 is based on Lucene using
standard settings. 4 text runs were submitted, 2 for case–based retrieval and 2
for image–based retrieval. For case– and image–based retrieval, captions and full
text were used.</p>
          <p>The full text approach used all texts as obtained in the data set. Links,
metadata, scripts and style information were removed and only the remaining
text was indexed. For image captions, an XML file containing captions of all the
images was indexed. No specific terminologies such as MeSH (Medical Subject
Headings) were used.</p>
          <p>
            Visual Retrieval GIFT is a visual retrieval engine based on color and texture
information [
            <xref ref-type="bibr" rid="ref6">6</xref>
            ]. Colors are compared in a color histogram using a simple
histogram intersection. Texture information is described by applying Gabor filters
and quantizing the responses into 5 strengths. This different from the previous
years’ use of 10 strengths because of the size of this year’s data set that can cause
problems for GIFT. The image is rescaled to 256x256 and partitioned into fixed
regions to extract features both global and local features. GIFT uses a
standard tf/idf (term frequency/inverse document frequency) strategy for feature
weighting. It also allows image–based queries with multiple input images. GIFT
has been used for the ImageCLEFmed tasks since 2004. Each year the default
setting has been used to provide a baseline. For classification, GIFT has been
used to produce the distance (similarity) value followed by a nearest neighbor
(1NN) classification.
          </p>
          <p>
            For the description of the images when using visual words, we used the SIFT
implementation in the fiji5 image processing package. In order to create the visual
vocabulary, our implementation of the density–based clustering algorithm
DENCLUE [
            <xref ref-type="bibr" rid="ref7">7</xref>
            ] was used. The reason for this choice are the features and the nature
of the dataset that needs to be clustered. The data set to be clustered is large–
scale (1000 training images produce approximately 2’500’000 descriptors) and
high dimensional (SIFT descriptors are 128–dimensional). The DENCLUE
algorithm is highly efficient for clustering large–scale datasets, can detect arbitrarily
shaped clusters and handles outliners and noise well. Moreover, opposed to other
density–based clustering algorithms it performs well for high–dimensional data.
However, when using a density–based clustering algorithm care has to be taken
for data sets containing clusters of different densities. To deal with this, the
parameter ξ that controls the significance of the candidate cluster in respect to its
density was set to zero.
          </p>
          <p>In order to create a pipeline for easy component–based evaluation for this
method the outputs of every intermediate step were stored in CSV files and
mySQL tables. These use a large amount of storage resources but speed up the
procedure of tuning and evaluating components of the method once the ground
truth is available. Due to the characteristics of this architecture it was possible
to use only vocabularies with a small number of visual words (1˜00) and a n × n
partition was used with maximum n = 2.</p>
          <p>The third submitted approach combines the modality classification and the
image retrieval tasks. Using the GIFT assignment of modalities the histograms
of visual words where indexed in mySQL tables based on their classes. In this
indirect manner, the approaches of GIFT and bag–of–words were combined as
well. The visual word histogram of the query image was first compared to the
indexed histograms of the training set using a histogram intersection. The classes
of the 5 nearest neighbors were acquired. Then, the same histogram was
compared again but only with the indexed histograms in the tables of these classes.
The 1000 nearest images were acquired as the results for the topic images. For
topics that contained more than one query image the combSUM technique was
used as is explained in the next section.</p>
          <p>
            Fusion Techniques In 2009, the ImageCLEF@ICPR fusion task was organized
to compare fusion techniques using the best ImageCLEFmed visual and textual
results [
            <xref ref-type="bibr" rid="ref8">8</xref>
            ]. Studies such as [
            <xref ref-type="bibr" rid="ref9">9</xref>
            ] show that combSUM (1) and combMNZ(2)
proposed by [
            <xref ref-type="bibr" rid="ref10">10</xref>
            ] in 1994 are robust fusion strategies. With the data from the
ImageCLEF@ICPR fusion task, combMNZ performed slightly better than combSUM,
the difference was small and not statistically significant. In general, rank–based
          </p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>5 http://fiji.sc/wiki/index.php/Fiji</title>
      <p>fusion worked better than score–based fusion.</p>
      <p>Nk
ScombSUM(i) = X Sk(i)</p>
      <p>k=1
ScombMNZ(i) = F (i) ∗ ScombSUM(i)
(1)
(2)
where F (i) is the frequency of image i being returned by one input system with
a non–zero score, and S(i) is the score assigned to image i.</p>
      <p>
        In ImageCLEFmed2011, the fusion approach using scored–based combSUM
was used in three cases:
– fusing textual and visual runs to produce mixed runs;
– fusing results from various images which belong to the same topic for the
bag–of–visual–word approaches, (GIFT handles queries with several images
automatically);
– fusing GIFT and bag–of–visual–word approaches.
