The present invention pertains to a method and apparatus for contactless control of a medical imaging system. A medical image can be acquired and displayed, and an aspect of the image can be altered based on a tracked position of a user body part. The user can be sensed by a sensing device, and the user body part tracked by a tracking unit in a first processing unit. A second processing unit can be coupled to the first processing unit and can have a control unit for controlling the medical imaging system.