Traditionally, the use of contrast is not a standard part of the training of Ultrasound examiners, differently from Computed Tomography and Magnetic Resonance Imaging, where trainee radiographers and radiologists are familiarized with contrast examinations from the very beginning. For this reason there is a need for intensive educational activities such as those supported by the Bracco company, in order to make new customers familiar with the use of contrast in ultrasound in order to increase confidence in diagnosis. 
Recently the European Association of Cardiovascular Imaging (EACVI), an organ of the European Society of Cardiology (ESC), published a CME Syllabus, which defines the standard elements of training for echocardiography examiners. Contrast-enhanced examinations have been included as a dedicated chapter (chapter 5) in this syllabus, which means that both basic training and CME training must include contrast examinations as standard. There will be no accreditation on a European level for centers that do not perform contrast examinations in compliance with the defined quality standards. This is a significant step forward to establish the routine use of contrast echocardiography in clinical practice, which is the basis for implementation and growth of the cardiology CEUS market. The clear claim to include the use of contrast agents in the standard training of echocardiography examiners is in line with the strong commitment of companies such as Bracco to the support of medical education and training for contrast enhanced ultrasound in cooperation with medical societies and clinical experts.
