TENDER SPECIFICATIONS FOR MULTI-SLICE CT SCANNER 32 Slice

This tender is to fulfil the requirement for a latest generation Multislice CT scanner capable of
acquiring at least 32 slices per 360-degree rotation from the tube and detector for all types of
scans and applications. The CT scanner must include dedicated state of the art
components capable of performing current CT scanning techniques, with adaptability for
future scanning techniques. The model name must be specified and should be under
current production. All machine related and workstation related software and imaging
application must be compatible or suitably modified to integrate with existing department
PACS.

General Requirements:
1) The machine should have at least 24 physical detector rows as single layer.
2) Scan time for one complete 360-degree rotation should be as low as possible and this
rotation speed should be possible in all helical pitch values across all anatomies.
3) Iterative reconstruction technique (pure / hybrid) for dose reduction should be included as
standard in order to reduce dose and improve the low contrast detectability.

TECHNICAL REQUIREMENTS:

A) GANTRY (incl. patient couch),

1) Gantry Aperture: at least 70 cm
2) All gantry cooling devices should be inbuilt without any external device or additional
cooling equipment.
3) Scan Field of View: at least 50 cm
4) The gantry should be provided with 12” inches user — friendly control panels for easy
patient positioning.
5) Emergency mode capability to start scan from the gantry side without the need for
console operation is desirable.
6) Patient table offered should have a maximum load bearing capacity of at least 180 kg
with maximum positioning accuracy +/- 0.25mm.
7) The vertical of 785mm and horizontal of 1600mm travel range should be as minimum as
possible.

B) GENERATOR and X RAY TUBE

1) Generator should be high frequency with output of at least 32 KW.
2) The mA range of 300mA should be maximum available.
3) X-ray tube should have anode heat capacity of 2.0 MHU.
4) Anode heat dissipation should be sufficient enough to 336 kHU/min.
5) Pitch is to be freely selectable in auto mode with option for manual selection — range
should be at least 0.5 to 2.0.
6) Tube voltage range availability should be at least 70 kV to 140 kV. Lower KV setting for
pediatric patients protocol should be available.
7) Metal artefact reduction system should be provided.

C) MATRIX
1) Display Matrix of 512 x 512 or 768 x 768 or more
2) Reconstruction Matrix of 512 x 512 or 768 x 768 or more.

D) SLICE THICKNESS
1) The minimum thickness should be 0.55 mm or better.

E) DETECTOR SYSTEM
1) Detector provided should be of Opti-wave of latest available with low afterglow.
2) Detector should have facility to acquire 32 slices simultaneously in one rotation.
There should be at least 24 physical rows of detector in the Z axis with the number of
detector elements 19,968 as maximum as possible.
3) The z — axis width of the detector should be 17.6 mm as maximum possible.
4) The detector should be focally aligned with the X-ray beam so that the whole width of the
detector in z axis can be used in axial and cine modes without cone beam truncation.
5) The number of views/rotation at fastest scan mode should be sufficient to enable high
definition imaging.

F) IMAGE RECONSTRUCTION
1) Real Time reconstruction speed should be maximum possible (30 images/sec).
2) Reconstructed slice thickness should be up to 8.8 mm and should be freely selectable
range.

G) RESOLUTION
1) The High contrast Resolution should be at least 19.5 lp / cm @ 2% MTF or better.
2) The Low contrast resolution should be at 2 mm at 0.3% no more than 18 mGy.

H) RECONSTRUCTION, FILTERS, ARTEFACT REDUCTION AND IMAGE PROCESSING:

1) Iterative reconstruction must be included in the bid.
2) The State of the art 3d Iterative construction algorithms offered.
3) Dose optimization/reduction capability must be included in the bid.
4) Metal artefact reduction algorithm must be included.
5) The software shall enable the operator to generate Digitally Reconstructed Radiographs
(DRR), Digitally Composited Radiographs (DCR) and Multi-planar Reformatted Images
(MPR).
6) Standard image view and manipulation options should be provided.
7) Adjustable window width and level
8) Image pan and zoom
9) Image rotation
10) Multiple image display
11) Image magnification
12) Comment display
13) Annotation
14) Arrow insertion
15) Distance and angle measurement
16) Co-ordinates in centimetre, millimetre or pixels of the cross wire or cursor position.
17) ROI's of all types shall be provided, including circular, oval, user defined and automatic
18) The Bidder to state the number of simultaneous presentations of ROI's, stating mean,
standard deviation, area and number of pixels
19) Simultaneous scout view (or pilot view, scannogram or topogram) and reference axial
image display
20) CT number values including mean, standard deviation and area displayed within ROI
21) Superimposition of scale grid
22) Image addition and subtraction
23) Reconstructive filters to enhance specific imaging parameters
24) Fusion imaging techniques for noise reduction
25) Reconstructive continuous zooms using raw data as well as high.
26) Zoom
27) Beam hardening correction
28) Metal correction
29) Segmental reconstruction
30) Multi-planar reconstruction of sagittal, axial, coronal and oblique and user defined
compound oblique directions.
31) Curved multi-planar reconstructions
32) Stacking
33) Dynamic analysis
34) 3-D surface rendering.

I) CLINICAL APPLICATION PACKAGES REQUIRED:

1) CT Fluoroscopy:
CT Fluoroscopy mode for drainages, fine needle aspiration biopsy,cutting needle biopsies,
ablations etc.
3-image display mode must be possible.

