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This paper reviews system inte-gration needs in a digital radiologydepartment, and open industry stan-dards developed in the past twodecades to address these needs. In par-ticular, the Integrating the HospitalEnterprise (IHE) initiative defines aset of Integration Profiles in radiolo-gy, with a focus on the interoperabili-ty of the integrated systems, based onexisting industry standards, such asDICOM and HL7.