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The new trend in the process of data-intensive management indicates the importance of a distributed file system for both Internet large scale services and cloud computing environments. I/O latency and application buffering sizes are two of a number of issues that are essential to be analysed on different class of distributed file systems. In this paper, it is presented a research work comparing four different high performance distributed file systems. Those systems were employed to support a medical image server application in a private storage environment. Experimental results highlight the importance of an appropriate distributed file system to provide a differential level of performance considering application specific characteristics.