FRCR Physics lectures

A complete video course for First FRCR (Part 1) Physics. 17 narrated films take you through the RCR curriculum in order, from the X-ray tube to MRI safety and UK legislation, with the facts examiners test called out at the end of each one.

Films
17
Teaching
13.1 h
Chapters
586
Free films
2

Watch film 01 free: X-ray production

The tube, the spectrum and the focal spot.

Course outline

The films are grouped the way the syllabus builds: the physics of the beam first, then each imaging system, then safety and law.

Matter and the beam

Film 0132 min30 chaptersFree

X-ray production

The tube, the spectrum and the focal spot

What it covers

  • Radiation and the atom
  • The x-ray tube
  • The spectrum
  • Focal spot and beam geometry

Facts the exam tests

  • c = 3 × 10⁸ m/s. Energy ∝ frequency. Wavelength falls as frequency rises.
  • Ionising means > ~15 eV. MRI radiofrequency is not ionising.
  • Bremsstrahlung is a continuum to kVp. Characteristic peaks are target K/L lines only.
All 30 chapters
  1. 0:00X-ray production
  2. 0:46Electromagnetic radiation
  3. 1:59What "ionising" means
  4. 2:59X-rays versus gamma rays
  5. 3:35Other ionising radiation: alpha and beta
  6. 4:25Shells and binding energy
  7. 5:36The tube in one picture
  8. 6:28The cathode: filament and thermionic emission
  9. 7:39Focusing cup and space charge
  10. 8:38The anode
  11. 9:41Envelope, window and housing
  12. 10:43Generator: kV, mA and time
  13. 12:15Heat and tube rating
  14. 13:22What happens to the electrons in the target
  15. 14:13Bremsstrahlung
  16. 15:34Bremsstrahlung and atomic number
  17. 16:17Characteristic radiation
  18. 17:29Auger electrons
  19. 18:14Anatomy of the spectrum
  20. 19:20Changing mA
  21. 19:58Changing kVp
  22. 21:13When the characteristic lines appear, and what a new target does
  23. 22:10Filtration
  24. 23:16Half value layer
  25. 24:26Summary: five things that change the spectrum
  26. 25:18Using two energies: DEXA
  27. 26:23The line focus principle
  28. 27:47The anode heel effect
  29. 29:00Blooming, off-focus radiation and collimation
  30. 30:22Key points

Practise this topic: X-ray physics questions

Film 0235 min26 chaptersFree

X-ray interaction

Photoelectric, Compton and attenuation

What it covers

  • What can happen to a photon
  • Scatter
  • Photoelectric absorption and contrast
  • Beyond the diagnostic range
  • Attenuation in numbers

Facts the exam tests

  • Coherent scatter: no ionisation, no dose, no image.
  • Compton: outer shell, fog, occupational dose, independent of Z.
  • Photoelectric ∝ Z³ / E³. Iodine K-edge 33.2 keV; barium 37.4 keV.
All 26 chapters
  1. 0:00Interaction of x-rays with matter
  2. 1:08Transmitted, absorbed or scattered
  3. 2:05Five interactions, three that matter
  4. 2:54Coherent scatter
  5. 4:33Compton scatter: the mechanism
  6. 5:50Compton scatter: angle and energy
  7. 7:11What decides the probability of Compton scatter
  8. 8:34Why Compton scatter is a problem
  9. 9:53The photoelectric effect: the mechanism
  10. 11:06After the absorption
  11. 12:36Atomic number cubed, energy cubed
  12. 13:51How the photoelectric effect creates contrast
  13. 15:23Which interaction dominates?
  14. 17:07The K-edge
  15. 18:41Using the K-edge: contrast media
  16. 20:20Why shielding is made of lead
  17. 21:30Contrast or dose: choosing exposure factors
  18. 22:57A special case: the newborn
  19. 23:58Pair production
  20. 25:33Photodisintegration
  21. 26:31Differential absorption
  22. 27:47The linear attenuation coefficient
  23. 29:18The mass attenuation coefficient
  24. 30:36Attenuation coefficient and half value layer
  25. 32:08Compton against photoelectric
  26. 33:26Key points

Practise this topic: X-ray physics questions

Film 0353 min37 chaptersIncluded with a plan

General X-ray

Contrast, resolution, noise, scatter and grids

What it covers

  • Image quality and noise
  • Scatter, collimation and grids
  • Spatial resolution and geometry
  • Contrast, display and exposure control
  • Artefacts

