With the approach of this New Year, we have stepped into another year which will be filled with latest advances and technologies. There are a host of recent and upcoming trends in Teleradiology that we will witness this year. Many of these have been and are applied within our own organisation and so I have had the good fortune of using them and/or observing their value. All of these trends, in my opinion, represent paradigm shifts within what is itself a relatively new industry, which makes for exciting stuff. And of course, like all things new, all lend themselves to controversy and debate, before we eventually reach the state of universal appreciation. The cloud Arguably the most rapidly evolving recent phenomenon, and one that impacts most industries, teleradiology being no exception, is that of the internet cloud. What this translates to in teleradiology, is that patient images are leaving the server rooms of hospitals and beginning to reside on virtual networks of datacenters. This trend allows for 3 solid benefits a) extreme redundancy – as the images are distributed over a virtual network of servers which may be spread over different geographies, there is no longer the risk of the hospital PACS server “going down”, which has traditionally been a significant cause of loss of productivity in radiology departments worldwide b) decreased infrastructural costs – the cloud-based service can be utilized on a SAAS or a pay-per-use model , without high startup infrastructural costs and c) most important, universal access to image data, without having to penetrate individual hospital firewalls, while still being compliant with HIPAA security measures. What this means is that physicians can have more direct and seamless access to their patient’s images, and the number of duplicate and unnecessary scans that are performed today can be drastically reduced, especially when patients move, or are transferred from one heal