The specifications are only advisory in nature and not mandatory.

SNM India will not be responsible for any omission in this regard.

Guidelines for formulation of Specification for Dual Head SPECT (CT) Gamma Camera
General:
Latest technology Dual Headed variable angle SPECT (CT) Gamma Camera system capable of performing all planar, SPECT, WB SPECT and Whole Body imaging applications with CT (multislice) based transmission attenuation correction and functional anatomical image fusion. Features of CT should include other conventional features of required hardware and software. Manufacturer to provide a comprehensive list of users of dual head SPECT gamma camera in India and their performance profile. Number of installations & company profile: Company should preferably be manufacturer of the equipment and in case non-manufacturing vendors (third party supplier) are allowed to participate the same should be mentioned clearly in bid document. In case of third party supplier the liabilities of principal manufacturing company and third party supplier needs to be clearly demarcated and ensured Gantry: Gantry design should be wide open to avoid claustrophobic imaging with clockwise and anticlockwise movement. Height, width and depth should be adequate to conveniently locate the gantry in existing space available in the department. In order to access this, manufacturer is required to mention the dimensions. Axis of rotation: 100-104 cm. Distance between SPECT & CT field of view: 80 cm or more. Patient opening for high energy collimator (HE): Max 66 cm and Minimum: 12cm.

Patient opening for low energy high resolution (LEHR) collimators: Max: 70 cm; Minimum: 19 cm. Auto contouring: The detectors should be equipped with automatic body countering (ABC) both for 90 & 180 SPECT with an average auto contour distance of 1.1 cm. LCD persistence display unit

Max CW/CCW: 365/180 Rotation precision: 0.1 Rotation speed: 003-3.0 rpm Centre of rotation (COR): 0.25 pixel in 64x64 matrix Gantry should have emergency stop buttons.

Persistence scope mounted on the gantry for continuous display of patient position and gantry parameters Detectors: Large field of view (UFOV) to enable adequate patient breadth coverage Should have facility for automatic correction for energy, linearity and uniformity

Integrated CT hardware option for transmission attenuation correction and lesion localization for all applications Crystal: o o o Size: 40-60 x 40-50 cm or more Diagonal: 45-70 cm or more Thickness: According to the requirement.

Photomultiplier Tubes: detector) Number of PMTs: 55 or more per detector with 1 ADC per PMT (True digital Hexagonal array with box type dynodes and high overall efficiency.

Shielding characteristics of Detector: Back: 9.5 mm Sides: 12.7 mm Patient Direction: Max 36.4 mm; Min 27.9 mm. Edge to edge: Detector housing and FOV 7.6 mm.

Performance Parameters Intrinsic Spatial Resolution: FWHM in CFOV: 4 mm FWHM in UFOV: 4 mm

FWTM in CFOV: 8 mm

FWTM in UFOV: 8 mm Intrinsic Energy Resolution: FWHM in UFOV: 10 %

Intrinsic Flood Field Uniformity: Differential (CFOV): 2.5 % Differential (UFOV): 2.7 % Integral (CFOV): 3.0 % Integral (UFOV): 4.0 %

System Spatial Resolution (LEHR at 10 cm): FWTM in CFOV: 7.8 mm FWTM in UFOV: 14 mm

Intrinsic Spatial Linearity: Differential (CFOV): 0.2 mm Differential (UFOV): 0.2 mm Absolute (CFOV): 1 mm Absolute (UFOV): 1 mm Multiple window spatial registration: 1.0 mm Intrinsic maximum count rate: 310 kcps Intrinsic spatial resolution at 75 kcps FWTM (CFOV): 4.6 mm FWTM (UFOV): 9 mm System Planar sensitivity (LEHR at 10 cm) Absolute: 150-200 cpm / Ci or more System planar sensitivity (MEGP at 10 cm) 3

140- 400 cpm / Ci or more Reconstructed spatial resolution with scatter (LEHR): 12.00 mm Collimator Specification: Following collimators along with collimator exchange cart for each set of collimators based on requirements 1. 2. 3. Low Energy High Resolution (LEHR) Medium Energy General Purpose (MEGP) High Energy General Purpose (HEGP)

