Systems and methods for delivering real-time video imagery to a receiver over a channel. A current video frame is captured and digitized. The digitized frame is divided into a plurality of macroblocks. For each macroblock an intra, inter or skip mode coding mode is determined. Based on instantaneous feedback received from a receiver regarding successfully received video packets for a prior video frame, a quantization parameter is set and the macroblocks are encoded in accordance with their respective selected coding mode. Synchronized error concealment is performed at both the encoder and decoder sides of the system and retransmission of lost video packets, using an adaptive retransmission scheme, are performed in accordance with the instantaneous feedback from the receiver.