Title: Deep reinforced active learning for multi-class image classification. Abstract: High accuracy medical image classification can be limited by the costs of acquiring more data as well as the time and expertise needed to label existing images. In this paper, we apply active learning to medical image classification, a method which aims to maximise model performance on a minimal subset from a larger pool of data. We present a new active learning framework, based on deep reinforcement learning, to learn an active learning query strategy to label images based on predictions from a convolutional neural network. Our framework modifies the deep-Q network formulation, allowing us to pick data based additionally on geometric arguments in the latent space of the classifier, allowing for high accuracy multi-class classification in a batch-based active learning setting, enabling the agent to label datapoints that are both diverse and about which it is most uncertain. We apply our framework to two medical imaging datasets and compare with standard query strategies as well as the most recent reinforcement learning based active learning approach for image classification.