Information Brochure
for submission of Expressions of Interest by Private Organizations/Institutions for installation of a PET-C T Scan Unit in the premises of
Nilratan Sarkar Medical College & Hospital, 138A, A. J C BOSE Road, Kolkata-700 014 under Public Private Partnership. 2009-10
I. Background :
In our State the Nilratan Sarkar Medical College and Hospital has the largest bed- capacity in its hospital. It is one of the largest hospitals in the eastern region of the country. It has vibrant units of Oncology, Neurology and Psychiatry, Cardiology and Pediatric. For sometime past it has been felt necessary that the pathological changes, long before those would be revealed, should be detected by some sort instrument/machine which would indicate future structural changes in tissues through structural imaging modalities like CT or MRI Scans. A study is also required which demonstrates more about the cellular level metabolic status of a disease than other types of imaging modalities. Hence, a decision has been taken that one PET-C T Scan machine should be installed in the said N R S Medical College for detecting the cellular level metabolic status of a disease including pathological changes going to occur.
2. The word PET means Positron Emission Tomography. It has been integrated with Computed Tomography (CT). Thus, Positron Emission Tomography-Computed Tomography (PET CT) has now emerged not only as important research tools but also as a very significant diagnostic imaging system in clinical medicine for evaluation of many diseases based on morphologic, physiologic, molecular and genetic markers of disease. The use of multimodality imaging systems and smart specific imaging agents will provide accurate diagnosis, treatment evaluation, surveillance and prognosis in individual patient.
3. PET study gives images of metabolic, molecular and cellular function of human body which can be used to measure glucose metabolism, blood flow and perfusion. PET-C T scanner simultaneously gives information to complimentary modalities i.e. anatomical and physiological modalities and evaluates diagnostic information in oncology, cardiology, neurology, pediatrics, infection and inflammation etc. Thus for serving the greater interest to public in general it has been decided that one PET-C T Scan unit should immediately be installed in the premises of N R S Medical College and Hospital, Kolkata under Public Private Partnership.
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II. Scope of services :
a) The Health & Family Welfare Department has decided to install a new PET-C T Scan Unit in the premises of Nilratan Sarkar Medical College and Hospital, Kolkata (N R S Medical College and Hospital) under Public Private Partnership for scanning different patients relating to oncology, neurology, psychiatry, cardiology, infection & inflammation and pediatrics.
• To provide PET-C T Scan facilities mainly to the patients of the above- mentioned Hospital, the Health & Family Welfare Department invites Expressions of Interest from registered Private Institutions/Organizations to establish a PET-C T Scan Unit for comprehensive analysis in one examination and one visit . • The Private Parties should mention the mode of procurement of Fluro De- oxyglucose[FDG] and other Isotopes. Whether the Private party is commissioning a Cyclotron of its own. If so, whether approval of the BARC/AERB(Atomic Energy Regulatory Board) has been obtained. The location of the proposed Cyclotron site may also be given.
• The Private Party shall have to conduct PET-C T Scan procedure to the patients referred from the said Hospital and other Government Hospitals at the rates as may be finalized with the Private Party. The Private Party should offer rates without compromising the quality on the items given
below :
Sl. No. Name of the investigation Rates to be proposed by the Private Party 1. Whole Body PET-C T Scan - 2. Myocardial PET-C T Scan - 3. Infection and Inflammation Imaging - Whole Body PET-C T Scan 4. Brain PET-C T Scan -
The proposed rates should be subject to the following stipulations :
(i) The rates should include the cost of Fluro De-oxyglucose[FDG] ; (ii) Anesthesia, if required, may be charged extra @ Rs.700/- at the maximum; (iii) Testing of Blood Sugar will be done free of cost ;
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(iv) One set of films to be given to patients. Extra films, if required, may be charged extra.
• The Private Party will have to conduct minimum of 3% of the total no. of PET-C T Scan procedures (Unit : Brain Scan or equivalent) done in a month free of charges (including the costs of accessories, consumables & medicines etc. as may be required) for the patients of BPL category referred from Government Hospitals. The Private Party may offer higher rates of free cases for the benefit of the BPL patients.
