Image Interpretation Archives - elearning for healthcare
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Image Interpretation renamed Clinical Imaging

Posted on: January 29th, 2021 by Alex Drinkall No Comments

Health Education England’s elearning for healthcare programme, Image Interpretation, that is developed in partnership with the College and Society of Radiographers has been renamed Clinical Imaging to reflect the scope and nature of the resource more accurately.

Dorothy Keane, Clinical Lead for Clinical Imaging, said: “When I became clinical lead for the programme we could not have envisaged how successful the programme would be and how demand for sessions would grow exponentially to encompass all modalities and topics such as research in radiography, dementia, dignity, personalising care, orthopaedics and interventional procedures. The programme now has almost 500 sessions covering radiography, ultrasound, CT, MRI, fluoroscopy and nuclear medicine.

“With such growth we have outgrown our original scale and intentions and feel renaming the programme as Clinical Imaging is important to accurately reflect our broader scope and aims.”

Since the launch of the programme there have been almost 218,000 session launches; demonstrating just how much of a well-used resource it is.  The Clinical Imaging team will continue to provide free resources for colleagues working in clinical imaging as well as other healthcare professionals and will develop new elearning sessions to reflect changes in imaging and the wider NHS.

For more information about the Clinical Imaging programme, including details on how to access the sessions please visit the elfh website.

Image Interpretation celebrates 10 years of improving patient care

Posted on: October 19th, 2020 by Hannah Denness No Comments

The Image Interpretation elearning programme is celebrating its tenth anniversary.

The programme provides continuing professional development in image interpretation to support radiographers and other health professionals. It was initially developed to improve patient care by providing standardised elearning to support the radiography workforce as they move towards preliminary evaluations.

Image Interpretation is a partnership between Health Education England elearning for healthcare (HEE elfh) and the Society and College of Radiographers.

The programme was first launched at United Kingdom Radiological Congress in 2010 with sessions on Adult Skelton and Adult Chest.

Now, in 2020, there are:

  • 160 authors
  • 454 sessions
  • 21,386 active users
  • 133,911 hours of learning
  • 355,787 session launches

Dorothy Keane, clinical lead, said: “As clinical lead for this programme I am immensely proud of our achievements and look forward to continuing to develop the content, always remembering that this will improve patient’s clinical outcomes and never forgetting the importance of our patients during their time spent in imaging.

The figures are a real tribute to the hard work of the authors, editors and learning designers who have turned Image Interpretation into one of the largest and most successful programmes within elfh.”

The programme focuses on core skills, both in developing new areas of work and in the review and updating of existing modules.

Currently, the team is working on creating new sessions for Radiographers as Researchers as well as further developing sessions on Orthopaedic Intervention. Future topics will include management, governance, career progression and recruitment.

Dorothy Keane said: “We greatly value our learners’ feedback and suggestions, many of which have led to the development of new sessions over recent years.”

Positive feedback from learners has included:

Image Interpretation is key to the effective and safe clinical management of patients.”

“This is a fantastic resource which we should all be using to integrate learning into our day to day care of patients.”

“I found it invaluable for my self-directed learning as I was able to access those subjects which were particularly useful to me prior to my return to practice.”

More information about the programme, including access details, please visit:

Four new modules added to the Image Interpretation programme

Posted on: June 22nd, 2020 by Alex Drinkall No Comments

Health Education England elearning for healthcare (HEE elfh) has worked with the Royal Osteoporosis Society and the Society and College of Radiographers to add new content to the Image Interpretation elearning programme.

The Image Interpretation programme was designed to support radiographers and other healthcare professionals with interpreting and offering clinical evaluation on radiographs and other imaging modalities.

Four new modules on osteoporosis and fragility fractures have been developed which represent valuable continuing professional development (CPD) for any radiographer working in emergency departments, fracture clinics and reporting plain film imaging of fractures.

They also represent a valuable development opportunity for radiologists who come across opportunities to identify previously unreported vertebral fractures when reporting on scans not directly related to the spine, but where this is still visible, such as CT chest, abdomen and pelvis examinations.

The modules will enable radiographers and reporting clinicians to:

  1. Understand what osteoporosis is and common causes
  2. Recognise a fragility fracture and associated injuries
  3. Understand the importance of reporting vertebral fractures
  4. Increase vertebral fracture identification through audit

For more information about the elearning programme and to access the modules, visit:

Interview with Image Interpretation orthopaedic e-learning authors

Posted on: September 12th, 2019 by Alex Drinkall No Comments

Recently Health Education England’s elearning for healthcare (HEE elfh) added 10 new orthopaedic imaging sessions to the Image interpretation programme. In this blog we feature two of the content authors and ask them about their work and what is involved with creating sessions for the elearning programmes.


Can you tell us a bit about your role and your background?

Charlotte Ansell: Currently Site Superintendent Radiographer at Guy’s and St. Thomas’ NHS Foundation Trust. My role involves coordination of day-to-day running of the cross-site imaging departments and rotational staff. In addition, the role portfolio includes participating as a member of the reporting radiographer team.

Ben Pinnington: Currently Superintendent Radiographer at Guy’s and St. Thomas’ NHS Foundation Trust. My role involves day-to-day operational management of the general x-ray department which includes theatre, mobiles and fluoroscopy on the Guy’s site and participating as a member of the reporting radiographer team.

How and when did you first come across elearning for healthcare (elfh)?

