ct scanners comparison

8/18/2019 CT Scanners comparison

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Comparative specifications

128 to 320 slice CT scanners

CEP08028

March 2009


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Contents 2

CEP08028: March 2009

Introduction ............................................................................................. 3

Technical specifications .......................................................................... 5

Acknowledgements ............................................................................... 58

References............................................................................................ 59

Appendix 1: Supplier contact details ..................................................... 60

Author and report information................................................................ 61


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Introduction 3


Purpose of this document

This supplementary report to the CEP buyers’ guide to multislice CT scanners [1] provides comparative specifications of CT scanners that are capable of acquiringmore than 64 slices. In this category the number of slices is generally considered inconjunction with the length of coverage. These are specialist scanners primarilyaimed at cardiac or perfusion imaging, and length of coverage along the z-axis is ofparticular importance for these studies. A greater number of slices may mean longercoverage, or may be as a result of a higher slice acquisition density due to thedynamic focal spot.

Comparative specifications are also available for other categories of scanner, asshown below.

Report number Report title

CEP08024 CT clinical applications software [6]

CEP08025 16 slice CT scanners [4]

CEP08026 32 to 40 slice CT scanners [2]

CEP08027 64 slice CT scanners [3]

CEP08028 128 to 320 slice CT scanners (this report)

CEP08029 Wide bore CT scanners [5]

Scanners covered in this report

At the time of writing, there are four manufacturers of medical CT scanners sellingsystems in the UK; three supply scanners offering more than 64 slices.

Manufacturer Scanner model

Philips Brilliance iCT

Siemens Somatom Definition AS+

Toshiba Aquilion ONE

The data given in this report are representative of the scanners as of August 2008,and are liable to change. Features such as workstations and software packages maybe listed as cost options here, but such additional costs are generally negotiable.

Specifications are presented side-by-side to facilitate comparison, and grouped into a

series of topics relating to different aspects of the scanner, such as gantry, tube and


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Introduction 4


detectors etc. The data are presented in 28 tables, one for each aspect. Indexnumbers are provided for each question to aid referencing.

Whilst every effort has been made to ensure the accuracy of this report, we have notverified the data provided. Specific responses should be confirmed with themanufacturers


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Technical specifications


List of topic areas

Table 1. Gantry...................................................................................................... 6

Table 2. X-ray generator ....................................................................................... 7

Table 3. X-ray tube................................................................................................ 7

Table 4. Detection system..................................................................................... 9

Table 5. Couch.................................................................................................... 10

Table 6. Scanning capabilities............................................................................. 12

Table 7. Scanned projection radiography (SPR)................................................. 13

Table 8. Acquisition parameters.......................................................................... 13

Table 9. Automatic exposure control................................................................... 16

Table 10. Image reconstruction............................................................................. 17

Table 11. Data processing .................................................................................... 20

Table 12. System start-up and calibration............................................................. 21

Table 13. Manufacturer's performance data.......................................................... 23

Table 14. Operator console................................................................................... 25

Table 15. Main computers..................................................................................... 26

Table 16. Data management................................................................................. 27

Table 17. Workstation ........................................................................................... 28

Table 18. Workflow / connectivity .......................................................................... 32

Table 19. Ancillary equipment ............................................................................... 35

Table 20. Advanced reconstruction & display ....................................................... 36

Table 21. Clinical applications software ................................................................ 38

Table 22. Cardiac applications .............................................................................. 39

Table 23. Radiotherapy applications..................................................................... 41

Table 24. Advanced scanning facilities ................................................................. 42

Table 25. Installation requirements ....................................................................... 44

Table 26. Maintenance & support.......................................................................... 47

Table 27. Supplementary information.................................................................... 49

Table 28. Sustainability ......................................................................................... 51

Table 29. Notes to Siemens replies....................................................................... 55


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Technical specification comparison: 128 to 320 slice CT scanners

Table 1. Gantry

Philips Brilliance iCT Siemens SOMATOM Definition AS+ Toshib

1.1 Scanner type 3rd generation 3rd generation 3rd ge

1.2 Aperture [cm] 70 78 72

1.3Focus-isocentredistance [mm]

570 595 600

1.4Focus-detector distance[mm]

1040 1085 1072

1.5Slip ring for powersupply

Low voltage Low voltage Low vo

1.6Slip ring for datatransmission

Optical RF RF

1.7 Tilt range [degrees] No ± 30 (0.5° increment) ± 22

1.8 Tilt for helical scanning No No Not av

1.9Positioning lights -planes

Transaxial (internal and external),sagittal & coronal

Transaxial, sagittal, coronal Transa

1.10 Positioning lights - type Laser Laser Laser

1.11Positioning lights -accuracy

(at centre of gantry)[mm]

± 0.5 ± 1 ± 1


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Table 2. X-ray generator

Philips Bril liance iCT Siemens SOMATOM Definition AS+ Toshib

2.1 Type High frequency High frequency High fr

2.2 Location Rotating frame Gantry In gant

2.3Method of generatorcooling

Air cooled Air or Water Air

2.4 Power rating [kW] 120 100 70

2.5 kV settings 80, 120, 140 80, 100, 120, 140 80, 100

2.6mA range (and step

size)

10 - 1000 (in 1mA steps)20 - 800

(1 mA steps)

10 - 50

2.7Maximum mA for eachkV

80 kV: 650mA 120 kV: 1000mA 140 kV:750mA

80 kV: 550 mA

100 kV: 650 mA

120 kV: 800 mA

140 kV: 714 mA

80 kV:

100 kV

120 kV

135 kV

Table 3. X-ray tube


3.1 Type and make iMRC Siemens Straton CXB-7

3.2 Focal spot size(s) [mm],quoted to IEC 336/93standard

0.6 x 0.7 1.1 x 1.2 0.7 x 0.70.9 x 1.1

0.9 x 01.6 x 1

3.3Moving (dynamic /flying) focal spot, xy-plane

Yes Yes No


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3.4Moving (dynamic /flying) focal spot, z-axis

Yes Yes No

3.5Settings at which focalspot changes

Small focal spot in HR/UHR mode;

Not kW limitedNot power dependant

80 kV:

100 kV

120 kV

135 kV

3.6

Total filtration at max kV(inherent + beamshaping filter) on centralaxis

[mm Al equivalent@120 kV]

4.8 @ 140kV 6.8

4.8 (L w

3.7Half value layer of x-raybeam at 120 kV (ornearest) [mm Al]

6.9 ± 0.5 @ 120 KV 8.7 Confid

3.8 Anode heat capacity[MHU]

30 MHU equivalent with real-timecooling

30 equivalent 7.5

3.9

Maximum anode coolingrate

[kHU / min]

1608 7300 1386

3.10 Method of tube cooling Oil-to-air Direct oil Liquid

3.11 Expected tube life [amp-hours]

1 year unlimited guarantee 3 years (see note 1) 300000


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Table 4. Detection system


4.1 Detector type Solid state array Solid state array Solid s

4.2 Detector material Gadolinium oxysulphide (GOS) Siemens UFC Gadoli

4.3 Decay constant [μs] Info. not available 3 3

4.4

Maximum number ofsimultaneously acquireddata sets (number of'slices')

128 128 320

4.5Sampling frequency for

0.5 s scan [Hz]9,600 (up to 4,800 samples/rev) 4608 2400

4.6Sampling frequency forfastest scan [Hz]

