Reporte

abc
February 2005
Report 05015
Wide bore CT scanner
comparison report version 12
best choice best practice
www.mhra.gov.uk
nww.medical-devices.nhs.uk
About MHRA evaluation reports.

What you can expect.
The Device Evaluation Service (DES) aims to provide independent and objective
evaluations of medical devices available on the UK market. Specialist centres, mainly
in NHS Trusts, do the evaluations under long term contract to, and in accordance
with protocols approved by, the Medicines and Healthcare products Regulatory
Agency (MHRA). The evaluations are usually of a unit supplied by the manufacturer.
We would expect this unit to be representative of the product on the market but
cannot guarantee this. Prospective purchasers should satisfy themselves with
respect to any modifications that might be made to the product type after MHRAs
evaluation. The reports are intended to supplement, not replace, information already
available to prospective purchasers.
The MHRA DES does not have access to any information held by the Agency in its
capacity as the Competent Authority for the UK, apart from any information already in
the public domain. The reports will contain data given by the manufacturer on the
regulatory status of their devices but, apart from this, they are not an indicator of the
regulatory status of a product. Occasionally, DES refers products to the regulatory
arm of the MHRA for considerations of breaches of the legislation governing medical
devices. DES plays no further part in any regulatory investigation that ensues and
does not have advance notification of any regulatory action that may follow.
Report 05015 Wide bore CT scanner comparison report version 12
How to obtain MHRA reports.

To order evaluation reports, a copy of the publications catalogue or to sign up for our
e-mail alert service contact:
MHRA
Orders Department,
Room 1207,
Hannibal House,
Elephant & Castle,
London,
SE1 6TQ.
T:
F:
E:
+44 (0) 20 7972 8181.

+44 (0) 20 7972 8105.
des@mhra.gsi.gov.uk
Visit www.mhra.gov.uk for a comprehensive list of publications, details of forthcoming

evaluations, services and contacts.
Colour reports.
Full colour versions of all reports published after 2002 are available from the Internet
at www.medical-devices.gov.uk.
Wide bore CT scanner

comparison report version 12
David Platten, Nicholas Keat

Maria Lewis, Sue Edyvean
ImPACT
Bence Jones Offices
St Georges Hospital
London SW17 0QT
Tel: +44 (0) 20 8725 3366

Fax: +44 (0) 20 8725 3969
e-mail: impact@impactscan.org
For more information on ImPACT visit www.impactscan.org
Crown Copyright 2005

