Teleradiology and telemedicine.

This article provides a historical perspective as well as an update on the current state of teleradiology and telemedicine in the United States. Technical implementation issues are discussed and enabling technologies are described. Considerations that impact network design are outlined including data transmission, data compression, applicable standards, and band-width requirements. Reimbursement, medicolegal, licensure, 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 environment.