Table 1: Technical possibilities for remote data transmission in networking hospitals [10].

Network accessTransmission speedSuitability for teleneuromedicineCosts

ISDN (point-to-point)64–128 KB and more(i) Nationwide, also available in rural areas24 euro per month and 128 KB
(ii) Relatively slow
(iii) Only for small image transfers
(iv) Ability to bundle cables

ADSL (Internet)128–768 KB (upload) 1–16 MB (download)(i) Fast downloading20–150 euro per month including connection costs
(ii) Not available everywhere
(iii) Home connection

SDSL (Internet)512 KB to 2 MB (upload and download)(i) Fast Up- and downloading120–180 euro per month including connection costs
(ii) Not available everywhere
(iii) Suitable for small and mid-sized hospitals

Satellite (Internet)1,5 to 24 MB (download no upload)(i) No upload ISDN as feedback channel (upload) required30–130 euro per month according to provider and rate
(ii) Available everywhere
(iii) Badly suited for synchronous connection because of long latency periods

Leased line SFV (point-to-point)640 KB to 155 MB (upload and download)(i) Highest reliability300–1200 euro per month
(ii) Possible high speed
(iii) Recommended for big hospitals