Charlotte: I had previously authored paediatric focussed sessions in 2011 whilst working as the dedicated paediatric superintendent radiographer in Evelina London Children’s Hospital. I next encountered Dorothy Keane, Image Interpretation Clinical Lead, and made contact to see if there was an opportunity to become involved in the elfh project again.

How has elfh changed over the years?

The elfh Hub has grown massively, initially radiology focussed, and now covering a diverse range of topics and providing a wealth of information to many professions at all levels.

Have you used the material? In what way?

We have advertised and encouraged the use of the elfh hub through our Radiographer Education and Development forum which hosts monthly sessions to include presentations, debates and practical sessions.

What do you think of the Image Interpretation programme?

It’s a great online forum for radiographers of all levels to gain and consolidate their knowledge to support development and confidence in their clinical role.

Tell us about the Orthopaedic sessions you have written?

We have been involved in three sessions that have been produced; General Principles of Imaging in the Operating Theatre, Post-operative Pelvis and Post-operative Foot and Ankle. They each provide comprehensive content and include information and images to support users to increase their knowledge on the subject content.

The theatre session provides an overview of the equipment used, the theatre environment from a radiology perspective and takes the learner through multiple procedures from an equipment and imaging perspective. The post-op pelvis, foot and ankle sessions provide the learner with an overview of anatomy specific pathologies/injuries through imaging both pre- and post-operatively.

How will you use the sessions in your work? 

We will encourage our peers and junior staff members to access the content via elfh.

How did you find the writing process?

Overall, we both enjoyed the opportunity to work on a different project whilst still highly relatable to our roles. The experience was challenging at times as we were required to succinctly articulate detailed information in single slides that enabled the user to meet the learning objectives set.

What were the challenges?

Perhaps most challenging was compiling a portfolio of images in theatre to demonstrate equipment and patient positioning for the imaging in the operating theatre session.

What surprised you about the process?

Initially, the topic titles seemed well defined but as soon as we started to discuss the content we realised that there was a lot more to be covered than first anticipated.

Do you have any advice for future authors?

If you have an opportunity to author sessions, we would encourage you to participate. Our advice would be to plan out the presentation before you start researching and constructing so that you have a clear vision of what you are compiling.


For more information about Health Education England’s elearning for healthcare Image Interpretation programme visit

Update to Breast Imaging Sessions

Posted on: October 15th, 2018 by Alex Drinkall No Comments

Early diagnosis of breast cancer maximises the chances of survival so the availability of tools and training to support early cancer detection is vital. In response to this, the 12 Image Interpretation Breast Imaging elearning sessions will be updated this year.

The content, first published in 2014, has been used by over 2500 professionals including radiographers, nurses, students, doctors and allied health professionals. The average content rating by users is 4.3 out of 5.

Dr Sally Athey, Consultant Radiologist, South Tyneside and Gateshead Hospitals NHS Foundation Trust, will conduct the updates. Each session will be checked for policy, procedural and technological changes, and updated accordingly.

The Breast Imaging module includes the following sessions:Update to Breast Imaging Sessions_Blog

  1. Introduction
  2. History
  3. Breast Assessment – Screening and Symptomatic
  4. General Anatomy and Physiology
  5. Quality Assurance and Quality Control
  6. Biopsy
  7. Benign Calcifications
  8. Malignant Calcifications
  9. Benign Masse
  10. Malignant Masses
  11. Axilla
  12. Self-Assessment.

The Image Interpretation Breast Imaging elearning sessions are available free of charge and can be accessed here:

New Year Honour for clinical lead

Posted on: January 2nd, 2018 by Alex Drinkall No Comments

Congratulations to Dorothy Keane on her appointment as a Member of the Most Excellent Order of the British Empire (MBE) in the New Year 2018 Honours List, for her services to radiography. Dorothy is the clinical lead for Health Education England’s elearning for healthcare Image Interpretation programme.

For more information about the Image Interpretation programme please visit:

Life as a Clinical Lead

Posted on: December 5th, 2017 by Dorothy Keane No Comments

When in June 2010 I began my work as Clinical Lead for the elearning for healthcare Image Interpretation project I could not have foreseen how it would grow and develop over the subsequent years. When we set out to develop high quality materials to support the radiography workforce our remit was to cover the adult skeleton. Having published these sessions the overwhelmingly positive response spurred us to move on to the paediatric skeleton.

These 50 sessions seemed at the time an enormous piece of work, however the project now encompasses over 400 sessions covering the breadth of radiographic practice: all modalities are covered as well as generic subjects such as imaging patients with dementia, learning difficulties and personalising care within radiology. This support has now extended to a wide range of health professionals as well as radiographers.

Over time both the project and my role within it has developed. I have moved to a part-time role with the College of Radiographers; leading a team of authors and editors, designing, writing and scoping content. The project manager and myself spend significant amounts of time updating and revising sessions as well as producing new ones to ensure we reflect current practice and technological innovation. For instance, since 2015 234 older sessions have been updated to ensure they can be used on tablets and phones as well as computer screens.

Throughout the process we have kept to the same principles: high quality, relevance to the profession, responsiveness to feedback, ease of access. Providing a service to the profession as we develop into new areas are what the College values and I personally am very proud of.

I am grateful that after a career in radiography of almost 40 years I have this opportunity to share learning and support colleagues on a national basis. I’m proud of our profession and still have a passion for learning more – something that, on the evidence of the growing cohort of users and the demand for new sessions, is shared across the imaging community.

For more information about the Image Interpretation programme visit:

Dorothy Keane
Image Interpretation Clinical Lead

elfh is a NHS England programme in partnership with the NHS and professional bodies