Abstract: During surgery, a physician speaks commands that are received by a microphone (10). A speech processor (12) converts audio signals from the microphone into word signals. A command interpreter (14) compares each word signal with a list of previously authorized command words. When the word signal corresponds to one of the preselected command words, a corresponding command signal is generated and sent to a volume imager (18), a video recorder (20), a hard copy, printer (28), or other system component. The volume imager generates an image representation signal indicative of a portion of image data stored therein which is displayed on a video monitor (B) or recorded on the video recorder.