Apart from any fair dealing for the purposes of research or private study, or criticism, or review, as
permitted under the Copyright, Designs & Patents Act, 1998, this publication may only be reproduced,
stored, or transmitted in any form or by any means with the prior permission, in writing, of the
Controller of Her Majestys Stationery Office (HMSO).
Information on reproduction outside these terms can be found on the HMSO website
(www.hmso.gov.uk) or e-mail: hmsolicensing@cabinet-office.x.gsi.gov.uk.
The MHRA is an executive agency of the Department of Health.
ISBN 1 84182 946 3
Contents
Introduction
5
Purpose of this report .............................................................................5
Comparison method ...............................................................................5
Specification comparison........................................................................5
Scanners covered in this report ..............................................................6
Table 1: Scanners covered in this report ................................................6
Specification comparison
7
Table 2: Scanner gantry .........................................................................7
Table 3: Couch .......................................................................................7
Table 4: X-ray generator.........................................................................8
Table 5: X-ray tube .................................................................................8
Table 6: Detection system ......................................................................9
Table 7: System start-up and calibration ................................................9
Table 8: Scan parameters ....................................................................10
Table 9: Helical scanning......................................................................11
Table 10: Scan projection radiography (SPR) ......................................11
Table 11: Manufacturers' performance data .........................................12
Table 12: Factors affecting image quality .............................................13
Table 13: Operator's console................................................................14
Table 14: Main computer ......................................................................14
Table 15: Image storage.......................................................................15
Table 16: Image reconstruction on main console .................................16
Table 17: 3D reconstruction display......................................................17
Table 18: Optional facilities...................................................................18
Table 19: Installation requirements.......................................................19
Table 20: Independent workstation.......................................................20
Table 21: Image transfer and connectivity ............................................21
Appendix 1: ImPACT and the MHRA
22
Background ..........................................................................................22
ImPACT ................................................................................................22
MHRA support to purchasers and users...............................................22
Introduction
Purpose of this report
In May 2003 the UK Government announced a 90 million fund to replace all CT and
MRI scanners installed before 1997 as part of the NHS Cancer Plan.
ImPACT have produced comparison reports for each phase of the purchase
program. The primary aim of these reports is to aid the equipment selection process
by providing comparisons of CT scanners that are currently on the market.
This report is for phase 7 of the Cancer Plan funding. There are four separate reports
for six to ten, sixteen, and 32 to 64 slice CT scanners, as well as a report on wide
bore systems.
The scope of this report is limited to CT scanners that have a gantry bore wider than
a standard system. These systems have been developed primarily for applications in
radiotherapy planning.
Comparison method
The data given in this report are representative of the scanners as of February 2005,
and are liable to change as the performance of individual scanner models is changed
and upgraded. In particular, optional features such as workstations and software
packages may be listed as standard for the scanner replacement programme, but
may not be included in other, separate scanner purchases.
There are two main areas for comparison of the scanners: performance and
specification. None of the scanners in this report have been tested by ImPACT at the
time of publication, so the scope of this document is restricted to a comparison of
system specifications.
The specification comparison is presented as a side-by-side summary comparison of
the specification of each scanner, workstation and related equipment. It is grouped
into a series of sub-sections relating to different aspects of the scanner, such as
gantry, tube and detectors etc. Manufacturers supplied the specification data in
response to a template issued by ImPACT. The data has not been verified by
ImPACT.
Introduction
Scanners covered in this report

At the time of writing, there are four manufacturers of medical CT scanners that sell
their systems in the UK (in alphabetical order); GE Medical Systems, Philips Medical
Systems, Siemens AG and Toshiba Medical Systems. The wide bore models are
listed below.
Table 1: Scanners covered in this report
Manufacturer
Scanner model
GE
LightSpeedRT
Philips
AcQsim RT Simulator CT
Siemens
Somatom Sensation Open
The GE LightSpeedRT is a four slice system with a gantry aperture of 80 cm. It has a
maximum scan field of view of 50 cm, but is able to reconstruct images up to 65 cm
using extrapolation methods.
The fourth generation AcQsim RT Simulator CT from Philips is a single slice scanner
with a patient bore of 85 cm, and a maximum scan field of view of 60 cm.
The 20-slice Siemens Somatom Sensation Open has a gantry bore of 82 cm, with a
maximum scan field of view of 50 cm. It is possible to reconstruct images up to 82 cm
using extrapolation methods. The detector bank consists of 32 x 0.6 mm and
8 x 1.2 mm rows. The Open features the Siemens Straton x-ray tube, a new novel
design of x-ray tube with fast cooling rates.
Toshiba and Philips have recently announced new wide bore systems, but detailed
specifications were not available at the time of publication. The Philips Brilliance CT
Big Bore will be a 16-slice system with an aperture of 85 cm, a scan field of view of
60 cm, and a maximum image size of 60 cm. The Toshiba Aquilion Large Bore will
also be a 16-slice system, with a gantry aperture of 90 cm, a scan field of view of 70
cm, and a maximum image size of 85 cm.
Table 2: Scanner gantry
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
3rd
4th
3rd
Low voltage
Low voltage
Low voltage
80
85
82
25 and 50
60
50, 82 extended
0.625, 1.25, 2.5,

