Quality assurance of oral and maxillofacial teleradiology: a literature review
Abstract
Objectives: This article aims to inform dentists and dental specialists about quality assurance in oral and maxillofacial teleradiology as a communication tool between radiologists and colleagues using a teleradiology system.Review: Teleradiology is a radiological practice that allows the transmission and interpretation of diagnostic images, such as intraoral, extraoral, and CT scans, from different geographic locations. In dentistry, oral and maxillofacial radiologists often interpret these images remotely. To be effective diagnostically, teleradiology must maintain high-quality imaging standards and follow radiological care principles. Quality assurance (QA) plays a vital role in ensuring image clarity, diagnostic accuracy, and patient safety. QA involves implementing standard protocols for image acquisition and transmission using systems such as DICOM (Digital Imaging and Communication in Medicine) and PACS (Picture Archiving and Communication System), under radiologist supervision and with professional collaboration. Compression formats like JPEG and wavelet, whether lossy or lossless, must be managed properly to avoid image degradation. In clinical dental practice, teleradiology is utilized through teleconsultation, tele-consultancy, and telemanagement, relying on secure communication networks and professional interaction to protect data integrity and confidentiality.
Conclusion: Teleradiology improves access to radiologic interpretation and secondary consultations while offering flexibility in image review. Images can be simultaneously accessed from multiple locations. Successful implementation requires proper compression, stable internet, patient privacy, authentication, and data integrity. With adequate QA measures, teleradiology significantly enhances diagnostic services and patient care outcomes.
Keywords: Quality assurance, oral and maxillofacial, teleradiology
References
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4. Silva LAS, et al. Guidelines for teleradiology practice in oral and maxillofacial radiology: A consensus statement. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;129(6):e279–84. https://doi.org/10.1016/j.oooo.2020.03.006
5. Wulandari R, Astuti S. Digitalization of dental healthcare services in the pandemic era: Opportunities and challenges. J Adm Kesehatan Indones. 2022;10(2):89–97. https://doi.org/10.32528/jaki.v10i2.6793
6. Romeo A, Agus S. Model sistem teleradiologi untuk akses pelayanan kesehatan rujukan. J SISFO. 2019;8(3):159–70
7. Siswanti E, Santoso AG, Indrati R, Budiati TA, Rasyid R. Development of web-based teleradiology application to enhance the quality of radiology services. Int J Med Health (IJMH). 2024;3(2):14-25. doi: https://doi.org/10.55606/ijmh.v3i2.3392
8. Hetenyi S, Goelz L, Boehmcker A, Schorlemmer C. Quality Assurance of a Cross Border and Sub Specialized Teleradiology Service. Healthcare (Basel). 2022;10(6):1001. doi:10.3390/healthcare10061001
9. Choi JW, Cho SB. Clinical usefulness of teleradiology in general dental practice. Imaging Sci Dent. 2018;43(2):99–104. doi:10.5624/isd.2013.43.2.99
10. Ranschaert ER, Boon P, DeBenedictis A. Teleradiology: current and future perspectives. Cham (Switzerland): Springer; 2020.p.45-60. https://doi.org/10.1007/978-3-030-47060-9
11. Awan OA, Krauss D. Cloud-based PACS and mobile imaging. Radiographics. 2018;38(6):1773–86. https://doi.org/10.1148/rg.2018180038
12. Pianykh OS. DICOM: digital imaging and communications in medicine. 3rd ed. Cham (Switzerland): Springer; 2021.p.275-298
13. European Society of Radiology (ESR). ESR white paper on teleradiology. Insights Imaging. 2019;10(1):7. https://doi.org/10.1186/s13244-019-0695-7
14. Krupinski EA, et al. Approaches to image compression in teleradiology: Implications for QA. J Am Coll Radiol. 2018;15(12):1796–803. https://doi.org/10.1016/j.jacr.2018.06.011
15. Sharma R, Bansal A. Data security frameworks in medical imaging. Health Inf Sci Syst. 2017;5(1):12. https://doi.org/10.1007/s13755-017-0035-z
16. Santos AM, Rodrigues DC, Larranaga AN. Teleradiology: good practice guide. Radiología; 2023;65(2):133-148
17. Logeswaran R. Compression of medical images in teleradiology: balancing quality and efficiency. In: Teleradiology.Cham (Switzerland): Springer; 2019. p. 21–31. https://doi.org/10.1007/978-3-030-12487-2_3
18. Haleem A, Javaid M, Singh RP, Suman R, Rab S. Telemedicine for healthcare: capabilities, features, barriers, and applications. Sensors Int. 2021;2:100117. https://doi.org/10.1016/j.sintl.2020.100117
19. Hariri A. Hospital Information System (HIS), Radiology Information System (RIS), Picture Archiving and Communication System (PACS) dan Teleradiology. J Sistem Informasi Kesehatan. 2020;8(2):130–7
20. Pierce JD, Kosaraju V, Rosipko B, Sunshine JL, Judd I, Sommer J. Collaborative development of a PACS integrated quality control dashboard: a single institutional experience. J Digit Imaging. 2022;35(6):1350–7. doi:10.1007/s10278-022-00621-y
21. Lucas P, Costa IC, Lemos M, et al. Dental teleradiology: a powerful strategy to overcome the impact of COVID-19. Acad Radiol. 2020;27(10):1492–3. https://doi.org/10.1016/j.acra.2020.06.002
Published
2025-08-31
How to Cite
SURAIDAH, Suraidah; RAHMAN, Fadhlil Ulum Abdul.
Quality assurance of oral and maxillofacial teleradiology: a literature review.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 2, p. 132-137, aug. 2025.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1324>. Date accessed: 29 nov. 2025.
doi: https://doi.org/10.32793/jrdi.v9i2.1324.
Section
Review Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
