Apparatus, systems, and methods for imaging protocol management are disclosed and described. An example imaging protocol manager includes an orchestrator, a baseliner, and a protocol application. The example orchestrator is to trigger a pull of a first imaging protocol. The example baseliner is configured to at least: process the first imaging protocol; and evaluate the first imaging protocol in comparison to a second imaging protocol from a protocol library to identify the first imaging protocol as at least one of a matching protocol, a new protocol, or a deviation with respect to the second imaging protocol, the deviation to be identified when the first imaging protocol is a partial match to the second imaging protocol. When the deviation is identified, the example baseliner is configured to remediate the deviation. When the first imaging protocol is identified as new, the example baseliner is to trigger storage of the first imaging protocol.