Certain embodiments of the present invention provide methods and systems for determining a hanging protocol for display of clinical images in a study. Certain embodiments provide a method for determining a hanging protocol for clinical image display. The method includes capturing one or more high level characteristics for an image study based on relationships between images in the study. The method also includes identifying one or more low level characteristics for individual images in the image study. The method further includes classifying the image study based on a combination of the high level characteristics and the low level characteristics. The method additionally includes determining a hanging protocol for the image study based on the classifying. The method includes providing the hanging protocol for display of images in the image study.