BACKGROUND Diagnostic imaging is one of the most revolutionary innovations in the medical world. It has revolutionized how physicians and patients view health and diseases. However, the dearth of radiologists to read these images has been an impending problem worldwide. Digitization of medical images in standard Digital Imaging and Communications in Medicine (DICOM) format and the seamless integration of imaging modalities through the Picture Archiving and Communication System (PACS) has enabled easy acquisition and transfer of images across networks for viewing, enabling the teleradiology platform for reporting by radiologists from anywhere. CARE was one of the first to adopt this technology through a public private partnership model with district hospital, Mahabubnagar in 2001. Over the last 18 years, we are connected to district hospitals, private centres across India, small sized hospitals and also to some international diagnostic centres in Nigeria and Iraq. This paper highlights our experiences in Teleradiology across district hospitals, private centres and international centres and also showcases the turnaround time for reporting routine and emergency cases through this mode of technology. METHODS All imaging modalities namely computed radiography (CR), computed tomography (CT) and magnetic resonance imaging (MRI) that were used are DICOM compliant. These machines were seamlessly integrated and configured adhering to the DICOM protocol to push images through DICOM gateway service to receive images according to set predefined standards. The PACS server had MS SQL database to host all the patient demographics along with history for each case and all images were archived based on a file system architecture. Virtual assistants help radiologists by transcribing the report online, after which another team scrutinizes for quality assurance of the reports transcribed before finally signing off the report. RESULTS Teleradiology network was established with 3 district hospitals (Mahabubnagar, Tandur and Nalgonda), 9 private centres (Balaji
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