PIE Exam Information and Outline
Preliminary Image Evaluation (PIE) Certification
Syllabus Update Checked on: October 28, 2026
PIE Exam Syllabus & Study Guide
Before you start practicing with our exam simulator, it is essential to understand the
official PIE exam objectives. This course outline serves as your roadmap.
The information below reflects the 2026 syllabus defined by
ASMIRT.
Below are complete topics detail with latest syllabus and course outline, that will help you good knowledge about exam objectives and topics that you have to prepare. These contents are covered in questions and answers pool of exam.
- Assessment
- Image-based examination identifying and describing abnormalities, plus written component
- Principles of Preliminary Image Evaluation
- Role, scope, accountability and communication of PIE comments
- Systematic image review approach
- Musculoskeletal Trauma
- Fractures and dislocations of appendicular and axial skeleton
- Paediatric fractures and normal variants
- Chest Imaging
- Pneumothorax, consolidation, effusion, lines and tubes
- Abdominal Imaging
- Free gas, bowel obstruction and foreign bodies
- Image Quality and Technical Factors
- Medicolegal and Professional Issues
- Documentation and escalation of urgent findings