17,778 (up to 4,800 sample/rev) 4608 2572

4.7Data transmission rate[Mbps]

5280 8500 20000

4.8

Number of detectorelements per row(excluding referencedetectors)

672 736 896

4.9Number of referencedetector elements perrow

1n.a. (reference detector is in tubecollimator)

1 (tota

4.10Number of detectorelements along z-axis

128 64 320

4.11Effective length ofdetector elements in z-axis (at isocentre) [mm]

128 x 0.625mm 64 x 0.6 320 x 0


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4.12Total effective length ofdetector array atisocentre [mm]

80 38.4 160

4.13 Quarter detector shift No Yes Yes

4.14Hardware features toimprove xy-planeresolution

Dynamic Focal Spot (DFS)

Attenuating comb (UHR)Flying Focal Spot (xy) No

4.15Hardware features toimprove z-axisresolution

Spiral Groove Bearing and Smart FocalSpot

z-sharp / z-UHR comb No

4.16

Option for slice upgrade('Forklift' essentiallymeaning scannerreplacement)

No Yes (Forklift) No

Table 5. Couch


5.1 Couch top material Carbon fibre composite Carbon fibre Carbon

5.2Couch top length andwidth [cm]

243 x 41Standard: 240 x 45

(MultiPurpose Table option: 240 x 53)246 x 4

5.3Horizontal movementrange [cm]

190Standard: 160

(Multipurpose Table option: 200)239 (st

5.4Couch controls - ongantry

Yes (left/right, front/back)Left & Right (standard)

Back (Option)

Front,

Rear, L


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5.5Couch controls - inroom

Optional table side control

Elevation control pedals on both sidesof the couch. Additional controls (i-Control panel) at the table if CT Flurooption installed

Foot sw

5.6Couch controls - onconsole

Yes Yes Yes

5.7 Accuracy/reproducibilityof table positioning [mm]

± 0.25 ± 0.25 ± 0.25

5.8Horizontal range(without extensions)[cm]

130Standard: 160

(Multipurpose Table option: 200)203

5.9Scannable horizontalrange with table topextension(s) [cm]

175Standard: 160

(Multipurpose Table option: 200)195

5.10Vertical movementrange out of gantry [cm]

57.8 - 102.8Standard: 48 - 92

Multipurpose Table: 55 - 9233 - 99

5.11Vertical movementrange in gantry [cm]

85.0 - 102.8 72 - 92 78 - 99

5.12Maximum clearance ingantry [cm]

17.8 69 58

5.13

Minimum couch top

height outside gantry[cm] 57.8

Standard & 300 kg option: 48

MPT option: 53 33

5.14Maximum weightallowed on couch [kg]

204 200 (standard) or 280 (option) 300


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5.15

Maximum weight [kg] onstandard couch whichstill achieves statedperformancespecificationseg.accuracy (mm)

204 200 (standard) or 280 (option) 230

Table 6. Scanning capabilities


6.1Maximum continuous

scan time [s] Info. not available 100 100

6.2

Maximum number ofrotations in one helicalrun at standardabdomen parameters

Info. not available 72 250

6.3

Maximum helical scancoverage using a 1 mmimaged slice thicknessand a pitch of 1.5 [mm]


6.4Overscan required forsequential scanning[degrees].

Info. not available No Max 35

6.5Overbeaming requiredfor helical scanning[rotations]

Info. not available Siemens Adaptive Dose Shield utilised2

0 for vo


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Table 7. Scanned projection radiography (SPR)

Philips Brilliance iCT Siemens SOMATOM Definition AS+ Toshib

7.1 Proprietary SPR name Surview Topogram Scano

7.2Maximum SPR length[mm]

1750 1574 (1974 option)1950 (S

7.3SPR dimensions [mm xmm]

500 x 1750 1574 (1974 option) Freely selectablewidth:

length:

7.4 Angular positions of X-ray tube available forSPR [degrees]

90° (Lateral) 180º (AP) a.p., p.a., lateral0, 90, 1

each 5

7.5Maximum number ofSPR views available forscan planning

2 2 2

7.6 Real time image display Less than 5 s after scan Yes Yes

7.7 Accuracy of sliceprescription from SPR[mm]

± 0.5 ± 0.5 ± 2

7.8 Accuracy of distancemeasurements fromSPR, at isocentre [mm]

± 0.25 ± 0.5 ± 2

Table 8. Acquis ition parameters


8a Key settings

8.1 kV steps 80, 120, 140 80, 100, 120, 140 80, 100


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8.2 mA range and step size 10 - 1000 (1mA steps)20 - 800

(1 mA steps)

10 - 50

8.3 Max. mA (for each kV)80 kV: 650mA 120 kV: 1000mA 140 kV:750mA

80 kV: 550 mA

100 kV: 650 mA

120 kV: 800 mA

140 kV: 714 mA

80 kV:

100 kV

120 kV

135 kV

8.4 Scan fields of view [cm] 25, 50 5 - 50 18, 24,

8b Sequential mode

8.5 Rotation times forsequential scanning [s] 0.27 (option), 0.33, 0.375, 0.4, 0.5,0.75, 1.0, 1.5 0.3, 0.33, 0.5, 1 0.35, 01.0, 1.5

8.6Partial rotation scantimes [s]

0.18 0.22, 0.24 0.28

8.7

Nominal z-axis x-raybeam collimations,sequential scanning[mm]

1.25, 12.5, 40, 60, 70, 80 2, 5, 10, 14.4, 19.2, 361, 2, 4,120, 12

8.8

Maximum z-axis x-raybeam collimation withsub-millimetre slices[mm]

80 36 160

8.9

Thinnest acquisitionwidth available at full z-axis x-ray beamcollimation [mm]

0.625 0.6 0.5


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8.10

Sequential acquisitionoptions

(beam collimation:available dataacquisition widths)

80: 0.625, 2.5 70: 0.625 60: 0.625 40:0.625 12.5: 0.625 1.25: 0.625

38.4: 0.6

19.2: 1.2

10: 10

5: 5

4.8: 0.6

2: 1

320: 0

280: 0

256: 0

240: 0

160: 0

120: 0

80: 0.5

32: 8

24: 6

16: 4

12: 3

8: 2

4: 1

2: 0.5

1: 1

8c Helical mode

8.11Rotation times forhelical scanning [s]

0.27 (option), 0.33, 0.375, 0.4, 0.5,0.75, 1.0, 1.5

0.3, 0.33, 0.5, 10.35, 01.5

8.12Nominal z-axis x-raybeam collimations,

helical scanning [mm]

1.25, 12.5, 40, 60, 70, 80 38.4, 12, 6, 4.8 32, 16,

8.13

Maximum z-axis x-raybeam collimation withsub-millimetre slices[mm]

80 38.4 32


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8.14

Thinnest acquisitionwidth available at full z-axis x-ray beamcollimation [mm]

0.625 0.6 0.5

8.15

Helical acquisitionoptions

(beam collimation:available dataacquisition widths)

80: 0.625, 2.5 70: 0.625 60: 0.625 40:0.625 12.5: 0.625 1.25: 0.625

38.4: 0.6, 1.2

12: 0.6

6: 0.6

4.8: 0.3, 0.6

32: 0.5

16: 0.5

8.16Pitches available for

routine scanning0.04 - 1.5, User selectable 0.35 - 1.5 freely selectable

64-slic

32-slic

8.17Recommended pitchesfor optimal image quality

0.04 - 1.5, Optimal valuesrecommended based on protocol

Not Applicable due to SureViewalgorithms

0.641

0.828

1.484

Table 9. Automatic exposure control


9.1

Automatic mA control

(AEC / mA modulation)

software

DoseRight CARE Dose 4D SURE

9.2- mA adjustment forpatient size

Yes, ACS Yes Yes

9.3- mA adjustment alongthe z-axis

Yes, Z-DOM Yes Yes


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9.4- mA modulation duringrotation

Yes, D-DOM Yes Yes

9.5Can z-axis androtational modulation beemployed concurrently?