[[ • The Private Party shall be at liberty to do PET-C T Scan of patients from private sources (other than the concerned Medical College & Hospital and other Government Hospitals) and the charges of PET-C T Scan for such patients may be determined by them subject to the condition that the Private Party shall be bound to pay 25% of the revenue at the flat rate earned per PET-C T Scan procedure from such private patients to the Medical Superintendent-cum-Vice-Principal of N R S Medical College as the case may be at the end of each month.
b) Infrastructure : (i) Space : (a) The selected Private Party will be provided a rent free covered space of approximately 2500 sq. ft. in the above mentioned premises. The Private Party shall use its own infrastructure / facility, equipment and gadgets for offering such PET-C T Scan facilities. The physical infrastructure facilities must conform to the stipulations of the Clinical Establishment Act of the State and Rules framed thereunder.
(b) The Department will provide access to electricity, water supply and sewerage line to the Private Party subject to the condition that the power, water and sewerage connections are to be arranged by the Private Party at their own costs from a nearest point of the premises suitably. All sorts of recurring expenses regarding power, water and sewerage for the space provided to them should be borne by the Private Party.
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(ii) Personnel : The Private Party would be responsible for deployment of necessary staff for providing the facility and State Government would have no responsibility whatsoever towards the same. The Medical and Technical Personnel deployed by the Private Party for running the PET-C T Scan must have appropriate qualifications in Radio-Diagnosis acquired from a recognized Medical Teaching Institution. The required documentary proof will have to be submitted by the Private Party in support of such qualifications.
(iii) Quality Management requirements:
PET-C T Scan Unit to be installed by the Private Party must conform to the processes and indicators in respect of Quality Assurance / Quality Management and Monitoring according to the standards followed internationally.
(iv) Running costs and maintenance : The Private Party shall be responsible for meeting the charges of ongoing repairs, renovation of buildings, electricity charges, cost of consumables and non-consumables, maintenance of the PET-C T Scan machine and accessories. The Department of Health and Family Welfare shall not provide any financial support to the Private Party and shall not be responsible for any liability of the Private Party.
(v) Timing of services : The PET-C T Scan services must be available round the clock. The PET-C T Scan machine system along with accessory systems must be operational for 95% of the time.
2. Certificates and Licenses required:
The selected Private Party shall obtain the license under Clinical Establishment Act and Trade License, if any, before installation of PET-C T Scan Unit. The documents in support of financial solvency of the Private Party and institutional financial support, if any, should also be submitted. Accreditation from National Institutes will be given preference.
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3. Maintenance of records :
The Private Party should also indicate in their application, the mechanism and process of maintenance of records of PET-C T Scan to be conducted by them under this Scheme.
4. Report : The Private Party shall have to provide reports of the PET-C T Scan process along with actual plates and results to the patients by 12:00 hrs. of the next day to the day on which PET-C T Scan procedure was conducted.
5. Supervision and inspection : The functioning of the PET-C T Scan Machine and accessory systems of the private party, shall be subject to routine as well as surprise inspection by the duly authorized representatives including the Head of the Department of the Radiology of the concerned Medical College & Hospital and Medical Superintendent-cum-Vice-Principal/Principal as the case may be.
6. Educational facilities : For educational purpose, the undergraduate and postgraduate medical students as well as the teachers of the concerned Medical Colleges shall be provided access to the PET-C T Scan Unit, based on mutual convenience of both the Private Party and the concerned Medical College & Hospital. Scanned films of academic interests are also to be provided free of cost to a minimum of 3(three) cases per month to the Radiology Department of the concerned
Medical Colleges & Hospitals.
7. Tenure of agreement : The agreement with the Private Party will be executed for a period of 5(five) years initially, renewable at the end of the term subject to satisfactory performance during the tenure of the agreement.
