BACKGROUND: Assistance tools for intraoperative 2D and 3D imaging to decrease acquisition effort and to improve assessment of 3D image data were evaluated. METHODS: Two automated optimisation procedures were evaluated in a cadaver (Cios Spin, Siemens, Germany): The ScrewScout function for assisted pedicle screw assessment. Then, an algorithm for metal artefact reduction (MAR). Additionally, a tool for simplified setting of image contrast and brightness was evaluated regarding the result and elapsed time. RESULTS: The time required without automated assistance was 83s [70-105]. With the computer assistance, this time was significantly lower at 22s [15-32] (p = 0.003). MAR resulted in an improvement in image impression. This improvement became smaller with increasing clinical experience. The time needed for setting of image acquisition parameters was significantly (p = 0.05) lowered from 140s [24-389] to 61s [14-166] using the assistance tool. CONCLUSIONS: Automated assistance tools for image optimisation can provide practical support in the intraoperative setting.