Facts the exam tests

  • Four image traits: noise, spatial resolution, contrast, brightness.
  • Grids raise patient dose (Bucky factor). Air gaps do not.
  • Magnification = SID ÷ SOD. Geometric blur grows with OID and focal-spot size.
All 37 chapters
  1. 0:00General x-ray concepts
  2. 0:50Three ways to spoil an image
  3. 1:43Quantum noise
  4. 3:18Signal to noise ratio
  5. 4:31More mAs or more kVp?
  6. 5:53Distance and the inverse square law
  7. 6:58What processing can and cannot do
  8. 7:54Scatter
  9. 9:38Collimation
  10. 11:06The anti-scatter grid
  11. 12:19Grid ratio and grid frequency
  12. 13:37The price of a grid: Bucky factor
  13. 14:48Types of grid
  14. 16:24Grid cut-off
  15. 17:53The air gap
  16. 19:00Answering noise questions
  17. 20:09Spatial resolution
  18. 21:31Three sources of unsharpness
  19. 22:20Detector unsharpness and the pixel
  20. 24:09Geometric unsharpness: the focal spot
  21. 25:18Geometric unsharpness: the distances
  22. 26:28Magnification
  23. 28:00Distortion
  24. 29:20Modulation transfer function
  25. 30:57Detective quantum efficiency
  26. 33:13Contrast and kVp
  27. 34:50Subject contrast and receptor contrast
  28. 36:13How the receptor responds: film and digital
  29. 37:34Bit depth
  30. 38:49Windowing
  31. 40:30Rescaling and the look-up table
  32. 42:21Getting the exposure right in digital radiography
  33. 44:28Automatic exposure control
  34. 46:06Artefacts common to all radiography
  35. 47:31Grid artefacts
  36. 48:45Artefacts of film, CR and DR
  37. 50:17Key points

Practise this topic: X-ray physics questions

X-ray systems

Film 0439 min29 chaptersIncluded with a plan

Detectors

Film, computed radiography and flat panels

What it covers

  • Film-screen radiography
  • The digital image
  • Computed radiography
  • Flat panel detectors

Facts the exam tests

  • CR: barium fluorohalide traps, red laser, blue-green light, white-light erase.
  • Indirect DR: X-rays → light → charge. Direct DR: amorphous selenium, no light spread.
  • Digital is linear across a wide exposure range. Screen-film is not.
All 29 chapters
  1. 0:00Image detectors
  2. 1:10What every detector has to do
  3. 1:56The intensifying screen
  4. 3:24Inside the cassette: film and the latent image
  5. 4:34Optical density
  6. 5:37The characteristic curve
  7. 7:21Automatic exposure control
  8. 9:04A digital image is a grid of numbers
  9. 9:53Pixel size, pixel pitch and resolution
  10. 11:25Bit depth
  11. 12:32Dynamic range: film versus digital
  12. 13:51Windowing
  13. 15:10Why digital can mean less dose
  14. 16:56Film-screen versus digital: summary
  15. 17:41Types of digital detector
  16. 18:45The storage phosphor
  17. 20:24Reading the plate
  18. 21:53Latitude, fading and erasure
  19. 23:29Spatial resolution in CR
  20. 24:48The flat panel and its TFT array
  21. 26:16Indirect conversion
  22. 27:15The weakness of indirect detectors: lateral spread of light
  23. 28:37Direct conversion
  24. 30:15Fill factor
  25. 31:31Detective quantum efficiency
  26. 33:50Direct versus indirect, and resolution in DR
  27. 35:08When elements fail, and when they are combined
  28. 36:26Workflow: centralised and decentralised
  29. 37:09Key points

Practise this topic: Digital radiography questions

Film 0538 min28 chaptersIncluded with a plan

Mammography

Low energy, fine detail, low dose

What it covers

  • Why mammography is different
  • Shaping the beam
  • The tube and the geometry
  • The magnification view
  • Digital mammography and dose

Facts the exam tests

  • Target band ~16–23 keV. Photoelectric contrast needs a near-monoenergetic beam.
  • Cathode at the chest wall. Never pair an Rh target with a Mo filter.
  • Compression, grid, and 0.1 mm mag spot are the geometry locks.
All 28 chapters
  1. 0:00Mammography
  2. 1:08Two demands on a mammogram
  3. 2:11Why low energy
  4. 3:10The photoelectric effect and the energy window
  5. 4:44A different target
  6. 6:06The molybdenum spectrum
  7. 7:14K-edge filtration
  8. 8:52Target and filter combinations
  9. 10:10The combination that is never used
  10. 11:13Tungsten targets and other filters
  11. 12:39The beryllium window
  12. 13:46Focal spot, tube current and exposure time
  13. 15:11The heel effect, put to use
  14. 16:29Compression
  15. 17:39The grid
  16. 19:17Magnification geometry
  17. 20:30Why magnification needs the small focal spot
  18. 21:22The air gap replaces the grid
  19. 22:30Contact and magnification compared
  20. 23:33Spatial resolution
  21. 24:51What digital gives in return
  22. 26:11Noise, dark noise and the flat field
  23. 28:28Digital artefacts
  24. 29:21Tomosynthesis
  25. 30:36Mean glandular dose
  26. 33:14Positive predictive value
  27. 34:47Mammography against general radiography
  28. 36:19Key points
Film 0646 min32 chaptersIncluded with a plan

