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EACVI Cardiac Computed Tomography Certification

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

The next EACVI CCT exam will take place online on 12 October 2022.

Individual registration is closed.

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

The EACVI Cardiac Computed Tomography (CCT) certification programme has been designed:

  • To ensure the performing physician has the necessary expertise in CCT for the welfare of the patients undergoing scans.
  • To give CCT trainees the opportunity to benchmark their knowledge against a common European standard.
  • To bring professional credibility to any certified individual practicing CCT.

The next EACVI CCT exam: take it from anywhere!



There's no need to travel anymore. Take your exam online, from your computer, at home.


The examination is designed to be completed in three hours with no break. You will be able to start your exam at anytime between 14:00-17:00 CEST. 

Take your EACVI exam online - what you need to know

The EACVI offers the possibility of taking the exam online. Here is everything you need to know in order to participate.

What is this online format?

The EACVI wants to provide you with the safety and convenience of an online platform, while retaining the integrity and quality of an on-site supervised exam. 

The exam is:

  • offered everywhere in the world
  • identical in content, format and on-screen experience to previous on-site exams delivered on tablets
  • taken on your own device (computer) and monitored by a human proctor online through ProctorU®

What equipment do I need?

You must verify that your computer meets the requirements before you register for the EACVI CCT exam. If this is not the case, you will not be able to take the exam. 

You will need:

  • a strong and stable internet connection
  • a webcam, speaker and microphone

We highly recommend that you check all of the system requirements available here 

We also recommend that you test your equipment while you are on that page to verify you have the necessary equipment to take the exam. 

How can I register for this exam?

There is a two-step registration process:

  • Start your registration with EACVI
  • Complete your registration with ProctorU®
Start your registration with the EACVI

After having verified that your equipment meets the requirements, you can start your registration with the EACVI. 

You will need to complete a pre-exam questionnaire and pay the exam registration fee. 

When you finish, you'll receive an email from ESC with your invoice to confirm your payment.

Complete your registration with ProctorU®

Once you have registered with EACVI and pay your exam fee, you will get an email with a link to complete your registration with ProctorU®.

You will need to create a ProctorU® account. Then at the pre-defined exam date, you will be able to choose the time slot you would like to take the exam. When you finish, you will receive a confirmation email. 

What can I expect on the exam day?

You can find more information about what to expect on the examination day below and also on the ProctorU® website.

Before the exam session begins
  • Fix any issues you may encounter on your computer. All issues must be resolved before your appointment time
  • Close all browsers and applications not needed for the exam
  • Gather the documents you will need to identify you (passport, ID document with photo)
  • Make sure your exam environment meets the requirements:
    • your room is quiet and well lit
    • your are alone in the room
    • your workspace is clear from all materials and unauthorised supports
    • there are no sounds from music or television around
  • Make sure you are dressed appropriately, with your face visible to the proctor
Check-in and identification process
  • Log in to your ProctorU® account at your appointment time
  • Complete the authentication steps, which include showing your ID to the proctor. The name on your ID must match the name provided during the registration process
  • Follow the proctor instructions. You will have to:
    • Give access permission to your computer screen for monitoring purposes
    • Use your camera to show a 360-degree view of your room
  • If everything goes well, the proctor will let you start your exam

The check-in and identification process can take approximately 5 to 10 minutes

During the exam

Your entire exam will be recorded by ProctorU® and monitored by a human proctor. 

  • During the exam, the proctor will monitor you (via the camera) and your computer screen to ensure you follow all exam procedures
  • You must be visible to the proctor at anytime of the exam session. No breaks are allowed
  • You can interact with the proctor by speaking to him/her or using the chat option
  • You are not allowed to take notes on paper during the examination
  • You are only authorised to have a 'whiteboard' to help you during the examination. This whiteboard will be erased in front of the proctor at the end of the exam. 

The exam policies are:

  • Don't use any unauthorised materials, including mobile devices, prewritten notes or books
  • The use of any recording equipment is strictly prohibited
  • Don't communicate with anyone other than the proctor
  • Speaking aloud during the exam is strictly prohibited
  • You cannot be out of camera view. No breaks are allowed during the whole duration of the exam
  • Taking pictures, screenshots or trying to copy/paste any element of the exam content is strictly prohibited
  • You must behave in an appropriate manner. Any conduct that the proctor may deem vulgar, offensive, pornographic, obscene, abusive or criminal are strictly prohibited

Suspicious actions are flagged in the online proctoring system and will be reported to the ESC.  

