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In this tutorial, the speaker explains how to save and export DICOM images, emphasizing that diagnostic images must be in DICOM format rather than JPEG. DICOM images allow for manipulation features such as zooming, contrast adjustments, and window leveling, which are not available with JPEG images. The process starts by creating a new folder on the Windows desktop. Then, the user should open the PACS viewing software to access the images. The next step is to click the export button (or save button, if export is not visible) and select DICOM format instead of JPEG when prompted. Finally, choose the previously created folder as the destination for saving the images.