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In fusion imaging, particularly when it involves MRI images, the correct method of retaining images for real-time viewing is through the DICOM system. DICOM, which stands for Digital Imaging and Communications in Medicine, is a standard format used to store, exchange, and transmit medical imaging data. This format ensures that the images captured during MRI scans can be stored with associated metadata, making them accessible for real-time viewing by healthcare professionals.

Using DICOM systems allows for efficient handling and retrieval of imaging studies, ensuring that images can be integrated with other modalities and displayed accurately. The system supports features such as image annotations and synchronization with other imaging data, which are critical for diagnostic purposes. This capability enhances the overall workflow in medical imaging, especially in a setting where multiple images from different modalities are combined for comprehensive analysis.

Other options, while seemingly plausible, do not align with the established practices in medical imaging. For example, saving as a video file could limit the detail and data interpretation capabilities that DICOM provides. Meanwhile, storing images in a physical medium would be less efficient for real-time access, which is crucial in clinical settings. Retaining images solely in memory would risk loss if the system were to fail or restart, making it an unreliable method for maintaining access to