In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.
ESC Congress 2020 Register

EACVI Cardiac Computed Tomography Certification

Certification organised by the European Association of Cardiovascular Imaging (EACVI)

Results of the 2019 written exam delivered in Paris on 4 September have been sent to participants through the email address registered in their MyESC accounts.

More information about the next CCT exam will be communicated in due time.


COVID-19 (coronavirus)

Click here to read a message from the EACVI Certification and Accreditation Committee to all candidates considering applications for EACVI Certification Programmes.


Certification program benefit

The benefits from EACVI Cardiac Computed Tomography (CCT) certification are:

  1. To ensure the performing physician has the necessary expertise in CCT for the welfare of the patients undergoing scans.
  2. It gives CCT trainees the opportunity to benchmark their knowledge against a common European standard.
  3. Certification will bring professional credibility to any individual practising CCT.

Upcoming exam

More information about next CCT exam will be communicated in due time.

Exam registration

Registration is closed.

The registration for the exam is separate from that of the congress. You do not need to register for the congress to sit the exam.

In order to respect exam room capacity, registrations will be managed on a first come first served basis. We encourage you to register online as early as possible to guarantee a seat.

Registration for all ESC administered exams closes 10 days prior to the examination with no exceptions.

However, registration may close earlier when the exam room capacity is reached.

Not an EACVI Silver Member yet? Subscribe today and save up to €122**

  1. Become an EACVI Silver Member for €156 (or €78 if you are below 40 years old or in training)
  2. Benefit from the exam registration member fee (€360 instead of €560)
  3. Save up to €122**
  4. Enjoy all the EACVI Silver Membership benefits including an online subscription to the European Heart Journal - Cardiovascular Imaging (EHJ-CI), unlimited access to EACVI webinars and congresses resources, discounts on EACVI congresses and courses, and much more.  Join and save now** 

** Compared to the standard fee for non-members and including the EACVI Silver membership fee

I want to know more about the EACVI Silver Membership.

Please read the registration terms and conditions.

Registration fees (in Euros)

Fee types Online fees (until seats sold out/10 days before exam date)
Standard/EACVI Regular Member €560
EACVI Silver Member







*To benefit from member fees you must be a validated member before registering for the exam. This fee is only available for Silver members - for further information please go to the membership page.

**To benefit from EACVI Fellow fees you must be a validated EACVI Fellowship before registering for the exam. This fee is only available for EACVI Fellow.

 ***Please note that the resit fee is reserved only for candidates who have sat and failed the exam in the past and cannot be used by candidates under any other circumstances

Payment and general condition

All registration fees are quoted in Euros (€) and include national applicable VAT. Payment in any other currency will not be accepted.

Registration fees are based on the date of receipt. The prices indicated are only applicable if both registration form/request and payment are received before the registration deadlines.

Registration will be acknowledged upon receipt of payment and a valid email address (please ensure your MyESC profile is updated). A confirmation email will be sent within ten working days after having submitted the payment.

Cancellation policy & conditions

If a participant wishes to cancel his/her registration to the Certification exam he/she should Contact Us. 

Please take careful note that the cancellation policy on refunds is as follows:

Weeks before exam

% Refund

Up to 6 weeks (before the exam)


6 - 4 weeks (before the exam)


Within 4 weeks


No show


Please note that a "no-show" is not considered a cancellation. If you do not attend the exam without giving forewarning of your absence and without proof of good reason (unforeseen circumstances - such as a death in the family, serious accident of the candidate...) no refund will be allowed.

If there are any queries concerning visas problems please contact us. Please note you are responsible for your visa applications and you must give at least two months preparation time to your respective embassy otherwise it is your concern if the visa is not granted in time.

Should a candidate not attend the Exam, for whatever reasons, no further claims for reimbursement or waiving of fees can be made. Similarly no right to further claims or waiving of fees will arise should the ESC be obliged to alter the Exam proceedings.

