kevdog :
Very suggestions here guys and you have brought up a lot of points I didnt consider. I guess the followup question (which I should have put in the original post would be a companion graphics card(s)). I used to buying the gaming cards -- Nvdia 8800 gtx -- however Im guessing a card such as this wouldnt really be what Im looking for. Along with any specific suggestions on monitor names/models, could you point me to graphic cards I should be looking at.
The monitor is for an office based practice (not a radiology department or radiologist)
It's a difficult situation because you have two offset feature where neither is the best anymore. The QUXGA LCDs used to be the easy choice because nothing rivaled their display area, and they had the same colour characteritics as any other LCD (but a slower refresh), they're solid regardless of Viewsonic or IBM (the first to offer the model) since they are based on the same panel. The information displayable is twice that of the 30", but you will lose out on some of the colour quality as the LCD has not changed/improved much since their launch. The newer models have better colour support, which may or may not be an issue (no familiar with the colour depth of MRI information [I know they pump out massive amount, but don't know if it's compressed into nice 'channel-chunks' prior to export]). Eizos are nice I've worked on them, as well as the IBM, either of which I would agree with their recommendation, but it really does depend on manking the choice of type first, then brand/supplier.
Of course you can compensate for raw pixel number by making your desktop extend larger than the displayble area if your application supports that. We do that for Geomatic work, where we have Ultra-large resolutions with multi-layer and it pans within a smaller display area (usually dual 21"-24"). You are basically "zoomed in" and thus see a portion of what you would see in the larger resolutions. It's harder to get a global view, but it's usually good enough, and they are better for general use if you are switching to more mundane tasks, especially for text viewing.
I would say figure out what you want, like as much information on a single 22" monitor or half the information on a 30" monitor which you may be able to compensate for by panning which may be better for other applications.
And I wouldn't bother with CRTs for what you're doing. I love my CRTs, especially the P260 I'm using right now (considered to be one of the top ones ever [now replaced by the Mitsubishi CRTs]), but for this I'd say you want a nice big LCD. CRTs were for getting truer colours, but even that is changing. Heck if you want the best range, then you go with a monitor like the Brightside HDR monitor which has 16 bit per channel support (but costs a mint and is not 'desktop friendly').
I wouldn't bother with a Quadro though it's not the card for this type of work, whic doesn't require huge 3D, it's needs good and fast 2D.
If you're looking for quality 2D, especially if you want the added colour depth support, then you want to go with Matrox or AMD/ATi IMO, especially for the price.