The Medical image database is growing day by day [1]. Most of the medical images are stored in DICOM (Digital Imaging and Communications in Medicine) format. There are various categories of medical images such as CT scan, X- Ray, Ultrasound, Pathology, MRI, Microscopy, etc [2]. Physicians compare previous and current medical images associated patients to provide right treatment. Medical Imaging is a leading role in modern diagnosis. Efficient image retrieval tools are needed to retrieve the intended images from large growing medical image databases. Such tools must provide more precise retrieval results with less computational complexity. This paper compares the various techniques for DICOM medical image retrieval and shows that the proposed geometric and image segmentation based image retrieval algorithm performs better as compared to other algorithms.