3.75, 5, 7.5, 10
2, 3, 4, 5, 8
1.5, 2.0, 2.4, 3.0, 4.0,

4.8, 5, 6, 7, 8, 10, 12,
24
Tilt range (degrees)
30
30
30
Type of positioning lights
Laser
Laser
Laser
1 at any laser
to patient distance
0.5 mm at
centre of gantry
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Carbon fibre
Carbon fibre
Carbon fibre
Couch top length and width (cm)
239 x 62
(42 just for cradle)
168 x 34
(just for cradle)
243 x 40
(just for cradle)
Horizontal movement range (cm)
170
180
200
up to 100
25, 40, 50, 100
1 - 150
0.25
0.25
0.25
Scannable horizontal range without

table top extension (cm)
170 (Axial),
160 (Helical & Scout)
162
157
Scannable horizontal range with

table top extension(s) (cm)
170 (Axial),
160 (Helical & Scout)
162
157
Vertical movement range out of

gantry (cm)
51 - 99
56 - 103
53 - 102
Vertical movement range in gantry

(cm)
72.8 - 99.1
76 - 103
82.5 - 102
Minimum couch top height outside

gantry (cm)
51
56
53
Maximum weight allowed on couch

(kg)
205
205
200
180 (0.25mm)
205 (1mm)
205
200
Generation
Slipring
Aperture (cm)
Scan fields of view (cm)
Nominal slice widths for axial scans
(mm)
Accuracy of positioning lights (mm)
Table 3: Couch
Couch top material
Horizontal movement speeds

(mm/sec)
Accuracy/reproducibility of table
positioning (mm)
Maximum weight on couch which

still achieves stated performance
specifications (kg)
Table 4: X-ray generator
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
High frequency
High frequency
High frequency
Rotation assembly
Rotation assembly
Rotation assembly
53.2
56
50
80, 100, 120, 140
80, 100, 120, 130, 140
80, 100, 120, 140
10 - 440
(5mA steps)
30 - 400
(10mA steps)
28 - 400
(1mA steps)
80kV: 400 mA
100kV: 420 mA
120kV: 440 mA
140kV: 380 mA
80kV: 400 mA
100kV: 400 mA
120kV: 400 mA
130kV: 320 mA
140kV: 320 mA
80 kV: 400mA
100kV: 400mA
120kV: 400mA
140kV: 360mA
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
GE Performix Pro
Philips Rhino
Siemens Straton
0.6 x 0.7
0.9 x 0.9
0.4 x 0.5
0.9 x 0.9
0.8 x 1.1
Settings at which focal spot

changes from small to large
Info. not available
Automatically selected
dependent on scan
protocols
Not applicable
Total filtration (inherent + beam

shaping filter) at central axis
(mm Al equivalent)
6.8 (70kV, head)

9.5 (70kV, body)
3.2
6.8
Anode heat capacity (MHU)
6.3
6.5
0.6, equiv to 30
Maximum anode cooling rate

(kHU/min)
1386
830
5000
Glycol to air
Oil to air
Oil to air
1 year unlimited
guarantee
100,000 revolutions
1 year unlimited
guarantee
Type
Location
Power rating (kW)
kV settings available
mA Range and Step size
Max. mA allowed for each kV
Table 5: X-ray tube
Type and make
Focal spot size(s) (mm), quoted to

IEC 336/93 standard
Method of cooling
Guaranteed tube life
Table 6: Detection system
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Solid state
(HiLight / Lumex)
Solid State
(Cadmium Tungstate)
Solid state
(Ultra Fast Ceramic)
888 (plus 18 reference

elements)
2400
672
(1344 channels)
16
40
16 x 1.25
32 x 0.6,
8 x 1.2
20
28.8
None currently
None currently
Yes
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Power-on to warm-up time from

fully off (mins)
10
Tube warm-up time from 'cold' to

operating temperature (mins)
0.5
Included in tube warmup
Part of warm-up
procedure
Recommended frequency for any

additional calibration by the
radiographer
Once every 24 hours
Not required
Not required
Time to perform these additional

calibrations (mins)
13 (inc warm-up)
Not required
Not required
<3
Info. not available
Detector type
Number of detectors per row

