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ESC Congress 2020 Register

EACVI Nuclear Cardiology Certification

Certification organised by the European Association of Cardiovascular Imaging (EACVI) in collaboration with the European Association of Nuclear Medicine (EANM).

Results of the 2019 written exam, delivered in Barcelona on 12 October during EANM'19 Congress, have been sent to participants through the email address registered on their MyESC accounts. 

More information about the next Nuclear Cardiology certification 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.


Upcoming examination

More information about the next Nuclear Cardiology certification exam will be communicated in due time.


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 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

/EANM 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. For EANM members your membership must be valid and in date.

**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 exam is co-organised by EACVI and EANM








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 exam)


6 - 4 weeks (before exam)


Within 4 weeks


No show


Please note that a "no-show" is not considered as 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

Certification is a process that confirms an individual’s knowledge, experience and skill in the field of radionuclide imaging of the heart 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 three stages:

  1. An examination.  A certificate of examination success will be awarded at this stage.
  2. Confirmation of knowledge, experience and skill from a professional colleague, trainer, supervisor or mentor.
  3. Successful completion of clinical reports of unknown studies. 

Success in all three stages will lead to certification in Nuclear Cardiology.

The Examination

  • The examination will last for 3 hours and it will be delivered using a tablet computer and the English language.  It will consist of 120 questions, each with a clinical stem, a question and five options.  The correct answer will be the option that best answers the question and it will receive one mark.  Other options may be credible but will be less good answers or they may be false.  These will receive no marks. 
  • The examination will be held annually, normally at the time of a relevant congress.  
  • The level of knowledge of a candidate who passes will be expected to be that of an independent practitioner in nuclear cardiology.  The pass mark will be established for each examination individually and it will be based on past examinations, if relevant, and the statistical performance of individual questions.

Sample question

Example of a question

Examination syllabus

The examination syllabus can be found here.  

Before the examination

  • Candidates must have registered successfully. You will be an identifiable professional colleague, trainer, supervisor or mentor, asked, during the registration process, to provide a letter from attesting your knowledge, experience and skills in Nuclear Cardiology.
  • A final invitation letter will be sent approximately ten days beforehand.  Please contact the certification office if you have not received this
  • Candidates with special needs should notify the certification office in advance and every effort will be made to accommodate them
  • Candidates should attend the registration desk at least 30 minutes before the start of the examination and should present an identity document with a photograph.  A passport or other national identity document may be sufficient.  

During the examination

  • An invigilator will be present and will explain the examination process in the 10 minutes before the start
  • The tablet computer used to pose the questions and to submit answers will be provided
  • Candidates will not be allowed access to reference material in any form, including written material, any device with a screen display or internet access, any form of digital memory or calculator
  • Candidates may not consult each other
  • There will be no break in the 3-hour examination.  Water for refreshment will be provided
  • If a break is required for toilet or other purposes, facilities will be available but the examination period will not be extended.  
  • Candidates may leave the room before the end of the examination, but they will not be permitted to re-enter or to continue the examination

After the examination

  • The tablet computer must be left in the examination room
  • The result will be emailed to each candidate two months later
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.

Confirmation of Knowledge, Education and Skills

It is a requirement of certification that you should have the knowledge, practical experience and skills to deliver a safe and effective clinical service in Nuclear Cardiology, including justification and authorisation of referrals, supervision of cardiovascular stress and image acquisition, and independent reporting of the findings.  You should be authorised to do so in the course of your primary employment.  If you are not currently employed or practising nuclear cardiology you should have been so for at least 1 year in the past 5 years.

This requirement is to be confirmed in the form of a signed letter provided by someone who has known you professionally for at least 1 year in the past 5 years and who is a trainer, supervisor, mentor, manager or colleague.  They should themselves currently be authorised to provide a Nuclear Cardiology service independently in the course of their primary employment. They should also be prepared to be contacted to confirm that the authenticity of their statement.  