8. Termination of Clause : The Deed of Agreement will be prepared on the basis of the terms and conditions mentioned in the present Information Brochure and also those are finalized on mutually agreed basis during execution of the deed of agreement. Any violation to any clause or clauses of the Deed of Agreement to be executed by the Private Party with the Department may lead to termination of the agreement earlier than the period specified above.
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On termination/expiry of the agreement, prior permission of the department shall be necessary to dismantle and decommission the PET-C T Scan machine installed by them along with the electrical appliances and/or furniture provided by the party for such purpose.
9. Selection of the Private Party : The selection of a Private Party will be based on Technical and Commercial offers of the Private Organisations/Institutions in their Expressions of Interest. The Technical and Commercial proposals thus submitted will be evaluated on the following aspects :
The Private Party offering reasonably higher percentage of the benefits to the public in general or to the State Government may get some weightage in selection of the Private Partner. Implementation/establishment of similar project(s) being established by a private organization elsewhere may be given weightage for its selection. The reputation in the market for implementation of such projects will also be given preference in the selection. There will be an Evaluation Committee to evaluate the Technical and Commercial proposals of the Expressions of Interest and evaluation of the Committee in respect of both the proposals will be the final.
(1) Technical Proposals : The Technical Proposals should contain the followings : (i) The Private Party should be registered under appropriate authority to establish PET- CT Scan Units.
(ii) The Private Party accredited with National Institutes would be given preference.
(iii) The Private Party has to certify by auditors about their financial capacity to render the services.
(iv) The Private Party should furnish the source of fund for establishment of PET- CT Scan unit.
(v) The Private Party having experience of running PET-C T unit(s) will be given preference.
(vi) The Private Party will provide satisfactory evidence of its eligibility and adequacy of resources to carry out the work.
(vii) The Private Party should declare that the machine proposed to the installed should be of the specification of a new PET-C T machine having specifications as detailed in Schedule-I annexed.
(viii) Any other point of technical importance may also be furnished along with Expressions of Interest.
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(2) Commercial Proposal : In the commercial aspect of the Expressions of Interest the following points would be considered for evaluation :
(i) The reasonable lower rates proposed in Paragraph II(Scope of Services) without compromising the quality of service may get proportional preference. In comparing the rates all the rates proposed for 4(four) items would be clubbed together and if necessary, average rate may be worked out for comparison.
(ii) 3% of the total PET-C T Scan procedures (Unit : Brain Scan or equivalent) conducted should be done free of charges for the patients belonging to BPL category referred from different Government Hospitals. The free of charges will be excluding the cost of contrast materials/accessories/sample medicine etc, if necessary, which will be borne by the patient. The Private Party may offer higher rates of free cases for the benefit of the BPL(Below Poverty Level) patients. The 3% of the total number of cases conducted in a month should be done free of cost at the minimum during the next month and the arrear, if any, will be carried over to the next month for the entire financial year.
(iii) The Private Party shall be at liberty to conduct PET-C T Scan of the patients from the private sources other than the cases referred from the Medical College & Hospital and other Government Hospitals and the charges of PET-C T Scan for such patients may be determined by them subject to the condition that the Private Party shall be bound to pay 25% of the revenue at a flat rate earned per PET-CT Scan procedure at the end of each month. The higher percentage of revenue towards the State Government share without compromising the quality of service may be given preference.
(iv) For academic purposes the Private Party shall provide free of cost a minimum of 3(three) cases per month to the Radiology Department of the concerned Medical College & Hospital. The Private Party may render more concessions, if any, in academic cases also.
(v) Any other appropriate concessions in any item beneficial to public may be considered by the Evaluation Committee in giving weightage if the Committee thinks to be fit for consideration.
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10. Submission of Application/Expression of Interest : (i) The Expressions of Interest for the unit should be submitted in 2(two) sealed covers - (i) one cover will contain Technical Proposals and (ii) the other cover shall contain the Commercial Proposals. On each cover it should be clearly mentioned whether it contains the papers relating to Technical Proposals or the Commercial Proposals.
(ii) Each proposal either technical or commercial should contain all relevant papers stating the points referred to above along with supporting documents. It should be carefully noted that the papers relating to commercial aspects should not be sent in the sealed cover of the Technical aspects and vice-versa.
