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 plain x-rays (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 and an introduction to imaging technologies.

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 >

Professionals often see reflection as a time consuming and unpopular responsibility. Part of the unpopularity often comes from the way it’s taught and written about. This article, first published in Synergy News [1] aims to encourage practitioners to overcome their reluctance and to investigate reflective templates and models which will help them to improve their practice and the service they deliver to patients and service users.

Image Interpretation_Image 1








[1] Coleman LG. Recording reflective CPD. Synergy News 2016; October:14-15.

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 and Cheryl Bean.


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 any e-LfH 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 >

If you already have an account with e-LfH, then you can enrol on to the Interpretation of Radiological Images (e-IRI) programme by logging in to the e-LfH Hub, selecting My Account > Enrolment and selecting the programme. You can then access the programme immediately in the My e-Learning section.

How to license

In the event that you do not qualify for free access to Image Interpretation, you are able to license access through eIntegrity, a community-interest company established for this purpose.

For more information on the licensing options available for Image Interpretation, please visit the eIntegrity website.

NHS healthcare staff in England

Image Interpretation 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.


Latest news

Ultrasound e-learning update

It’s hard to believe but the College of Radiographers’ Image Interpretation non-obstetric ultrasound e-learning sessions are five years old.  These valuable CPD and learning resources have been used by thousands of practitioners since their launch in 2012.  The primary aim of this flexible online tool is to give users an interactive overview of six specific clinical areas of ultrasound: abdominal, vascular, gynaecological, head and neck, musculoskeletal and testes/prostate scanning.  Each session includes images of normal and abnormal appearances as well as tips on report-writing and how to avoid common pitfalls associated with ultrasound imaging such as anisotropy and poor transducer contact.  Interactive test questions invite readers to check their understanding.  Information is matched, wherever possible, with national guidance and useful reference links are provided throughout.

Over the last few months, Hazel Edwards, module editor and senior sonographer, has been tasked with updating all 55 sessions.  ”It’s important to keep the sessions as contemporary as possible.” she said, and went on ”It’s surprising how frequently recommendations by organisations like the National Institute for Health and Care Excellence change.  All the ultrasound sessions have been reviewed carefully and amended but I still would advise practitioners to go to the original references for themselves and to always cross-check with their local hospital protocol.

It was a pleasure working through the ultrasound modules and I was amazed at just how much detail and useful information is included.  The task reminded me how easy it is to forget facts and appearances that you may not encounter every day so going through all the sessions again from scratch was a massive and valuable CPD experience for me.  It’s a shame the Health and Care Professions Council didn’t single me out for audit this year!

These sessions have all have been coproduced by experts and/or very experienced practitioners.  I’m convinced staff will find them helpful.  The resource is easy to access and free of charge to all NHS employees, some staff working for independent providers and most students on recognised healthcare courses, so what’s not to like?!”

Lyndsey Callion, Instructional Designer at e-Learning for Healthcare worked closely with Hazel during the revision process.  She said ”The ultrasound sessions were accessed almost 7000 times in 2017.  These vital updates ensure that ultrasound practitioners can trust the information, quality and accuracy.  The e-learning works on Macs or PC as well as mobile, tablet or desktop.  Sign up at

Charlotte Beardmore, Director of Professional Policy at The Society and College of Radiographers, was delighted with the updates and said ”Sincere thanks to Hazel and Lyndsey for all their hard work reviewing each session and bringing them all right up to date.”

There is an opportunity to post feedback at the end of every session completed, and the e-learning team welcomes your comments.

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