Fluoroscopy

Intensifiers, flat panels and dose control

What it covers

  • What fluoroscopy is
  • The image intensifier
  • The flat panel detector
  • Controlling the exposure
  • Dose and staff protection

Facts the exam tests

  • Keep the II close and the tube far. Source-above-table raises lens dose.
  • Electronic mag raises air kerma, not KAP. Geometric mag is inverse-square.
  • ABC is fluoro. AEC is radiography. They are not the same loop.
All 32 chapters
  1. 0:00Fluoroscopy
  2. 0:59Fluoroscopy versus radiography
  3. 2:15The imaging chain
  4. 3:13Last image hold and the spot image
  5. 4:31The image intensifier at a glance
  6. 5:27Four conversions
  7. 7:02The gains
  8. 8:38Conversion factor and the ageing intensifier
  9. 9:56Optics, aperture and the television camera
  10. 11:13Artefacts: geometric distortion
  11. 12:25Artefacts: brightness, glare and lag
  12. 13:44How a flat panel works
  13. 14:51Pitch, fill factor and matrix
  14. 16:10Binning
  15. 17:34Frame averaging
  16. 18:33Flat panel versus image intensifier
  17. 19:38What limits spatial resolution
  18. 21:44Automatic brightness control
  19. 23:33Choosing the kilovoltage: iodine and barium
  20. 24:56Kilovoltage and dose
  21. 26:23Electronic magnification
  22. 27:47Geometric magnification and good geometry
  23. 29:12Pulsed fluoroscopy
  24. 30:50Digital subtraction angiography
  25. 32:27The interventional tube and beam
  26. 33:56Kerma and the kerma-area product
  27. 35:35Skin dose indicators
  28. 37:11Skin injury
  29. 38:45Keeping the patient's dose down
  30. 40:59Scatter and where to stand
  31. 42:14Protecting the staff
  32. 44:01Key points

Practise this topic: Fluoroscopy questions

Film 0762 min45 chaptersIncluded with a plan

CT

Acquisition, image quality, dose and artefacts

What it covers

  • The scanner
  • From data to image
  • Acquiring the data
  • Image quality
  • Dose
  • Artefacts

Facts the exam tests

  • Pitch < 1 overlaps and raises dose. Pitch > 1 gaps and drops dose.
  • HU is relative to water and moves with kV and beam hardening.
  • Effective mAs = mAs / pitch. Iterative reconstruction trades dose for noise.
All 45 chapters
  1. 0:00Computed tomography
  2. 0:58How CT differs from radiography
  3. 2:03Inside the gantry
  4. 3:22Filtration and the bow-tie filter
  5. 4:52Collimation, septa and detectors
  6. 6:26Ray, projection and sinogram
  7. 7:21The processing chain
  8. 8:12Back projection and filtered back projection
  9. 9:37Iterative reconstruction
  10. 10:44The reconstruction kernel
  11. 11:59Matrix, pixel and voxel
  12. 13:08The Hounsfield unit
  13. 14:23CT numbers change with beam energy
  14. 15:47Window level and width
  15. 17:04Typical windows
  16. 18:03Axial and helical scanning
  17. 19:29Pitch
  18. 21:03Pitch, dose and effective mAs
  19. 22:52Changing the beam width and the voltage
  20. 24:17Automatic tube current modulation
  21. 25:29Cardiac CT: gating
  22. 26:51CT fluoroscopy
  23. 28:05Dual-energy CT: the principle
  24. 29:42Dual-energy CT: what it gives you
  25. 30:58Photon-counting CT
  26. 32:16Noise and signal to noise ratio
  27. 34:06Contrast resolution
  28. 35:25Spatial resolution
  29. 37:25The trade-offs
  30. 38:36How dose is distributed
  31. 39:54CTDI, DLP and effective dose
  32. 42:12Patient size and reference levels
  33. 44:05Risk and dose reduction
  34. 45:55Artefacts: an overview
  35. 46:45Beam hardening: cupping and dark bands
  36. 48:47Partial volume
  37. 49:52Photon starvation
  38. 51:04Metal artefact
  39. 52:38Aliasing
  40. 53:36Patient motion
  41. 54:51Incomplete projection
  42. 55:52Ring artefact
  43. 56:49Helical artefacts and the windmill
  44. 58:16Stair step, zebra and cone beam
  45. 59:40Key points

