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In this tutorial, the speaker explains how to save and export DICOM images, emphasizing their importance for diagnostic purposes. DICOM format allows for image manipulation, such as zooming, adjusting contrast, and window leveling, which is not possible with JPEG images. To save images in DICOM format, the process starts by creating a new folder on your desktop. Next, open the PACS viewing software containing the images, then click the export or save button. When prompted, select DICOM as the format instead of JPEG, and choose the previously created folder as the destination. Following these steps ensures all images are saved correctly in DICOM format.