Performance of automated tissue classification in medical imaging depends on the choice of descriptive features. In this paper, we show how restricted Boltzmann machines (RBMs) can be used to learn features that are especially suited for texture-based tissue classification. We introduce the convolutional classification RBM, a combination of the existing convolutional RBM and classification RBM, and use it for discriminative feature learning. We evaluate the classification accuracy of convolutional and non-convolutional classification RBMs on two lung CT problems. We find that RBM-learned features outperform conventional RBM-based feature learning, which is unsupervised and uses only a generative learning objective, as well as often-used filter banks. We show that a mixture of generative and discriminative learning can produce filters that give a higher classification accuracy.