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["TTHE SUPPLY, DELIVERY, INSTALLATION, DE-COMMISSIONING, COMMISSIONING AND MAINTENANCE OF POSITRON EMISSION COMPUTED TOMOGRAPHY (PET-CT) SCANNERS FOR ALL GAUTENG DEPARTMENT OF HEALTH ACADEMIC HOSPITALS FOR A PERIOD OF THREE YEARS (36 MONTHS)"]
["  ANNEXURE A: TECHNICAL SPECIFICATION"]
["Note:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   "]
["1. Technical Compliance"]
["All equipment tendered for:\n(a) All Equipment tendered must comply with all the specifications with a # weight \n(b) All equipment tendered for must be 90% or higher technically compliant to qualify for consideration of an award."]
["2. Scoring of the bids"]
["2a. Weight: Each specification will have a weight of 1 or a hash (#), which indicates the level of importance, as follows:   "]
["1 -  A specification with a standard level of importance that must be complied with.     "]
["# -  Indicates a specification with a essential level of importance, where the bid offer will be disqualified, if the specification is not complied with."]
["2b. Score: The Bid Evaluation Committee will assign a score of 0 or 1 for each specification, which indicates the level of compliance, as follows:"]
["0 -  The specification does not  comply.     1  -  The specification is fully compliant."]
["2c. Weighted and Total Score: The score will be multiplied by the weight to give the total score for each specification and be added up. "]
["2d. 90% or higher compliance: In order to be considered for an award, the bidders must comply as follows with the specification: "]
["i. The bidders must comply fully with the specifications marked with a # weight. "]
["ii. Any bidder that does not meet the minimum threshold of 90 % compliance or higher with the specification shall not be considered for an award and be disqualified. "]
["Item no.","Tender Specification","Weight","Comply (Yes/No)","Details of Bid Offer                                            (Provide your answers in this Column. You are advised to be straight to the point)","Reference to Brochure / Technical Data Sheet (verification)"]
["A","IT  SYSTEM"]
[1,"PET/CT Acquisition and processing station"]
["1.1","Separate CT and PET acquisition and reconstruction stations with a radiotherapy planning console. Dual core xenon processors, 16 GB ram and 1 TB storage on the A&P stations. High quality DVD/CD writer and USB connection capabilities",1]
[2,"Remote Workstations( 3 in total)"]
["2.1","In addition to the Operator’s Console, one state-of-art multi-modality image processing workstation for all image processing and reconstruction capabilities to be located in the PET/CT camera operations room for physician and radiographers use.   ",1]
["2.2","One workstation with processing and reconstruction capabilities for PET/CT to be located in the main department Nuclear Medicine, to be used by the nuclear physicians/radiologist as a reading station.  ",1]
["2.3","One workstation with  processing and reconstruction capabilities for PET/CT to be located in Nuclear Medicine department to be used by the nuclear physicians/radiologist as a reading/reporting station. ",1]
["2.4","Remote workstations must include a large data storage system which is can easily store and retrieve archived/old studies.",1]
[3,"Webserver"]
["3.1","Webserver with integrated web viewer allowing processing and reconstruction on remote locations.",1]
[4,"Data Acquisition, Display and Analysis specifications:"]
["4.1","Smooth patient registration and modification of patient data",1]
["4.2","Discom work list integrated with HIS and PACS(RIS)",1]
["4.3","All the standard predefined CT and PET/CT examination/acquisition protocols must be included",1]
["4.4","Printing should be integrated with the hospital HIS and PACS.",1]
["4.5","Soft and hardware capability for MIP, SSD ,MPR and advanced volume rendering on all the processing stations.",1]
["4.6","CT angio- software",1]
["4.7","Dynamic evaluation software for contrast enhancement",1]
["4.8","Media viewer",1]
["4.9","UFC detector",1]
["4.10","Care dose capabilities(Child, topogram,Bolus)",1]
["4.11","Time of Flight capability",1]
["4.12","CT and PET gated acquisition and reconstruction",1]
["4.13","ECG module and cable integrated with gantry",1]
["4.14","Support for list mode acquisition, off line histogramming and reconstruction",1]
["4.15","CT respiratory gating with PET respiratory gated acquisition and reconstruction.",1]
["4.16","Image fusion capabilities over the different imaging modalities",1]