Practise this topic: CT physics questions

Ultrasound, NM, MRI

Film 08a39 min32 chaptersIncluded with a plan

Ultrasound 1

Sound, transducers and image formation

What it covers

  • Sound waves
  • How sound interacts with tissue
  • The transducer
  • The beam
  • Spatial resolution
  • Forming the image

Facts the exam tests

  • Soft-tissue speed is 1540 m/s. Attenuation ≈ 0.5 dB cm⁻¹ MHz⁻¹.
  • Axial resolution is SPL. Lateral resolution is beam width. Elevation is slice thickness.
  • Pulse-echo range is half the round-trip. PRF sets the depth limit.
All 32 chapters
  1. 0:00Ultrasound: sound, transducers and image formation
  2. 0:54What sound is
  3. 1:45Frequency, wavelength and speed
  4. 2:47The speed of sound in tissue
  5. 4:19Interference
  6. 5:13Intensity and the decibel
  7. 6:29Acoustic impedance
  8. 7:30Reflection
  9. 8:49Refraction
  10. 10:11Specular reflection and scatter
  11. 11:48Absorption and attenuation
  12. 13:18Choosing the frequency
  13. 14:17The piezoelectric effect
  14. 15:44Inside the probe
  15. 16:29Resonance and crystal thickness
  16. 17:31Damping, pulse length and Q factor
  17. 19:08The matching layer
  18. 20:09Linear and curvilinear arrays
  19. 21:36The phased array
  20. 22:58Near field and far field
  21. 24:12What sets the length of the near field
  22. 25:05Focusing the beam
  23. 26:29The stand-off pad
  24. 27:17Three directions
  25. 27:56Axial resolution
  26. 29:33Lateral resolution
  27. 30:52Elevation resolution
  28. 32:08Resolution: summary
  29. 33:11Pulse and echo
  30. 34:41A mode, B mode and M mode
  31. 35:55Brightness controls: TGC, gain and power
  32. 37:41Key points

Practise this topic: Ultrasound physics questions

Film 08b42 min30 chaptersIncluded with a plan

Ultrasound 2

Doppler, artefacts and safety

What it covers

  • Doppler ultrasound
  • Greyscale artefacts
  • Improving the image
  • Safety

Facts the exam tests

  • Doppler shift needs an angle. Power Doppler has no direction and no aliasing.
  • Aliasing is a PRF / Nyquist lock. Colour writes over B-mode.
  • TI and MI are the safety readouts. Do not park the probe on one spot.
All 30 chapters
  1. 0:00Doppler, artefacts, advanced techniques and safety
  2. 0:42The Doppler effect
  3. 1:46The Doppler equation
  4. 3:22The Doppler angle
  5. 5:19Continuous wave Doppler
  6. 6:14Pulsed wave Doppler and the spectral display
  7. 8:06Colour Doppler
  8. 9:40Power Doppler
  9. 11:03Four kinds of Doppler compared
  10. 11:51Aliasing and the Nyquist limit
  11. 13:05Recognising and correcting aliasing
  12. 14:55Colour artefacts: twinkle and pseudoflow
  13. 16:11Flash, colour bleed, tissue vibration and mirror image
  14. 17:42The assumptions behind the image
  15. 18:42Side lobe artefact
  16. 20:02Beam width artefact
  17. 20:56Reverberation
  18. 22:08Comet tail and ring down
  19. 23:44Mirror image artefact
  20. 25:00Speed displacement artefact
  21. 26:10Refraction artefacts
  22. 27:37Shadowing and enhancement
  23. 29:02Greyscale artefacts: summary
  24. 29:51Tissue harmonic imaging
  25. 31:22What harmonic imaging does to the image
  26. 32:29Compound imaging, and the two compared
  27. 34:15Thermal index
  28. 36:20Mechanical index and cavitation
  29. 37:56Output by mode, and obstetric guidance
  30. 40:03Key points

Practise this topic: Ultrasound physics questions

Film 09a53 min36 chaptersIncluded with a plan

Nuclear medicine 1

Radioactivity and the gamma camera

What it covers

  • Radioactive decay
  • Making and measuring radioactivity
  • The gamma camera
  • Quality control and safety instruments

