DIPE is a distributed environment that provides image processing services over integrated teleradiology services networks. DIPE integrates existing and new image processing software and employs sophisticated execution scheduling mechanisms for the efficient management of computational resources within a distributed environment. It can also be extended to provide various added-value services, such as management and retrieval of image processing software modules, as well as advanced charging procedures based on quality of service. DIPE can be viewed as the natural evolution of the legacy field of medical image processing towards a service over the emergent health care telematics networks.