["4.17","Metal artifact reduction algorithm",1]
["4.18","Oncology software should have the following capabilities:"]
["4.18.1","Registration and quantitative analysis of functional and anatomical studies across at least 5 time points",1]
["4.18.2","Tools should be present to quantitatively assess metabolic tumour response(EQ.PET,PERCIST,MTV AND TLG)",1]
["4.18.3","Automated CT and PET segmentation and evaluation of all relevant organs.",1]
["4.19","Cardiology software should have the following capabilities:"]
["4.19.1","Standard cardiac display packages for perfusion, wall motion and LVEF",1]
["4.19.2","Quantitative Myocardial blood flow assessment and coronary reserve",1]
["4.19.3","CT Coronary analysis and Ca scoring",1]
["4.19.4","Fusion software for CT cardiac and PET images",1]
["4.20","Neurology software should include the following capabilities:"]
["4.20.1","Neuro Reorientation, 3 D display, Normal axial, sagittal Display of PET and CT Imaging and fusion",1]
["4.20.2","Data base of normal neuro images and the ability to compile such a database from scratch.",1]
["4.20.3","CT Neuro DSA for bone -free visualization of cerebral vessels",1]
["4.20.4","PET striatal Analysis",1]
["4.20.5","PET amyloid Plaque analysis",1]
[5,"Compatibility "]
["5.1","Able to network, send/receive data from all workstations in the Nuclear Medicine and Radiology departments ",1]
["5.2","Must be compatible with the PACS and HIS systems of the relevant institutions. By using the appropriate DICOM conformance software.  The tenderer must make sure that the needs of the hospital must be discussed beforehand to know to what modalities the PET/CT must be networked to",1]
["5.3"," The tenderer must supply all cabling software and hardware to enable this networking",1]
[6,"Performance"]
["6.1","Upon completed installation, the system must successfully demonstrate the manufacturer’s performance specifications plus any bid response commitments.  ","#"]
["6.2","Performance specifications must be verified by hospital’s Medical Physicists upon completed installation and prior to hospital acceptance of equipment.","#"]
[7,"Networking/Connectivity/Documentation"]
["7.1","DICOM-compliant and support Modality Worklist Service System",1]
["7.2","Should be able to send/receive image data from the PACS system which is used and planned for the facility. The vendor will be responsible for supplying the hardware for the network including any needed switches and cabling. The vendor must specifically ensure connectivity between the PET/CT room, reporting room at designated hospital.",1]
["7.3","Capable of sending and receiving DICOM Modality Worklist data with PACS.  ",1]
["7.4","Current network connectivity requirements: 100baseT(minimum), full duplex, switched.",1]
["7.5","System must be PACS ready without any additional licencing or costs to connect to current available PACS.",1]
["7.6","All images must be  compatible with the latest DICOM version. or the latest version. ",1]
["7.7","Networking to and from PACS, RIS and HIS (Medicom/ or other) must be included",1]
["7.8","The exchange of patient demographics, images, runs and evaluations shall be achieved with latest DICOM  standards.",1]
["7.9","The system must contain the following connectivity capabilities:"]
["7.9.1","Get worklist for patient demographics: from HIS/RIS",1]
["7.9.2","Send the images or runs: DICOM Send and to PACS",1]
["7.9.3","Modality performed procedure step for sending a confirmation to a HIS/RIS: DICOM MPPS",1]
["7.9.4","Receiving a confirmation from archive (SC)",1]
["7.9.5","Print the images: DICOM Print",1]
["7.9.6","Retrieve images from archive: DICOM",1]
["7.9.7","Radiation dose report",1]
["7.9.8","Record the results on CD for off-line image exchange",1]
["7.9.9","DICOM export to USB and CD/DVD writer- dicom reader must be included automatically",1]
["7.10","Independent RIS/HIS workstation for information management:"]
["7.10.1","Must allow parallel viewing and processing of previously acquired images of the current or previous patient",1]
["7.10.2","Must enable a multi-modality work environment for radiographers and radiologists in their preparation and review of CT, MR, US and X-Ray studies",1]
["7.10.3","Must allow parallel viewing and processing of previously acquired images of the current or previous patient",1]
["8","Data storage"]
["8.1","Storage system to connect to hospital PACS, and must be compatible with PACS used at hospital",1]
["8.2","Storage capacity must be indicated by the bidder",1]
["B","PET SYSTEM"]
[1,"Crystal Material ."]