Number of elements along z-axis
Effective length of each element at
isocentre (mm)
Total effective length of detector
array at isocentre (mm)
Future option for more slices /
rotation
Table 7: System start-up and calibration
Time to perform detector

calibrations at warm-up (mins)
Total time from fully off to scanning

in an emergency (mins)
Table 8: Scan parameters
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Reconstruction fields of view (cm)
9.6 to 65
4 - 60
5 - 82
Extended scan field of view (cm)
65
Entire FOV uses

standard reconstruction
82
Nominal slice widths (mm) and

number of simultaneous slices
(axial scans)
2 x 0.625, 1 x 1.25,
4 x 1.25, 1 x 2.5,
4 x 3.75, 4 x 5
2, 3, 4, 5, 8
20 x 1.2, 10 x 2.4, 5 x
4.8, 4 x 6, 1 x 5, 2 x 12,
1 x 10
Scan times for axial scans (s)

* = Partial scans
1, 2, 3, 4
0.6*, 1, 1.5, 2, 3, 4, 5
0.33*(option), 0.5
(option), 0.67* , 1.0s
80, 100, 120, 140
80, 100, 120, 130, 140
80, 100, 120, 140
10 - 440
(5mA steps)
30 - 400
(10mA steps)
28 - 400
(1mA steps)
80kV: 400 mA
100kV: 420 mA
120kV: 440 mA
140kV: 380 mA
80kV: 400 mA
100kV: 400 mA
120kV: 400 mA
130kV: 320 mA
140kV: 320 mA
80 kV: 400mA
100kV: 400mA
120kV: 400mA
140kV: 360mA
kV settings available
mA Range and Step size
Max. mA allowed for each kV
10
Table 9: Helical scanning
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Rotation times for helical scanning

(s)
1, 1.5, 2, 3, 4, 5
0.5 (option), 1.0
Number of simultaneous slices at

each rotation time
20
Pitches available for routine

scanning (range and increment)
2 slice : 1
4-slice : 0.75 & 1.5
0.5-3.0 freeely
selectable
0.45 - 2.0
freely selectable
Recommended pitches for optimal

image quality
2 slice : 1
4-slice : 0.75 & 1.5
None
None
GE Proprietary
algorithms
(SmartHelical & MDMP,
including
CrossBeamTM &
HyperplaneTM)
Fan Beam
SureView, AMPR conebeam artefact

reduction
70sec (350-440 mA)

90sec (280-415 mA)
110sec (240-345 mA)
Limited by disc
capacity and tube
loading
160 (324mA, .5s)

176 (300mA, .5s)
200 (273mA, .5s)
Maximum continuous scan time (s)
120
Limited by disc
capacity and tube
loading
100
Starting with a cold tube, the

maximum helical scan distance
using a 1 mm imaged slice
thickness and a pitch of 1.5 (mm)
1600
Limited by disc
capacity and tube
loading
1570
Gantry tilt range for helical scanning

(degrees)
30
30
30
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
1600
1800
1536
500 x 1600
600 x 1800
500 x 1536
0 - 359
(1 steps)
0 - 359
AP, PA, LAT

(1 accuracy)
No
No
Yes
Accuracy of slice prescription from

the scanogram (mm)
0.25
0.25
0.5
Accuracy of distance
measurements from SPR's taken at
isocentre (lateral and axial
directions) (mm)
< 2 x image pixel size
0.25
0.5
Helical interpolation algorithms

available
Maximum number of rotations in

one helical run at standard
abdomen parameters
Table 10: Scan projection radiography (SPR)
Maximum SPR length (mm)

SPR field dimensions (mm x mm)
Angular positions of X-ray tube
available for SPR
Real time image
11
Table 11: Manufacturers' performance data
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
MTF0: 15.4
MTF10: 13.9
(10cm DFOV, Edge
alg, Small Focus)
MTF0 15 lp/cm
MTF0: 15.4 10%

MTF2: 14.5 10%
(1s, 160 mA,
120 kV, 1.2 mm)
5mm @ 0.3% @ 13.3

mGy with 95%CL:
120kVp, 135mAs,
10mm, Std alg
3.5 mm @ 0.35%
Spiral: 5 mm @ 0.3%
@ 21 mGy: 120 kV,
140 mAs 10 mm
CT number accuracy (HU)
Water : 3
Air: 10
Water: 4
CTDI settings for std head
120 kVp, 260 mAs,

