1. An image integration method comprising: receiving and storing a presentation output comprising predefined image content; storing replacement image content; determining a characteristic of the predefined image content; in response to receiving the presentation output, determining in substantially real time, by a computing device and based on the determined characteristic, associations between at least a portion of replacement image content and at least a portion of the stored predefined image content of the presentation output; integrating the portion of the replacement image content into the presentation output substantially in real time, the integrating: based at least in part on the determined associations; and replacing the portion of the predefined image content with the replacement image content; and providing a display presentation responsive to the integrated presentation output.