IR practices need managed IT tuned for high-volume imaging: fast, redundant networks for DICOM traffic between fluoroscopy and angiography suites and PACS, reliable RIS and PowerScribe support, and HIPAA-grade cybersecurity. They also need backup and disaster recovery sized for growing image archives, radiation dose data retention for ACR accreditation, and secure connectivity with referring physicians and hospitals. A vCIO ties it together with planning that fits how an IR practice actually runs.