Facts the exam tests

  • Neutron-rich nuclei β⁻. Proton-rich nuclei β⁺ or electron capture.
  • 1/T_eff = 1/T_phys + 1/T_biol. Store ~10 physical half-lives.
  • Camera chain: collimator → NaI(Tl) → PMT → pulse-height analyser.
All 36 chapters
  1. 0:00Nuclear medicine 1
  2. 0:43Emission, not transmission
  3. 1:30Stable and unstable nuclei
  4. 2:50Too many neutrons: beta-minus decay
  5. 4:42Too many protons, energy to spare: beta-plus decay
  6. 5:49Annihilation
  7. 6:57Too many protons, no energy to spare: electron capture
  8. 8:29Isomeric transition and gamma emission
  9. 10:05Metastable states: technetium-99m
  10. 11:47Internal conversion
  11. 12:53Alpha decay
  12. 13:46Decay modes: summary
  13. 15:02Producing radionuclides
  14. 17:06Activity and half-life
  15. 18:26Worked example: counting half-lives
  16. 19:37Physical, biological and effective half-life
  17. 21:08The gamma camera in one picture
  18. 21:54The collimator: selecting by direction
  19. 23:29Matching the collimator to the energy
  20. 24:47Sensitivity against resolution
  21. 26:27The effect of distance
  22. 27:56Pinhole, converging and diverging collimators
  23. 29:39The scintillation crystal
  24. 31:14Photomultiplier tubes and position
  25. 32:49The pulse height analyser and the energy window
  26. 35:30Downscatter and the order of tracers
  27. 37:31Static, dynamic and SPECT; matrix size
  28. 39:01The star artefact
  29. 39:54Camera quality control: uniformity
  30. 41:52Energy window, resolution and linearity
  31. 42:50Centre of rotation, and the QC schedule
  32. 43:58Well counter and thyroid probe
  33. 45:30Geiger–Müller counter and ionisation chamber
  34. 47:34The dose calibrator
  35. 49:18Personal dosimeters, and why not lead aprons
  36. 51:26Key points

Practise this topic: Nuclear medicine questions

Film 09b51 min37 chaptersIncluded with a plan

Nuclear medicine 2

Generators, SPECT and PET

What it covers

  • Dealing with a spill
  • The generator and its quality control
  • SPECT
  • PET physics
  • PET-CT: correction, quantification and preparation
  • Quality control and numbers to learn

Facts the exam tests

  • SPECT is tomography of a gamma camera. PET is coincidence of 511 keV pairs.
  • Tc-99m is the workhorse: 6 h, 140 keV, generator from Mo-99.
  • F-18 FDG is PET. Half-life 110 min. Cyclotron, not generator.
All 37 chapters
  1. 0:00Nuclear medicine 2
  2. 0:49A minor spill
  3. 2:08A major spill, and three special cases
  4. 3:30The technetium generator
  5. 4:57Growth and elution
  6. 6:00Transient and secular equilibrium
  7. 7:32Radionuclide purity: molybdenum breakthrough
  8. 9:19Chemical purity: aluminium
  9. 10:43Radiochemical purity: free pertechnetate
  10. 12:20What free pertechnetate looks like
  11. 13:20The three purity tests together
  12. 14:37Critical organ and target organ
  13. 16:55SPECT: rotating the gamma camera
  14. 18:29SPECT and SPECT-CT images
  15. 19:25Attenuation and depth
  16. 20:37Centre of rotation and the tuning fork
  17. 21:47Positron emission
  18. 22:46Annihilation
  19. 23:56SPECT and PET hardware
  20. 25:18Coincidence detection
  21. 26:20What limits PET resolution
  22. 28:02True, scatter and random coincidences
  23. 29:23Rejecting unwanted events
  24. 30:412D and 3D acquisition
  25. 32:03Dead time and count rate
  26. 33:17Time of flight
  27. 34:42Attenuation correction from the CT
  28. 36:04Corrected or uncorrected?
  29. 37:36Standardised uptake value
  30. 38:39What changes the SUV
  31. 40:44Truncation artefact
  32. 41:48Preparing the patient
  33. 43:39PET quality control: blank scan and normalisation
  34. 45:09The sinogram and detector faults
  35. 46:28Imaging radionuclides to learn
  36. 48:16Therapy radionuclides
  37. 49:32Key points

Practise this topic: Nuclear medicine questions

Film 10a50 min37 chaptersIncluded with a plan

MRI 1

Signal, contrast, encoding and sequences

What it covers

  • Magnetism and resonance
  • Relaxation
  • Image contrast
  • Spatial encoding
  • Time, resolution and signal
  • Pulse sequences

