DXIT™ and TXIT™ In-Training Exams

The Diagnostic Radiology In-Training (DXIT™) and the Radiation Oncology In-Training (TXIT™) exams offer residents an opportunity to evaluate their knowledge and to identify areas of deficiency relative to peers at the same level of training. They also serve as useful tools for Program Directors to assess the effectiveness of their curriculum as benchmarked against other residency programs.

The exams are scheduled annually in January (DXIT) and March (TXIT) to first- through fourth-year residents as well as those in fellowships.

DXIT Program Directors receive sets of exam questions, keys, annotated references and rationales for a period of time. ACR recommends that these items and keys be used in an instructional manner, such as in follow-up discussions or meetings with residents regarding their assessments.

Registration and payment information is available in late summer for the 2018 In-Training exams.

Attention Program Directors
Please update your program and resident information
in the ATPU system. Be sure to report all new residents and any transfers. Please email membership@acr.org should you have any questions about ATPU system.

Please provide full legal names of residents participating in the DXIT exam; resident name must match their valid, government-issued Identification on exam day at the Testing Center.

Questions? Contact intrainingexam@acr.org

Diagnostic Radiology In-Training (DXIT™)

 IMPORTANT First Steps to do NOW:

  1. Please update your program and/or resident information with the ACR Membership Department membership@acr.org.
  2. Be sure to report all new residents and transfers.
  3. Please provide full, legal name of residents participating in the DXIT™ Exam; residents will be turned away on exam day if ID does not match name on Roster.

The DXIT exam is administered by computer at testing centers around the world. For security purposes, multiple versions of the exam are administered to residents.

Exam window for all sites is January 4 – 31, 2019
 Location Cost
USA and Canada
$220 USD
Mexico and Latin America
$305 USD
$325 USD
APAC and Japan  $325 USD 


DXIT Exam Sets

DXIT Exam Outline

Radiation Oncology In-Training Exam (TXIT™) 

The TXIT™ 2019 exam is scheduled for March 1, 2019. It is administered by paper and pencil at participation institutions.

USA $275 USD
International $550 USD


2018 TXIT Exam

2018 TIXIT Answer Key

TXIT Exam Outline


For questions about the online ATPU process, please call the ACR Membership Services Department at (800) 347-7748, or e-mail membership@acr.org.

For questions concerning the ACR In-Training Exams, please email intrainingexam@acr.org.