Image Interpretation - e-Learning for Healthcare
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This programme is in partnership with...
  • Society of Radiographers
  • CPD Now

About the Image Interpretation programme

The Image Interpretation e-learning programme, also known as Interpretation of Radiological Images (e-IRI), is being developed by the Society and College of Radiographers, in collaboration with the Health Education England e-Learning for Healthcare programme.

Image Interpretation was launched at the UK Radiological Congress in Birmingham in June 2010.

The Image Interpretation syllabus

The current and planned e-learning provides continuing professional development in basic image interpretation to support radiographers and other health professionals with interpreting and offering reports on radiography (adult and paediatric – appendicular and axial skeleton; abdomen and chest); cross-sectional imaging in neuro emergency (CT and MRI) and MRI (musculoskeletal); ultrasound imaging (gynaecological, abdominal, men’s health, vascular, musculoskeletal, paediatric, head and neck and obstetrics); breast imaging (multi-modality); gastro-intestinal (GI) and genito-urinary (GU) imaging; nuclear medicine imaging; neurointerventional imaging and cardiac imaging; with additional modules relating to forensic radiography, an introduction to imaging technologies, naso-gastric tube placement and orthopaedic imaging.

About the e-learning

The e-learning has been written by senior practitioners and university lecturers. All the material has been approved by the College of Radiographers and a certificate is awarded on completion of each course (a group of sessions). All learning undertaken can be recorded in CPD portfolios for professional accreditation and regulatory (HCPC) CPD purposes. For more information, please select Summary below.

Summary >

In a scientific study [1], the e-learning was shown to improve the chest x-ray interpretation skills of medical students in preparation for their postgraduate training.

Image Interpretation






[1] Tamaklo E. Can e-learning improve medical students’ ability to interpret chest x-rays in comparison with electronic text? Poster session presented at: ASME Annual Scientific Meeting; 2012 Jul 18-20; Brighton, England.


Image Interpretation is available to a wide range of health professionals including radiographers, doctors, nurses, and allied health professionals, helping to ensure they are all working to nationally agreed standards, and ultimately delivering high quality patient care.

The College of Radiographers has created a national syllabus for image interpretation against which core training will be delivered across the NHS.

Image Interpretation provides a structured syllabus to support radiographers and other health professionals to interpret radiographs as part of their role in the clinical setting. For information on the sessions in the programme, please select Syllabus below.

Syllabus >

Image Interpretation_Image 1









Sample sessions

Below are some sample sessions from Image Interpretation, which like all Image Interpretation sessions, have been written by subject specialists. They demonstrate how the e-learning works, how multimedia features such as animation are used to support the learning and how learners can check their understanding of a subject through assessment. The sessions follow a structured format which comprehensively covers the skills required to offer an informed opinion on radiograph, ultrasound and cross-sectional images. Sessions are also grouped into courses to enable you to better manage your learning of this e-learning resource.

  • General Anatomy and Biomechanics

    This session describes bone structure and its radiographic appearance, the classification of bones and joints, the function of ligaments and tendons, basic principles of skeletal biomechanics, and how these relate to image interpretation.

  • Facial Bones: Session 1

    This session will look at injuries related to the facial bones. It will focus on identifying anatomy demonstrated on both diagrams and radiographs, and offer examples of radiographic technique. Mechanisms of injury will be discussed to develop a knowledge base in clinical presentations.

  • Role of CT and MRI in Neurological Emergencies

    This session will look at common neurological emergencies, why and how they are imaged.

  • Breast Imaging: Benign Masses

    This session will look at benign lesions of the breast. It will look at some of the clinical aspects and then focus on the imaging characteristics of each lesion.

  • Knee - Session 1

    This session will look at the anatomy of the knee which will be illustrated using diagrams, magnetic resonance images and some arthroscopic images. Mechanisms of injury will be discussed along with technique for magnetic resonance imaging of the knee.

