This is a non-authorized translation of the original version in Polish.
The translation has been prepared for the convenience of prospective
Contractors only and it has no legal force.
Should the translation deviate in content from the Polish original,
the latter shall apply.
SUBJECT OF ORDER DESCRIPTION
Detailed technical and value specification
Delivery of the relative dosimetry systems for proton beams
1. Definitions
The relative dosimetry system is a system of ionization radiation detectors with cables,
holders, phantoms and dedicated software which allows to determine the relative dose [%]
at the specific point in the phantom or in air in relation to the dose measured in the reference
point.
2. Subject of order
The scope of the contract includes the supply of relative dosimetry systems to the proton
radiotherapy facility at the Cyclotron Center Bronowice in the Institute of Nuclear Physics Polish
Academy of Sciences (CCB IFJ PAN). The new center is equipped with isochronous cyclotron
Proteus C-235, generating a proton beam with an energy range from 230 MeV
to 70 MeV. Both dosimetry systems consist of dedicated phantoms, electrometers, detectors
(ionization chambers, matrices and stacks of ionization chambers, 2D position-sensitive dosimetry
systems), software and additional equipment (holders, wiring, adapters, lifting carriages,
reservoirs etc.).
This specification consists of two independent tasks which define the relative dosimetry system.
Specific requirements for these tasks are described in the following paragraphs.
The required period of guarantee is 12 months.
During the warranty period, the Contractor is obliged to install all mandatory software
updates required by manufacturer in a way that does not cause any loss of data and without
any additional costs.
3. TASK NO. 1 – RELATIVE DOSIMETRY SYSTEM
The table below describes functional requirements, which must be fulfilled independently by
the offered relative dosimetry system. The column “Required parameters, functions and
conditions” contains descriptions of each requirement. In the column “Offered parameters,
functions and conditions” supplier should provide data describing offered system and attach
documents if required. Finally the column “Fulfills requirement YES/NO” must contain a
mandatory statement of the supplier with an appropriate answer.
1
Item
1.1
1.2
1.2.1
1.2.2
1.2.3
1.2.4
1.2.5
1.2.6
1.2.7
1.2.8
1.2.9
1.2.10
1.2.11
1.2.12
1.3
1.3.1
1.3.2
1.3.3
1.3.4
1.3.5
1.3.6
1.4
A set of two-dimensional scintillating detector with a camera for imaging of
proton beams with accessories and software
Required parameters,
functions and conditions
Offered parameters,
functions and conditions
Fulfills
requirement
YES/NO
Two-dimensional scintillating detector with camera for imaging of proton beams – 2 pieces
High resolution scintillating detector with camera,
dedicated for quality assurance tests of scanning proton
beams with mounting capability on the gantry nozzle
using a separate holder
Detector active field size not smaller than 30 x 30 cm
Acquisition resolution not worse than 0.5 mm
Ability to acquires profiles as well as 2D distributions
Image distortions not higher than 0.5 mm at the central
part of the detector with dimensions 26 cm x 26 cm and
not higher than 1 mm in the remaining area
Maximum number of frames per second not smaller
than 7
Gigabit Ethernet communication interface
Ethernet cable length of min 10 m and max 20m
Power supply input from AC source at 50 Hz and 230 V
Positioning plate with cross markers to determine the
absolute position of the detector
Compatible with operating system: Windows XP
Windows 7- 32 & 64 bit, Windows 8.1 - 32 & 64 bit
Certificate of uniformity of the detector is required
User's Manual to operate the detector and dedicated
software (in Polish or in English)
Dedicated solid plate phantom for scintillating detector holder – 1 piece
Phantom made of RW3 material (98% polystyrene, 2%
TiO2)
Density of 1.045 g/cm3
Transversal dimensions covering entire active area of the
scintillating detector
Stable mounting in the detector holder
Primary set of plates and thicknesses:
- 5 plate of 1 mm
- 5 plates of 2 mm
- 5 plate of 5 mm
- 29 plates of 10 mm
Case for safe phantom storage
Control and acquisition software – 2 licenses unlimited in time and territory for min 5 stations
each
1.4.1
1.4.2
1.4.3
1.4.4
1.4.5
1.4.6
1.4.7
1.4.8
1.4.9
1.4.10
2
Item
2.1
2.1.1
2.1.2
2.1.3
2.1.4
2.1.5
2.1.6
2.1.7
2.1.8
2.1.9
2.1.10
2.1.11
2.1.12
2.2
2.2.1
2.2.2
2.2.3
2.2.4
Software tools enabling acquisition of measurements for
commissioning
of
scanning
proton
beam
(commissioning)
Software tools enabling acquisition of measurements for
quality assurance tests of scanning proton beam (QA)
