storing medical image data generated during a first image examination;

processing the medical image data in a sequence of image processing operations to produce a processed image;

recording the sequence of image processing operations as a sequence of image processing parameters;

storing the sequence of image processing parameters in a data file in a data storage device;

sending an image diagnosis report with the data file or an identifier of the data file to a user terminal device, the image diagnosis report including key information referencing patient medical history information and further including key information referencing results of another image examination or a different imaging modality than the first image examination;

providing a tool set to allow a user of the user terminal to input image change specification;

the tool set making changes to the sequence of image processing parameters in response to the image change specification;

in response to an input by the user of the user terminal, extracting the sequence of image processing parameters from the data file;

sending the sequence of image processing parameters to an image processor;

repeating the sequence of image processing operations on the image data, to reconstruct the processed image;

sending the reconstructed processed image to the user terminal device for display by the user terminal; and

providing a conference controller to allow the user to schedule and hold a diagnostic conference with a second user, wherein the user and the second user are allowed to interactively view and modify the diagnostic report and the key information during the diagnostic conference.