2 x 10 mm
130 kV
120 kV, 20 x 1.2 mm
CTDI (mGy/100mAs), centre of

head phantom
12.8
18
18.7
CTDI (mGy/100mAs), periphery of

head phantom
13.8
21.5
19.8
120 kVp, 260 mAs,

2 x 10 mm
130 kV
20 x 1.2 mm
CTDI (mGy/100mAs), centre of

body phantom
4.1
5.2
5.8
CTDI (mGy/100mAs), periphery of

body phantom
8.8
13
11.1
20: 20.6(l)
15: 16.5 (s)
10: 11.5 (s)
5: 6.7 (s)
1.25: 3.5 (s)
2 x 0.63:1.9(s)
10% for all

collimations
Info. not available
GE LightSpeed RT
Spatial resolution (lp/cm) for
sharpest clinical algorithm.
Acquisition parameters in brackets.
Contrast resolution: smallest rod
size (mm) discernable at given
parameters in 20 cm CATPHAN
CTDI settings for std body
Dose profile FWHM (mm) (focal

spot size in brackets)
12
Table 12: Factors affecting image quality
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
No
No
No
Automatic mA control
(AEC / mA modulation) software
3D Dose Modulation
No
Yes
(CAREDose 4D)
- mA adjustment for patient size
Yes
No
Yes
- mA adjustment along the z-axis
Yes
No
Yes
- mA modulation during rotation
Yes
No
Yes
Low signal correction
No
Yes (automatic)
Quarter detector shift
Yes
No
Yes
Moving (dynamic/flying) focal spot
No
No
Yes
Number of imaging detectors per

row
880
2400
672
(1344 channels)
984 @ 1s scan
(hardware capable to
1760)
2400
Max. 2320
Artefact reduction algorithms
Iterative Bone Option

(IBO), Motion
correction, Recon of
thick slices from thinner
ones
No
Modified beam
hardening (abdomen,
pelvis, shoulder),
Motion correction
(sequential modes),
Posterior Fossa
optimisation
Cone beam correction
GE Proprietary
algorithms
(SmartHelical & MDMP,
including
CrossBeamTM &
HyperplaneTM)
Not required
Yes, SureView and

AMPR cone-beam
artefact reduction
Post-patient collimation for narrow

slices
Adaptive filtration for noise

reduction
Sampling frequency (Hz)
13
Table 13: Operator's console
Diagonal dimension of image

screen (inches)
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
20
21 CRT
18.1
Number of monitors at console

(functions of each if > 1)
2 (patient info and

technique selection /
image display)
1 acquisition and
optional 1 x review and
processing shared
database console
Image area matrix dimensions
512 x 512, 768 x 768,

1024 x 1024
1024 x 1024
1024 x 1024
-31743 to +31743
-1000 to +3094
-1024 to +3071
(-10,240 to 30,710 if
metal implants)
< 2 times
image pixel size
0.25
depends on
pixel size
Weighted CTDI (CTDIw or CTDIvol)

displayed on console
Yes
No
Yes
Dose Length Product (DLP)

displayed on console
Yes
No
Yes
Geometric Efficiency displayed on

console when <70%
Yes
No
No
Mouse, trackball,
keyboard
Mouse, keyboard
Mouse, keyboard
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Make and model
HP XW8000
Sun Ultrasparc
Siemens PC
compatible with array
processors
Operating system
Linux RedHat 7.3
Unix
Windows XP
2 x 2.66 GHz
64 bit RISC
10 x Pentium Xeon 3.2

GHz
Amount of computer RAM supplied

as standard (Gbytes)
18
Maximum amount of computer RAM

(Gbytes)
12
Info. not available
18
Usual range of CT Number

displayed (HU)
Accuracy of distance
measurements in x-y plane (mm)
Control methods
GE LightSpeed RT
Table 14: Main computer
Type and speed of CPU
14
Table 15: Image storage
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Total standard hard disk capacity