Image acquisition in single frame and continuous modes
with direct data export in DICOM RT format
Hard copy storage available
Profile and surface analysis
Data export in Dicom RT format
Printing to popular formats like PDF, RTF, HTML, XLS
Compatible with operating system: Windows XP
Windows 7- 32 & 64 bit, Windows 8.1 - 32 & 64 bit
Free access to software updates within the warranty
period
User's Manual for software (in Polish or in English)
A two-dimensional matrix detector with dedicated solid water phantom and
software
Required parameters,
functions and conditions
Two-dimensional matrix detector – 2 pieces
Detector formed as a matrix of air ventilated thimble
ionization chambers with ability to mount in a
dedicated water phantom owned by Purchaser
(DigiPhant)
Minimum 1020 ionization chambers arranged
uniformly on a rectangular mesh of minimum size 24
by 24 cm
Distance between chambers not bigger than 7.7 mm
Chamber bias voltage in the range from 450 to 550 V
Appropriate for dose rates up to 100 Gy/s
Signal to noise ratio better than 0.3% for integrated
dose at level of 1 cGy
Minimum sampling time not bigger than 100 ms
Acquisition of profiles and 2D distributions
Power supply input from AC source at 50 Hz and 230
V
Ethernet communication interface
Calibration in terms of absorbed dose in water in a
reference beam of quality Qo, where Qo is 60Co and
certificate of uniformity of the detector is required
User's Manual to operate the detector (in Polish or in
English)
Dedicated solid water phantom – 2 pieces
Phantom made of RW3 material (98% polystyrene, 2%
TiO2)
Density of 1.045 g/cm3
Transversal plate dimensions of 30 by 30 cm
Primary set of plates and thicknesses:
- 5 plate of 1 mm
- 5 plates of 2 mm
- 5 plate of 5 mm
- 29 plates of 10 mm
Offered parameters,
functions and
conditions
Fulfills
requirement
YES/NO
2.2.5
2.2.6
2.2.7
2.2.8
2.2.9
2.3
2.3.1
2.3.2
2.3.3
2.3.4
2.3.5
2.3.6
2.3.7
2.3.8
2.3.9
2.3.10
2.3.11
2.3.12
2.3.13
2.4
3
Item
3.1
Dedicated adapters for the following ionization
chamber types:
- IBA PPC05 / PTW TM23343
- IBA FC65-G / PTW TM30010
- PTW TM31010
A set of adapters must be compatible with ionization
chambers owned by the Purchaser (PTW Markus
chamber type TM23343, PTW ionization chamber type
TM31010, PTW ionization chamber type TM30010-1)
Case for safe phantom storage
User's Manual (in Polish or in English)
Two-dimensional matrix detector should be compatible
with OmniPro-Imr’RT software owned by Purchaser
Software for acquisition and analysis - 5 licenses unlimited in time and territory for min 1
station each
Software tools enabling acquisition of measurements
for quality assurance tests of scanning proton beam
Software tools enabling acquisition of measurements
for patient therapy plan verification of scanning proton
beam
Acquisition and analyze of dose distribution in 2D and
3D measured with tools owned by Purchaser (MatriXX
PT, Lynx PT)
Profile analysis in 2D and 3D
Relative and absorbed dose analysis
A tool for a comparative study between measured dose
distributions and distributions calculated by the
treatment planning system (test gamma)
Storage of a hard copy should be available
Communication with detector using Ethernet interface
Printing to popular formats like PDF, RTF, HTML,
XLS
Import of planned 2D and 3D dose distributions from
all TPS systems for treatment planning with scanning
proton beam, in particular the software owned by the
Purchaser (Eclipse Treatment Planning System V.13).
Compatible with DICOM RT and RTOG formats.
Import EPID data via of DICOM interface.
Compatible with operating system: Microsoft Windows
XP, SP2; Vista Ultimate, SP1; Windows 7: 32-bit/64bit, Windows 8.1: 32 & 64 bit
Free access to software updates within the warranty
period
User's Manual (in Polish or in English)
Two-dimensional matrix detector should be delivered
with certificate for medical devices class IIb
MLIC type detector: a stack of plane - parallel ionization chambers used to
measurements of depth dose distributions of scanning proton beam with
accessories and software
Required parameters,
functions and conditions
Offered parameters,
functions and
conditions
Fulfills
requirement
YES/NO
MLIC type detector - a stack of air vented plane - parallel ionization chambers – 2 pieces
3.1.1
3.1.2
3.1.3
3.1.4
3.1.5
3.1.6
3.1.7
3.1.8
3.1.9
3.1.10
3.1.11
3.2
3.2.1
3.2.2
3.2.3
3.2.4
3.3
3.3.1
3.3.2
3.3.3
3.3.4
3.3.5
A stack of air vented plane - parallel ionization
chambers used to measurements of percentage depth
dose distributions of proton beams with energies from
60 MeV to 226,5 MeV
Set consists of at least 180 independent plane - parallel
ionization chambers
The resolution of measurement of depth dose
distribution not worse than 2 mm. The accuracy of
range measurements not worse than 0.5 mm.
