This article provides a historical perspective as well as an update on
the current state of teleradiology and telemedicine in the United Sta
tes. Technical implementation issues are discussed and enabling techno
logies are described. Considerations that impact network design are ou
tlined including data transmission, data compression, applicable stand
ards, and bandwidth requirements. Reimbursement, medicolegal, Licensur
e, and regulatory issues related to the delivery of teleradiology and
other telemedicine services are reviewed. Insight is provided into the
role of teleradiology and telemedicine in a changing health care envi
ronment.