No Yes Yes

9.6Method for prescribing AEC image quality

Reference imageNoise index

(Reference mAs set by user)Standa

9.7Method for systemcontrol of mA

Single or dual Surview SPR & online control Using s

9.8 Operator review of AEC Yes display of min, mean, max mAs No Yes

9.9 AEC manual adjustment Yes Yes - max / min mA Yes

Table 10. Image reconstruction


10a Parameters

10.1Minimum reconstructionfield of view [cm]

Std & high res: 5 UHR: 2.5 5 5

10.2

Maximumreconstruction field ofview at full image quality[cm]

Std & high res: 50 UHR: 25 50 50

10.3Extended scan field ofview [cm]

No Option 78 Not av

10.4 Reconstruction matrices 512², 768², 1024² 512 x 512 512 x 5


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10.5

Sequential image sliceoptions

(beam collimation : slicewidths) [mm]

80: 0.625, 2.5

70: 0.625

60: 0.625

40: 0.625

12.5: 0.625

1.25: 0.625

36: 2.4, 3, 3.6, 6, 7.2, 9, 12

19.2:

10:

5:

4.8:

2:

320: 0

280: 0

256: 0

240: 0

160: 0

120: 0

80: 0.5

32: 8

24: 6

16: 4

12: 3

8: 2

4: 1

2: 0.5

1: 1

10.6

Helical image sliceoptions (beamcollimation: slice widths)[mm]

1.25 to 80 collimation:

0.55 to 7.5 slice width

38.4(128x0.6*): 0.6, 0.75, 1, 1.5, 2, 3,4.5, 6, 7, 8, 10

38.4 (32x1.2):1.5, 2, 3, 4.5, 6, 7, 8, 10

12:

6:

4.8:

* double-sampled

Equal o(max 1

10.7Minimum reconstructioninterval of images,helical scanning [mm]

0.1 0.1 0.1


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10 b Functionality

10.8Number of prospectivereconstructions that canbe set up in protocol

10 8 780

10.9

Any delay in eitherscanning orreconstruction whenperformed concurrently

No No No

10.10Simultaneous scanningand routine analysis

Yes Yes with 2nd monitor option Yes

10.11Simultaneous scanningand archiving and/orhard copying

Yes Yes Yes

10.12Simultaneous scanningand transfer to secondconsole/workstation

Yes Yes Yes

10 c Performance

10.13

Standard reconstructionrate for 512 x 512images - head [imagesper second (ips)]

Approx. 20 40 32

10.14Standard reconstructionrate for 512 x 512images - body[ips]

Approx. 18 40 32

10.15Reconstruction upgradeoptions

RapidView 20 is standard Not applicable No


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10.16Fastest reconstructionrate [ips]

Up to 20 40 32

Table 11. Data processing


11.1Reconstructionalgorithm - sequentialscanning

Filtered Back Projection Filtered Back Projection ConeX

11.2

Reconstruction

approach - sequentialscanning

2D 2D/3D Volum

11.3Cone beamreconstruction -sequential scanning

Yes, with Step & Shoot Cardiac option For 3D recon modes Yes

11.4Reconstructionalgorithm - helicalscanning

Cone Beam Reconstruction Alogirthm(COBRA)

WFBP (Weighted Filtered BackProjection)

T-COT

(t

11.5Reconstructionapproach - helicalscanning

3D Back Projection 3D WFPB Volum

11.6 Cone beamreconstruction - helicalscanning

Yes Yes, always Yes

11.7 Low signal correction Yes, Adaptive Filtering Yes Yes

11.8 Motion correctionYes, with overscan (in sequentialmode)

No No


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11.9Beam hardeningalgorithms

Yes, IBC (iterative bone correction)

Standard beam hardening algorithm(water correction) in all modes,

PFO (iterative bone correction) inselected modes

Yes

11.10 Beam hardening trigger Yes, Protocol dependent PFO is on in all soft-tissue head modes Kernel

11.11Noise reductiontechniques - raw databased

Yes, Adaptive Filtering 3D adaptive filter Yes

11.12Noise reductiontechniques - image

based

Yes, Image Enhancement 3D advanced smoothing algorithm Yes

11.13Other artefact reductionmethods

TBA Z-sharp technology No

Table 12. System start-up and calib ration


12.1Total time from stand-bymode to scanning [mins]


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12.5Tube warm-up time[mins]

3 0 5

12.6 Warm-up frequencyDaily (or when idle for prolongedperiods)

Daily After 3

No wa

12.7Detector calibration atwarm-up

Yes, air cals Part of warm up Autom

12.8Time to performdetector calibrations[mins]

25 6 2

12.9Recommendedfrequency for detectorcalibration

Weekly Daily Daily

12.10 Automated QC tests Std QA Protocols Yes No

12.11 Self-check frequency Daily Daily Not ap

12.12 Any additionalcalibration by theradiographer

No Not required Not req

12.13Time to perform theseadditional calibrations[mins]

Not available Not required Not ap


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Table 13. Manufacturer's performance data


13.1In plane spatialresolution for sharpestclinical algorithm [lp/cm]

MTF0: 24 MTF2: 23 MTF10: 16 MTF50:8 (0.75s, 2.5mm, UHR, 25cm FOV E)

MTF2: 24.0

(120 kV, 160 mA, 0.5 s, 8x0.6 mm,UHR-Comb, U95u)

MTF2:

(120 kV0.5s, 2focus)

13.2

Longitudinal (z-axis)spatial resolution forsharpest clinicalalgorithm [lp/cm]

Info. not available MTF2: 21 MTF2:

13.3

Contrast resolution:

smallest rod sizediscernable (in plane)[mm]

2mm @ 0.3 % contrast

4mm @ 0.3% contrast

5mm @ 0.3% contras

5 mm @ 0.3% at 16 mGy

(120 kV, 180 mAs, 1.0 s, 10mm slice,Sequence scan, B31s)

Info no

13.4Method for contrastresolution determination

2mm: 120 kVp, 350 mAs, 10 mm,40mGy

4mm: 120 kVp, 250 mAs, 10 mm, 27mGy

5mm: 120 kVp, 200 mAs, 10 mm,19mGy

(Determined Visually)

Observer method Observ

13.5CT number accuracy(water) [+/-HU]

±4 2 5

13.6CT number uniformity[HU]

±3 ± 2 (20 cm Water phantom) ± 5

13.7CT number accuracy(air) [+/-HU]

+/- 4HU Centre - 10HU Periphery 10 Info no

13.8CT number accuracy(bone) [+/-HU]

