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This tutorial explains how to save and export DICOM images, emphasizing that diagnostic images must be in DICOM format rather than JPEG. DICOM allows for image manipulation, such as zooming, adjusting contrast, and changing features, which is not possible with JPEG. To save images in DICOM format, start by creating a new folder on your Windows desktop. Next, open the PACS viewing software containing the images, click the export or save button, and choose DICOM as the format instead of JPEG. Finally, select the folder you created on the desktop as the destination for saving the images.