In this paper, we highlight three issues that limit performance of machine learning on biomedical images, and tackle them through 3 case studies: 1) Interactive Machine Learning (IML): we show how IML can drastically improve exploration time and quality of direct volume rendering. 2) transfer learning: we show how transfer learning along with intelligent pre-processing can result in better Alzheimer's diagnosis using a much smaller training set 3) data imbalance: we show how our novel focal Tversky loss function can provide better segmentation results taking into account the imbalanced nature of segmentation datasets. The case studies are accompanied by in-depth analytical discussion of results with possible future directions.