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This paper discusses the trade-off between calculations and memory accesses in a 3D graphics tile renderer for visualization of data from medical scanners. The performance requirement of this application is a frame rate of 25 frames per second when rendering 3D models with 2 million triangles, i.e. 50 million triangles per second, sustained (not peak). At present, a software implementation is capable of 3-4 frames per second for a 1 million triangle model.By using direct evaluation of certain interpolation parameters instead of forward differencing, writing back parameters to SDRAM is avoided. In software, forward differencing is usually better, but in this hardware implementation, the trade-off has made it possible to develop a very regular memory architecture with a buffering system, which can reach 95% bandwidth utilization using off-the-shelf SDRAM. This is achieved by changing the algorithm to use a memory access strategy with write-only and read-only phases, and a buffering system, which uses round-robin bank write-access combined with burst read-access.