This invention relates to a method and device for case-based decision support. It proposes that a case-based decision support system is trained on inputs from several radiologists in order to have a “baseline” system, and then the system provides an option to a radiologist to refine the baseline system based on his/her inputs which either refine weights of features for similarity distance computation directly or provide new similarity ground truth clusters. By enabling modifying the similarity distance computation based on user inputs, this invention adapts similarity ground truth to different users with different experience and/or different opinions.
