A high resolution, operator interactive, medical viewing and analysis system has been developed by Toshiba and Bio-Imaging Research. This system provides many advanced features including high resolution displays, a very large image memory and advanced image processing capability. In particular, the system provides CRT frame buffers capable of update in one frame period, an array processor capable of image processing at operator interactive speeds, and a memory system capable of updating multiple frame buffers at frame rates whilst supporting multiple array processors. The display system provides 1024 x 1536 display resolution at 40Hz frame and 80Hz field rates. In particular, the ability to provide whole or partial update of the screen at the scanning rate is a key feature. This allows multiple viewports or windows in the display buffer with both fixed and cine capability. To support image processing features such as windowing, pan, zoom, minification, filtering, ROI analysis, multiplanar and 3D reconstruction, a high performance CPU is integrated into the system. This CPU is an array processor capable of up to 400 million instructions per second. To support the multiple viewer and array processors' instantaneous high memory bandwidth requirement, an ultra fast memory system is used. This memory system has a bandwidth capability of 400MB/sec and a total capacity of 256MB. This bandwidth is more than adequate to support several high resolution CRT's and also the fast processing unit. This fully integrated approach allows effective real time image processing. The integrated design of viewing system, memory system and array processor are key to the imaging system. It is the intention to describe the architecture of the image system in this paper.