By registering to the Exam each candidate waives his/her rights to claim for any compensation toward the ESC. The organiser cannot be held liable for any hindrance or disruption of Exam proceedings arising from political, social or economic events or any other unforeseen incidents beyond their control.

In no event will the ESC be liable for indirect damages or cost.

All candidates are urged to take personal travel insurance.

Registration of a candidate entails acceptance of these conditions.

Certification process

No formal certification process is provided by EACVI for Level 1 competency. Level 2 and 3 are offered by EACVI. 

Certification is a process that confirms an individual’s knowledge, experience and skill in the field of Cardiac Computed Tomography and relevant related fields.  It is intended for healthcare professionals who provide an independent clinical service but it is open to all healthcare professionals.  A medical qualification is not mandatory although it is anticipated that most successful candidates will be so qualified. 

The process consists of the two following steps:

  1. An examination. A certificate of examination success will be awarded at this stage.
  2. Successful completion of a logbook.

Success in these two steps will lead to certification in Cardiac Computed Tomography.

The certification process in CCT has been published in December 2017 and is available here

Theoretical part - Examination

The exam is in English and is performed on a tablet-based system.

It consists of 100 questions in multiple-choice format with one single best answer for each question. Each correct answer received one mark. There is no negative marking and a wrong answer received no marks. The exam breakdown uses a prescribed quota of questions in the different subject areas of the CCT syllabus, the weighting of which will be in accordance with the examination blueprint. Questions may contain text only or have a combination of text and still images or movies. 

The duration of the examination is 3 hours with no break.

How to prepare for the examination

EACVI Cardiac CT Core Syllabus is available to get prepared for the examination. 

EACVI CCT Suggested reading list


Prospectives candidates must register prior to the examination. There is no opportunity to register on-site or on the day of the examination. Refer to the registration section for further detail. 

Examination day

Exam check-in:

  • Candidates are required to come to the registration desk at least 30 minutes before the start of the exam.
  • Candidates must bring and present a valid photo ID document (passport or national identity card) to confirm their identity.
  • A photograph of each candidate will be taken which will be transmitted to the candidate's tablet so that ID can be verified in the examination room.
  • Once registered, the candidate will be admitted to the examination room.

Before the start of the exam:

  • Candidates must sit at the correct table corresponding to their candidate number.
  • Only when instructed, candidates should scan their barcode.
  • Further instructions on how to use the system will be given by the invigilators before the exam starts.
  • An overview of the exam process and platform can be found here.
  • All coats, bags, mobile phones and personal effects must be left at the back or the side of the room and must not be taken to the examination table. No calculators are allowed (a calculator is provided within the tablet system). 

During the exam:

  • Candidates will be given instructions on how to login and how to start the exam system.
  • A timer starts immediately the exam is commenced. The timer will run for the duration of the examination and automatically terminates the exam at 3 hours.
  • Assistance can be requested at any time during the exam by touching the "help" button on the tablet. An invigilator will be notified immediately and will come to the candidate's desk.
  • If a candidate needs to go to the restroom, he/she must request assistance and wait for an invigilator or host/hostess to accompany him/her.
  • If a candidate completes the exam before the end of the session, assistance should be requested. The candidate may leave only once authorised but will need to sign out and will not be readmitted to the exam room.
  • Candidates who have been identified by the invigilators as disturbing the exam or cheating will be required to leave immediately and will fail the exam.
  • As mentioned above, no personal effects, coats, bags, food or drinks are permitted on the exam table. Water can be provided on request.
  • A single piece of plain paper and a pencil will be supplied for each candidate. This must not be taken out of the examination room and must be left on the table at the end of the exam. Candidates may request another piece of paper but, in this event, the original piece of paper will be retained by the invigilators and exchanged for a new blank piece of paper. 
Examination results

Results of the examination will be sent to the email address registered on your 'MyESC' account. Results are only released following verification by the Exam Board, usually within two months of the completion of the exam.

