FAQ

Teleradiology is a specialised form of radiology where image interpretation takes place remotely rather than on-site.
The difference lies in the spatial separation between image acquisition and reporting, while the medical responsibility and quality remain the same.

Approval for teleradiology can be issued either for a limited or unlimited period.
It remains valid as long as all legal and professional requirements under § 14 of the German Radiation Protection Act (StrlSchG) and the Radiation Protection Ordinance (StrlSchV) are continuously fulfilled.
Any change in operation or personnel may require re-approval.

Yes, we support you comprehensively throughout the entire approval process—from application submission through documentation of the technical infrastructure to communication with the competent state authority. Our support includes checklists, formulation aids, regular meetings and a dedicated point of contact.

Radiology is the medical specialty concerned with imaging procedures. Teleradiology is a specific form of radiology in which the interpretation does not take place on-site but remotely. The difference therefore lies in the spatial separation between examination location and reporting location—the medical quality and responsibility remain identical.

Teleradiology may only be performed by board-certified radiologists with valid radiation protection expertise and official approval.
In addition, qualified medical staff must be present at the site of image acquisition.
The technical systems used must be certified and meet strict data protection and security standards.

Radiological images (e.g., CT, MRI, X-ray) are transmitted via secure, encrypted connections (VPN, DICOM) to an external radiologist.
The radiologist reviews the images, creates a structured report, and sends it back electronically.
A radiation protection physician must be available at all times to justify the indication and answer possible queries.

Interpretations within the StrlSchG are subject to the Radiation Protection Act and require a justification of indication, specialist expertise and approval for teleradiology by the responsible supervisory authorities. Interpretations outside the StrlSchG, e.g., in non-ionising procedures such as MRI or ultrasound, are subject to different regulations and do not require approval under the StrlSchG.

The justification of indication (rechtfertigende Indikation) must be made by a physician with the required radiation protection qualification—either locally or by the teleradiologist, provided all relevant patient information is available and they can be contacted at any time.

A teleradiological interpretation is the medical evaluation of radiological image data that is performed remotely—i.e., not at the site of image acquisition. The data transmission takes place digitally, and the report is then made available electronically to the requesting physician. This method is frequently used at night or in structurally weak regions to ensure continuous care.

Artificial intelligence (AI) may be used as an aid in interpretation, e.g., for detection of fractures, pneumonias or hemorrhages in strokes. In our procedure we use AI in addition to two reporting radiologists and refer to this as the “triple-reader standard”: the image data are analysed by the teleradiologist, a second teleradiologist and an AI-supported software. This increases diagnostic safety and reduces the risk of reporting errors.

For the deployment of teleradiology the following technical prerequisites are necessary:

• Secure, encrypted data transmission paths (VPN, DICOM standards)
• RIS/PACS systems for reporting and archiving
• Emergency power supply and high-availability servers
• Logged communication (audit trail)
• GDPR-compliant IT infrastructure

In teleradiology the data transmission takes place via encrypted connections (e.g., VPN, TLS). In addition all accesses, transmissions and processing are documented in accordance with the General Data Protection Regulation (GDPR) and medical IT security standards. The security meets the highest requirements in the healthcare sector.

The cost of teleradiology depends on several factors, such as the type and number of examinations, the required subspecialisations, and the chosen pricing model.
For example, prices may vary depending on whether reporting is performed within or outside the German Radiation Protection Act (StrlSchG), which modalities (X-ray, CT, MRI) are covered, and whether the cooperation follows an on-demand or flat-rate pricing model.

We offer transparent, individually tailored pricing models for hospitals, medical care centres, and private practices.
Please contact us for a detailed offer.

Radiology Advanced cooperates with numerous hospitals, medical care centres (MVZs), and radiology practices across Germany—particularly in emergency and on-call teleradiology.
Our clients include both regional hospitals and university-affiliated institutions that rely on consistent reporting quality, rapid turnaround times, and certified data security.
We are also an active member of professional radiology networks and maintain partnerships featured in leading healthcare publications such as E-Health-Com and RadMag.
Upon request, we can provide anonymised reference projects and performance benchmarks.