The image diagnosis area is the most propense medical field to Telemedicine, because it does not obligate a direct contact of the patient with the responsible radiologist during the building of the report. The persistent lack of specialists on places distant from urban centers makes the Telemedicine an important tool for improvement of healthcare services. In this work we present a framework, called CyclopsDistMedDB, for the integration of distributed DICOM medical record databases over wide areas. The present system has a central module that is responsible for receiving the clients requests about patient data (images, waveforms), performing the querying and retrieval of images, patient records etc. from the specific DICOM databases containing the data requested and delivering them to the clients. The data communication protocols adopted are DICOM, for retrieval of objects directly from DICOM data servers and CORBA (Common Object Request Broker) for the delivery of DICOM data to clien...