An ultrasonic diagnostic imaging system is described which records expert review of a 3D image data set, including image plane and view manipulation, annotation, and measurements, for the purpose of generating automated review protocols for 3D ultrasound image acquisitions. The ability to provide a standardized 3D review protocol has benefits such as guiding reviewers of all experience levels through the required steps to extract key images and measurements from 3D image data, enabling automation to improve 3D review workflow and reduce review time, monitoring growth or therapy, and standardizing review presentations for easy comparison with prior examination results.