This report is the IPEM publication on the use of the DICOM standard in Image and Data Managementacross the areas of Nuclear Medicine, Physiological Measurement, Radiotherapy and Ultrasound. Starting with a general overview of DICOM the report seeks to indicate some of the problems of working with PACS and the DICOM standard, with particular attention being given to areas outwith Diagnostic Radiology. There follows separate chapters on Nuclear Medicine and Positron Emission Tomography, Physiological Measurement, Radiotherapy, and Ultrasound. The final chapter discusses some technical aspects of PACS, while appendices provide a set of proposals concerning the development of the use of PACS in Radiotherapy, a list of the parts of the DICOM standard and a glossary of acronyms commonly found in the PACS/DICOM literature. This publication is aimed at Clinical Scientists and Engineerswho are required to commission or integrate DICOM Medical Devices but is likely to be of interest to anybody involved in the pursuit of DICOM integration.