(iii) On the sealed cover containing Technical Proposals for the unit it should be inscribed “Contains Technical Proposals for Establishment of a PET-C T Scan Unit at Nilratan Sarkar Medical College and Hospital”. The sealed cover containing Commercial Proposals should be inscribed “Contains Commercial Proposals for Establishment of a PET-C T Scan Unit at Nilratan Sarkar Medical College and Hospital”.
(iv) It is reiterated that each Expression of Interest should have 2(two) sealed covers one containing the Technical Proposals and the other containing Commercial proposals.
11. Payment of Application fee : Each Expression of interest should be accompanied with a non-refundable fee of Rs.10,000/-(Rupees Ten Thousand) only through Demand Draft/Banker’s Pay Order payable at Kolkata in favour of West Bengal State Health & Family Welfare Samiti. The said Demand Draft/Pay Order should be enclosed with the Technical Proposal and placed in the concerned sealed cover. Without non-refundable application fee as aforesaid no Application/Expression of Interest shall be entertained and/or considered.
12. Application/Expression of Interest in sealed covers shall be submitted in plain paper covering all the relevant points referred to above along with supporting documents and non-refundable Application Fee as stated in the paragraph above within 5.30 p.m. of April 26, 2010 to the Special Secretary, Public Private Partnership Branch, Health and Family Welfare Department at Swasthya Bhawan, 4th Floor, Wing-B, GN-29, Sector-V, Salt Lake, Kolkata-700 091.
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Schedule-I Particulars & Specifications for the new PET-C T Scan Machine at the minimum to be installed
PART A: GENERAL DESCRIPTION:
a) Nomenclature of standard equipment : A high-resolution Positron Emission Tomography Scanner with Multi-Detector (16 slice or more) Spiral CT scanner.
b) Year of introduction in market: 2007 or later.
c) Expected functions of standard equipment: Advanced Positron Emission Tomography with integrated multi-slice (Preferably 64 slice) CT Studies for comprehensive Oncology, Cardiac, Respiratory, Abdominal, Neurological studies including brain perfusion, general vascular and whole body imaging applications with optimal radiation dose efficiency. The equipment should be ‘state-of-the-art’ system with fast acquisition speeds for imaging with good temporal resolution. The equipment shall be supplied complete with patient’s table, control and evaluation unit, computer system, latest software and network module. The system shall be installed on turnkey basis in the space provided by the institution where it is to be installed as per the AERB stipulations and on site feasibility.
d) Component functions required: as detailed below
PART B: PET SCANNER
1. The high-resolution PET scanner should employ non-hygroscopic scintillation detector which is able to detect coincidence photons. The Vendor will give an unequivocal guarantee (notarized and registered affidavit from the Principals) that if a newer technology PET detector is developed before installation or within two years of commissioning, the PET detector will be changed to newer technology without any extra cost.
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2. The system should have the capability of acquiring PET and CT images and fusion capabilities of both PET & CT images without moving the patients. 3. Flat, carbon-fibre table top on the PET-CT gantry for treatment planning for radiotherapy with patient’s load bearing capacity of 200 Kg or more with ± 1 mm positional accuracy with indexed patients positioning system. 4. Detector Capabilities: i. Detector material should be non-hygroscopic for detecting 511 KeV positrons in coincidence. ii. The crystal material should have high density (≥ 7.0 g/cm3), high light yield (≥ 80%) and low decay time (≤ 50 ns). iii. The performance measurements should be as per NEMA NU 2-2007 Standard. Hard copy and electronic copy of NEMA NU 2-2007 measurements MUST be provided for comparison.
5. Image Reconstruction i. Reconstructed slice width: <1mm to 10 mm ii. Pitch – preferably freely selectable. iii. Display matrix 1024x1024 or more. iv. The system should have a data editing facility for data acquired due to irregular heart beat.