All examination questions go through a rigorous assessment prior to the exam. Questions are reviewed by a committee of Exam Board members who are senior European experts in CCT. They are then all reviewed again by the Exam Board Chairperson. The final selection of questions is scrutinised by the Exam Board once again as part of the standard-setting process prior to the examination. This defines the pass mark for the examination. Following the examination, the questions are all reviewed once more by the Exam Board to ensure that the standard setting has been accurate. Any questions which perform badly in terms of discrimination of candidates or those with a negative correlation to the overall results may be removed. 

Results are verified and validated by the EACVI CCT Certification committee.

Appealing the exam
  • On the exam day, in case of issue with the scientific content of the exam:

A complaint must be logged on-site with the exam Invigilators. The appeals’ procedure will be recorded only if candidates have filed an official complaint on the day of the exam. In no circumstance you will be entitled to fee refund nor damages.

  • After having received your results:

If you believe that an incorrect result has been awarded to you, you may lodge an appeal by sending to the ESC exam administration an official letter within 8 days of receiving your scores, to the ESC contact us form. The result of such appeal may be a higher grade, a lower grade, or no grade change. In no circumstance you will be entitled to fee refund nor damages.

Appeal process:

The ESC exam administration and relevant certification committee will reply within 4 weeks.

Reply from ESC exam administration and relevant certification committee is final. You agreed to this during the exam registration process by accepting the ESC exam delivery Terms and Conditions. 

Appeals are free of charge.

Practical part - Logbook

Please note: the below information only concerns candidates who have passed the Cardiac Computed Tomography written examination. Candidates have received a personal access to a platform, on the email address registered on MyESC account.

Requirements are:

Submit a Logbook no later than 2 years after receiving the EACVI CCT exam results and according to the following requirements. 

Each patient may be present only once in the logbook – It is not allowed to add multiple studies of the same patient.

Level 2 requirements

Level 2 candidates must have interpreted a total of 150 non-contrast CCT cases and 150 contrast-enhanced CCT cases (non-contrast and contrast-enhanced CCT cases can be performed in the same patient). Listed below are the minimum number of required contrast-enhanced cardiac cases in each category:

  1. The candidate must have been actively involved in the live scanning acquisition of 50 cases.
  2. The candidate must have been involved in the interactive manipulation of reconstructed datasets using a three-dimensional imaging workstation (either onsite or EACVI virtual workstation; virtual workstation service is not yet provided by EACVI but will be in the future) and in reporting and clinical interpretation of 150 cases (at least 30 cases assessment of structural and/or congenital heart disease, 50 cases  of revascularized patients, and 50 cases compared with invasive angiography and/or myocardial perfusion imaging).
Level 3 requirements

Level 3 candidates must have interpreted and participated in the acquisition of a total of 150 non-contrast CCT cases and 300 contrast-enhanced CCT cases (non-contrast and contrast-enhanced CCT cases can be performed in the same patient). Listed below are the minimum number of required contrast cardiac cases in each category:

  1. The candidate must have been actively involved in the scanning acquisition of 150 cases.
  2. The candidate must have been involved in the interactive manipulation of reconstructed datasets using a three-dimensional imaging workstation (either onsite or EACVI virtual workstation; virtual workstation service is not yet provided by EACVI but will be in the future) and in reporting and clinical interpretation of 300 cases (at least 60 cases assessment of structural and/or congenital heart disease, 100 cases of revascularized patients, and 150 cases compared with invasive angiography and/or myocardial perfusion imaging).

Continuing medical training (CME) points

CME credits can be obtained from courses endorsed by the EACVI. 

Any course declared by applicants that is not endorsed by EACVI will only be accepted at the discretion of the reviewers. In such cases, a copy of the final programme should be enclosed. It is important to note that the primary focus of any course submitted as part of a candidates CME portfolio should be CCT, or it is unlikely that the course will be considered appropriate for the purposes of certification in CCT. 

