This book constitutes the proceedings of the 15th International Workshop on Machine Learning in Medical Imaging, MLMI 2024, held in conjunction with MICCAI 2024, Marrakesh, Morocco, on October 6, 2024.The 63 full papers presented in this volume were carefully reviewed and selected from 100 submissions. They focus on major trends and challenges in the above-mentioned area, aiming to identify new-cutting-edge techniques and their uses in medical imaging using artificial intelligence (AI) and machine learning (ML).