6. Computer system: i. Reconstruction for pre and post processing of PET- CT data at main console. Facility of DVD & CD writing and image transferring with additional Work station system. ii. LCD display monitor of at least 19 inch or more (diagonal) or more at all work stations. iii. Latest windows based DICOM compatible software to be provided for acquisition and processing. Latest and upgradeable software and hardware with all licenses (and upgrades for five years) for all Oncology, Quantitative Cardiology including bolus tracking, CTA, coronary tree, plaque analysis, calcium scoring, myocardial perfusion quantification and Quantitative Neurology including perfusion application should be provided. Connectivity with other DICOM enabled imaging modalities should be possible. Computer Aided Detection (CAD) for lung nodule identification and growth rate calculation. CT Fluoroscopy with monitor near gantry. Stereotactic Software for localizing lesions in x, y, z planes compatible with third party Stereotactic frame iv. Contouring facility for gross tumor volume and clinical target volume. Image and Radiotherapy structure transfer through network in DICOM to treatment planning system in Radiotherapy department.
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7. Other essential features of the system: i. Ring diameter: ≥ 80 cm ii. Patient port with transmission source in place: ≥ 70 cm iii. Axial FOV: > 15.0 cm iv. Number of image planes: ≥ 45 v. Axial sampling interval: 3.27 mm As per NEMA NU2-2007 vi. Sensitivity: Standards vii. Uniformity: viii. Spatial resolution (Transaxial & Axial FWHM at 10 cm): ix. Energy Resolution (FWHM):
x. Co-incidence window: As per NEMA xi. Scatter fraction: NU2-2007 xii. Scatter correction: Standards xiii. Maximum count rate cps @ 50% dead time : xiv. Coincidence windows: xv. Maximum count rate:
8. Post-Processing: i. Should be available in all workstations – one main console with processing workstation, and two additional workstations— one mainly for Cardiac applications. 2-D, 3D processing capability including image zoom and pan, image manipulations, namely averaging, reversal of gray-scale value, and mirroring; image filter functions, including advanced smoothing algorithms and advanced bone removal algorithms.
ii. Multi planar reconstruction of secondary views, with viewing perspectives in all planes.
iii. Spatial alignment and visualization of two different data sets of one patient generated on different modalities or with different acquisition times.
iv. Thinking System or similar latest reporting software with hardware support- so as to enable comparison with older studies simultaneously: - PET-CT processing and archiving software with all licenses and upgrades for a period of 5 years
9. Acquisition protocols:
Mechanism for adaptability of the tube current during one scan rotation for dose regulation.
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Part C: CT SUBSYSTEM OF PET-CT
1. The system should be the fastest available slip-ring technology/contemporary technology allowing full rotation multi-slice scanning of 64 slices or more per rotation with true isotropic volume acquisition and high spatial resolution of at least 0.4 mm or less. 2. X-RAY GENERATOR : Should be high frequency inverter type with power output of 60 KW or more to support sustained and continuous X-ray generation. 3. X-RAY TUBE: a) High performance CT X-ray tube is essential for uninterrupted long spirals. Give details of anode temperature monitoring system. Give details of tube current range and mA rating at peak generator power. Is there a mA modulation mechanism for dose regulation? Give details. b) Tube voltages: 80-140 KV or more if available. c) Filter and beam limiting devices and other specific features to reduce radiation dose to the patient. d). Give details of Anode heat Storage capacity, heat dissipation and tube assembly heat storage and cooling details of the tube offered. e) Specify the focal spot size and number according to IEC recommendations. f) Automatic selection of focal spots should be possible.
4. GANTRY: a). Aperture should be 70 cms or more to facilitate guided interventions. b). Specify the entire range of rotation times for full 360 degrees. c). Lesser rotation times will be preferred. d). Remote controlled tilt should be possible from the operator console. e). Maximum scan field of view (FOV) should be 50 cms. or more. f). Laser alignment Iight should control the isocentric position of the patient in all planes. g). Controls should be located on all four sides within easy reach of the operator.
