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EACVI Nuclear Cardiology Certification

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

The next EACVI/EANM exam in Nuclear Cardiology will be delivered online on 11 October 2022.

Individual registration is closed.

More information about next EACVI/EANM Exam in Nuclear Cardiology will be communicated in due time.

Next EACVI Nuclear Cardiology exam: Take it from anywhere!

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 three-hour exam at any time 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 technical requirements before you register for the EACVI Nuclear Cardiology 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?

It is a two-step registration process

  • Start your registration with the 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. 

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

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

Complete your registration with ProctorU®

Once you have registered with the 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. 



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 for all ESC administered exams closes 15 days before the examination with no exceptions. 

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


Registration fees

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.


Fee types Online fees
Standard/EACVI Regular Member €582.80

EACVI Silver Member 

EANM 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 EACVI Silver Members - for further information please go to the membership page. 

**EANM Member fee: An upload of a copy of your valid EANM Membership official invoice of the certificate year will be requested during registration process. Your pre registration will be validated and confirmed only upon this mandatory document.

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

****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.

*****If you are eligible to the 2nd Resit fee please contact us before registering.

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


IMPORTANT - 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 of the cancellation of your participant registration. 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.


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 My ESC account 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 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 exam)


6–4 weeks (before 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 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.

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 online and using 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. 
  • 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.  

After the examination

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 completion of the exam.

Appealing the exam

Candidates who have comments or concerns about an Examination question should contact the ESC by the ESC 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 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.  

Individuals certified 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.

EACVI is pleased to list all their Nuclear Cardiology certified candidates - Last Update 20 October 2022