2.2 Image Collection
230’089 medical images were available for ImageCLEFmed 2011. Among them
1’000 images with modality labels were used as training data and another 1’000
images were selected as test data for the modality classification. Details about the
setup and collections of the ImageCLEFmed tasks can be found in the overview
paper [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ].
3
      </p>
      <sec id="sec-3-1">
        <title>Results</title>
        <p>This section describes our results for the three medical tasks.
3.1</p>
        <sec id="sec-3-1-1">
          <title>Modality Classification</title>
          <p>One run was submitted to the modality classification task using GIFT. For runs
of various natures (textual, visual, mixed) the best accuracy and average
accuracy are shown in Table 1. It can be observed that GIFT, using 1NN classification
performed worse than the average accuracy. This was expected, as neither k for
the kNN was optimal, nor the optimal GIFT feature configuration was used, due
to the dataset size. Results also show that visual runs achieve performance close
to the mixed runs showing the importance of visual characteristics in modality
classification. The analysis of text results are not absolutely reliable though, as
only two exclusively textual runs were submitted.</p>
        </sec>
        <sec id="sec-3-1-2">
          <title>3.2 Image–based Retrieval</title>
          <p>In total 8 runs were submitted to the image–based retrieval task by the medGIFT
group. Using the GIFT baseline and the 2 textual baselines, 2 mixed runs were
produced using the combSUM approach. One run was the fusion of GIFT and
the 2–step approach described in Section 2.1. Results are shown in Table 2.
Mean average precision (MAP), binary preference (Bpref), and early precision
(P10, P30) are shown as measures. For the full text retrieval, the score of a
text was extended to all images of this text, for the caption–based retrieval it
was extended to all images of this caption. In terms of mean average precision
(MAP), the best textual run (0.2172) outperforms the best visual run (0.0338)
by a factor of 7, which shows a big performance gap between the two approaches.
However, it is significantly smaller than the gap in ImageCLEF 2010.</p>
          <p>The average score of all textual runs is 0.1644, whereas the average score of
all visual retrieval runs is 0.0146. The performance of the baseline produced by
Apache Lucene based on image caption information (HES–SO–VS CAPTIONS)
is slightly above the average. On the other hand, GIFT performed surprisingly
well, considering the non–optimal configuration and age of the tool. The bag–
of–visual–words approaches did not demonstrate good results, most likely due
to the lack of parameter tuning and lack of using training data. For the 2–step
approach the initial results were not as good as the initial results, but with
parameter tuning, already better results could be obtained. However, using the
component–based architecture that was developed, further research will be easier
to perform.</p>
          <p>Merging of textual runs with visual runs reduces the performance of the
textual runs, which is again due to the non–optimal technique using scores and
not ranks. The two mixed runs submitted by the medGIFT group are based
on a simple merging approach and are punished by the large performance gap
between textual and visual runs.</p>
          <p>Case–Based Retrieval The medGIFT group submitted four visual runs, one
textual run and one mixed run for the case–based retrieval task. The visual
runs were obtained by processing a case–based fusion of the results of querying
all images of a case using the combSUM strategy. Text runs were performed
using the full text and for the caption–based retrieval the results of all captions
of a text were combined using combSUM. Based on visual and textual runs,
mixed runs were produced by using the combSUM strategy. Table 3 shows the
MedGIFT runs and if our run was not the best also the performance of the best
run.
run run type MAP P10 P20 Rprec Bpref num rel ret
mixed GIFTLucene full Automatic 0.0754 0.1667 0.1556 0.1227 0.0958 121
best textual run Automatic 0.1297 0.1889 0.1500 0.1588 0.1212 144
case based fulltext Automatic 0.1293 0.2000 0.1444 0.1509 0.1122 141
case based captions Automatic 0.0437 0.1111 0.0833 0.0816 0.0540 90
gift visual Automatic 0.0204 0.0444 0.0333 0.0336 0.0292 45</p>
          <p>Best performance in terms of MAP (0.1297) was obtained by purely textual
retrieval. The Lucene baseline (fulltext) is the second best run (0.1293) among all
automatic runs and the difference to the best runs is statistically not significant.
