In an apparatus and method for acquisition and administration of medical image data, the apparatus having one or more medical image acquisition modalities for image data acquisition that are to be operated via associated computers, at least one server with an image data storage and at least one workstation computer with an image reproduction device for representation and processing of acquired and/or stored image data; the server and the workstation computer being connected with one another and with the image acquisition modality or image acquisition modalities via a data connection, the ability of a system administrator to get an overview of the system operation is facilitated by the server being configured (relative to the modality) for time-resolved determination of the image data acquisition and administration of associated performance data of the server and/or of the workstation computer, and/or of the data connection, the performance data relating to read and/or write activities at the server, and the server allows graphical representation of the performance data on an image reproduction device.