2009 was the sixth year for the ImageCLEF medical retrieval task. Participation was strong again with 38 registered research groups. 17 groups submitted runs and thus participated actively in the tasks. The database in 2009 was similar to the one used in 2008, containing scientific articles from two radiology journals, Radiology and Radiographics. The size of the database was increased to a total of 74,902 images. For each image, captions and access to the full text article through the Medline PMID (PubMed Identifier) were provided. An article's PMID could be used to obtain the officially assigned MeSH (Medical Subject Headings) terms. The collection was entirely in English. However, the topics were, as in previous years, supplied in German, French, and English. Twenty