Acrylic (120 kV) = 140±15HU of non-water materials depends onkV

Info no


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13.9Scanner settings for stdhead scan, used forquoting CTDI100 values

120 kV, 200 mAs, 64x1.25mm, 6mmST, 250 cm FOV, EB Filter

120 kV, 350 mA, 1.0 s, 4.8 mm slice(coll. 12x1.2 mm), Standard ShapedBeam Filter

CTDI1

13.10CTDI100 at isocentre inair [mGy / 100mAs]

Info. not available 22.3 Info no

13.11CTDI100 at centre ofhead phantom [mGy /100mAs]

10.36 16.4 CTDI1

13.12CTDI100 at periphery ofhead phantom [mGy /100mAs]

11.24 16.7 CTDI1

13.13Scanner settings for stdbody scan, used forquoting CTDI100 values

120 kV, 250 mAs, 32x2.5mm, 5mm ST,350 cm FOV, B Filter

120 kV, 420 mA, 0.5 s, 4.8 mm slice(coll. 32x1.2 mm), Standard ShapedBeam Filter

CTDI1

13.14CTDI100 at isocentre inair [mGy / 100mAs]

Info. not available 19.5 CTDI1

13.15CTDI100 at centre ofbody phantom[mGy/100mAs]

3.36 4.4 CTDI1

13.16CTDI100 periphery ofbody phantom[mGy/100mAs]

6.76 7.9 CTDI1

13.17Dose profile FWHM,measured at isocentre[mm]

±10% for all collimation in air

Std Body Collimation:

Nominal FWHM: 43.0 mm

Nominal Base Width (FilmMeasurement of Acceptance Test):43.5 mm

Confid


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Table 14. Operator console


14.1Dimensions of desktop[mm x mm]

330 x 900 (W x L) Site dependant 450 x 7

14.2 Input devices KB, Mouse, Bar code reader Keyboard / Mouse Keybo

14.3 Scan controls Separate control device Keyboard / Mouse / Scan controller Keybo

14.4Recorded instructionsystem options

Yes, 9 pre-recorded languages, alsouser programmable

Customisable recording Custom

14.5Visual breath-holdindicator

Yes, scan timing bar on console No Yes

14.6Number of monitors atconsole

21 (standard)

2 (option)2

14.7

Function of eachmonitor (state if anyfunction is restricted toonly one monitor)

Scanning on left monitor

Advanced Processing on right monitor

Acquisiiton control, patient data base,image viewing, clinical softwareevaluation packages, filming

Scan a

(Recon

14.8 Display type (LCD/CRT) LCD LCD LCD

14.9Diagonal dimension ofimage screen [cm]

48 48 48.3

14.10Image area matrixdimensions

1280 x 1024 1024 x 1024 1024x1

14.11Usual range of CTNumber displayed [HU]

Dependent on application and anatomy –1,024 to +3,071 -1024 t

14.12Extended range of CTnumber display [HU]

-1024 to +3072 –10,240 to +30,710 -32768


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14.13 Accuracy of distancemeasurements in xy-plane [mm]

± 0.25 2 x pixel size 0.01 to

14.14CTDI displayed onconsole

Yes CTDIvolCTDIw

(User d

14.15Dose Length Product(DLP) displayed onconsole

YesYes predicted before scan / actual afterscan

Planne

Actual

After S

14.16Geometric Efficiencydisplayed on console

Yes Yes - if < 70% Yes - if

Table 15. Main computers


15 a Console Computer

15.1 Location Console tower In console / under desk Under

15.2 Make and model Precision 690 Siemens Fujitsu TOSH

15.3 Operating system Windows XP Windows XP Window

15.4Number and type of

CPUOne Dual Core 2 x Intel Xeon Confid

15.5 CPU speed [GHz] 2 x 2.66 2 x 3.0 GHz Confid

15.6Standard amount ofcomputer RAM [GB]

4 2 Confid

15.7Maximum amount ofcomputer RAM [GB]

4 Not applicable Confid


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15 b Reconstructor

15.8 Location Stand-alone server Location dependant In scan

15.9 Make and model Proprietary Siemens TOSH

15.10 Operating system Windows Windows XP Confid

15.11Number and type ofCPU

6 Xeon Quad Core 4 x Dual Xeon Confid

15.12 CPU speed [GHz} 2.66 8 x 3.6Ghz Confid

15.13Standard amount of

computer RAM [GB]

4 4 x 4 Confid


8 Not applicable Confid

Table 16. Data management


16 a Storage (at scanner)

16.1Standard total hard disccapacity [GB]

292 1679 3800

16.2 Max total hard disccapacity [GB] 292 1679 3800

16.3Hard disc capacity forimage storage [GB]

292 292 500


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16.4Hard disc capacity forimage storage [#images]

500000 520000 800000

16.5Capacity for raw datastorage [GB]

882 1168 3300 (

16.6 Local compression User selectable No No

16.7Image compressionalgorithms and rates

Info. not available Not applicable Not ap

16 b Image archive

16.8 External media options CDR, DVD-RAM DVD, CD, USB-HDD, Memory-StickCD-R

DVD

16.9 Disc burning facility Yes, standard Dicom part 10 standard Standa

16.10 Data archive options Info. not availableImages, Recons, Raw Data, Doserecords, Dicom Structured Reports (e.g.MS Word, Adobe pdf)

Raw D

Images

16.11 Protocol archive options Info. not availableScan Protocols, Utilisation Data,DicomStructured reports

Protoc

Table 17. Workstation


17 a Standard workstation

17.1Workstation(s) providedas standard

No OptionalMC (St

4D WS


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17.2Workstation softwareupgrade options

All clinical applications Details on application

Cerebr

Calcium

Cardia

Dental

SURE

Lung C

Fusion

EP Ele

Vesse

17.3Workstation hardwareupgrade options Dual Monitor/Hard disc Upgrade PC / RAM 4D WS

17.4Computer make andmodel

Dell Precision 690 Siemens FujitsuTOSHI

HP (4D

17.5 Operating system Windows XP Windows XP Window

17.6Number and type ofCPU

Two Dual Core Intel Xeon Confid

17.7 CPU speed [GHz] 2 x 2.66 GHz 2 x 3.0 GHz Confid

17.8 Amount of computerRAM supplied asstandard [GB]

4 6 Confid


4 8 Confid

17.10Disc storage capacitysupplied as standard[GB]

146 2203800 (M

2396 (4


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17.11Maximum total hard discstorage capacity [GB]

438 (optional) 2203800 (M

2396 (4

17.12Speed of connections tonetworks [Mbits/s]

10 / 100 / 1000 10001000 (M

1000 (3

17.13 External media options DVD-RAM, CD DVDCD-R

DVD

17.14 Disc burning facility Yes DICOM "part 10" standard Standa

17.15 Data archive optionsSurview, Axial images, MPRs, VR,SSD, MIP, clinical applications, save

states

Raw / ImageRecon

(Raw D

17.16 Other archive options Info. not available Not applicable Report

17 b Image disp lay

17.17 Number of monitors1 standard

2 (option)1 (2 option)

1 (MC)

