To build a future-proof medical imaging management system, healthcare organizations must prepare for exponential data growth by choosing scalable, cloud-based storage solutions and implementing redundancy measures for data availability. Security and compliance are critical, requiring role-based access controls and end-to-end encryption to safeguard against HIPAA violations. Long-term retention of images is essential, with strategies for accessibility, usability, and integration of emerging data types to accommodate advancements in healthcare.