RVT-SPI Exam Information and Outline
Registered Vascular Technologist - Sonography Principles & Instrumentation (SPI)
Syllabus Update Checked on: November 11, 2026
RVT-SPI Exam Syllabus & Study Guide
Before you start practicing with our exam simulator, it is essential to understand the
official RVT-SPI exam objectives. This course outline serves as your roadmap.
The information below reflects the 2026 syllabus defined by
APCA.
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.
- Exam Format
- Approx. 110 multiple-choice questions; 2 hours
- Required physics exam for RVT credential
- Domain 1: Perform Ultrasound Examinations (23%)
- Patient care, comfort, safety and ergonomics
- Sound–matter interactions and gray-scale artifacts
- Bioeffects; beam steering; extended field of view; 3D/4D; contrast imaging
- Order verification, history review, communication and documentation
- Domain 2: Manage Ultrasound Transducers (7%)
- Transducer selection and frequency
- 2D arrays, 3D/4D and non-imaging transducers
- Domain 3: Optimize Sonographic Images (26%)
- Axial, lateral, elevational and temporal resolution
- Gain, TGC, dynamic range, compression and output power
- PRF, depth, frame rate, harmonics and spatial compounding
- Magnification, persistence, edge enhancement and M-mode
- Domain 4: Apply Doppler Concepts (34%)
- Doppler effect, angle and shift; hemodynamic principles
- Wall filters, sample gate, color maps and power Doppler
- Aliasing and its elimination; CW and PW Doppler
- Spectral waveform evaluation; tissue Doppler; Doppler artifacts and measurements
- Domain 5: Provide Clinical Safety and Quality Assurance (10%)
- Infection control (CDC guidelines)
- Machine and transducer QA checks; phantom testing
- Statistical parameters: sensitivity and specificity