Now a days, PACS and the other image sharing systems use only high-level metadata for hospital to retrieve images. So if you want to retrieve some images, you have to know exact information about the patient. In this paper, we developed a Image Retrieval System based on MPEG-7 to retrieve medical images more efficiently. This system offers keyword retrieval using high-level metadata based of DICOM and similarity retrieval using low-level metadata based on MFEG-7. And we integrated high-level metadata and low-level metadata to retrieve medical images more exactly.