CT sub system specifications: Tube Details: Following parameters should be specified by the buyer based on requirements (non-diagnostic / diagnostic CT) Tube current: mA Tube Voltage: kV Heat storage capacity: MHU Anode heat storage capacity: MHU Focal spot size: mm Rotational time: Second. Temporal resolution with heart view CT option: micro Second Single continuous spiral scan time: Seconds Power generator: kW

Filter Assembly: Al-Equivalent: mm Beam limiting device: mm

Acquisition System: No. of rows of detector: Mentioned according to requirement Maximum no. of slice per rotation: Mentioned the slice no per rotation 4

Gantry Aperture: Patient part diameter/ aperture: 70 cm or more Scan field: 50 cm

Data Sequencing: Manufacturer are required to furnish complete details of the data sequencing including reconstructed slice widths, full scan times (360), partial scan time (240), no. of uninterrupted scans per range, auto range, standard scan cycle time, dynamic scan cycle time etc. In addition manufacturer would also be required to provide details of multislice spiral image reconstruction slice, specifically with reference to reconstructed slice widths, slice increment length and reconstructions time, topogram length and possible views. Image Quality: Low contrast resolution: Object size: mm Contrast: HU

Surface dose: 20 mGy Air Kerma or less at 100 mAS; 16 mGy Air Kerma or less at 90 mAS using parameters such as 0.6 second, 10 mm and 130 KV (for Diagnostic CT) High Contrast Resolution: 0% MTF: lp/cm 2% MTF: lp/cm

Acquisition Unit: One acquisition station independent of main processing unit capable of data acquisition in static, dynamic, multi-gated, list, whole body scanning, SPECT and gated SPECT with facility for anatomical markers

Acquisition consol should allow universal networking via DICOM ready to both local and wide area networks Display of the alpha numerical patient acquisition data

High performance Intel duo core PC with multi tasking operating system of latest specifications having minimum of 2 GB RAM, 3.0 GHz processor speed, 200 GB SCSI hard drive and high resolution flat panel LCD monitor of minimum of 19 size. It should also have CD and DVD combo drive with writer facility.

 Fully integrated CT system capable of acquiring Xray transmission data along with nuclear emission data. SPECT & CT data acquisition should be on the same console. The CT should have multislice capability with minimum 4 or more slices in a single rotation Image acquisition and data display should be from 64x64 matrix up to 256x1024 matrix. Acquisition termination by preset time, preset count or manual stop Pre-defined acquisition protocols as well as facility for user to configure his own customized protocols Should provide ECG gating device with R wave display Virtual film sheet with image manipulation. The acquisition workstation should be DICOM ready to permit(i). Exchange of images and other information (ii). Communication with other manufacturers equipments/work stations. (iii).Workflow with hospital information system and other radiological information systems. (iv). Coverage for access controls of patient multiple data CD writers. (v). Maximum intensity projections, multiplanar reconstructions, various display format in routine use. (vi).Image fusion volume rendered CT data fused with SPECT data in a single image frame with 3 x 3 display. Processing & Software workstations: Following software may be asked for based on the requirements and choice of non-diagnostic or diagnostic CT. High performance Intel duo core PC with multi-tasking workstation with full DICOM ready with image transfer print etc. It should be of latest specifications (minimum of 2 GB RAM, 3.0 GHz processor speed and 200 GB SCSI hard drive logically divided in to 3-4 partitions) Minimum 21 inch high resolution LCD monitor Standard DVD & CD combo drive for data archiving and retrieving with write facility for both. The computer is to be connected via a DICOM network for processing and storage of the data to the already existing processing and acquisition computers and documentation devices

Broad band remote diagnostic facility to be provided The software, apart from other state of the art applications, should also provide following applications

(i). Real time display of volume data set and enable automatic quantification of stenosis and evaluation of aneurysms. (ii). Clinical processing software and comprehensive protocols for wide spectrum SPECT, SPECT (CT). of