A diameter of an active area of a single ionization
chamber not smaller than 12 cm and not bigger than
14 cm
The possibility of measurements of depth dose
distributions for proton beam ranges from min 4 cm to
min 33 cm
Signal to noise ratio better than 0.2 %
Nonlinearity of the detector answer not worse than 1%
Power from the AC power source 50 Hz with 230 V
voltage
Communication interface Ethernet type
The certificate confirming the homogeneity of response
of the system is required
User's Manual (in Polish or in English) describing how
to handle the detector together with instructions
describing how to calibrate and perform the uniformity
test of response of the detector in proton scanning
beam. It is required that the calibration and uniformity
test could be performed by the Purchaser
Central control unit with set of integrated electrometers – 2 piece
Multi-channel electrometer with parallel readout of at
least 180 channels
Sampling time not worse than 10 ms
Measurement resolution not worse than 200 fC/count
An immediate readout
from all channels
simultaneously
Software for acquisition and analysis - 2 licenses unlimited in time and territory for min 5
stations each
Software tools enabling acquisition of measurements
for commissioning of scanning proton beam
Software tools enabling acquisition of measurements
for acceptance test and quality assurance of proton
beam
Software tools enabling acquisition in "trigger",
"movie" and "snap" mode, analyzing, saving and
transfer of the results as well as the calibration of the
device against measurements made in the water
phantom owned by Purchaser
Dedicated software tools enabling analysis of scanning
proton beam (Bortfeld fitting procedure)
Ability to automatic determination of basic parameters
of depth dose distribution of Bragg peak (BP)
(normalization to maximum, FWHM, distal fall-off,
maximum to entrance dose ratio)
3.3.6
3.3.7
3.3.8
3.3.9
3.4
4
Item
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
4.11
4.12
4.13
4.14
4.15
4.16
4.17
4.18
Ability to automatic determination of basic parameters
of depth dose distribution of spread out Bragg peak
(SOBP) (normalization to maximum, modulation
width, distal fall-off, flatness of depth distribution in
the modulation region)
Compatible with operating systems: Microsoft
Windows XP, SP2; Windows XP Professional SP2;
Windows 2000 SP4; Windows Vista Business SP1;
Vista Ultimate, SP1; Windows 7, 32-bit/64-bit,
Windows 8.1: 32 & 64 bit
Free access to software updates within the warranty
period
User's Manual (in Polish or in English)
MLIC type detector should be delivered with certificate
for medical devices class IIb
Plane- parallel ionisation chamber designed for Bragg Peak measurements –
2 pieces
Required parameters,
functions and conditions
Plane-parallel ionization chamber designed for accurate
depth dose measurements in proton therapy (spot
scanning proton beam)
A diameter of an active area not smaller than 12 cm and
not bigger than 14 cm
Polarization voltage no smaller than 120 V and no higher
than 180 V
Maximum leakage current no higher than 250 fA
Polarity effect no higher than 1%
Influence of the irradiation of a signal cable not more
than 1%
Inclination of the ionization chamber not more than
0.5 degree
Water equivalent thickness of wall not more than 4.5 mm
(depth of reference point)
Instability of accumulated dose smaller than 0.5% for
2 kGy
User's Manual (in Polish or in English)
Package for safe storage
Connection type: TNC
Connection cable no shorter than 2.5 m
Ionization chamber is required to be compatible with
water phantom and electrometers owned by Purchaser
(Blue Phantom2 and the control unit CCU)
Dedicated holder for stable vertical and horizontal
mounting of ionization chamber in the Blue Phantom2
The holder needs to be compatible with Blue Phantom
system owned by Purchaser
The holder needs to enable comfortable vertical and
horizontal movement of the ionization chamber and tilt
for chamber alignment in the range of +/- 5 degree
Additional strengthened signal cable with triax TNC
connector and minimal length no shorter than 10 m
compatible with ionization chamber and the central
control unit CCU owned by Purchaser
Offered parameters,
functions and conditions
Fulfills
requirement
YES/NO
5
Item
5.1
5.1.1
5.1.2
5.1.3
5.1.4
5.1.5
5.1.6
5.1.7
5.1.8
5.1.9
5.2
5.2.1
5.2.2
5.2.3
5.2.4
5.2.5
5.2.6
5.2.7
5.2.8
5.2.9
5.2.10
3D water phantom set with accessories and software
Required parameters,
functions and conditions
Offered parameters,
functions and
conditions
Fulfills
requirement
YES/NO
3D water phantom - 1 piece
Scanning volume in x, y and z direction cannot be
smaller than 480 x 480 x 410 mm
Positioning resolution cannot be worse than 0.1 mm
provided by magnetostrictive sensors for each scanning
direction (x, y and z) separately.