1 (4D W

17.18 Display type (LCD/CRT) LCD LCD LCD

17.19 Screen size [cm] 48 48.3 cm (19 inches)48.2 (M

76.2 (4

17.20 Colour or greyscale Colour Colour Colour

17.21 Monitor orientation Landscape Landscape Landsc

17.22 Resolution [megapixels] 1.27 1.31.3, 12

4.1, 25


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17.23Luminance [cd/m2] \

Contrast [nnn:1]

Luminance:250

Contrast: 350:1

Clinical Setting:

Luminence:137

Contrast: 450:1

Lumina

Contra

17.24Calibrated displaycontrast

No CIE / DICOM160 (M

150 (4

17.25Image area matrixdimensions

1280 x 1024 1024 x 10241024 x

2160 x

17.26Standard CT numberrange [HU]

-1024 to 3072 -1024 to +3071 -1024 t

17.27Extended CT numberrange [HU]

No -10240 to +30710 standard -32768

17.28 Accuracy of distancemeasurements in xy-plane [mm]

±0.25 2 x pixel size 0.01 to

17 c Multi-user facilitation

17.29 Shared image database Yes, images reside on server Optional : Satellite console (CTWP) Not av

17.30 Thin client access Yes, via thin client software Expert i Not av

17.31Remote access toworkstation

Yes, via thin client software Expert i : configurable access Yes (4

17.32External access toworkstation

Yes, via VPN connection Expert i : configurable access Not av

17.33 Additional systemrequirements

Minimum 512 MB Ram 1280 x 1024display GB speed network adaptorMinimum processor speed - 1GHz

Expert i : Network Not ap


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17.34 Multi-use licensing

Unlimited licenses - up to the capacityof the server

10k, 30k, 60k slices simultaneously

Per seat Not av

Table 18. Workflow / connectivity


18 a Image transfer

18.1 Scanner to workstationYes - preset in protocol, edit during

planning or manual

Automated as part of protocol or

operator triggered

Autom

18.2Rate of image transferscanner to workstation[ips]

Info. not available

Background function duringreconstruction from scanner to Siemensworkstation - otherwise 25 ips with nocompression applied

Maxim

18.3 Scanner to PACSYes - preset in protocol, edit duringplanning or manual

Automated as part of protocol oroperator triggered

Autom

18.4Rate of image transferscanner to PACS [ips]

Info. not available

Background function duringreconstruction from scanner to SiemensPACS - otherwise 25 ips with nocompression applied

Maxim

18.5 Workstation to PACS Yes - manual Operator triggered Manua

18.6Rate of image transferworkstation to PACS[ips]

Info. not available 25 ips uncompressed Maxim

18.7 PACS to workstation Yes - manual Operator triggered Manua


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18.8Rate of image transferPACS to workstation[ips]

Info. not available

25 ips if Siemens PACS andWorkstation are used. This rate mayvary considerably if other PACSsystems or workstations are used.

Maxim

18 b Interoperabi lit y

18.9 Scanner with RIS StandardStandard assuming Dicom WORKLISTon RIS

Option

18.10 Scanner with PACS Standard Standard Option

18.11 Workstation with RIS Not available No Standa

18.12 Workstation with PACS Standard Standard Standa

18.13 Reporting tools Yes, as DICOM encapsulated PDF No Yes (4

18.14Structured reportsavailable

Not available Clinical Software dependant Not av

18 c IHE

18.15Which IHE profilessupported

Scheduled Workflow

Portable Data for Imaging

Access to Radiology Information

SCANNER: ScheduledWorkflow,Patient InformationReconciliation, Access to RadiologyInformation, and ConsistentPresentation of ImagesWORKSTATION:Image Display,

Eveidence Creator, Print Composer,Report Creator, Report Reader, imageDisplay, Portable Media Creator,Report Reader

Sched

Patient

Portab

Eviden

ConsisPresen

Charge


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18.16 Actors implemented -scanner

1) Acquisition Modality + options:

- Assisted Acquisition Protocol Setting

- PPS Exception Management

- Patient Based Worklist Query

- Broad Worklist Query

2) Image Display

3) Portable Media Creator and Reader

Acquisition Modality ( Patient BasedWorklist Query, Broad Worklist Query,Modality Group Case), ImageDisplay,Evidence Creator,AcquisitionModality, Image Display,PrintComposer

Acquis

18.17 Actors implemented -workstation

1) Image Display

2) Portable Media Creator and Reader

Image Display, Evidence Creator, PrintComposer, Report Creator, ReportReader, image Display, Portable Media

Creator, Report Reader

Image

18 d DICOM objects

18.18CT image object (1993)supported

Yes Yes Yes

18.19CT 'enhanced'multiframe object (2005)supported

No Standard Standa

18.20CT object supported asstandard

Image Object (1993) CT image object (1993) 2005

18 e DICOM services on scanner / main conso le

18.21 Storage SCU & SCP Yes SCU, S

18.22 Print SCU Yes SCU

18.23 Query / retrieve SCU Yes SCU, S

18.24 Modality worklist SCU Yes SCU


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18.25Performed procedurestep

SCU Yes SCP

18.26 Storage commitment SCU Yes SCU

18 f DICOM services on workstation

18.27 Storage SCU & SCP Yes SCU/S

18.28 Print SCU Yes SCU

18.29 Query / retrieve SCU Yes SCU

18.30Modality worklist

management

No No Not av

18.31Performed procedurestep

NO MPPS service as SCU Not av

18.32 Storage commitment SCU Yes SCU

Table 19. Ancillary equip ment


19.1 Contrast injector Option Single or dual headed (option) Local P

19.2 Insufflators Option CO2 (option) Local P

19.3 Head RestElevated and Reclined (standard); Flat(option)

Straight head rest (standard), coronalheadrest (option)

StraighTilt (op

Tilt & P

Corona

Ratche

Infant (


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19.4Stereotactic headrestraint

Option Option Local P

19.5 Restraining straps Velcro Velcro (standard) Velcro

19.6 Slicker mattress cover Standard Standard Standa

19.7 Bariatric couch option? Option Yes No

19.8Bariatric couch weightlimit [kg]

295 330 Not ap

19.9CT fluoroscopy

hardware

Monitor, Exposure Control, foot switch Option

Monito

Expos

Couch

19.10Hard-copy imagingdevice

No Option Local P

19.11 Gantry mounted ECG Yes (with cardiac gating package) Option No

Table 20. Advanced reconstruc tion & d isplay


20 a Operator conso le

20.1

Maximum and minimum

intensity projections(MIP, MINIP)

Yes Yes Yes

20.2Multi-planarreconstruction (MPR)

Yes Yes Yes

20.3 Planes available in MPR Any Yes Yes


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20.4Shaded surface display(SSD)

Yes Yes Yes

20.5Volume renderingsoftware

Yes Yes Yes

20.6Segmentation andsculpting

Manual and automatic Manual (standard), Automated (option) Yes

20 b Standard workstation

20.7Maximum and minimumintensity projections(MIP, MINIP)

Yes Yes Yes

20.8Multi-planarreconstruction (MPR)

Yes Yes Yes

20.9 Planes available in MPR Any Yes Yes

20.10Shaded surface display(SSD)

Yes Yes Yes

20.11Volume renderingsoftware

Yes Yes Yes

20.12Segmentation andsculpting

Manual and automatic Manual (standard), Automated (option) Yes


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Table 21. Clinical applications sof tware

