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In this video tutorial, the importance of saving and exporting images in DICOM format for diagnostic purposes is emphasized. DICOM allows for image manipulation, such as zooming, contrast adjustment, and other features, which JPEG does not support. To save images in DICOM format, first create a new folder on your Windows desktop. Then, open the PACS viewing software containing the desired images, click the export or save button, select DICOM as the format, and choose the previously created desktop folder as the destination. This process ensures that all saved images maintain their diagnostic quality.