Yes. Images can be routed directly to a workstation. The workstations can act as a temporary archive. It is possible to build a workstation with a robust enough archive so that it could store images for a significant amount of time for a small facility. However, in most cases, you will want to store your images for the long term on an archive, in which case the Image Gateway is the most effective way to route images.
For physicians who are merely reading images for a hospital and/or doing “over reads” for other radiologists and have no need to store the images because they are stored elsewhere, there would be no need to use Image Router to receive data from the modality.