Philips Bril liance iCT Siemens SOMATOM Definit ion AS+ Toshib

(OC - OPERATOR CONSOLE, WS - WORKSTATION)

21.1CT angiography: Basicpackage

CT Viewer (OC & WS) 3D (OC & WS ) Not ava

21.2CT angiography: Advanced package

AVA (OC & WS) InSpace & InSpace AVA (OC & WS) Not ava

21.3Virtual endoscopy:Basic package

CT Viewer (OC & WS) Fly Through (OC, & WS)Fly-Thr

Colon (

21.4Virtual colonoscopy: Advanced package Virtual colonoscopy (OC & WS) Syngo Colonography CT (OC & WS) Colon C

21.5Brain perfusionsoftware

Advanced Brain Perfusion (OC & WS) Syngo Neuro Perfusion CT (OC, & WS)CBP (M

CBP (3

21.6Body perfusionsoftware

Functional CT (OC & WS) Syngo Body CT Perfusion (OC & WS) Not ava

21.7Computer assistedreading: Lung

Lung Nodule CAD (OC & WS) Syngo Lung CAD (OC & WS) Lung C

21.8Computer assistedreading: Colon

Colon CAR (OC & WS) Syngo Colonography PEV (OC & WS) Colon C

21.9Bone mineral

densitometry

Workstation Syngo Osteo (OC & WS) Not ava

21.10 Dental OC & WS Syngo Dental (OC & WS ) Dental

21.11 Image fusion OC & WS Syngo Image Fusion (OC & WS) Fusion


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Table 22. Cardiac applications


22.1

Prospective ECG-triggered cardiacscanning for calciumscoring

Yes, Heartbeat-CS Pro HeartView option Yes

22.2Calcium scoringsoftware

Yes, Heartbeat-CS, Agatston, Mass, Average

Syngo Calcium Scoring Option

22.3

Prospective ECG-triggered cardiacscanning for coronary

angiography

Yes, Rate Responsive CV Toolkit HeartView Yes

22.4

Retrospective ECG-gated cardiacscanning for coronaryangiography

Yes, Rate Responsive CV Toolkit HeartView option Yes

22.5Coronary angiographyvessel analysissoftware

Yes, Comprehensive Cardiac Analysis Syngo Circulation option Yes

22.6Temporal resolution forsingle sectorreconstruction [ms]

135 150 175

22.7Rotation times for

cardiac scanning [sec]0.27 0.3 0.35 , 0

22.8 Automatic adaptedselection of rotationtime?

Yes No Yes


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22.9Maximum mAavailable for cardiacscanning

1000 800 580

22.10

ECG-gated mAmodulation (maxreduction from peakmA) [%]

80 96 100

22.11Pitches available forcardiac scanning

0.2 - 0.3 0.18 - 1.5Not app

(scanni

22.12 Automatic adapted

selection of pitch?Yes, based on heart rate Yes - Heart Rate

Not app

(scanni

22.13Multi-sectorreconstruction

Yes, up to 5 sectors Yes - 2 5

22.14 Automatic adaptedselection of multi-sector reconstruction

Yes, MaxCycle - system automaticallyuses the maximum number of thesectors for each voxel.

YesYes

Heart R

22.15 ECG editingYes, R-Tag can be added, removed andmoved.

Delete, Disable, Insert, RR intervalreconstruction ( time and %)

Yes


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22.16

For 70 kg patient, 60bpm give typical scanparameters and

(a) effective dosewithout ECGmodulation

(b) effective dose withECG modulation

Info. not available

70%-70% window for ECG pulsing

Retrospective gating (helical - singlesegment recon):

14.5 mSv, w/o ECG-gated currentmodulation

5.9 mSv, with ECG-gated currentmodulation (to 20% max)

3.5 mSv, with ECG-gated currentmodulation (to 4% max)

Prospective gating (sequential):

2.7 mSv

120 kV

240 * 0

Effectiv

Modula

Prospe

Table 23. Radiotherapy appli cations


23.1Radiotherapy planningtable top

Option Option Not ava

23.2Carbon fibre breastboard

No Option Not ava

23.3External positioninglasers

Option Option Not ava

23.4 External positioninglaser options

LAP 1 Red LAP 3 Red LAP 1 GreenLAP 3 Green

Option Not ava

23.5Respiratory gatingsoftware

Option OptionNot ava

(Not ne

23.6Respiratory gatinghardware

Bellows - option Pressure SensorNot ava

(Not ne


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23.7Radiotherapy CTsimulation software

Not available Option Option

Table 24. Advanced scanning facilities


24.1Dual-energy / multi-energy capabilities

Not available No No

24.2Dual-energy methodused

Not available No Not app

24.3Dual-energy analysissoftware

Not available No Not app

24.4Contrast media bolustracking software

Yes - BolusPro UltraCARE Bolus - standard

SURES

24.5Contrast media bolustracking; scan timing

Yes Region of interest set by the user1 fps -

User de

24.6Contrast media bolustracking; triggermechanism

Automatic/manualRegion of interest threshold set by theuser

HU

24.7

Contrast media bolus

tracking; usermonitoring Yes Region of interest graph Image a

24.8Contrast media bolustracking; manualoverride

Yes Yes, to force the scan Abort o


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24.9CT fluoroscopy: out-of-room capability

ExposureYes, provided Fluoro option has beenpurchased

Not app

24.10CT fluoroscopy: in-room capability

FootswitchYes, provided Fluoro option has beenpurchased

Not app

24.11CT fluoroscopy, imagerate [fps]

8 i-fluro option 10 fps Not app

24.12CT fluoroscopy; beamcollimations [mm]

Info. not available6 x 1.2, 12 x 1.2, 24 x 1.2, 1 x 5,

1 x 10Not app

24.13CT fluoroscopy; slice

thicknesses [mm]

Info. not available6 x 1.2, 3 x 2.4, 6 x 2.4, 3 x 4.8,

6 x 4.8, 1 x 5, 1 x 10

Not app

24.14CT fluoroscopy; otherviewing options

Info. not availableFull 2D and 3D Volume imagingavailable (option)

Not app

24.15CT fluoroscopy; in-room scan controls

Info. not available Foot switch and button on the gantry Not app

24.16CT fluoroscopy; in-room couch control

Info. not availableJoy stick gantry controls, floating topcontrol and I control (option)

Not app

24.17CT fluoroscopy; scanalarms

Info. not available Visual display on the monitor Not app

24.18CT fluoroscopy,additional hardware

Info. not availableIn room monitor single or dual, ceiling orflorr mounted, Joy stick, foot pedal, I

control wired or wireless

Not app

24.19CT fluoroscopy, dosecontrol

Info. not available Hand CARE: switch off dose for 100° Not app

24.20 CT perfusion capability Info. not availableYes, syngo Neuro Perfusion, syngoBody perfusion and Adaptive 4D spiraloptions

CBP (C


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24.21

Maximum scancoverage for perfusionscans - sequentialscanning [mm]

Info. not available 38 (Head & Body) 160

24.22

Maximum scancoverage for perfusionscans - helicalscanning [mm]

Info. not available 140 (Head)/270 (Body) Adaptive 4DSpiral Option

Not app

24.23 CT perfusion analysis CT Perfusion packageYes, syngo Neuro Perfusion, syngoBody perfusion and Adaptive 4D spiraloptions

