Obviously, a CMOS medium format back would be a game changer. But we keep hearing that the tech/costs of developing a MF sized CMOS sensor are too great.
So here's an idea, which I am just going to throw out there for discussion: how about a digital back with an existing CMOS 35mm full frame sensor? Say the 24MP Sony sensor (D3X/A900). Sure it's smaller than medium format, but think of what it opens up, on say a Hasselblad H4D or a Hy6 or an RZ67 - a really high performance sensor on a body with leaf shutter lenses and interchangeable finders.
Remember, we used be able to do this with our Mamiya 645s and Bronica ETRS's: 35mm backs for those "special emulsions" not available in 120/220.
And that was when 35mm format was 2.7x smaller in area than 645 film; now 35mm full frame is only 1.7x smaller than a P30+, H4D-40, or Aptus 8.
So think of a CMOS 35mm sensor as a "special emulsion" for high ISOs, long exposures, and faster frame-rates.
I can see less merit in the idea for the Mamiya/Phase 645 users - fixed prism, focal plane shutter - we can already use our lenses on a FF DSLR anyway.
But maybe it would suit someone who is heavily invested in the new LS lenses and the DF body.
Ray