In an environment of constrained finances and a landscape of uncertainty around policy and market change, how can CIOs move forward on imaging IT? In the past few years, it has become clear that the operational ideal in this area is enterprise-wide imaging access, computing, and management. The question is, how? In part one of this feature, three CIOs from three different types of organizations explain how they've pursued innovation. In part two, we look at the bigger picture, including the shifting vendor landscape, and the potential for impact of policy and reimbursement change on imaging and imaging IT.