Teleradiology has become increasingly important in the managed care ra
diology practice environment. In order to fully appreciate the telerad
iology operation, we have to understand the current technology availab
le, some service models, and trade-off factors. This paper is organize
d in three parts. The first part is a review component of a teleradiol
ogy operation as well as state-of-the-art technologies. In the second
part, we generalize several service models based on our past experienc
e to illustrate the trend in teleradiology applications. The last part
on trade-off factors is derived from field data. Four major factors (
image capture, workstation, image compression and communication techno
logy) balance a teleradiology operation in terms of cost, image qualit
y, and turnaround time. The major issues in teleradiology yet to be re
solved are patient confidentiality and image authenticity. Copyright 1
996 Elsevier Science Ltd.