["1.1.","Multi-ring LSO/SiPM(Lutetium ox orthosilicate silicon photomultiplier or the equivalent) PET Detector system with 3 D acquisition and reconstruction. All bidders must offer their top of the range crystal.",1]
[2,"Essential system capabilities"]
["2.1","Static and whole-body acquisition capability",1]
["2.2","Simultaneous data acquisition and image reconstruction",1]
["2.3","Simultaneous reconstruction of two images in parallel( AC and NAC)",1]
["2.4","Detector ring diameter: equal or more than 800mm",1]
["2.5","Gantry aperture: equal or more than 70 cm",1]
["2.6","Transverse field of view: equal or more than 70 cm",1]
["2.7","Advanced scatter correction technique",1]
[3,"Quality Assurance Sources and Phantoms"]
[3.1,"QA procedures must be described, how many sources are needed, if procedure is fully automated including load of the sources. All calibration sources needed must be supplied. These sources are to be included in the two year warrantee and five year maintenance plan",1]
["3.2","PET cylindrical water phantom and PETCT Gantry Offset Phantom must be supplied.",1]
[4,"System must comply to NEMA 2001/2018 Standards."]
["4.1","System sensitivity - 3-D (NEMA 2001): minimum 7 cps/kBq at 435 keV LLD",1]
["4.2","Transverse resolution @ 1 cm (NEMA 2001): 6.0 mm. Supplier to specify the maximum. ",1]
["4.3","Transverse resolution @ 10 cm (iterative reconstruction): 4.9 mm. Supplier to specify the maximum. ",1]
["4.4","Axial resolution @ 1 cm (NEMA 2001): 5.1 mm. Supplier to specify the maximum. ",1]
["4.5","Axial resolution @ 10 cm (NEMA 2001): 5.5 mm. Supplier to specify the maximum. ",1]
["4.6","Peak noise equivalent count rate, kcps (2001), Specify dose concentration",1]
["4.7","Acquisition, 3D (2001)",1]
["4.8","Scatter fraction - 3-D (NEMA 2001): maximum 37%.",1]
["4.9","Respiratory gating must be included which can automatically find and automatically reconstruct a motion free image from the gated PET data.",1]
["4.10","Cardiac gating must be included which can correct for respiratory motion using a deviceless method",1]
["4.11","Gating inputs must be located on the patient bed to reduce hanging wires for safety.",1]
["4.12","Gating device must be interfaced with PET/CT system eliminating the need to access the gating laptop for the UI in order to acquire data.",1]
["C","CT"]
[1,"Number of Slices "]
["1.1.","Multi-slice with a minimum of 64 or more contiguous axial slice planes per 360 degree gantry rotation ",1]
[2,"Gantry "]
["2.1","Aperture equal or more than 70cm",1]
["2.2","Operator controls and gantry displays must be integrated into the gantry",1]
["2.3","Remote hand controller",1]
[3,"Respiratory"]
["3.1.","Both Cardiac and Respiratory gating must be included",1]
["4","Oncology Capabilities "]
["4.1","Flat table. The table top must be compatible with the hospital standard",1]
["4.2","Planning and Acquisition software(4D) compatible with the existing hospital system",1]
["5","Table and patient handling system"]
["5.1","Arm and leg supports",1]
["5.2","Head: Low attenuation holder",1]
["5.3","Table extensions",1]
["5.4","Immobilization devices. Specify the devices to be supplied  ",1]
["5.5","Real-time Position Management(vertical and horizontal)",1]
["5.6","PET/CT co scan range maximum of 2 m",1]
["5.7","Patient weight bearing capability: 220 kg or more",1]
["5.8","Baby cradle",1]
["5.9","Generator x-ray tube and kV ranges:"]
["5.9.1","Generator output of at least 80kW",1]
["5.9.2","System must have as a minimum the following kVp selections: 70, 80, 100, 120 and 135-140 Adjustable in fine steps",1]
["5.9.3","Micro processor controlled, low noise high frequency generator ",1]
["5.9.4","Automated self-testing system",1]
[6,"X-ray Tube :"]
