BACKGROUND: Teleradiology services are increasingly integrated into the workflow of radiological departments in EU-member states. METHODS: The current technological possibilities and European political agenda are both opening the way for cross-border telemedicine services including teleradiology. RESULTS: This is bringing new opportunities for both users and providers of teleradiology services, which has led to the idea of producing an updated version of earlier ESR statements and communications on teleradiology. For this purpose the e-Health and Informatics subcommittee established a Teleradiology subgroup. CONCLUSION: This white paper proposes comprehensive best-practice guidelines for teleradiology usage, focussing on services within the European Union, as prepared by the members of the ESR teleradiology subgroup. MAIN MESSAGES: • Teleradiology describes the provision of radiology services remote from the site where the images are obtained. • Teleradiology should form part of and be integrated with the wide spectrum of radiology services, and not a separate tradable commodity • The quality of radiological reports and services delivered by teleradiology should not be less than those of local radiologists • International quality standards for teleradiology need to be established • Patients need to be fully informed when teleradiology is used.
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