2) Brain Perfusion Functionality:

A perfusion package to analyse blood flow in the brain of patients to aid stroke diagnosis is
required. Brain Perfusion Analysis Healthy side and lesion side compare
based on the isocenter.
Automatic calculation of Time-density curve (TDC) Automatic calculation and
pseudo color display of brain perfusion parameters including CBF, CBV,
MTT Measurement and statistical analysis of ROl region, maximum and
minimum, value, average number.

3) CT Lung Nodule analysis:

Offers deep-learning based detection capabilities for all nodules types including solid, part-
solid and ground-glass. This software provides adjunctive information to aid the radiologist in
the detection of pulmonary nodules during review of CT examinations of the chest on an
asymptomatic population, as well as in already diagnosed patients.

4) CT Vessel Analysis:
Vessel Analysis, Automatic bone removal (including body, head and neck,
etc.), Automatic vessel segmentation and repair Center line extraction and
editing. Vascular CPR Vessel stenosis analysis, Vessel plaque analysis, Vessel
endoscopy.

5) Cerebral Hemorrhage Analysis:

Auto labelling the cerebral hemorrhage area and manual edit, Contour line
labeling and support area grow Hemorrhage type, volume and etc, display.

6) Spine Analysis:
Auto and manual spin segmentation, Spin labelling and multiangle view,
Provide piecewise analysis and general analysis.

7) Dental Analysis:
The dental arch line can be seen in an automatic or manual way, and
then surface panoramic images will show. Choose a dental line and
generate a single-slice image. The neural tube and bilateral
temporomandibular joints can also display.

J) DATA MANAGEMENT:
1) The system must be capable of transferring image data sets to at least hospital PACS and
RIS. The system must be able to include future hardware and software upgrades.
2) The system must provide archiving and networking capabilities necessary to effectively
manage multi-slice data sets.
3) Image archiving must be organized according to the DICOM 3.0 hierarchical model, in a
DICOM 3.0-compliant image format.
4) The image archive must allow storage of raw scan-data as well as reconstructed data.
5) A storage capacity of at least 2TB is required. Bidder to state control console storage
capacity.
6)Offered system must have the ability to transfer data, with viewing software, to an
external device such as CD, DVD or USB. Bidder to state options offered.

K) DOSE MANAGEMENT:
1) The CT scanner must include a dose management system intended to reduce dose risk to
the patient.
2) Auto-mA to provide details of all dose reduction techniques used during patient scanning.
3) The applied patient dose for the specific patient must be quantified and displayed on the
operator's console. The display modes shall include:
• Weighted CT Dose Index,
• Volume CT Dose Index,
• Dose Length Product,
• Dose efficiency.

L) REQUIREMENTS FOR OPERATOR CONSOLE & NETWORKING:

The latest multitasking computer should be offered with latest processors and a menu
driven platform. The system should have a minimum RAM of 32 GB .
Main Console should include high resolution, LCD color monitor with display matrix of 1920 x
1200 is preferred.
The Hard Disk capacity for both image and raw data should be 2 TB or more Real time
reconstruction speed should be maximum possible at 30fps. It should have facility to store at
least 500,000 images CD and DVD archiving facility are required. DICOM facility to send,
store, print, receive etc. should be standard The console should support Filming in user
defined formats
Fully DICOM 3.0 compatible.
Computer desk and cabinet to be included
The following applications should be standard at the console and it should be able to use the
following without requirement of a satellite workstation:
1. Registration scheduling and protocol selection
2. Real-time Multi-Planar Reconstruction (MPR) of secondary views, with viewing
perspectives in all planes including curved and orthogonal MPR
3. CT Angiography MIP and MinlP.
4. 3D Rendering (/1-<1), Volume measurements
5. 3D Surface Shaded Display
6. CT number display, window width, window level
7. Topograrn display
8. Cine display
9. Other advanced 3D applications and color coding for different tissues
10. Sub-mm HRCT lung
11. Automated Bone Removal

The following evaluation tools should be standard:

1. Parallel evaluation of multiple ROI, in circle, irregular and polygonal forms
2. Statistical Evaluation for area/ volume, S. D, Mean/Max and Histograms
3. Distance & angle measurement, freely selectable positioning of coordinate system, grid
and image annotation.
The following post processing tools should be offered as standard:
1. 2-D post processing, including image zoom and pan, image manipulations, including
averaging, reversal of grey-scale values, and mirroring
2. Image filter functions, including advanced smoothing algorithm and advanced bone
correction
3. Advanced image algorithms such as Posterior Fossa.
4. Optirnization for reduction of beam hardening artifacts in head images.

M) ACCESSORIES

Patient positioning accessories must include:

Standard Accessories:
1) Flat Head Holder;
2) Flat Head Holder Cushion;
3) Patient Table Cushion
4) Coronal headrest supports;

Optional Accessories:
1) Head Straps
2) Body Straps
3) Coronal Head Holder
4) Coronal Head Holder Cushion
5) Arm-head Cushion
6) Arm Joint Support
7) Knee Joint Cushion
8) Leg Cushion
9) Head Cushion (Groove)
10) Patient Table Extension
11) Heighten cushion- 10/20/30/50cm
12) 15degrees/ 25degrees heighten cushion