MedGIFT was the only lab that submitted purely visual runs and even though
the best result (0.0204 by GIFT) is lower than the best textual run, the difference
is not as bad as for the image–based task. The mixed run of GIFT and the
Lucene fulltext achieved the best results (0.0754) in the mixed runs. This run
also has the best P5 so very early precision of all all runs but on the other
hand its P10 is already lower than the best textual run for P10, which is also
a run of the medGIFT group. This combination decreased the performance of
the corresponding textual run for MAP, so there is still a potential in improving
the current systems by not using a direct fusion but rather a reordering of the
results.</p>
        </sec>
      </sec>
      <sec id="sec-3-2">
        <title>Conclusions</title>
        <p>Based on the results of the medGIFT participation several lessons can be learned,
often similar or at least in line with previous years. The baseline run of Lucene
using captions performed better in the image–based task while the fulltext–
based approach showed good results in case–based retrieval task. In general, the
baseline of GIFT performs well in image–based and case–based retrieval although
on a lower level than the text retrieval approaches. The same cannot be said for
the modality classification but this was probably due to the poor classification
rule that was extremely simple without any use of training data. For visual
classification several very good and optimized systems exist that reach a much
better performance. As the datasets grow larger, aspects of system scalability
such as the trade–off of memory usage, speed and quality have to be taken into
account for future content–based image retrieval systems.</p>
        <p>Concerning the bag–of–visual–words runs, further testing and work is
required to fully exploit the advantages of the methods used. While larger
vocabularies and finer partitions may improve the result, a better classifier can enhance
the 2–step approach, which already delivered better results than the approach
presented in this text.</p>
        <p>Finally, we can see that the majority of the mixed runs decreased the
performance compared to the textual runs when combined. This indicates that special
care needs to be taken for the fusion of unbalanced runs in terms of
performance, as the textual and visual runs are obtaining very different performance.
In the based, rank–based measure have shown to be better than score–based
approaches and this was mistakenly not taken into account.
5</p>
      </sec>
      <sec id="sec-3-3">
        <title>Acknowledgments</title>
        <p>The research leading to these results has received funding from the European
Union’s Seventh Framework Programme under grant agreement 257528
(KHRESMOI), 249008 (Chorus+) and 258191 (Promise).</p>
      </sec>
    </sec>
  </body>
  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>
          1.
          <string-name>
            <surname>Sivic</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Zisserman</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          :
          <article-title>Video google: A text retrieval approach to object matching in videos</article-title>
          .
          <source>In: Proceedings of the Ninth IEEE International Conference on Computer Vision - Volume 2. ICCV '03</source>
          , Washington, DC, USA, IEEE Computer Society (
          <year>2003</year>
          )
          <fpage>1470</fpage>
          -
          <lpage>1477</lpage>
        </mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          2.
          <string-name>
            <surname>Lazebnik</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Schmid</surname>
            ,
            <given-names>C.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Ponce</surname>
          </string-name>
          , J.:
          <article-title>Beyond bags of features: Spatial pyramid matching for recognizing natural scene categories</article-title>
          .
          <source>In: Proceedings of the 2006 IEEE Computer Society Conference on Computer Vision and Pattern Recognition - Volume 2. CVPR '06</source>
          , Washington, DC, USA, IEEE Computer Society (
          <year>2006</year>
          )
          <fpage>2169</fpage>
          -
          <lpage>2178</lpage>
        </mixed-citation>
      </ref>
      <ref id="ref3">
        <mixed-citation>
          3.
          <string-name>
            <surname>Philbin</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Chum</surname>
            ,
            <given-names>O.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Isard</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          :
          <article-title>Object retrieval with large vocabularies and fast spatial matching</article-title>
          .
          <source>In: 2007 IEEE Conference on Computer Vision</source>
          and Pattern Recognition, Minneapolis, MN, USA (
          <year>June 2007</year>
          )
          <fpage>1</fpage>
          -
          <lpage>8</lpage>
        </mixed-citation>
      </ref>
      <ref id="ref4">
        <mixed-citation>
          4.
          <string-name>
            <surname>Clough</surname>
            ,
            <given-names>P.</given-names>
          </string-name>
          , Mu¨ller, H.,
          <string-name>
            <surname>Sanderson</surname>
            ,
            <given-names>M.:</given-names>
          </string-name>
          <article-title>The CLEF cross-language image retrieval track (ImageCLEF) 2004</article-title>
          . In Peters,
          <string-name>
            <given-names>C.</given-names>
            ,
            <surname>Clough</surname>
          </string-name>
          ,
          <string-name>
            <given-names>P.</given-names>
            ,
            <surname>Gonzalo</surname>
          </string-name>
          ,
          <string-name>
            <given-names>J.</given-names>
            ,
            <surname>Jones</surname>
          </string-name>
          ,
          <string-name>
            <given-names>G.J.F.</given-names>
            ,
            <surname>Kluck</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            ,
            <surname>Magnini</surname>
          </string-name>
          , B., eds.:
          <article-title>Multilingual Information Access for Text, Speech and Images: Result of the fifth CLEF evaluation campaign</article-title>
          . Volume
          <volume>3491</volume>
          of Lecture Notes in Computer Science (LNCS).,
          <string-name>
            <surname>Bath</surname>
          </string-name>
          , UK, Springer (
          <year>2005</year>
          )
          <fpage>597</fpage>
          -
          <lpage>613</lpage>
        </mixed-citation>
      </ref>
      <ref id="ref5">
        <mixed-citation>
          5. Mu¨ller, H.,
          <string-name>
            <surname>Kalpathy-Cramer</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Eggel</surname>
            ,
            <given-names>I.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Bedrick</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Said</surname>
            ,
            <given-names>R.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Bakke</surname>
            ,
            <given-names>B.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Kahn</surname>
            Jr.,
            <given-names>C.E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Hersh</surname>
            ,
            <given-names>W.</given-names>
          </string-name>
          :
          <article-title>Overview of the CLEF 2010 medical image retrieval track</article-title>
          .
