title: [Remote access to a web-based image distribution system].
abstract: OBJECTIVE
  To assess different network and security technologies for remote access to a web-based image distribution system of a hospital intranet.
  
  
  METHODS
  Following preparatory testing, the time-to-display (TTD) was measured for three image types (CR, CT, MR). The evaluation included two remote access technologies consisting of direct ISDN-Dial-Up or VPN connection (Virtual Private Network), with three different connection speeds of 64, 128 (ISDN) and 768 Kbit/s (ADSL-Asymmetric Digital Subscriber Line), as well as with lossless and lossy compression.
  
  
  RESULTS
  Depending on the image type, the TTD with lossless compression for 64 Kbit/s varied from 1 : 00 to 2 : 40 minutes, for 128 Kbit/s from 0 : 35 to 1 : 15 minutes and for ADSL from 0 : 15 to 0 : 45 minutes. The ISDN-Dial-Up connection was superior to VPN technology at 64 Kbit/s but did not allow higher connection speeds. Lossy compression reduced the TTD by half for all measurements.
  
  
  CONCLUSIONS
  VPN technology is preferable to direct Dial-Up connections since it offers higher connection speeds and advantages in usage and security. For occasional usage, 128 Kbit/s (ISDN) can be considered sufficient, especially in conjunction with lossy compression. ADSL should be chosen when a more frequent usage is anticipated, whereby lossy compression may be omitted. Due to higher bandwidths and improved usability, the web-based approach appears superior to conventional teleradiology systems.
authors.affiliation: Dezernat Informations- und Kommunikationstechnologie, Klinikum der Johann Wolfgang Goethe-Universität, Frankfurt am Main. bjoern.bergh@med.uni-heidelberg.de
authors.forename: B
authors.initials: B
authors.lastname: Bergh
authors.forename: A
authors.initials: A
authors.lastname: Schlaefke
authors.forename: R
authors.initials: R
authors.lastname: Frankenbach
authors.forename: T J
authors.initials: TJ
authors.lastname: Vogl
mesh_terms: D020407:Internet; D011873:Radiology Information Systems; D019114:Remote Consultation; D014584:User-Computer Interface