(iii) SPECT reconstruction, automatic cardiac processing, motion correction, whole body and whole body SPECT. The software should also encompass organ specific protocols for kidneys, lungs heart, thyroid, parathyroid, brain gall bladder, liver, osteology, oncology etc. (iv). 2D & 3D volumetric visualization and quantification for assessment Of myocardial viability and perfusion and correlation with angiography. (v). Quantitative evaluation and display of 2D/3D gated as well as nongated myocardial perfusion. (vi). Standard package of CT software including those for angiography (Cardiac and renal) applications and other navigation applications. (vii).Provide QGS/QPS tool box with 2D/3D display and review of wall myocardial perfusion analysis. (viii).Should provide evaluation of CT images, coronary calcification scoring), display of dynamic CT data. motion (calcium

Apart from inbuilt SPECT/CT software for fusion, separate software for fusion of imported CT and MRI data with SPECT is also to be provided Software for various scatter corrections and filters, standard attenuation correction with CT data , patient motion correction etc Various clinical application software including SISCOM, SEGAMI, NEUROGAM on NEURO MATCH and SPM2 etc.

QC Utilities: Choice to be made based on equipment choice and level of QC and experimentation / research likely to be performed. Co-57 flood source of at least 15 mCi strength (on the day of the delivery to the institute) for rectangular field of the size adequate for the gamma camera to be supplied CT quality assurance phantom for contrast resolution, radiation safety, image uniformity and pixel noise etc.

 QC software (CT) for verifying alignment of the table position between SPECT and CT acquisition SPECT phantoms, point sources, CT phantom & KV/mA meter etc to permit comprehensive quality assurance program both for SPECT & CT Four Quadrant BAR phantom for rectangular detector size compatible with the detector systems size of the camera to be supplied Intrinsic and System resolution phantom System count rate performance phantom QC software package (NEMA NU2-2007 or latest protocol) with documentation

Accessories: As per requirements. It is preferable to specify the make of the accessory. High resolution dry laser film processor for 8 x 10 and 14x 17 (CT size) x-ray films. Photo quality networking laser color printer

System to be supplied with online digital UPS of reputed make of appropriate capacity providing 30 minutes backup with maintenance free batteries. ( please specify if the back up is required for whole SPECT-CT or computer only) Optional Items Tread mill with 12 lead ECG display and processing and a hard copy out put device Infusion pump with 5 to 50 ml range syringe capacity Radioisotope calibrator for beta and gamma activity measurement (specify make) Survey meters for monitoring gamma radiation (specify make) Pocket dosimeters ( specify make) Syringe carrier and holders One TLC Analyzer with computer and printer.

Two lead lined Fume hoods with appropriate exhaust system, Airfoil, Air Baffle and Adjustable Slots, Sliding Sash, Bypass Slots, Exhaust Duct and Damper sinks etc for radioactivity handling (GMP Model).

Auto dispenser for radiopharmaceuticals.

One Horizontal hood Laminar flow bench with HEPA filter: 4 feet length and 16 gauge stainless steel, 304, 316L also custom quoted (GMP model). Two lead lined L-Benches Interlocking lead bricks-150 nos. Cutie Pie for Gamma detection.(specify make) Two lead Aprons. Additional flat table top with complete hardware and software for radiotherapy planning

Others: As per requirements Comprehensive warranty of five years. Warranty of the equipment shall include crystal, CT tube and all accessories as well as leads, wires, electronic consumables, third party items to be supplied by vendor. CAMC (Comprehensive Annual Maintenance Contract) for a minimum of five years to be quoted separately (CAMC would include all kinds of spares that might be required for insuring 95% uptime of the equipment CAMC shall also include the crystal, CT tube and accessories and all other items as mentioned above. Training as per requirement

On site application training in phases to technical and clinical staff initially and also on as and when required basis. A fully trained local resident engineer to be posted to ensure optimal uptime and effective and prompt maintenance services subsequent to satisfactory installation. The acceptance of the installation shall be subject to satisfactory handing over of the system to the department and certificate to this effect to be issued by the institute. All the operating and service manuals in duplicates to be provided by the vendor at the time of handing over the machine.

Prepared by: Mr. S. Kheruka, Medical Physicist, Nuclear Medicine, SGPGIMS, Lucknow