The image is part of the page, so by definition, refreshing the image means refreshing the page.
You can do partial page refresh using AJAX to update only the image (and I have done that), but it's still a page update.
Some people, when well-known sources tell them that fire will burn them, don't put their hands in the fire.
Some people, being skeptical, will put their hands in the fire, get burned, and learn not to put their hands in the fire.
And some people, believing that they know better than well-known sources, will claim it's a lie, put their hands in the fire, and continue to scream it's a lie even as their hands burn down to charred stumps.