The letter can optionally be expanded with additional information that is considered relevant to your practice.  Examples of this might be the number of studies that you perform annually, details of your teaching, training and research activity, if any, etc.  

This letter should be uploaded in the platform made available to candidates having successfully passed the written examination. 

Clinical reports of unknown studies

Please note: the below information only concerns candidates who have passed the Nuclear Cardiology written examination. Candidates have received a personal access to a platform where these studies and all related templates are made available to them. 

Also note that these studies should not be shared or made public. Any discrepancy to this rule will lead the candidate to fail his/her Nuclear Cardiology Certification. 

To complete the Nuclear Cardiology certification, you are requested to download planar projection data for 10 nuclear cardiology studies, to reconstruct and view the data using whichever hardware and software is available to you routinely, and to upload your clinical reports.

The reports will be scored independently for accuracy by at least two examiners who deem their own interpretation of the findings to be “correct”.

The primary consideration will be whether the study is normal or abnormal, with abnormal subdivided into inducible perfusion abnormality, myocardial scar, or a combination of the two. Consideration will be given to a description of the site, extent and depth of abnormalities, and also to description of LV function and regional myocardial motion and thickening assessed from the ECG-gated images. Allowance will be made for different processing techniques providing different values for LVEF. The report conclusion should contain clinically relevant statements that answer the question raised by the study indication. In case of doubt, the report conclusion should suggest the most likely finding and should try not to be equivocal.

The report should be written in English but no account will be taken of grammar or spelling, provided that the report is interpretable by the average English speaker.

Data Format and Handling

The planar projection data to be downloaded consists of 4 DICOM files for stress and rest MPS studies, each with summed and ECG-gated data to allow reconstruction of perfusion and LV function images respectively. The file names and DICOM header should make it clear which dataset is which. All MPS studies have been acquired using a conventional gamma camera with two heads positioned at 90° and acquired over 180° from RAO to LPO. The matrix size and image scaling will be apparent from the DICOM header if required.

You may seek assistance from a colleague with the downloading and reconstruction of the data, but the studies should be viewed and reported by you without assistance or second opinion, as if you are reporting clinical studies alone. You can use motion correction if available but it will not be possible to use more advanced techniques such as resolution recovery or attenuation correction. In some cases comments are provided with the findings after attenuation correction.  

The examiners will use best endeavours to answer technical questions concerning the studies but will not provide assistance locally for data handling or processing.

Report template

You are advised to use the report template provided in the platform. This contains patient demographic information, presenting clinical information, imaging protocol, and findings during stress. The report fields for findings and conclusion are to be completed by you. Once completed, you should upload the report in PDF or DOCX format. 

Scoring of reports

Each report will be reviewed and scored by at least two examiners. They will use the following scoring rule:

Score Signification Example
3 Correct conclusion containing all clinical relevant findings from the study  
2 Correct conclusion but missing some clinically relevant findings, or where there may be clinically unimportant differences with the examiners’ opinions.   An example might be inferior attenuation reported as scar, or vice versa, or where clinically unimportant inducible perfusion abnormalities are not mentioned.  
1 Incorrect conclusion but unlikely to affect patient management. An example might be not mentioning a mild regional wall motion abnormality or a mild inducible perfusion abnormality that is likely to be treated medically.
0 Incorrect conclusion that is likely to affect patient management.   An example might be reporting a normal study as abnormal or vice versa.


Authenticity of reports

You should upload a letter from the same person who provided the letter confirming your knowledge, education and skills, ensuring that the reports were generated by you alone without consultation or second opinion.


A sample study is provided in the platform for you to practice downloading and reconstruction if required and with a clinical report that would score 3 from the examiners.  

Certified Individuals in Nuclear Cardiology

Congratulations to all those who have achieved certification in Nuclear Cardiology with the EACVI.

Candidates successfully certified have been approved by the Nuclear Cardiology Exam Board Committee in the certification process.

Please find here the list of EACVI Nuclear Cardiology certified individuals.