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In this video tutorial, the importance of saving and exporting DICOM images is discussed, highlighting that diagnostic images must be in DICOM format rather than JPEG. This allows for manipulation of the images, such as zooming and adjusting contrast, which is not possible with JPEG files. To save images in DICOM format, the steps include creating a new folder on the Windows desktop, opening the PACS viewing software with the desired images, and using the export or save button to choose DICOM format for saving. Finally, select the newly created folder as the destination for the saved images.