Facts the exam tests

  • B0 is always on. Larmor frequency rises with field strength.
  • T1: 63% recovery. T2: 37% remaining. A 180° pulse turns T2* into T2.
  • Short TR + short TE = T1. Long TR + long TE = T2. Short TR + long TE is a distractor.
All 37 chapters
  1. 0:00MRI 1
  2. 1:08Which nuclei give a signal
  3. 2:23Protons in the magnet
  4. 3:45The coordinate system
  5. 4:33Precession and the Larmor equation
  6. 5:50The RF pulse and resonance
  7. 6:53What the RF pulse does
  8. 7:51In phase, and why that gives a signal
  9. 8:39T1: longitudinal recovery
  10. 9:42T1 depends on the tissue and on the field
  11. 11:15T2: transverse decay
  12. 13:17T2 and T2*
  13. 14:28Free induction decay
  14. 15:21The 180° refocusing pulse
  15. 16:38The echo, TE and TR
  16. 17:50TR controls T1 contrast, TE controls T2 contrast
  17. 19:15T1, T2 and proton density weighting
  18. 20:46What the weightings look like
  19. 22:07Gradients
  20. 23:15Step 1: slice selection
  21. 24:27Slice thickness
  22. 25:28Step 2: phase encoding
  23. 26:53Step 3: frequency encoding
  24. 27:50The spin echo sequence
  25. 29:02k-space
  26. 30:13Scan time
  27. 31:332D and 3D acquisition
  28. 32:28Spatial resolution
  29. 33:33Signal-to-noise ratio
  30. 35:31The trade-off table
  31. 37:11Spin echo and fast spin echo
  32. 39:03Inversion recovery
  33. 40:18STIR and FLAIR
  34. 42:57Gradient echo
  35. 44:57Spoiled and refocused gradient echo
  36. 46:48Echo planar imaging
  37. 48:25Key points

Practise this topic: MRI physics questions

Film 10b67 min46 chaptersIncluded with a plan

MRI 2

Diffusion, artefacts, hardware and safety

What it covers

  • Diffusion, perfusion and flow
  • Fat, water and contrast
  • Artefacts
  • Cardiac and breast
  • Hardware and safety

Facts the exam tests

  • Fat sat, STIR, and in/out of phase are three different fat tricks.
  • Gradient-echo is T2*. Spin-echo refocuses static inhomogeneity.
  • SAR, dB/dt, and projectile risk are the hardware safety locks.
All 46 chapters
  1. 0:00MRI 2
  2. 0:56Diffusion weighting: the principle
  3. 2:08The diffusion sequence
  4. 3:29The b value
  5. 4:50The ADC map
  6. 5:52Restriction or shine-through?
  7. 6:57Perfusion imaging and functional MRI
  8. 8:18MR angiography: time of flight
  9. 9:46MR angiography: phase contrast
  10. 11:15Chemical shift
  11. 12:26Fat suppression 1: STIR
  12. 13:42Fat suppression 2: frequency-selective saturation
  13. 14:58In phase and out of phase
  14. 16:28The Dixon method
  15. 17:19Fat or iron? The order of the echoes
  16. 18:56Chemical shift artefact, type 1
  17. 20:18Chemical shift artefact, type 2: India ink
  18. 21:30Gadolinium
  19. 23:33Sorting the artefacts
  20. 24:37Aliasing (wrap-around)
  21. 26:00Truncation (Gibbs) artefact
  22. 27:21Partial volume and cross-talk
  23. 28:43Motion and ghosting
  24. 30:21Flow and the flow void
  25. 32:04Magic angle
  26. 33:26Zipper artefact and RF shielding
  27. 34:42Magnetic susceptibility
  28. 36:11Susceptibility artefact and how to reduce it
  29. 37:52Failed fat suppression, and shimming
  30. 39:24Eddy currents
  31. 40:43Dielectric (standing wave) effect
  32. 42:12Herringbone artefact
  33. 43:04Artefact summary
  34. 44:14Cardiac MRI: bright blood
  35. 45:13Dark blood and nulled myocardium
  36. 46:59Breast MRI
  37. 48:32The scanner hardware
  38. 50:04RF coils
  39. 51:23Static field hazards
  40. 53:21Quench
  41. 54:55Gradient hazards: noise and nerve stimulation
  42. 57:17Radiofrequency heating: SAR
  43. 59:47Burns
  44. 1:01:13Gadolinium safety
  45. 1:03:04Controlling access and screening
  46. 1:04:55Key points

Practise this topic: MRI physics questions

Safety, law, recap

Film 1155 min38 chaptersIncluded with a plan

Radiation biology

Dose, effects on tissue and staying safe

What it covers

  • Measuring dose
  • How radiation damages cells
  • Effects on people
  • Protection and monitoring

