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                                                               EXHIBIT 10.19

                             SECURED PROMISSORY NOTE


$299,992.83                                                  Anaheim, California
                                                             November 27, 2000


         FOR VALUE RECEIVED, the undersigned hereby unconditionally promises to
pay to the order of Alliance Imaging, Inc., a Delaware corporation (the
"Company"), at its office at 1065 PacifiCenter Drive, Suite 200, Anaheim, CA
92806 in lawful money of the United States, Two Hundred Ninety-Nine Thousand
Nine Hundred Ninety-Two Dollars and Eighty-Three Cents ($299,992.83). The
undersigned promises to pay interest in like money at such office on the unpaid
principal amount hereof from time to time outstanding from the date hereof at
the rate of 6.00% per annum. Interest shall be calculated annually on the basis
of a 365 day year and the number of actual days elapsed.

         Except as otherwise provided in the Repayment and Stock Pledge
Agreement between the Company and the undersigned dated November 27, 2000 (the
"Pledge Agreement"), principal in the amount of Two Hundred Thousand Dollars and
No Cents ($200,000.00) and interest thereon shall be due and payable upon sale
of the undersigned's Texas residence.

         Notwithstanding anything to the contrary in this Note, the unpaid
principal amount hereof, all accrued and unpaid interest hereunder and all other
amounts owing hereunder shall be due and payable in full on the earlier of: (1)
the seventh anniversary of the date of this Note or (2) the undersigned's
disposition of the Pledged Securities (as defined in the Pledge Agreement).

         Notwithstanding anything to the contrary in this Note or the Pledge
Agreement, upon the undersigned's termination of employment with the Company or
any of its subsidiaries for any reason, the Company may, in its discretion,
apply the amount of any incentive compensation and any other compensation (other
than payments in the nature of severance and final paychecks), in each case to
the maximum extent permitted by law and net of all applicable income taxes at
the undersigned's actual rate to (or on behalf of) the undersigned to repay the
balance of the Note, if any, and the undersigned hereby consents, to the maximum
extent permitted by law, to the Company's application of all such payments to so
repay the Note.

         This Note is issued in connection with the purchase by the undersigned
of shares of common stock, par value $0.01 per share, of the Company (the
"Common Stock") and the execution by the undersigned of the Stockholder's
Agreement of even date herewith among the Company, the undersigned and Viewer
Holdings LLC (the "Stockholder's Agreement") and the pledge of such Stock and
other collateral pursuant to the Pledge Agreement.

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         The undersigned shall have the right to prepay this Note, in whole or
in part, at any time without notice and without penalty and, notwithstanding
anything to the contrary herein, this Note shall be prepaid, in whole or in part
and from time to time, from the proceeds from any sale, transfer or other
disposition of a portion of the Pledged Securities. Any partial prepayments
shall be applied first to accrued and unpaid interest and then to principal.

         Notwithstanding the existence of the Pledged Securities as security for
repayment of the Note, the undersigned remains personally liable to the Company
for any deficiency which the Pledged Securities do not cover.

         If an Event of Default (as defined in the Pledge Agreement) shall have
occurred and be continuing, then, at such time, the unpaid principal amount
hereof, all accrued and unpaid interest hereunder and all other amounts owing
hereunder shall be and become immediately due and payable without notice to the
undersigned.

         The Company shall have all of the rights to a secured creditor under
the Delaware Commercial Code with respect to the Pledged Securities pledged as
security hereunder.

         The undersigned promises to pay all costs and expenses, including
reasonable attorney's fees incurred by the Company in collecting or attempting
to collect the indebtedness under the Note.

         If any payment of principal or interest on this Note becomes due and
payable on a day other than a business day, such payment shall be made on the
next succeeding business day. As used herein, the term "business day" means any
day other than a Saturday, Sunday or other day on which banks in the City of Los
Angeles, California are authorized by law to close.

         Except as otherwise provided herein, presentment for payment, demand,
notice of dishonor, protest and notice of protest are hereby waived. All
notices, declarations and other communications hereunder shall be in writing,
hand delivered (including delivery by a courier service) as follows:

         If to the Company:

         Alliance Imaging, Inc.
         1065 PacifiCenter Drive, Suite 200
         Anaheim, CA  92806
         Attention:  General Counsel

         If to the undersigned, to her at her most recent address as reflected
in the Company's records, or to such other address as the Company or the
undersigned may deliver to the other party from time to time in writing in like
manner.

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         This note shall not be assigned by the undersigned without the prior
written consent of the Company. This Note may be assigned by the Company at any
time.

         THIS NOTE SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE
LAWS OF THE STATE OF DELAWARE.


                                                     /s/ Jamie E. Hopping
                                                     ------------------------
                                                     Jamie E. Hopping