5. SPIRAL CT: a) Scan time for complete 360 degree should be 0.4 sec or less. a) Minimum slice thickness should be less than one mm. Slice thickness should be freely selectable for prospective and retrospective reconstruction. b) Gapless spiral length 150 cms or more. c) Specify range and selectable slice thickness available.
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d) Pitch factor (volume pitch) should be variable between 0.5 to 2.0 or more and should be user selectable. Give details of all pitch selections. e) Rotation times: specify the minimum and maximum with the range of pitch. Combinations of pitch, slice thickness and spiral length should be easily selectable by the user. The system should optimize the radiation dose and resolution for each selection. f) Bolus triggered spiral acquisition should be possible. g) Single continuous spiral acquisition time "spiral on time" should be minimum 100 secs or more. i) 4-D Gated Respiratory, Gated Cardiac and Dynamic PET & CT Imaging acquisition capability shall be provided
6. TOPOGRAM: a). Specify the range of length. b). Scan time: Give details. c). Views: should be possible in frontal and lateral views. d). Should be possible to interrupt acquisition manually once the desired anatomy is obtained.
7. DATA ACQUISITION SYSTEM: a). Detector: Please specify the detector design and type of detector used. b). Give details of the detector electronics, number of rows with their thickness, number of elements, channels per slice, number of projections, maximum number of discrete slices/rotation. c). Give details of real time tube current, geometric and absorption efficiency of the detectors in percentage. d). Display of radiation dose per examination is essential. e). Acquisition protocols should have in built mechanism for adapting the tube current according to body shape during the examination for dose regulation. f). Specify the mechanism used in the system quoted. g). There should be in-built protocols for all pediatric applications in order to reduce the effective dose. Give details. h). Respiratory gated scan acquisition complete with hardware and software for 4D CT for gated RT planning. i). CT Fluoroscopy with a `In Room’ LCD Monitor, table side controls for moving the table during procedures. j). Foot Switch for scan trigger to be included.
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8. IMAGE RECONSTRUCTION: a). Real time reconstruction speed of more than 20 images/sec for any slice thickness with full cone beam reconstruction at 512 x 512 matrix. b). Specify the reconstructed slice width, scan field and reconstruction field. Slice thickness should be freely selectable. c). Specify the scan time and length.
9. (i) IMAGE DISPLAY MONITORS (Either stand-alone or common with the PET): a). Monitors should be flat screen to last full life of the scanner with continuous and uninterrupted use without significant deterioration of display quality. b). Minimum numbers of monitors to be provided are 5. One for the examination room, two for the control room and two for post processing console/work station. c). Size of monitors should be more than 18”: Full flat screen LCD display with resolution of 1024 x 1024 or more. d). Pixel size should be minimum 0.3 mm or less.
(ii) The Cardiac Monitor should have the following features :
• Automatic Operation • ECG and Heart Rate Display • P-Lock Algorithm • Trigger Mark • Chart Recorder • ECG Data Storage • ECG Notch Filter • System Interlock • Universal Power Supply
10. CONSOLES (Either stand-alone or common with the PET): a). Operator console should perform all functions such as registration, scheduling, protocol selection, all standard evaluation applications, volume measurements, volume rendering MPR etc. i. Should have raw data storage with at least 100 GB hard disk having a minimum of 100,000 image storing capacity in 512 x 512 matrix. ii. Real time 3-D reconstruction and display should be possible during acquisition. iii. Please specify all post processing software which will run on the workstation and not on the operating console.
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b. Advanced Workstation/Console.
i. The following software is to be provided: 1. Complete Software for brain and body perfusion studies. 2. Complete virtual colonoscopy package. Automatic bone removal facility. 3. Complete Software for dental planning. ii. Real time reconstruction and immediate display of images in 1024Xl024 matrix parallel to acquisition in spiral mode to be provided. iii. Facility for direct 3D image formatting in any plane during acquisition as planned on scout images. iv. Lung nodule evaluation and lung perfusion defect detection. v. BMD studies. vi. Musculoskeletal applications: complete package to separately visualize cartilage from tendons is to be provided. vii. Characterization of liver & kidney lesions. viii. Fully automated Tumor Tracking Software with automated tumor volume calculation.
