The capacity to retrieve images containing objects with shapes similar to a query shape is desirable in medical image databases. We propose a similarity measure and an indexing mechanism for non-rigid comparison of shape which adds this capability to image databases. The (dis-)similarity measure is based on the observations that: (1) the geometry of the same organ in different subjects is not related by a strictly rigid transformation; and (2) the orientation of the organ plays a key role in comparing shape. We propose a similarity measure that computes a non-rigid mapping between curves and uses this mapping to compare oriented shape. We also show how KD-trees can index curves so that retrieval with our similarity measure is efficient. Experiments with real-world data from a database of magnetic resonance images are provided.