Radiology IT is a more challenging area than other helathcare IT systems. The Radiologists (and cardiologists) rightly want to be very involved in the selection of the systems that they interact with. Many of them sit in front of these computer systems all day and something as nuanced as the placement of a button can have a great impact on their productivity and overall satisfaction. In this regard, trying to select a mutually acceptable Radiology IT system is much like standardization of orthopedic implants or surgical sutures.