A database (52) stores image recipient reconstruction profiles each comprising image reconstruction parameter values. An image reconstruction module (30) is configured to reconstruct medical imaging data to generate a reconstructed image. An image reconstruction setup module (50) is configured to retrieve an image recipient reconstruction profile from the database (52) for an intended image recipient associated with a set of medical imaging data and to invoke the image reconstruction module (30) to reconstruct the set of medical imaging data using image reconstruction parameter values of the retrieved image recipient reconstruction profile to generate a reconstructed image for the intended image recipient. A feedback acquisition module (54) is configured to acquire feedback from the intended image recipient pertaining to the reconstructed image for the intended image recipient. A profile updating module (56) is configured to update the image recipient reconstruction profile of the intended image recipient based on the acquired feedback.