This study looks at how major libraries and museums are tackling the issue of digitizing some of their most difficult to digitize materials, ancient manuscripts, fragments of documents and other difficult to digitize materials.  The study provides detailed data on the types of equipment considered most valuable, personnel training budgets and practices, insurance and transport issues, and much more.  The study also looks at outsourcing vs. in-house digitization, as well as defining what and how much institutions intend to digitize in the near future.  The study helps to answer questions such as:  how much do libraries plan to digitize?  How are they digitizing their most sensitive materials?  Which technologies are they using and which are considered critical?