The transmission of moving pictures to remote locations is an important par
t of telemedicine. Although the first videoconferencing demonstrations were
performed in the 1930s, the technology is still fragmented and its quality
is sometimes too poor for it to be useful. Conventional television technol
ogy is analogue (the fundamental television standards were developed before
the Second World War) and does not 'fit' the digital world very well. This
paper reviews video transmission and videoconferencing technologies and th
e results that can be expected. While trained professionals may be able to
make use of poor-quality video systems, real advances in telemedicine requi
re studio-quality video, which is possible only with high-bandwidth technol
ogy.