It is indeed a pleasure to be included among the distinguished scientists and radiologists in this First International Conference and Workshop on Picture Archiving and Communication Systems for Medical Applications. Just a few years ago a dedicated computer system together with provisions for an image archival system having ability to transmit images from the radiology department to various parts of the medical facilities was proposed at the Walter Reed Army Medical Center. Unfortunately, that proposal was referred to committee because acquisition of computers had to first go through the Computer Systems Command and the procurement of an image archival system required approval of the Audiovisual Command. Nonetheless, in a very short time, the imaging in radiology has matured to the point that serious movements are underway to automate, process, display, and archive as well as report radiological images and thereby reduce the image problem to a manageable form. Although all phases of diagnostic radiology and parallel imaging modalities have improved monumentally, we remain in a "horse and buggy" era with regard to film display, storage, and conferencing procedures so that too often the image we need for patient care and management is not "where it is needed, when it is needed."