CBP (C

Table 25. Installation requirements


25.1Power supplyrequirements (gantry)

200 - 500 V AC

50/60 Hz

225 kVA

Three-phase distribution source

380 - 440 V, 3Phase, N & E 50Hz

140 kVA

Supplied from Siemens Line ConnectionCabinet

3 phase

25.2Power supplyrequirements (other)

Info. not available 380 - 440 V , 3Phase, N & E 50Hz Not app

25.3 Plumbing requirements None Site dependant Not app

25.4Minimum floor load-bearing [kg/m2]

729.7 Up to 333.33 ±10% 1070

25.5Minimum floor arearequired for gantry &couch [m²]

26 18 Info not


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25.6Minimum floor arearequired for other in-room system [m²]

Info. not available 1.48 Info not

25.7Recommended floorarea required forscanner [m²]

41.4 Site dependant ≥18 43

25.8Minimum floor arearequired for the controlconsole [m²]

5 Site Dependant - PC towers 0.28m² Info not

25.9

Gantry dimensions

(H x W x D [mm]) andweight [kg]

1980 x 2740 x 970; 2549 1980 x 2380 x 935; 2300 2030 x

25.10

Couch dimensions

(H x W x L [mm]) andweight [kg]

1120 x 690 x 2490; 404 1000 x 750 x 2445; 500 470 x 6

25.11

Control consoledimensions

(H x W x L [mm]) andweight [kg]

760 x 1190 x 910; 56Site Dependant - PC tower 450 x 620 x220

700 x 4

1540 x

1540 x

25.12

Power unit dimensions


1220 x 580 x 860; 498 Not applicable 875 x 8

25.13

Cooling unitdimensions


None Not applicable Not app

25.14 Supplementary plant Air compressor Not applicable Not app


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25.15

Supplementary plantunit dimensions


1040 x 610 x 610; 171 Not applicable Not app

25.16Supplementary plantlocations

With Power unit Not applicable Not app

25.17Peak heat output fromsystem duringscanning [kW]

57,136 BTU/hr 17.4 Info. no

25.18System cooling

method

Air cooled Air Air

25.19 Air conditioning forscanner room

Info. not available Only comfort cooling needed Recom

25.20

Environmentalrequirements (max/mintemperature, humidity)in scanner controlroom

18 - 24°C, 35 - 70% 18 - 28 °C, 20 - 75 % 16 - 28

25.21

Environmentalrequirements (max/mintemperature, humidity)for control computer

18 - 24°C, 35 - 70% 18 - 28 °C, 20 - 75 % 16 - 28

25.22

Environmentalrequirements (max/mintemperature, humidity)for reconstructor

18 - 24°C, 35 - 70% 18 - 28 °C, 20 - 75 % 16 - 28


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25.23

Environmentalrequirements (max/mintemperature, humidity)for workstation

18 - 24°C, 35 - 70% 18 - 28 °C, 20 - 75 % 16 - 28

25.24Connection tonetworks [Mbits/s]

1000 MPS / 1000 Base T 1000 1000

25.25Network connectionsrequired

10 MPS / 10 Base T 1 per PCRJ45

CAT5E

25.26 Network requirements LAN LAN LAN

25.27Static networkaddresses required Yes Yes - one per PC Yes

Table 26. Maintenance & support


26 a Service level opt ions

26.1Standard hoursengineer call-out

Info. not available 09:00 - 17:00 Info not

26.224 hour engineer call-out

Info. not available Available as a costed option Info not

26.3Weekend engineercall-out


26.4Out of hours plannedservicing


26.5 Dial-in diagnostics Info. not availableSecure remote access available (seenote 2)

Info not


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26.6 Tube replacement Info. not available Available as a contract option Info not

26.7 Detector replacement Info. not available Included in a Performance TOP contract Info not

26.8 Main computers Info. not available Included in a Performance TOP contract Info not

26.9Monitors and displaydevices

Info. not available Included in a Performance TOP contract Info not

26.10 Workstations Info. not available Included in a Performance TOP contract Info not

26.11User / applicationsupport

Info. not available Included in a Performance TOP contract Info not

26.12 Parts Info. not available Included in a Performance TOP contract Info not

26 b Standard service level

26.13Median call-outresponse time

Info. not available On site within 4 hours (see note 3) Info not

26.14 Median resolution time Info. not availableIf no parts are required, the mean timeto repair is typically within 2 hours of theengineer gaining access to the system.

Info not

26.15Median parts deliverytime

Info. not available Same day or next day (see note 4) Info not

26.16 Frequency of service Info. not available 2 per annum Info not

26.17Duration of service [+/-0.5 day] Info. not available 0.5 day Info not

26.18 Warrantee duration Info. not available 1 year from handover of system Info not

26.19What is the tubereplacement policy?

Info. not available One year (see note 5) Info not


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26.20

What elements ofscanner / plant are notcovered in standardsupport?

Info. not available As listed (see Notes 6 and 7) Info not

26 c Reliabili ty

26.21

What is the expectedlife span of the product? (for five 8 hour daysper week)

Info. not available Not less than 7 years (see Note 8) Info not

26.22What is average tubelife ?

Info. not available

Data to date shows that the average life

expectancy of Straton x-ray tubes life isbetween 2-3 years (see Note 9). Info not

26.23 Guaranteed tube life Info. not available One full year (see note 5) Info not

26.24What is the expecteddetector life ?

Info. not availableDetectors should typically have a lifespan of 7 years (see Note 10)

Info not

26.25How long arecomponent suppliesmaintained ?

Info. not available 10 years as per CRACOE Info not

Table 27. Supplementary information


27.1When first installed inUK ?

Not applicable Not applicable Info not


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27.2How many unitsinstalled ?

Not applicable 2 orders Info not

27.3 Any adverse incidentreports issued on thismodel ?

Info. not available No No

27.4

What is the audiblenoise output of theproduct under normaloperating conditions?[dB(A)]

Info. not available 68 @ 1m 61

27.5

What is the audiblenoise output of theproduct under standbyor idle conditions?[dB(A)]

Info. not available 65 @ 1m 61

27.6

Is vibration generatedby the product undernormal operatingconditions?


27.7

What are the levels ofwaste output undernormal operatingconditions?

Info. not available None None

27.8

Do the waste outputsfrom product undernormal operatingconditions require anyregulatory permits,consents or licences?



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27.9 Any waterconsumption?


27.10

What levels, and sizesof particulate matterare emitted from theproduct under normaloperating conditions?

Info. not available None None

27.11

What features aredesigned in to theproduct to mitigateemissions to air

Info. not available Air FiltersCoversdust frois remo

27.12

To what extent is theproduct designed foruse in developinghealth economies?

Info. not available Complies Not spe

27.13What colours areavailable

Info. not available White or Zebra

Table 28. Sustainabilit y


28.1

What is the peak

power consumptionwhen scanning? [kVA] Info. not available ≤140 kVA

90(PF > 0


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28.2

What is the typicalpower consumptionwhen not scanning?[kVA]

Info. not available 4 kVA20

(PF > 0

28.3

What is the powerconsumption when in'Stand-By' mode ?[kVA]

Info. not available 4 kVA20

(PF > 0

28.4

What power saving

features are designedin to the product ?

