Present invention relates in general to a kind of medical image analysis system and method and reports. Particularly, specific preferred embodiment is related to a kind of system, may be structured to receive various inputs, so that user can choose the inspection of image, information, data or other contents by user, information will be by looking back and be input in system, and the type of report can be used for generating. In certain embodiments, the system is facilitated matching and is input to one group of structured data elements of term and can choose with the user for generating one or more templates. Identifier can distribute to image from the selection for including at least individual event. Then system can access the image data base and image procossing of identification, and with identifier to generate machine learning model, one kind can then be used to training machine learning algorithm.