Results of four levels of Kirkpatricks learning model. The reports/descriptive studies are excluded in this study as these include only the explanation of the e-Learning initiative orintervention with no level of outcome evaluation. All other stud-ies (n = 24) involve level of evaluation that can be mapped to fourlevels of Kirkpatricks learning model. A further analysis of these 24studies revealed that 19 studies included the level I evaluation oflearner satisfaction and 15 studies reported the learning outcomeevaluation. No study satisfies the III (practice change) and IV (health outcome) level of Kirkpatrick’s learning model. Level 1: learner satisfaction. Majority of the studies included learner satisfaction and is evaluated on the basis of 5, 7 and 10 Like rtscale questionnaires. Student sin majority of these studies are satisfied with the e-Learning initia-tives. E-learning is inclusive of variety of learning interventions.The 19 studies that satisfy the learner satisfaction are catego-rized broadly into web-based, blended, online, computer-base dand audience response system based learning. Of these web-basedlearning is most prevalent followed by blended and computer-based learning. The definitions of all these is listed in Appendix B. Web-based learning is beneficial because of its easy access and to present ideas in a variety of ways using multimedia components.Web-based learning in these studies mostly involves the use ofweb-based tools or modules integrated into LMSs or teaching filesin the form of web tutorials either interactive or non-interactive.Also, most importantly the use of commercially available web-based PACs or customized students PACs have been observed inthese studies. All of these interventions are rated positive by students but in one case the students preferred the didactic lecturesand clinical attachments over an e-Learning module .In students were comfortable with web based video tutorials and 75% of students believe that it would help in understanding inter ventional radiology procedures in resource constraint situations. When asked about choosing learning method more than 50% of the students opted for live case rather than web based video tutorials. In another study different presentation lay-outs were used and students were more comfortable with linear presentations but in time constraint situations web-style presentation layouts were efficient. Dynamic Quiz Bank DQB is yet another e-Learning tool used to authorize and maintain web based educational material development in the department of radiology.Eighty-seven percent of the students rated it useful as an educational tool and also said that working with DQB is effortless. Theweb-based RP module is evaluated on the five point Likert-scales.It was rated good for self assessment knowledge by 81% of the students but interestingly students preferred the educational lectures and clinical attachments as compared to e-Learning instructions. The case based e-Learning tool (Vets Data Web) was highly appreciated in usability perspective by students. The results onusability assessment by student’s revealed higher mean fore-Learning tool as compared to conventional learning mean .Overall the students show a positive attitude toward case based e-Learning tool.Internet learning is best when blended with traditional learning techniques but it is less utilized in undergraduate radiology education . This is because of the difficulty of evaluating outcomes in blended environments where complex learning pack-ages are involved . Of these 19 studies 5 studies used blended learning environment as an e-Learning intervention. In , the use of Case Train tool is blended with the traditional classroom learning environment in the education of nuclear medicine is also appreciated by students and it increased their interest in nuclear medicine course. Another study indicates the usefulness of video sequences (generated by PACS) for solving radio logical case son discussion forums. The students who learned oral radiologycourse through blended learning were more satisfied as demon-strated by post course satisfaction assessment. Student’s attitude was positive toward blended learning in terms of effectiveness 87.5%, motivation 91.7%, and active engagement 75% . Another study also reported high levels of student satisfaction for blended online educational techniques with face to face interactions for successful radiology education.