Facts the exam tests

  • X-ray / γ weighting factor = 1. Alpha = 20. Equivalent dose uses Sv.
  • Deterministic: threshold, severity rises. Stochastic: no threshold, probability rises.
  • KAP tracks stochastic risk. Air kerma tracks skin / deterministic risk.
All 38 chapters
  1. 0:00Radiation biology, dose and protection
  2. 0:53Exposure
  3. 1:58Absorbed dose
  4. 2:55Kerma
  5. 4:08From air kerma to skin dose
  6. 5:15Equivalent dose
  7. 6:22Effective dose
  8. 7:56Three quantities, two units
  9. 8:48Kerma-area product
  10. 9:52KAP, magnification and collimation
  11. 11:00Doses in perspective
  12. 12:19From photon to tissue damage
  13. 13:36Tracks and linear energy transfer
  14. 14:49Relative biological effectiveness and oxygen
  15. 16:18Direct and indirect action
  16. 17:40DNA and chromosome damage
  17. 19:26Which cells are most sensitive
  18. 21:24The cell survival curve
  19. 23:37Deterministic and stochastic effects
  20. 25:05Skin and hair
  21. 26:16Lens of the eye and gonads
  22. 28:26Acute radiation syndrome
  23. 29:41Whole-body doses in order, and triage
  24. 31:23Stochastic effects: the linear no-threshold model
  25. 33:09Size of the cancer risk, and latency
  26. 34:45Hereditary effects
  27. 35:57Pregnancy: the stage matters
  28. 37:44Pregnancy: doses in practice
  29. 39:00The three principles
  30. 40:21Dose limits
  31. 41:51Time, distance, shielding
  32. 43:12Personal protective equipment
  33. 44:51Keeping the patient's skin dose down
  34. 46:06Gas-filled detectors
  35. 47:45Personal dosimeters: film and TLD
  36. 49:32OSL and electronic dosimeters; where to wear them
  37. 51:21A non-ionising footnote: MRI
  38. 52:36Key points

Practise this topic: Radiation protection questions

Film 1242 min33 chaptersIncluded with a plan

UK legislation

IR(ME)R, IRR17 and who is responsible

What it covers

  • The map
  • IR(ME)R: protecting the person being exposed
  • IRR17: protecting staff and the public
  • When things go wrong, and related legislation

Facts the exam tests

  • IR(ME)R is patient law. IRR17 is staff and public law.
  • No patient dose limit. ALARP and DRLs. One person can hold several duty-holder roles.
  • SAUE fetal notify ≥ 10 mGy (August 2024). Classified-worker and fetal 1 mSv after declaration are IRR17 locks.
All 33 chapters
  1. 0:00UK radiation legislation
  2. 0:49Two sets of regulations, two groups of people
  3. 2:04Where the rules come from
  4. 3:02The three principles and who they apply to
  5. 4:10What IR(ME)R covers
  6. 5:18The four duty holders
  7. 6:15Referrer and practitioner: justification
  8. 7:42The operator, and holding more than one role
  9. 9:11The employer's procedures
  10. 10:31Optimisation
  11. 11:46Diagnostic reference levels
  12. 13:16Limit, constraint and reference level
  13. 14:22The medical physics expert and equipment
  14. 15:30Nuclear medicine: licences
  15. 16:37The 2024 amendment
  16. 17:59IRR17: the framework
  17. 19:02Risk assessment and restricting exposure
  18. 20:20MPE, RPA and RPS
  19. 21:54Dose limits: effective dose
  20. 22:58Dose limits: equivalent dose
  21. 24:15Dose limits: the special cases
  22. 25:56Three numbers: 1, 6 and 20
  23. 26:50Classified workers
  24. 28:14Controlled and supervised areas
  25. 29:46Local rules
  26. 30:59Duties of employees
  27. 31:56Who is told?
  28. 33:15Accidental and unintended exposures
  29. 34:47Notification thresholds
  30. 36:19Other notification criteria
  31. 37:46Related legislation
  32. 39:35Common exam traps
  33. 40:30Key points

Practise this topic: Radiation protection questions

Film 1326 min22 chaptersIncluded with a plan

Biostatistics

Tests, errors, bias and risk

What it covers

  • Describing data
  • Chance, error and bias
  • Diagnostic tests
  • Measuring disease and risk

