Alhasan Mustafa S, Alhasan Ayman S
Department of Internal Medicine, College of Medicine, Taibah University, Madinah, Saudi Arabia.
Teleradiology Solutions, Ardmore, PA, USA.
Insights Imaging. 2025 Sep 18;16(1):198. doi: 10.1186/s13244-025-02081-8.
Teleradiology has advanced from an occasional modality to a cornerstone of modern radiology practice, with the COVID-19 pandemic catalyzing widespread adoption of home-based reading environments. This review synthesizes current literature and expert recommendations on hardware and software optimization for effective home-based teleradiology implementation. Available data indicate 65% of institutions established home workstations during the pandemic, with 74% transitioning routine daytime shifts to internal teleradiology. We reviewed key components of successful remote reading environments, including diagnostic display specifications, environmental controls, ergonomic considerations, computational infrastructure, and network architecture. Evidence suggests that properly configured remote workstations maintain diagnostic performance equivalent to hospital reading rooms while enhancing radiologist satisfaction and productivity. We found that 65% of radiologists reported reduced stress levels when working from home, and 96% observed similar or improved report turnaround times. Essential technical specifications include display luminance standards, ambient lighting levels between 25 and 75 lux, acoustic conditions below 40 decibels, and temperature control within 20-24 °C. Computational requirements include a minimum sustained bandwidth of 50-100 Mbps. We review multi-layered security architectures and workflow integration strategies supporting distributed reading environments. Our review concludes that properly implemented home-based teleradiology is a viable practice model extending specialized expertise across geographic boundaries while promoting radiologist well-being. However, knowledge gaps remain in technical standardization, regulatory harmonization, and long-term clinical outcomes, underscoring the need for further research to support confident, data-driven teleradiology implementation. CRITICAL RELEVANCE STATEMENT: This review critically evaluates the technical, ergonomic, and operational requirements for home-based teleradiology, offering evidence-based recommendations that address current practice gaps and support the development of sustainable, high-performance remote reading environments in modern clinical radiology. KEY POINTS: Home teleradiology maintains diagnostic quality while improving radiologist well-being; 65% report reduced stress and 96% show similar or improved report turnaround times. Optimal implementation requires medical-grade displays, a controlled environment (25-75 lux lighting), 50-100 Mbps bandwidth, and robust security measures. Standardization varies across jurisdictions; some countries have protocols, but gaps persist in cross-border teleradiology and long-term outcomes assessment.
远程放射学已从一种偶尔使用的模式发展成为现代放射学实践的基石，新冠疫情推动了居家阅片环境的广泛采用。本综述综合了当前关于有效实施居家远程放射学的硬件和软件优化的文献及专家建议。现有数据表明，65%的机构在疫情期间设立了居家工作站，74%的机构将日常日间班次转换为内部远程放射学阅片。我们回顾了成功的远程阅片环境的关键组成部分，包括诊断显示器规格、环境控制、人体工程学考量、计算基础设施和网络架构。有证据表明，配置得当的远程工作站在保持与医院阅片室相当的诊断性能的同时，还能提高放射科医生的满意度和工作效率。我们发现，65%的放射科医生报告称在家工作时压力水平降低，96%的人观察到报告周转时间相似或有所改善。基本技术规格包括显示器亮度标准、25至75勒克斯之间的环境光照水平、低于4040分贝的声学条件以及20至24摄氏度的温度控制。计算要求包括至少50至100Mbps的持续带宽。我们回顾了支持分布式阅片环境的多层安全架构和工作流程整合策略。我们的综述得出结论，正确实施的居家远程放射学是一种可行的实践模式，可跨越地理界限扩展专业知识，同时促进放射科医生的健康。然而，在技术标准化、监管协调和长期临床结果方面仍存在知识空白，这凸显了进一步研究以支持自信、数据驱动的远程放射学实施的必要性。关键相关性声明：本综述批判性地评估了居家远程放射学的技术、人体工程学和操作要求，提供了基于证据的建议，以解决当前的实践差距，并支持现代临床放射学中可持续、高性能远程阅片环境的发展。要点：居家远程放射学在保持诊断质量的同时提高了放射科医生的健康水平；65%的人报告压力降低，96%的人报告周转时间相似或有所改善。最佳实施需要医用级显示器、受控环境（25至75勒克斯光照）、50至100Mbps带宽和强大的安全措施。不同司法管辖区的标准化程度各不相同；一些国家有相关协议，但跨境远程放射学和长期结果评估仍存在差距。