11. IMAGE EVALUATION TOOLS: a. Parallel evaluation of multiple regions of interest in circle, irregular and polygonal form. b. Complete statistical evaluation software for axial & 3D images. Blood flow quantification packages for perfusion studies. Give details. c. Profile cuts, horizontal, vertical, oblique. d. Annotation, labeling, online measurements, ROI etc. e. Dynamic evaluation of contrast enhancement in organs and tissue, calculation of time density curves, peak enhancement images, time to peak images, image subtraction etc. f. 2D image zoom, pan, manipulate, averaging reversal of grey scale values, mirroring, image filter functions, advanced imaging algorithms and advanced bone correction. g. Real time MPR of all secondary views. h. CTA, MIP, 3D, SSD advanced 3D applications and colour coding. i. Spatial alignment and visualization of 2 different data sets of one patient generated on different modalities or with different acquisition times. j. Fusion of morphological data obtained on CT, MR and DSA. k. All above functions should be instantaneous and interactive.
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l. On line patient registration facility, transfer of information from HIS/RIS via DICOM and emergency registration. m. Facilities to transfer images from one location to another within the hospital to be provided by the vendor at his cost. n. Patient communication system including an integrated intercom and automatic instruction (API) system freely recordable with more than 30 API text pairs to be provided.
12. IMAGE QUALITY: a. Parameters for the following must be specified clearly as these are considered crucial for system comparison. b. Low contrast Resolution/ detectability should be at least 5mm at 3.0 HV with 20 cm CATPHAN. Specify surface dose, mAs, slice thickness and HU used to determine the low contrast resolution. c. High Contrast Resolution: i. Specify at 0% and 10% MTF with full FOV. ii. Specify the phantom used, scan time, mA, KV, slice thickness and time. b. Please give details of the radiation dose per scan and per standard spiral volume. c. Specify the cross field homogeneity and system noise
PART D: OTHER IMPORTANT REQUIREMENT FOR PET-CT SYSTEM
1. ARCHIVING: Thinking system or similar mini-PACs system with 16 GB RAM and 3 or more terabyte hard-disk space for archiving is mandatory requirement with dual screen processing, comparing of 3-4 serial studies and viewing facility.
2. ADDITIONAL IMAGE STORAGE FACILITY:
Archiving: Automatic Digital archiving of Data/ studies on CD-R, CD-RW, DVD-R, DVD- RW along with compatible drives
3. IMAGE TRANSFER/NETWORK: a). System should be fully DICOM 3 compatible for DICOM send/receive/query/ retrieve, basic print connectivity to any network ystem namely to any PACs, HIS & RIS for transfer of PET-CT images to the Departments/sections and should be carried out by the vendor at their cost.
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b). Vendor should enable live image display in the conference area of the depth, directly from the system using slave monitors. c). Global modem to allow on-site connectivity and maintenance. d). All necessary interconnecting interfaces, cables, modules and other hardware and software to fully integrate the system and seamlessly merge the new facility with the current and future workflow of the Institute.
4. ESSENTIAL ACCESSORIES TO BE SUPPLIED a). Facility for noninvasive monitoring of Oxygen saturation, BP, respiration and skin temperature during acquisition should be provided for both adults and paediatric patients. One multi
function cardiac monitor (ECG, sPO2, and NIBP etc.), Pulse Oxymeter, and Defibrillator. b). External cardiac rhythm monitor cum defibrillator with capacity for synchronized biphasic shock from 5 to 150 Joules. The device should have adult and paediatric paddles and connectivity to patch defibrillation electrodes. It should reach full charge in less than 6 seconds. It should also have an external pacemaker facility. c). A state of the art general anaesthesia induction equipment as required by the anaesthetist of the
hospital, capable of ET/O2 monitoring with adult and paediatric ventilators, d). Suitable Dual Head pressure injector with set of 2000 syringes and tubings. It should be possible to trigger the scan from the Injector Head.
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