(Gbytes)
254
34
627
Maximum hard disk capacity

(Gbytes)
254
54
627
Hard disk capacity for image

storage (Gbytes and no. of
uncompressed 512x512 images)
146
(250,000 images)
26 (11,000 data files)
146
(260,000 images)
Hard disk capacity for storage of

raw data files (Gbytes and no. of
data files)
72 (9000 4 slice axial

raw data files)
26 (1,000 raw data

files)
300
Archive options
MOD [images] & DVD

[scan data, protocols]
(standard)
Tape (standard)
MOD Option
MOD and CD writer

(standard)
Capacity of a single archive disk

(Gbytes and no. of images)
Time to mount an archive disk or

tape (s)
Archive data transfer rate

(images / s)
MOD: 4.1GB (26,000

4.6 (9400 losslessly
Tape 6500 Images per lossless images), CDcompressed 512x512
cartridge 2.3 Gb MOD
R: 0.65GB (4100
images or 700 raw data
1400 Images
lossless images) 512 x
files)
512
5-6 in background
operation
Tape - depends upon

images requested
Immediate (disk
continually accessible)
Approx 30
for full disk
1 (read)
0.7 (write)
>1
2-3
15
Table 16: Image reconstruction on main console

GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Reconstruction matrix
512
512
512
Minimum reconstruction interval in

helical scanning (mm)
0.1
0.1
0.1
Reconstruction time from the start

of data acquisition to the
appearance of the 30th image of a
series for a standard axial brain
scan (s)
30 (with IBO)
90
3
(up to 20 f/s)

series for an axial spine scan (s)
11
90
3
(up to 20 f/s)

series for a helical abdomen scan
(s)
11
90
3
(up to 20 f/s)
Simultaneous scanning and

reconstruction
Yes
No
Yes
Any delay in either scanning or

reconstruction when performed
concurrently
No
Info. not available
No
Simultaneous scanning and routine

analysis
Yes
Yes
Yes
Simultaneous scanning and

archiving and/or hard copying
Yes
Yes
Yes
Simultaneous scanning and transfer

to second console/workstation
Yes
Yes
Yes
16
Table 17: 3D reconstruction display
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
MIPs and MinIPs (maximum and

minimum intensity projections)
MC-standard
WS-standard
(MIP & MinIP)
MC-standard
WS-standard
(Angio MIP)
MC-standard
WS-option
SSD (3D Shaded Surface Display)
MC-option
WS-standard
(3D)
MC-standard
WS-standard
(3D SSD)
MC-standard
WS-option
MC-option
WS-standard
(Volume Rendering)
MC-Option
WS-standard
(Vol Rend 4D Angio)
MC-option
WS-option
MC-option
WS-standard
(Navigator)
Option
MC-option
WS-option
MC-standard
WS-standard
(MPR & MPVR)
MC-standard
WS-standard
(MPR)
MC-standard
WS-option
Axial, para-axial,
sagittal, coronal,
oblique, curvilinear
All planes, any oblique
Axial, sagittal, coronal,

oblique, curvilinear
3D Volume rendering software
3D Virtual endoscopy
MPR (Multi-planar reconstruction)
Planes available in MPR
17
Table 18: Optional facilities
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Option
Option
Option
Contrast media bolus tracking
Standard (SmartPrep)
Not available
Standard
(CAREBolus)
CT fluoroscopy software and

hardware
Option (SmartStep)
Not available
Option (CAREVision
with HandCARE)
Option
Option
Option
Option
(RT flat pad and Exact
couch top)
Standard
Option
Option
Option
Option
Option
(Exact couch)
Option
Option
MC-Not available
WS-option
(BMD)
WS-option
MC-option
WS-option
(Osteo CT)
MC-standard
WS-standard
AVA
(Vessel Assessment)
option on WS
WS option
MC-standard basic
package
WS-option
MC-option
WS-option
(Dentascan)
WS option
MC-option
WS-option
(Dental CT)
MC-Not available
WS-option
(CT sim)
MC-option
WS-option
Coherence Dosimetrist
(separate workstation)
Prospective ECG-triggered cardiac

software
MC-option
WS-option
(SmartScore)
Not available
Not available
Retrospective ECG-gated cardiac

software
MC-Not available
MC & WS-option
(Cardiac Imaging)
Not available
Not available
MC-option
WS-option
(CT Perfusion)
WS option
MC-option
WS-option
(Perfusion CT)
Contrast injector
Hard-copy imaging device

