This document discusses tuning, testing, and monitoring an XNAT installation. It provides an overview of the CNDA XNAT architecture at Washington University, which includes over 500 studies and 9 TB of data. It recommends hardware for XNAT, including using separate servers for PostgreSQL and Tomcat. It also discusses using tools like Pingdom, Munin, Monit, JMeter, and YourKit for monitoring performance and finding optimization opportunities in PostgreSQL, Tomcat, and XNAT configuration. The document emphasizes that tuning results are dependent on specific variables and outlines an iterative process of finding slow areas, quantifying issues, tuning, and re-evaluating.