Our staff polled clinicians on today’s most effective picture archiving and communications systems (PACS) solutions to determine which product/service line yields the most effective results from their day-to-day use. We asked about hardware imaging machines; secure networks for the distribution and exchange of patient images; workstations or mobile devices for viewing, processing and interpreting images; and electronic archives for storing and retrieving images and related documentation and reports; and cost. We surveyed 21 separate solutions. Below are the top 10 HIT Leaders for 2018.