          <source>In: Working Notes of CLEF</source>
          <year>2010</year>
          (
          <article-title>Cross Language Evaluation Forum)</article-title>
          .
          <source>(September</source>
          <year>2010</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref6">
        <mixed-citation>
          6.
          <string-name>
            <surname>Squire</surname>
            ,
            <given-names>D.M.</given-names>
          </string-name>
          , Mu¨ller, W., Mu¨ller, H.,
          <string-name>
            <surname>Pun</surname>
            ,
            <given-names>T.</given-names>
          </string-name>
          :
          <article-title>Content-based query of image databases: inspirations from text retrieval</article-title>
          .
          <source>Pattern Recognition Letters (Selected Papers from The 11th Scandinavian Conference on Image Analysis SCIA '99)</source>
          <volume>21</volume>
          (
          <fpage>13</fpage>
          -
          <lpage>14</lpage>
          ) (
          <year>2000</year>
          )
          <fpage>1193</fpage>
          -1198
          <string-name>
            <given-names>B.K.</given-names>
            <surname>Ersboll</surname>
          </string-name>
          , P. Johansen, Eds.
        </mixed-citation>
      </ref>
      <ref id="ref7">
        <mixed-citation>
          7.
          <string-name>
            <surname>Hinneburg</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Keim</surname>
            ,
            <given-names>D.A.</given-names>
          </string-name>
          :
          <article-title>An efficient approach to clustering in large multimedia databases with noise</article-title>
          .
          <source>In: Conference on Knowledge Discovery and Data Mining (KDD)</source>
          . Volume
          <volume>5865</volume>
          ., AAAI Press (
          <year>1998</year>
          )
          <fpage>58</fpage>
          -
          <lpage>65</lpage>
        </mixed-citation>
      </ref>
      <ref id="ref8">
        <mixed-citation>
          8. Mu¨ller, H.,
          <string-name>
            <surname>Kalpathy-Cramer</surname>
            ,
            <given-names>J.:</given-names>
          </string-name>
          <article-title>The ImageCLEF medical retrieval task at icpr 2010 - information fusion to combine viusal and textual information</article-title>
          .
          <source>In: Proceedings of the International Conference on Pattern Recognition (ICPR 2010). Lecture Notes in Computer Science (LNCS)</source>
          , Istanbul, Turkey, Springer (
          <year>August 2010</year>
          ) in press.
        </mixed-citation>
      </ref>
      <ref id="ref9">
        <mixed-citation>
          9.
          <string-name>
            <surname>Zhou</surname>
            ,
            <given-names>X.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Depeursinge</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          , Mu¨ller, H.:
          <article-title>Information fusion for combining visual and textual image retrieval</article-title>
          .
          <source>In: International Conference on Pattern Recognition, ICPR'10</source>
          , Los Alamitos, CA, USA, IEEE Computer Society (
          <year>2010</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref10">
        <mixed-citation>
          10.
          <string-name>
            <surname>Fox</surname>
            ,
            <given-names>E.A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Shaw</surname>
            ,
            <given-names>J.A.</given-names>
          </string-name>
          :
          <article-title>Combination of multiple searches</article-title>
          .
          <source>In: Text REtrieval Conference</source>
          . (
          <year>1993</year>
          )
          <fpage>243</fpage>
          -
          <lpage>252</lpage>
        </mixed-citation>
      </ref>
      <ref id="ref11">
        <mixed-citation>
          11.
          <string-name>
            <surname>Kalpathy-Cramer</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          , Mu¨ller, H.,
          <string-name>
            <surname>Bedrick</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Eggel</surname>
            ,
            <given-names>I.</given-names>
          </string-name>
          , Seco de Herrera,
          <string-name>
            <given-names>A.</given-names>
            ,
            <surname>Tsikrika</surname>
          </string-name>
          ,
          <string-name>
            <surname>T.</surname>
          </string-name>
          :
          <article-title>The CLEF 2011 medical image retrieval and classification tasks</article-title>
          .
          <source>In: Working Notes of CLEF</source>
          <year>2011</year>
          (
          <article-title>Cross Language Evaluation Forum)</article-title>
          .
          <source>(September</source>
          <year>2011</year>
          )
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>