Executive group

  • Alan Ryan

    National Programme Director, HEE e-Learning for Healthcare
  • Profile picture of programme director Martin Sinclair

    Martin Sinclair

    Programme Lead, HEE e-Learning for Healthcare
  • Charlotte Beardmore

    Charlotte Beardmore

    Project Sponsor/Champion, College and Society of Radiographers
  • Dorothy Keane

    Dorothy Keane

    Clinical Lead

Module leads

  • Dorothy Keane

    Dorothy Keane

    Plain x-ray, Cross-sectional Imaging (CT and MRI), Introduction to Imaging Technologies, MRI Musculoskeletal (Self Evaluation and Internal Auditory Meati) and Accessory Projections
  • Emily Faircloth

    Forensic Radiography
  • Hazel Edwards

    Hazel Edwards

    Ultrasound (Gynaecological, Abdominal, Men’s Health, MSK, Vascular, Head and Neck)
  • Gill Harrison

    Gill Harrison

    Ultrasound (Obstetric)
  • Vivien Gibbs

    Vivien Gibbs

    Ultrasound (Obstetric)
  • Julie Nightingale

    Julie Nightingale

    Gastro-intestinal and Genito-urinary Imaging
  • Peter Hogg

    Peter Hogg

    Nuclear Medicine
  • Richard Lawson

    Richard Lawson

    Nuclear Medicine
  • John Tuckett

    John Tuckett

    MRI Musculoskeletal (Introduction, Upper Limbs, Lower Limbs, Spine)
  • Linsley Lunt

    Linsley Lunt

    Breast Imaging
  • Sally Athey

    Sally Athey

    Breast Imaging
  • Rob Meertens

    Rob Meertens

    Cardiac Imaging
  • Nicola Hind

    Nicola Hind

  • Mark Viner

    Mark Viner

    Dental and Maxillo-facial Radiography

Project team

  • e-lfh staff - Lindsay Collin profile picture

    Lyndsey Callion

    Project Manager/Lead Instructional Designer, HEE e-Learning for Healthcare
  • Profile picture of content editor Victoria Winlow

    Victoria Winlow

    Assistant Programme Manager, HEE e-Learning for Healthcare
  • Adrian Murphy

    Technical Support Manager, HEE e-Learning for Healthcare


Joanne Hargreaves, Claire Giles, Nick Woznitza (and also many, many hours of image sourcing support), Paul O’Riordan, Lisa Field, Sally Athey, Andrew Yeung, John Tuckett, Charlotte Ansell, Alvin Karsandas, Karen Heggs, Kevin Harvell, Tracy O’Regan, Kara Mell, Sarah Gallimore, Kathy Dewar, Anne Lancaster, Kirsty Buckley, Alison Walker, Chris Dennison, Matthew Scott, Claire Gowdy, Julie Hall, Nigel Hughes, Anna Beattie, Dipalee Durve, Michael McNeill, Michael Carss, Phil Allen, Richard Harbron, Anne Marie Coady, Regina Fernando, Rosie Simpson, Angela Clough, Peter Cantin, Glenda Toach, Zahir Amin, Doug Pendsé, Jane Smith, Pam Parker, Angela Galea, Simon Freeman, Bob Jarman, Will Topping, Lisa Britland, Uday Patel, Emma Chung, Borsha Sarker, Stephen Wolstenhulme, Tim Hartshorne, Colin Deane, Gill Dolbear, Sarah Riley, Lisa Meacock, Gajan Rajeswaran, Justin Lee, Amanda Isaac, Ellen Dyer, Rebecca Baker, Rob Pearce, Warren Foster, Karen Partington, Phil Robinson, Alison Hall, Clare Drury, Neil Cozens, Andrew Longmead, Catherine Kirkpatrick, Stephen Duffy, Alison Tonkin, Claire Wheldon, Victoria Bull, Gail ter Haar, Jane Belfield, Teresa Humphrey, David Horton, Julie Smith, Laurence Abernethy, David Cole, Allison Harris, Sophie Bale, Jean Carter, Nigel Thomson, David Cole, Jane Arezina, Alison McGuiness, Louise Coleman, Emily Lewis, Peter Keane, Julie Howson, Emily Fairclough, Joseph Monaghan, Hazel Edwards, Vivien Gibbs, David Lewis, Marcus Nicholls, Rebecca Ralph, Brathaban Rajayogeswaran, Lol Berman, Gill Harrison, Lisa Pittock, Graeme Strong, Miles Weston, Linsley Lunt, Jacqueline Westgarth, Jennifer Clarke, Jillian Jackson, Joanna Dixon, Sarah Savaridas, Alice Leaver, Fiona Hawke, Julie Nightingale, Roger Newman, Michael North, Joanne McBarron, Gillian Roe, Rachel Baldwin, Mike Smith, Gary Culpan, Liam Gale, Roy Craven, Ruth Taylor, Saminah Yunis, Peter Hogg, Richard Lawson, Gopinath Gnanasegaran, Jackie James, Mary Prescott, Linda Smith, Caroline Hurley, Parthiban Arumugam, Peter Julyan, Randeep Kulshrestha, Parthiban Arumugam, Brian Murby, Sobhan Vinjamuri,  Rob Meertens, Nicola Hind, Samantha Brinklow, Lisa Flett, Andrew Woodhouse, Neil Boland, Andrew Day, Amanda Loughlin, Paul Simpson, Natasha Hayes, Cheryl Bean, Penny Delf, Cherise Lambert, Ben Pinnington, Alan Simpson and Luke Sharples.


