The most important rendering methods applied in medical imaging are su
rface and volume rendering techniques. Each approach has its own advan
tages and limitations: Fast surface-oriented methods are able to suppo
rt real-time interaction and manipulation. The underlying representati
on, however, is dependent on intensive image processing to extract the
object surfaces. In contrast, volume visualization is not necessarily
based on extensive image processing and interpretation. No data reduc
tion to geometric primitives, such as polygons, is required. Therefore
, the process of volume rendering is currently not operating in real t
ime. In order to provide the radiological diagnosis with additional in
formation as well as to enable simulation and preoperative treatment p
lanning we developed a new hybrid rendering method which combines the
advantages of surface and volume presentation, and minimizes the limit
ations of these approaches. We developed a common data representation
method for both techniques. A preprocessing module enables the constru
ction of a data volume by interpolation as well as the calculation of
object surfaces by semiautomatic image interpretation and surface cons
truction. The hybrid rendering system is based on transparency and tex
ture mapping features. It is embedded in a user-friendly open system w
hich enables the support of new application fields such as virtual rea
lity and stereolithography. The efficiency of our new method is descri
bed for 3-D subtraction angiography and the visualization of morpho-fu
nctional relationships.