Facts the exam tests

  • Gaussian: ~68 / 95 / 99.7% within ±1 / 2 / 3 SD.
  • Type I = false positive. Type II = false negative. p < 0.05 is not causation.
  • Prevalence is a stock. Incidence is a flow.
All 22 chapters
  1. 0:00Biostatistics for radiology
  2. 0:55The normal distribution
  3. 2:05Skew
  4. 3:15Precision and accuracy
  5. 4:20Statistical significance
  6. 5:39Type 1 and type 2 errors
  7. 6:58Power
  8. 7:55Correlation and causation
  9. 8:39Bias
  10. 10:06The two-by-two table
  11. 11:13Sensitivity and specificity
  12. 12:32A worked example
  13. 13:30Predictive values
  14. 14:31Prevalence changes the predictive values
  15. 15:48Accuracy and validity
  16. 16:50The threshold trade-off
  17. 17:45The ROC curve
  18. 19:02Incidence and prevalence
  19. 20:00Absolute, relative and attributable risk
  20. 21:22Absolute risk reduction and number needed to treat
  21. 22:26The odds ratio
  22. 24:16Key points
Film 1457 min48 chaptersIncluded with a plan

Rapid review

The whole course in one sitting

What it covers

  • X-ray production
  • Interaction with matter
  • Image quality
  • Detectors
  • Mammography
  • Fluoroscopy
  • CT
  • Ultrasound
  • Nuclear medicine
  • MRI
  • Radiation biology and protection
  • UK legislation
  • Statistics
  • Wrap-up

Facts the exam tests

  • Last-week drill: prompt, answer, lock. Not a first-pass lecture.
  • UK numbers override US statute. Law is Lecture 12, not NRC / MQSA.
  • Sit the 40-stem paper after this recap.
All 48 chapters
  1. 0:00Rapid review
  2. 0:33What happens in the target
  3. 1:42Five things that change the spectrum
  4. 2:43Focal spot and heel effect
  5. 3:33Three interactions
  6. 4:48The K-edge
  7. 5:51Attenuation and the half value layer
  8. 6:44Noise and scatter
  9. 7:52Geometry: blur and magnification
  10. 8:44What limits resolution
  11. 9:48Contrast and windowing
  12. 10:46Film against digital
  13. 11:42Computed radiography
  14. 12:47Flat panel detectors
  15. 13:53The mammography spectrum
  16. 15:00Mammography against general radiography
  17. 16:27Contact and magnification views
  18. 17:18Image intensifier and flat panel
  19. 18:32Brightness control and magnification
  20. 19:26Pulsed fluoroscopy and stored images
  21. 20:24Dose and protection
  22. 21:30Hounsfield units and windows
  23. 22:49Pitch, slice width and gating
  24. 23:57The kV trap, and the trade-offs
  25. 25:08CT dose and artefacts
  26. 26:51Sound in tissue and the probe
  27. 28:01Resolution in ultrasound
  28. 29:01Doppler
  29. 30:08Artefacts, harmonics and safety
  30. 31:46Decay and half-life
  31. 33:06The gamma camera
  32. 34:23The generator and quality control
  33. 35:54PET
  34. 37:00Relaxation and weighting
  35. 38:09Encoding, scan time and trade-offs
  36. 39:19Diffusion, sequences and fat
  37. 40:35MRI artefacts and safety
  38. 42:18Dose quantities
  39. 43:48Deterministic and stochastic effects
  40. 45:03Doses in order
  41. 46:11The fetus
  42. 47:22Two sets of regulations
  43. 48:39The numbers in IRR17
  44. 50:00When something goes wrong
  45. 51:22The two-by-two table
  46. 52:27Prevalence and the ROC curve
  47. 53:46Errors and measures of risk
  48. 55:01The end of the course

Lectures and questions together

Watching alone won't get you through a true/false paper. The course is built to be paired with the 3,500-question FRCR Physics bank: watch a film, then answer questions on that topic the same day while it is fresh.

FRCRX records every item you miss. When a topic keeps tripping you up, the chapter list above takes you to the exact minute of the film that explains it. For a topic-by-topic view of the syllabus, see the FRCR Physics topics page, and for the exam itself read what FRCR Physics is and how Part 1 works.

Questions about the lectures

What do the FRCR Physics lectures cover?
The 17 films follow the RCR First FRCR Physics curriculum in order: X-ray production and interaction, image quality, detectors, mammography, fluoroscopy, CT, ultrasound, nuclear medicine, MRI, radiation biology, UK legislation (IR(ME)R and IRR17) and biostatistics, finishing with a rapid review of the whole course.
Are any of the lectures free?
Yes. The first 2 films, X-ray production and X-ray interaction, are free to watch. The rest of the course is included with any FRCRX plan, alongside the 3,500-question bank and timed mock exams.
How long is the course?
About 13.1 hours in total, split into 586 chapters so you can jump straight to the part you need. Most films run 30 to 60 minutes.
How should I use the lectures alongside questions?
Watch a film, then practise the same topic in Topic Focus straight away. Each film ends with the facts that examiners test most, and the question bank tracks which items you miss so you know which chapters to rewatch.

Start with the free films

Sign in to watch films 01 and 02 and try 10 sample questions. No card needed.