European Radiology

, 17:1331 | Cite as

Teleradiology applications with DICOM-e-mail

  • G. WeisserEmail author
  • U. Engelmann
  • S. Ruggiero
  • A. Runa
  • A. Schröter
  • S. Baur
  • M. Walz
Computer Applications


For the connection of several partners to a Dicom-e-mail based teleradiology network concepts were developed to allow the integration of different teleradiology applications. The organisational and technical needs for such an integration were analysed. More than 60 institutions including 23 hospitals in the Rhein-Neckar-Region, Germany were connected. The needed functionality was grouped in six teleradiology applications (emergency consultation, tele-guided examinations, expert consultations, cooperative work, scientific cooperations and homework with on call services) and their technical and organisational needs according to availability, speed of transfer, workflow definitions and data security needs was analysed. For the local integration of teleradiology services the setup and workflow is presented for a standalone teleradiology workstation and a server based teleradiology gateway. The line type needed for different groups of applications and users is defined. The security concept and fallback strategies are laid out, potential security problems and sources of errors are discussed. The specialties for the emergency teleradiology application are presented. The DICOM-e-mail protocol is a flexible and powerful protocol that can be used for a variety of teleradiology applications. It can meet the conditions for emergency applications but is limited if synchronous applications like teleconferences are needed.


Teleradiology DICOM-e-mail Telemedicine Internet 



This work was partially supported by the Zukunftsoffensive III of the Social Ministry of the state of Baden-Württemberg, Germany.


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • G. Weisser
    • 1
    Email author
  • U. Engelmann
    • 2
  • S. Ruggiero
    • 1
  • A. Runa
    • 1
  • A. Schröter
    • 3
  • S. Baur
    • 4
  • M. Walz
    • 5
  1. 1.Department of Clinical RadiologyUniversity Hospital MannheimMannheimGermany
  2. 2.Division of Medical and Biological InformaticsGerman Cancer Research CenterHeidelbergGermany
  3. 3.CHILI GmbHHeidelbergGermany
  4. 4.Curagita AGHeidelbergGermany
  5. 5.Medical Office for Quality Assurance in RadiologyHessenGermany

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