Specific radiological requirements have to be considered for the reali
zation of telemedicine. In this article the goals and requirements for
an extensive introduction of teleradiology will be defined from the r
adiological user's point of view. Necessary medical, legal and profess
ional prerequisites for teleradiology are presented. Essential require
ments, such as data security, maintenance of personal rights and stand
ardization, must be realized. Application-specific requirements, e. g.
quality and extent of teleradiological functions, as well as technolo
gical alternatives, are discussed. Each project must be carefully plan
ned in relation to one's own needs, extent of functions and system sel
ection. Topics, such as acknowledgement of electronic documentation, r
eimbursement of teleradiology and liability, must be clarified. Legal
advice and the observance of quality guidelines are recommended.