Radiotherapy planning table top
Carbon fibre breast board
Means for attaching patient
immobilisation devices and a
stereotactic frame to the end of the
couch
Bone Mineral Densitometry
CT Angiography
Dental
Radiotherapy CT simulation
software
CT Perfusion software
18
Table 19: Installation requirements
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Environmental requirements
(max/min temperature, humidity) in
scanner room
15-26 C, 30-60%
relative humidity
20-24 C, 30-60%
relative humidity
15-28 C, 15-75%
relative humidity
(max/min temperature, humidity) in
scanner control room
15-26 C, 30-60%
relative humidity
20-24 C, 30-60%
relative humidity
15-28 C, 15-75%
relative humidity
15.3
21
1.53 (add 0.07 for CT

fluoro)
Output to air
Water - air
Water - water
Recommended
To meet environmental
requirements
None
28
25
30
Gantry dimensions
(H x W x D (mm)) and weight (kg)
1992 x 2439 x 1007,

1701kg
1960 x 2240 x 863,

1532 kg
1990 x 2280 x 940,

2000 kg
Couch dimensions
(H x W x L (mm)) and weight (kg)
1121 x 610 x 2387,

330kg
560 x 340 x 1680,

550kg
1022 x 690 x 2430,

500 kg
Peak heat output from system

during scanning (kW)
System cooling method
Air conditioning requirements for
scanner room of minimum floor
area
Minimum floor area required for the

system (m)
Supplementary unit dimensions

(H x W x D (mm)) and weight (kg)
Power Unit:
1067 x 711 x 559,
350kg
None
Power unit:
1815 x 905 x 800,
550kg
Cooling unit:
1815 x 905 x 860,
200kg
Power supply requirements
3 phase 380-480V,
150kVA
3 phase 380-480V,
75 kVA
3 phase 380-480V,
66-80kVA
19
Table 20: Independent workstation
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
Is a workstation provided?
Yes
No, option (Brilliance

Extended Workspace)
No, option
(LEONARDO)
Computer make and model
HP XP8000
Dell Xeon
Siemens Fujitsu Xeon
Linux Red Hat 7.3
Windows XP
Windows XP
2 x 3.06
2 x 3.06
2 x Xeon 3.2
Amount of computer RAM supplied

as standard (Gbytes)
Maximum amount of computer RAM

(Gbytes)
Total hard disk storage capacity

supplied as standard (Gbytes)
163
146
147
Maximum total hard disk storage

capacity (Gbytes)
163
438
147
CD-R standard
MOD optional
CD-R standard
EOD option
CD-R standard
MOD option
4.6
9.1
MOD: 4.1
CD-R: 0.65
10-40 C,
20-80 % relative
humidity
0-40 C
10-35 C, 20-80%
relative humidity
Operating system
Type and speed (GHz) of CPU
Archive options
Capacity of a single archive disk
(Gbytes)
(max/min temperature, humidity) for
workstation
20
Table 21: Image transfer and connectivity
GE LightSpeed RT
Philips AcQsim RT
Simulator CT
Siemens Sensation
Open
100
100 or 1000
1000
Option
Option (Easyweb)
Option
SCU, SCP
SCU, SCP
SCU, SCP
SCU
SCU
SCU
Query / retrieve
SCU, SCP
SCU, SCP
SCU, SCP
Modality worklist
Option
Option
SCU
Performed procedure step
Option
Option
SCU
Not available
Option
SCU
SCU, SCP
SCU, SCP
SCU, SCP
SCU
SCU
SCU
SCU, SCP
SCU, SCP
SCU, SCP
Modality worklist management
Not available
Not available
Not available
Performed procedure step
Not available
Not available
Not available
Storage commitment
Not available
Not available
SCU
Speed of scanner / workstation

connections to local area networks
(Mbits/s)
Remote PC access to images on
workstation
DICOM services on Main Console
Storage
Print
Storage commitment
DICOM services on Workstation
Storage
Print
Query / retrieve
21
Appendix 1: ImPACT and the MHRA

