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Medicine unlike other scientific disciplines has no single standardized vocabulary. It is favorable to emphasize the diversity of medical terms whose definition is rarely rigorous sometimes ambiguous specially the information from the medical image. Such imprecision is disadvantageous when user want to aggregate data from many medical practitioners. This gave birth of the annotation of medical image process. The diversifications of different sources from the annotations need to be modeled by using of data warehouses. However, classical conceptual modeling does not incorporate the specificity of these annotations.
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