Info. not available Standby mode

By desisuch as

detectoand a Dregene

28.5

Does the productdesign incorporatefeatures to reduceoverall energydemand?

Info. not available Yes

VariousreductioalgorithBoost 3Exposureduced

28.6

What percentage ofthe packaging used isderived from recyclateas opposed to virgin

materials?

Info. not available As per European Union regulations 0.03

28.7

What percentage ofthe packaging can berecycled ? (undernormal circumstances)



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28.8 Are there any knowntoxic components usedin this scanner ?

Info. not available Mercury, LeadPb (X-r

Hg (LC

28.9

Does the system useany gases classed ashazardous oroperating underpressure ?


28.10Doe the product utiliseand refrigerants?


28.11

What is thepercentage ofrecyclate utilised in theproduct manufacture?

Info. not available Info. no

28.12

What is theenvironmental impactof operating thisscanner ?

Info. not available Energy consumption / heat output Use of

28.13

What is the carbonfootprint of themanufacturingprocesses ?[Equivalent tonnes ofCO2 emissions]

Info. not available Unknown 0.12

28.14

What is the carbonfootprint of operatingthe scanner?[Equivalent tonnes ofCO2 emissions perannum]

Info. not available Unknown 15.2


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28.15How does the scanneraddress the needs ofthe WEEE directives?

Info. not available

EMAS registered & WEEE RegisteredNr. DE 23691322

Use of

informaavailab

systemWEEE

TMS Ucomplia

28.16Do you recycle /refurbish existingscanners?

Info. not available Yes

The ratapproxrelevanor treat

require


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Additional notes

Siemens

The following notes are additional comments that were received in response to the questionnaire, thorder to keep the responses in the comparison tables concise.

Table 29. Notes to Siemens replies

Note1:

with reference toquestion 3.11

It is not possible to accurately predict "The lifespan" of some components such as X-ray tubes as there are tgoverning their usage, for example - the number, type and frequency of examination procedures carried out, t

made, the parameters selected for those exposures, the intervals between exposures, etc. all factors which artime. However based on average usage and historical data X-ray tube should typically have a life span of 3 ye

Note 2:

Q26.5

Siemens Remote Services utilises a secure broadband internet connection, such as N3, such that systems capro-active monitoring which detects and reports parameter deviations and potential system malfunctions to ouSupport Centre. In addition your systems can receive software updates, can be protected against viruses anda user with clinical information and e-training.

Note 3:

Q26.13

When a call is received at the UPTIME Support Centre, there is immediate call clarification with all resources resolution available within the team: immediate access to remote clarification information provided via Siemencall history on SAP, technical as well as application experts, and spare parts logistics. However, if required, wengineer to site within 4 working hours.

Note 4:

Q26.15

Our logistics operation is as effective as it can be; parts ordered by 6.00 pm can be delivered to site before 8.0

In some cases it may even be possible to get spare parts delivered on the same day. Our network of spare-pastrategically placed at hospital sites throughout the country makes parts delivery to site as transparent and effcomplemented by our ‘Assisted-Fit’ programme where a larger part can be delivered by appointment with all tto install it.


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Note 5:

Q26.19 and Q26.23

The STRATON X-ray tube is delivered with one year full warranty. There are no restrictions in terms of scan sThis offer is not restricted to a pro rata bases, the warranty is delivered for one full year. If the tube should faiperiod, Siemens will replace every tube during these 12 months free of charge. e.g. If a tube fails in month 10 supplied free of charge, which will come with a 2 month warranty thus fulfilling a total warranty period of 12 mo

Note 6

Q26.20

Contract Exclusions:

All Systems: The following items are not included within the Maintenance Contract (MC) and will be charged frates, unless covered by special warranty terms and/or explicitly included within the MC.

1. Network configuration work including -

a. Changing IP addresses

b. Network modificationsc. Making changes or adding items to networks, e.g. moving or adding workstations

d. All Dicom changes including adding peripheral items, e.g. printers etc

e. Any additional hardware/software which may be required to assist networking compatibility will be charged addition to the fixed charge.

2. UPS Batteries

3. Any Non-Siemens badged system components supplied with the system

4. Accessories, consumable items and positioning aids

5. Accidental and/or wilful damage caused through mishandling or neglect.

In addition to the items listed under “All systems” the following modality specific items, are not included within (MC) and w


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Acknowledgements 58


We should like to thank the following for their contribution to this report.

Philips Medical Systems

Siemens Healthcare

Toshiba Medical Systems


59/61

References 59


[1] Centre for Evidence-based Purchasing (CEP). Multislice CT scanners.Buyers guide: CEP 08007; NHS PASA March 2009 http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts.htm

[2] Centre for Evidence-based Purchasing (CEP). 32 to 40 slice CT scanners,technical specifications. Comparative specifications: CEP 08026; NHS PASAMarch 2009 http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts.htm

[3] Centre for Evidence-based Purchasing (CEP). 64 slice CT scanners,technical specifications. Comparative specifications: CEP 08027; NHS PASAMarch 2009 http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts.htm

[4] Centre for Evidence-based Purchasing (CEP). 16 slice CT scanners,technical specifications. Comparative specifications: CEP 08025; NHS PASAMarch 2009 http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts.htm

[5] Centre for Evidence-based Purchasing (CEP). Wide bore CT scanners,technical specification comparison. Comparative specifications: CEP 08029;NHS PASA March 2009 http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts.htm

[6] Centre for Evidence-based Purchasing (CEP). CT scanner clinicalapplications software comparison. Comparative specifications. CEP 08024;NHS PASA December 2008 March 2009 http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts.htm


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Appendix 1: Supplier contact details 60


Supplier contact details

Philips Medical Systems

The Observatory

Castlefield Road

Reigate

Surrey

RH2 0FY

tel: 01737 230400

www.medical.philips.com/uk/

Siemens Healthcare

Faraday House

Sir William Siemens Square

Frimley

Camberley

Surrey

GU16 8QD

tel: 01276 696000

www.siemens.co.uk/medical

Toshiba Medical Systems

Boundary Court

Gatwick RoadCrawley

West Sussex

RH10 9AX

Tel: 01293 653700

www.toshiba-medical.co.uk


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Author and report information 61

Comparative specifications:128 to 320 slice CT scannertechnical specifications

The ImPACT Group

St George’s Healthcare TrustBence Jones OfficesPerimeter RoadTootingLondon

SW17 0QT

Tel: +44 (0)20 8725 3366

www.impactscan.org

About CEP

The Centre for Evidence-basedPurchasing (CEP) is part of the Policyand Innovation Directorate of the NHS

Purchasing and Supply Agency. Weunderpin purchasing decisions byproviding objective evidence to supportthe uptake of useful, safe andinnovative products and relatedprocedures in health and social care.

We are here to help you makeinformed purchasing decisions bygathering evidence globally to supportthe use of innovative technologies,assess value and cost effectiveness ofproducts, and develop nationallyagreed protocols.

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All our publications since 2002 areavailable in full colour to downloadfrom our website. To sign up to ouremail alert service and receive newpublications straight to your mailboxcontact:

Centre for Evidence-based Purchasing

Room 152CSkipton House80 London RoadSE1 6HL

Tel: 020 7972 6080Fax: 020 7975 5795Email: [email protected] www.pasa.nhs.uk/cep

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