We would like to acknowledge Joseph Monaghan, Sean Kelly, Patricia Howe, Tony Gore, Ian Dodson, Scott Mountifield, Martin Sinclair, Andrew Dowden, Robert Smith, Stephen Wilson, Ian Robinson and David Brown who have contributed greatly to the creation of the Image Interpretation project, be it at its inception, development, and implementation; or through ongoing technical support. We would also like to thank the South Tyneside NHS Foundation Trust, Homerton University Hospital NHS Trust and City Hospitals Sunderland NHS Foundation Trust for their image sourcing support.

How to access

In order to access the Interpretation of Radiological Images (e-IRI) programme, you will need an e-LfH account. If you do not have one, then you can register by selecting the Register button below.

Register >

To view the Interpretation of Radiological Images (e-IRI) programme, select the View button below. If you already have an account with e-LfH, you will also be able to login and enrol on the programme from the View button.

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NHS healthcare staff in England

The Interpretation of Radiological Images (e-IRI) programme is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this e-Learning via ESR means that your completions will transfer with you throughout your NHS career.

Further details are available here.

Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access e-LfH Hub, you may be able to access the service by creating an OpenAthens account.

To check whether or not you qualify for free access via OpenAthens, you can view the eligibility criteria and register on the ‘OpenAthens’ portal.

Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the Interpretation of Radiological Images (e-IRI) programme, please contact e-LfH directly.

Organisations wishing to use their own LMS

For HR departments wanting to know more about gaining access to courses using an existing Learning Management System please contact e-LfH directly to express interest.

How to license

In the event that you do not qualify for free access to the Interpretation of Radiological Images (e-IRI) programme, you are able to license access through eIntegrity, a community-interest company established for this purpose.
You can check whether or not you qualify for free access by clicking on the ‘Register’ button above.

For more information on the licensing options available for the Interpretation of Radiological Images (e-IRI) programme, please visit the eIntegrity website.

More information

Please select the following link for more information on how to use the e-LfH Hub.

Latest news

New orthopaedic e-learning sessions

Reporting radiographers are being asked to report more complex imaging. Given that orthopaedic procedures are constantly advancing, 10 new orthopaedic imaging sessions have been added to the e-Learning for healthcare Image interpretation programme.

An introductory session explains the post-operative plan for patients who have undergone orthopaedic procedures and why imaging is essential to assess the interventions. It covers the process of loosening and infection, bony changes and their radiographic appearances. This session also discusses how a report should be worded and contains a series of self-evaluation exercises.

The anatomy sessions on the hip, knee, shoulder, elbow, foot and ankle, hand and wrist, long bones, pelvis and vertebral column, all follow the same format:

  • What is the procedure?
  • Why it is carried out?
  • What it should look like?
  • What it looks like when it goes wrong?

The sessions include revision exercises and radiographs and illustrations to show types of fractures and fixation devices. Examples of pathology and complications take the learner through all aspects of the procedures.

The authors are practicing reporting and superintendent radiographers from Jersey General Hospital, Sunderland City Hospitals and Guy’s and St. Thomas’ NHS Foundation Trust.

To access the sessions visit

e-LfH is a Health Education England Programme in partnership with the NHS and Professional Bodies