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This paper presents an original concept of computer systems construction for the automatic understanding of medical visual data based on cognitive analysis methods. This paper proposes a concept of a new IT image analysis systems, which is a significantly enhanced DSS-type system used in medical diagnosis support tasks. The essence of innovations introduced in this paper is in adding understandable medical data to the analysis process of the said data. Such a system is essentially different from all known DSS-type systems. In this paper we propose an acronym for the new system labelled UBIAS (understanding based image analysis systems). Cognitive methods, on which the UBIAS concept and construct are based, copy the psychological and neurophysiological processes of understanding the analysed data, as they take place in the brain of a competent and particularly gifted man.