Background
One of the roles of the Medicines and Healthcare products Regulatory Agency
(MHRA) is to fund evaluation programmes for medical devices and equipment. The
programme includes evaluation of x-ray Computed Tomography Equipment currently
available on the UK market.
MHRA aims to ensure that evaluation techniques keep abreast of improvements in
CT imaging performance and that MHRA reports present evaluation information that
is timely, useful and readily understood.
ImPACT
ImPACT (Imaging Performance Assessment of Computed Tomography) is the
MHRA's CT evaluation facility. It is based at St George's Hospital, London, part of St
George's Healthcare NHS Trust.
ImPACT have developed test objects and measurement procedures suitable for
inter-comparing CT scanner performance. For each CT evaluation hundreds of
images are obtained from the system under test and subsequently analysed using
custom written software. Dose measurements are made using ion chambers, and xray film is used to obtain additional x-ray dose information.
MHRA support to purchasers and users

The ImPACT team is available to answer any queries with regard to the details of this
report, and also to offer general technical and user advice on CT purchasing,
acceptance testing and quality assurance.
ImPACT
Bence Jones Offices
St Georges Hospital
London SW17 0QT
T: +44 (0) 20 8725 3366
F: +44 (0) 20 8725 3969
E: impact@impactscan.org
W: www.impactscan.org
MHRA contact point for general information on the CT evaluation programme:
Device Evaluation Service
MHRA
Elephant and Castle
London SE1 6TQ
T: +44 (0) 20 7972 8181
F: +44 (0) 20 7972 8105
E: des@mhra.gsi.gov.uk
W: www.mhra.gov.uk
22

Reporte

Enviado por

Dados do documento

Direitos autorais

Formatos disponíveis

Compartilhar este documento

Compartilhar ou incorporar documento

Opções de compartilhamento

Você considera este documento útil?

Este conteúdo é inapropriado?

Direitos autorais:

Formatos disponíveis

Reporte

Enviado por

Direitos autorais:

Formatos disponíveis

abc

best choice best practice

About MHRA evaluation reports.

Report 05015 Wide bore CT scanner comparison report version 12

How to obtain MHRA reports.

+44 (0) 20 7972 8181.

Visit www.mhra.gov.uk for a comprehensive list of publications, details of forthcoming

Wide bore CT scanner

David Platten, Nicholas Keat

Report 05015 Wide bore CT scanner comparison report version 12

Tel: +44 (0) 20 8725 3366

Crown Copyright 2005

Report 05015 Wide bore CT scanner comparison report version 12

Report 05015 Wide bore CT scanner comparison report version 12

Scanners covered in this report

Somatom Sensation Open

Report 05015 Wide bore CT scanner comparison report version 12

0.625, 1.25, 2.5,

1.5, 2.0, 2.4, 3.0, 4.0,

Tilt range (degrees)

Type of positioning lights

Couch top length and width (cm)

Horizontal movement range (cm)

25, 40, 50, 100

Scannable horizontal range without

Scannable horizontal range with

Vertical movement range out of

Vertical movement range in gantry

Minimum couch top height outside

Maximum weight allowed on couch

Accuracy of positioning lights (mm)

Report 05015 Wide bore CT scanner comparison report version 12

Couch top material

Horizontal movement speeds

Maximum weight on couch which

80, 100, 120, 140

80, 100, 120, 130, 140

80, 100, 120, 140

Settings at which focal spot

Info. not available

Total filtration (inherent + beam

6.8 (70kV, head)

Anode heat capacity (MHU)

Maximum anode cooling rate

Max. mA allowed for each kV

Table 5: X-ray tube

Type and make

Report 05015 Wide bore CT scanner comparison report version 12

Focal spot size(s) (mm), quoted to

888 (plus 18 reference

Power-on to warm-up time from

Tube warm-up time from 'cold' to

Included in tube warmup

Recommended frequency for any

Once every 24 hours

Time to perform these additional

Info. not available

Number of detectors per row

Table 7: System start-up and calibration

Report 05015 Wide bore CT scanner comparison report version 12

Time to perform detector

Total time from fully off to scanning

Reconstruction fields of view (cm)

Extended scan field of view (cm)