Ownership Submission
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
CANAKES STEVEN P
  2. Issuer Name and Ticker or Trading Symbol
VITAL IMAGES INC [VTAL]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Exec VP - Global Sales
(Last)
(First)
(Middle)
5850 OPUS PARKWAY, SUITE 300
3. Date of Earliest Transaction (Month/Day/Year)
03/12/2007
(Street)

MINNETONKA, MN 55343
4. If Amendment, Date Original Filed(Month/Day/Year)
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common stock (3) 03/12/2007   M   5,000 A $ 4.75 12,523 D  
Common stock (3) 03/12/2007   S   5,000 D $ 32.6781 7,523 D  
Common stock (3) 03/12/2007   M   25,000 A $ 7.3438 32,523 D  
Common stock (3) 03/12/2007   S   22,000 D $ 32.6781 10,523 D  

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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(Month/Day/Year)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee stock option (right to buy) $ 4.75 03/12/2007   M     5,000   (1) 05/12/2007 Common stock 5,000 $ 4.75 0 (2) D  
Employee stock option (right to buy) $ 7.3438 03/12/2007   M     25,000   (4) 05/11/2008 Common stock 25,000 $ 7.3438 0 (2) D  

Reporting Owners

Reporting Owner Name / Address Relationships
 Director  10% Owner  Officer  Other
CANAKES STEVEN P
5850 OPUS PARKWAY
SUITE 300
MINNETONKA, MN 55343
      Exec VP - Global Sales  

Signatures

 /s/ Steven P Canakes   03/14/2007
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) Original grant of 35,000 vested as to 28% on May 12, 2000, and 2% per month until fully vested.
(2) In addition, Mr. Canakes has other options totaling 101,000 at various prices and expiration dates.
(3) Transaction made pursuant to plan adopted under Rule 10b5-1.
(4) Original grant of 25,000 vested as to 28% on May 11, 2001, and 2% per month until fully vested.

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