If the proctor detects any suspicious activities or movements, he/she could terminate your exam session at any time and your exam will be invalidated and your fee won't be refunded. 

Any irregularity in relation to the ESC online proctoring examinations policies and rules mentioned above can lead to sanctions as described in the Online Proctoring Examination Terms & Conditions

What if I have technical issues?

If you experience a technical problem during the test, notify the proctor by speaking to him/her or via the chat. 

If you get disconnected or if you lose your internet connection momentarily, you will automatically be reconnected. 

If you are unable to reconnect or speak to the proctor, you can call ProctorU® for assistance. 

Exam registration

Please note: registration is now closed. 

In order to respect exam 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 will close when the exam capacity is reached and at the latest 15 days prior to the examination with no exceptions.

Registration fees (in euros)

Not an EACVI Silver Member yet? Join 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. Become a member 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.

Fee types Online fees
Standard/EACVI Regular Member €582.80
EACVI Silver Member






2nd Resit



*To benefit from member fees you must be a validated member before registering for the exam. This fee is only available for Silver Members. Find out more.

**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

****This fee will apply only if it is the candidate's third attempt at the exam and the second resit in the last five years (i.e. since your first exam attempt). In all other cases, the resit fee will apply if the candidate failed the exam once or failed to logbook in the last five years.

If you are eligible to the second resit fee please contact us.

If candidates are not in this five-year restrictive period, the full price will apply.


Healthcare companies or third-party agencies

Please note that healthcare companies or third-party agencies cannot use a delegate’s “My ESC account” or create a delegate “My ESC account” for registering their delegates. This will result in the cancellation of the registration of your delegate. This is Individual Registration only.

Candidate confirms that this is a purchase 'by myself' as an individual, and the billing address is correct. Candidate understands that after payment has been made, changes in the invoice details will not be possible.

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 My ESC profile is updated). A confirmation email will be sent within ten working days after having submitted the payment.

Cancellation policy and conditions

If a participant wishes to cancel their registration to the certification exam they 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.

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 for 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.

Registration of a candidate entails acceptance of these conditions.

Certification process

No formal certification process is provided by the EACVI for Level 1 competency. Level 2 and 3 are offered by the 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 was published in December 2017 and is available here

Theoretical part - examination

The exam is in English and is performed online. 

It consists of 100 questions in multiple-choice format with one single best answer for each question. Each correct answer receives one mark. There is no negative marking and a wrong answer receives 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. Refer to the registration section for further detail. 

Examination results

Results of the examination will be sent to the email address registered on your 'My ESC' 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

Candidates who have comments or concerns about an Examination question should contact the ESC via the Contact Us form. The relevant certification committee will review all comments, concerns and suggestions made by Candidates.  These comments or concerns must be logged on the Examination day with the proctor or at the latest before Candidates received their Examination results.

  • 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 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 will have received personal access to a platform, via the email address registered on their My ESC account.

Requirements are:

  • Submit a Logbook no later than 2 years after receiving the EACVI CCT exam results and according to the following requirements. 
  • The Institution should be lead by an EACVI CCT Level 3 supervisor or by a supervisor with an equivalent certification
  • Each patient may be present only once in the logbook – Adding multiple studies of the same patient is not allowed.
Level 2 requirements

Level 2 candidates must have interpreted a total of 150 contrast-enhanced CCT cases and 30 non-contrast enhanced CCT cases (which can be performed in the same patients who underwent contrast-enhanced CCT). 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 preparation and 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, 10 cases of revascularized patients, and 25 cases compared with invasive angiography and/or myocardial perfusion imaging and/or CT-FFR).
Level 3 requirements

Level 3 candidates must have interpreted a total of 300 contrast-enhanced CCT cases and 50 non-contrast enhanced CCT cases (which can be performed in the same patients who underwent contrast-enhanced CCT). Listed below are the minimum number of required contrast cardiac cases in each category:

  1. The candidate must have been actively involved in the preparation and live 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, 20 cases of revascularised patients, and 50 cases compared with invasive angiography and/or myocardial perfusion imaging and/or CT-FFR).

Continuing Medical Education 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% (Level 2, 15 credits and Level 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.

CME Credits must have been collected not more than 2 years before the submission.


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

After certification, it is recommended that Level 2 certified individuals maintain their skills by documentation of at least 20 hours 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 hours 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 the 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 1,000 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 hours/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 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...).

Individuals certified 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.

EACVI CCT - Level 2 certified individuals - Last updated on 15 April 2022

EACVI CCT - Level 3 certified individuals - Last updated on 15 April 2022