With the introduction of new radiological imaging modalities, especially nuclear magnetic resonance (NMR) scanners, an urgent need exists for an image communications/database management system which addresses not only intra- but also inter-departmental needs. Because space and shielding requirements will isolate NMR from the sites of other imaging modalities, a communications system is required to transmit and receive images from other radiological divisions and even clinical areas outside the department. Secondly, the variety and information content of NMR images obtainable from a single patient study demands rapid and easy consultation with a range of radiological and clinical specialists. Thirdly, patient scheduling and transportation require an integrated database management system coupled to a communications link so that optimal patient study sequences involving multiple imaging modalities can be routinely obtained. To meet these needs, a radiological information/communications system, called ICDBM , is being evaluated in a 1400 bed teaching hospital. This broadband video system integrates four CT scanners, two DR's, multiple scintillation cameras and a new NMR suite. ICDBM carries patient and departmental information as well as video and digital images (NTSC and up to 1000 lines). The rationale for system development, installation problems, and experience with ICDBM will be reported in detail. This paper not available at the time of printing of the Proceedings.