Please note that a maximum 50% (Levels 2, 15 credits and Levels 3, 25 credits) of CME credits can be self-directed. Examples of self-directed learning may include but are not restricted to Reviewer activity for CT related journals/articles, teaching in CT department and self-directed study from CCT texts. In all cases, it is the responsibility of the candidate to submit appropriate evidence of these activities. The decision as to whether such activities can be counted towards a candidates CME portfolio rests solely with the reviewers whose decision in such matters will be final.


The process is not available yet but is expected to be every 5 years.

After certification, it is recommended that Level 2 certified individuals maintain their skills by documentation of at least 20 h of CME in CCT every 5 years and be actively involved in the acquisition and primary reporting of at least 100 CCT every 3 years. We also recommend that Level 3 accredited individuals Level 2 accredited individuals have documentation of at least 40 h of CME in CCT every 3 years and in acquiring and primary reporting of at least 200 CCT studies every 3 years. These cases have to be new cases acquired within the recertification period under the responsibility of the candidate and must be reported by the candidate as a first or senior reader.

A recertification programme is not currently offered by the EACVI, but may be planned in the future.

Grandparenting scheme

Registration for grandparenting scheme is currently closed.


The grandparenting route requires a combination of clinical experience and either evidence of education and proven research record within the field of CCT. The examination board will also accept a combination of research and education.

Individuals wishing to apply under this scheme must demonstrate the following:

  1. Clinical experience: 5 years or more practice of CCT. Including the performance of greater than 1000 cases in this area. The caseload should reflect the proportions in the logbook required for standard Level 3 certification. The board reserves the right to request to see logbooks for governance purposes.
  2. CME: 15 h/year average CME over the period of practice (CME collected during congress focused on CCT will be fully counted while CME collected during multimodality imaging congress will be counted for 1/3).
  3. AND either
    • Education: Presentation of three or more invited talks at CME-accredited international conferences; or EACVI/SCCT or national society endorsed courses in the field of CCT.


    • Research: Publication of five or more (first or last author) original research articles in peer-reviewed journals in the field of CCT.


    • A combination of five presentations and publications total that satisfy the criteria outlined in Education or Research.

       4. In addition, the candidates are required to provide 2 MCQs for each topic of CT syllabus. So a total of 28 questions that will be reviewed and edited/approved by the coordinator of each topic. Access to the questions submission platform will be granted to the candidates.

List of topics:

  1. Principles of computed tomography
  2. Cardiac CT examinations
  3. Quality & safety
  4. Interpretation of CT images
  5. Cardiac anatomy on CT
  6. Coronary CT angiography (CTA
  7. Coronary calcium imaging
  8. Atherosclerotic plaque imaging
  9. Congenital structural heart disease (in adult patients)
  10. Myocardial imaging
  11. Valvular heart disease
  12. Miscellaneous acquired structural heart disease
  13. Great vessels
  14. Cardiac CT in perspective

Apply for grandparenting

If you meet the criteria for grandparenting and would like to apply, please use the ESC contact us, select the category "Certification programmes" and indicate "CCT grandparenting application" in the subject. 


 We will send you the dedicated platform link to submit your confirmation letter*.

After submission, your application will be reviewed by a review panel who will evaluate your eligibility to receive CCT Level 3 Certification. 

You will receive your results by email. In case of success, you will also receive your Level 3 Certificate. 

The decision of the Certification review panel with regard to grandparenting is final. There is no appeal process. 

* Please note that the board reserves the right to request all documentation proving what has been stated in the letter (proof of CME, certificate of a medical degree, certificate of specialization, presentation, publications...).

Certified Individuals in CCT

Congratulations to all those who have achieved certification Level 2 and Level 3 in Cardiac Computed Tomography with the EACVI.

Candidates successfully certified have been approved by the CCT Exam Board Committee at either Level 2 or Level 3 in the certification process.

Please click here to view the list of:

EACVI CCT - Level 3 certified individuals

EACVI CCT - Level 2 certified individuals