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The demand for automatic recognition and retrieval of medical images for screening, reference, and management is increasing. We present an intelligent content-based image retrieval system called I-Browse, which integrates both iconic and semantic content for histological image analysis. The I-Browse system combines low-level image processing technology with high-level semantic analysis of medical image content through different processing modules in the proposed system architecture. Similarity measures are proposed and their performance is evaluated. Furthermore, as a byproduct of semantic analysis, I-Browse allows textual annotations to be generated for unknown images. As an image browser, apart from retrieving images by image example, it also supports query by natural language.