This book constitutes the refereed proceedings of the 22nd International Conference on Information Processing in Medical Imaging, IPMI 2011, held at Kloster Irsee, Germany, in July 2011. The 24 full papers and 39 poster papers included in this volume were carefully reviewed and selected from 224 submissions. The papers are organized in topical sections on segmentation, statistical methods, shape analysis, registration, diffusion imaging, disease progression modeling, and computer aided diagnosis. The poster sessions deal with segmentation, shape analysis, statistical methods, image reconstruction, microscopic image analysis, computer aided diagnosis, diffusion imaging, functional brain analysis, registration and other related topics.