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This video tutorial explains how to save and export DICOM images, emphasizing the importance of DICOM format for diagnostic purposes. DICOM images allow for manipulation, such as zooming, adjusting window levels, and contrast changes, which JPEG images do not support. To save images in DICOM format, users should first create a new folder on their Windows desktop. Then, they should open the PACS viewing software containing the images, click the export or save button, select DICOM as the format instead of JPEG, and choose the previously created folder as the destination. This ensures that all saved images are in the necessary DICOM format.