For healthcare providers, the potential of cloud technology intrigues, yet adoption has proven difficult.   Nowhere is this more evident than in imaging, which has a legacy of aging, on - premise applications that interact with every point of care. Faced with unscalable solutions and limited alternates, many providers’ have stalled their initiatives. Today’s enterprise cloud imaging solutions offer new hope. Here we discuss what’s next for cloud based medical imaging, outlining drivers and barriers to adoption.