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After 12 years of using a digital radiology system, people's expectations during the planning phase have been confirmed. Its use rationalises processes in imaging diagnostics and contributes substantially to increasing quality and productivity in the core business of the hospital. However, the manifold improvements and advantages of digital radiology, its ease of use, and the fascinating innovation itself lead to an increase in expectations and demand. Rapidly increasing numbers of referrals and service demands from the clinical sector may soon annihilate any financial gains achieved through digital systems. The implementation of digital systems therefore should be accompanied by controlling referrals (medical controls, diagnostic standards, etc). [ABSTRACT FROM AUTHOR]