Image Interpretation - e-Learning for Healthcare
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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 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


Alvin Karandas, Andrea Brammer, Dorothy Keane, Emily Faircloth, Gill Harrison, Hazel Edwards, Julie Nightingale Nicola Hind, Karen Knapp, Ken Holmes, Linsley Lunt, Mark Viner, Nick Woznitza, Paul Simpson, Peter Hogg, Richard Harbron, Richard Lawton, Rob Meertens, Sally Athey, Vivien Gibbs


Ai-Lee Chang, Alvin Karandas, Chris Mayers, Craig Rowe, Daniel Carvalho, Donna Dimond, Dorothy Keane, Emily Faircloth, Fiona Hawke, Gill Harrison, Graeme Short, Hazel Edwards, Helen Austin, Jacquie Vallis, Julie Nightingale, Linsley Lunt, Louise Coleman, Lynda Johnston, Martin Mitchell, Megan Bydder, Michael Smith, Michela Natale, Nick Woznitza, Rachael Bilton, Richard Harbron, Saminah Yunis, Sobhan Vinjamuri, Stephen Wilson, Tracey O’Regan, Victoria Swire

Project team

  • e-lfh staff - Lindsay Collin profile picture

    Lyndsey Callion

    Project Manager/Lead Learning Designer, HEE e-Learning for Healthcare
  • Adrian Murphy

    Technical Support Manager, HEE e-Learning for Healthcare


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


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