A radiation image storage and reproduction system includes a radiation image read-out device for reading out a radiation image stored in a stimulable phosphor sheet to obtain digital image data of the radiation image; an image-concomitant information input device for inputting information of a forwarding address and/or an information of a image processing operation for the digital image data; an image processing device for processing the digital image data; a display device for visually reproducing the radiation image from the digital image data; and an image filing device for storing the digital image data. In one embodiment all of the above devices are connected to an image forwarding-processing controller device for deciding a forwarding address of the digital image data based on the information of the forwarding address and for forwarding the digital image data to the decided address and/or for deciding a processing or processing to be applied to the digital image data based on the information of the image processing operation.