An investigation on requantization for transcoding of video signals is carried out. Specifically, MPEG-2 compatible discrete cosine transform (DCT) intraframe coding is addressed. The aim of this work is twofold: first, to provide a theoretical analysis of the transcoding problem, and second, to derive quantization methods for efficient transcoding based on the results of the analysis. The mean squared error (MSE) cost function is proposed for designing a quantizer with minimum distortion resulting in up to 1.3 dB gain compared with the quantizer used in the MPEG-2 reference coder TM5. However, the MSE quantizer leads in general to a larger bit rate and may therefore only be applied locally to blocks of sensitive image content. A better rate-distortion performance can be provided by the maximum a posteriori (MAP) cost function. In critical cases, the MAP quantizer gives a 0.4 dB larger signal-to-noise-ratio (SNR) at the same bit rate compared with the TM5 quantizer. The results are not limited to MPEG-2 and can be adapted to other coding schemes such as H.263 or JPEG.

This paper proceeds from the definition of teleradiology. It identifies three different generations of teleradiology systems and includes those systems that are not regarded as teleradiology systems by the authors. A list of requirements pertinent to users of first-generation teleradiology systems is introduced. Most of the requirements have been realized in a new generation teleradiology system called CHILI.