Credentialing Pathways in Diagnostic Ultrasound & Cardiovascular Imaging

Our role as educators does not end when a course concludes. For clinicians committed to lifelong bedside service, the next steps after training matter deeply—not as hurdles, but as pathways.

Here is a neutral, factual overview of several major credentialing bodies whose examinations, policies, and maintenance requirements shape the professional journeys of ultrasound and cardiovascular imaging professionals.

ARDMS — American Registry for Diagnostic Medical Sonography

Identity:
ARDMS is a nonprofit credentialing organization focused exclusively on the certification of ultrasound professionals.

History:
First examination administered in 1975, emerging alongside the early clinical adoption of diagnostic ultrasound.

Credentials & Exams:
RDMS, RDCS, RVT, RMSKS; most pathways require the SPI exam plus a specialty exam.

Candidate Volume:
Tens of thousands of active registrants worldwide; annual global exam statistics published.

Exam Performance:
ARDMS publishes annual first-time and repeat candidate pass/fail statistics by exam.

Costs (Typical):
SPI ~$275; specialty exams ~$300.

Eligibility:
Defined prerequisite pathways requiring education and/or clinical experience documentation.

Maintenance:
Annual renewal with Maintenance of Certification requirements.

Governance:
Council and committees composed of sonographers, physicians, and subject-matter experts.

Location:
Administrative offices within Inteleos, headquartered in Rockville, Maryland.

ARRT — American Registry of Radiologic Technologists (Sonography Focus)

Identity:
ARRT is a large credentialing and registry organization covering medical imaging disciplines, including sonography.

History:
Founded in 1922, expanding over decades to include advanced imaging and sonography pathways.

Sonography Credentials:
R.T.(S) Sonography; R.T.(VS) Vascular Sonography.

Candidate Volume:
Hundreds of thousands of registrants overall; sonography represents a defined subset.

Exam Performance:
ARRT publishes exam statistics annually; detailed discipline data is shared with programs and regulators.

Costs (Typical):
Primary pathway fees typically in the low-to-mid $200 range.

Eligibility:
Completion of an ARRT-approved education program, ethics review, and exam completion.

Maintenance:
Annual renewal with biennial continuing education requirements.

Governance:
Board and committees composed of imaging professionals and educators.

Location:
Administrative operations in the U.S. Midwest; exams delivered via Pearson VUE centers.

CCI — Cardiovascular Credentialing International

Identity:
CCI is a nonprofit credentialing organization focused on cardiovascular and vascular professionals.

History:
Began credentialing cardiovascular professionals in 1968. First to achieve credentialing as a formal Credentialing Agency.

Credentials & Exams:
RCS, RVS, and other cardiovascular-focused credentials; single-part exams emphasizing applied clinical knowledge.

Candidate Volume:
Annual certification statistics published by credential.

Exam Performance:
CCI releases yearly pass/fail summaries by credential.


Costs (Typical):
Exam fees published in the CCI Applicant Handbook.

Eligibility:
Credential-specific pathways requiring education and/or documented clinical experience.

Maintenance:
Periodic renewal with continuing education after initial cycle.

Governance:
Board of Trustees and credential-specific committees.

Location:
Administrative offices located in Raleigh, North Carolina. defined subset.