Disclosed are techniques for automated analysis and assessments of contrast medium absorption phases in contrast medium based medical images. A target image set includes a plurality of medical images acquired to image a plurality of contrast medium absorption phases. For the images of the target image set, a set of contrast medium absorption phase probabilities are determined corresponding to likelihoods that a given image corresponds to a given contrast medium absorption phase. The determined sets of contrast medium absorption phases are compared against a reference set of contrast medium absorption phases to determine differences to determine a set of matching scores indicative of how closely the contrast medium absorption phases of the target image set align with the plurality of contrast medium absorption phases as compared to the reference set of contrast medium absorption phases.