Effective teleconsulting and teleconferencing using standard DICOM protocol and push technology on low bandwidth connection

Teleconsulting and teleconferencing is nowadays a strict need for patient follow-up or for medical second opinion. The growing of this kind of techniques for teleconsulting needs an effective way to achieve a fast communication on non-dedicated connection lines. Moreover another prerequisite for this kind of activities is the conformance to DICOM that is the de facto standard for medical image storage and communication. The present work proposes a way to distribute medical images by means of standard telecommunications media (i.e. Ethernet lines, modem lines, ISDN lines), and in standard DICOM format using freely available open-source tools.