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In this paper, a new image indexing and retrieval algorithm using local mesh patterns are proposed for biomedical image retrieval application. The standard local binary pattern encodes the relationship between the referenced pixel and its surrounding neighbors, whereas the proposed method encodes the relationship among the surrounding neighbors for a given referenced pixel in an image. The possible relationships among the surrounding neighbors are depending on the number of neighbors, P. In addition, the effectiveness of our algorithm is confirmed by combining it with the Gabor transform. To prove the effectiveness of our algorithm, three experiments have been carried out on three different biomedical image databases. Out of which two are meant for computer tomography (CT) and one for magnetic resonance (MR) image retrieval. It is further mentioned that the database considered for three experiments are OASIS-MRI database, NEMA-CT database, and VIA/I-ELCAP database which includes region of interest CT images. The results after being investigated show a significant improvement in terms of their evaluation measures as compared to LBP, LBP with Gabor transform, and other spatial and transform domain methods.