["6.1","Anode heat capacity must be a minimum equivalent of 50 MHU with a cooling rate of > 5MHU/min",1]
["6.2","Tube current range: 20-800 mA",1]
[7,"Vendor to describe:"]
["7.1","360 degree rotation speed in axial and helical modes",1]
["7.2","Bolus detection system",1]
["7.3","Automatic dose control system ",1]
["7.4","Reconstruction time per image",1]
["7.5","Type of detector system and configuration",1]
["7.6","Weight and dimensions of gantry",1]
["7.7","Detector Type",1]
["7.8","Number of elements/channels/fan beam",1]
["7.9","Image Quality:"]
["7.9.1","The CT system must be capable of at least 18 LP/cm",1]
["7.9.2","High contrast spatial resolution: <0.25 mm",1]
["7.9.3","Low contrast detectability: <0.4 mm",1]
["7.9.4","CTDI (dose/100 mAs) maximum Axial head: 18.4mGy",1]
["7.9.5","CTDI (dose/100 mAs) maximum Axial Body: 9.3 mGy",1]
["7.10","Scan Parameters:"]
["7.10.1","Scan field: minimum 50 cm",1]
["7.10.2","Number of slices: minimum 64",1]
["7.10.3","Slice thickness: minimum 0.625 mm",1]
["7.10.4","360-degree rotation speed: minimum 0.5 - 1.5 sec",1]
["7.10.5","Typogram length: 128-2000 mm",1]
["7.10.6","Spiral (pitch) freely variable without a change in image quality",1]
["7.10.7","Must be capable to scan at 70 kV for reduced dose (e.g. paediatric)",1]
["7.10.8","Scan Matrix: minimum 512 x 512",1]
["7.10.9","Display Matrix: minimum 512 x 512",1]
["7.10.10","The transverse field-of-view for CT used during PET attenuation correction must extend all the way to the edges of the gantry and offer uniformity to within 50 HU when imaging greater than 50 cm FOV",1]
["7.10.11","Maximum Spiral Volume: minimum 190 cm",1]
["7.10.12","Maximum Spiral Scan Time: 100 sec",1]
["D","ANCILLARY EQUIPMENT"]
[null,"To be included in purchase price and installed by contractor or vendor :  "]
[1,"Ceiling-Mounted Dual Overhead contrast injector with remote control for CT.",1]
[2,"Closed Circuit Video monitoring system for Scan and Uptake rooms",1]
[3,"Intercom system for Scan and Uptake rooms",1]
["E","HOT LAB EQUIPMENT. "]
[null,"Vendor/Contractor to provide exact item or equivalent at hospital’s approval. These items must be specifically for PET use. The vendor is responsible for installation and training:"]
["1","Unit Dose Cabinet; ",1]
["2","L-Block Shield for PET; ",1]
["3","Lead Brick Cave;",1]
["4","Dose Calibrator with shielding rings; ",1]
["5","Receiving, Holding and Storage Cabinet; ",1]
["6","Shielded Sharps Container; ",1]
["7","Portable shield",1]
["8","Syringe shield for 10ml syringe or as specified by institution",1]
["9","Forceps",1]
["10","Dosimeter (finger type)",1]
["11","Automated pump or combination between manual and automated pump for PET isotope administration",1]
["12","High Energy Class C hot cell",1]
["13","TLC scanner with SPECT and PET applications with consumables for 5 years",1]
["14","Dose drawing system PET W/L Block",1]
["15","Bench rate meter with full range of probes",1]
["16","Compensated pancake Geiger probe with long handle",1]
["17","Digital Area Radiation Monitor system",1]
["18","Complete HPLC system for PET quality control with related consumables for 5 years ",1]
["19","Complete gas chromatograph system for PET",1]
["20","Complete PET laboratory information management system(LIMS)",1]
["21","Laboratory access control system(electronic)",1]
["22","Airlock gating system",1]
["23","Hand and foot radiation monitors",1]
["24","Laboratorium grade table tops",1]
["25","Airconditioning separate from the hospital system for the laboratorium to ensure a class A-B environment",1]
["26","All upgrades and building alterations to the hot lab must be done by the vendor.","#"]
["F","UPGRADABILITY:"]
[1,"State current EC and FDA approved upgrade paths and options as well as costs",1]
[null,"TOTAL",157]