Positioning accuracy cannot be worse than ±0.1 m
The maximum speed of the ionization chamber
during positioning not less than 50 mm/s. The
maximum scan speed not less than 25 mm/s
The thickness of wall of the phantom cannot be bigger
than 15 mm
The water tank should be equipped with crosshairs on
all walls including its base
Positioning of the detector with advanced horizontal
inclination regulation system
Independent reference detector holder
Quick coupling system for water exchange with
external tank trolley
Central control unit with two integrated electrometers fully compatible with water phantom –
1 piece
Independent measurement for each of the electrometers
Possibility of independent set up of sensitivity, high
voltage and polarity for each of the electrometers
Remote control of the scanner movement and data
acquisition using dedicated software
TNC triax connectors with switchable floated or
grounded input for each of the electrometers
Minimum 5 m long control cable for connection
between central control unit and phantom scanner
controller
Minimum 30 m long ethernet cable between central
control unit and PC
Measuring ranges of the electrometers:
 From 0 to 0.4 nA with resolution not worse than
0.5 fA
 From 0 to 40 nA with resolution not worse than 5
fA;
 From 0 to 4 µA with resolution not worse than 0.5
pA;
Leakage current cannot be bigger than 1 fA
The bias voltage in the range from ±50 V to ±500 V
Power supply input from AC source at 50 Hz and 230
V
5.3
5.4
5.5
5.6
5.7
5.8
5.9
5.10
5.11
5.12
5.12.1
5.12.2
5.12.3
5.13
5.13.1
5.13.2
5.13.3
5.13.4
5.13.5
5.13.6
5.13.7
5.13.8
5.13.9
5.13.10
Scanning controller equipped with hand pendant
enabling:
 Movement of scanner in each axis in full range
with variable speed
 Definition of water surface
 Definition of isocenter
 Definition of limits for movement ranges
 Definition of user specific positions (at least 3)
Transportation case plus cover provided
Alignment cap for precise detector positioning
Water conservation liquid (for minimum 3 exchanges
of water in the tank)
Leveling frame for alignment of the scanning
mechanism with respect to the water surface
Temperature sensor for controlling of water
temperature in the phantom with precision not worse
than ±0.3 ºC
Air pressure sensor available in the system
Signal cable (low-noise) no longer than 10m and not
shorter than 5m with M-type connector for connection
to an electrometer owned by the Purchaser (Unidos
Webline PTW model T10021) and TNC connector to
connect the Bragg Peak ionization chamber owned by
the Purchaser (PTW ionization chamber type
TW34070-2,5) for measurements inside phantom
A certificate confirming the correct operation of the
thermometer and barometer
Tank trolley with water reservoir – 1 piece
Bi-directional pump supplied by 230 V 50 Hz AC
power source, with minimum pump efficiency of 20
l/min
Tank capacity cannot be smaller than 220 l
Water hose for connecting of tank and phantom
described above
Control and acquisition software – 1 license unlimited in time and territory for min 5 stations
Software tools enabling acquisition of measurements
for commissioning of scanning proton beam
Software tools enabling acquisition of measurements
for quality assurance tests of scanning proton beam
Export to MS Excel (.xls) format
Measurement queue management with Save, Open and
Edit operations
One, two and three dimensional acquisition
Step-by-step and continuous scanning with resolution
and precision of positioning at level of 0.1 mm
Adaptive scanning with variable point density for stepby-step method and variable speed for continuous
Life display of measurements with visualization in one,
two or three dimensions
Setup panel for central control unit and electrometers
Data analysis module with processing functions
(mathematical, scaling, panning, rotating etc.), profile
analysis and scripting capabilities for processing
automation
5.13.11
5.13.12
5.13.13
5.13.14
5.13.15
5.13.16
5.13.17
5.13.18
5.14
5.14.1
5.14.2
5.14.3
5.15
5.15.1
5.15.2
5.15.3
5.16
5.16.1
5.16.2
5.17
5.17.1
5.17.2
5.17.3
5.18
5.19
5.20
Phantom water temperature readout through central
control unit
Air pressure readout through central control unit
Automatic measurement correction using Kt,p factor
Printing to popular formats like PDF, RTF, HTML,
XLS
Hard copy storage available
Compatible with operating systems: Windows XP,
Windows 7: 32 & 64 bit, Windows 8.1: 32 & 64 bit
License for at least 5 PCs
Free of charge access to software upgrades during
entire warranty time
Small universal detector holder for cylindrical ionization chambers – 2 pieces
For cylindrical ionization chamber with diameter 4 –
10 mm
Detector mounting in vertical and horizontal
orientation
Holders are required to be compatible with cylindrical
ionization chambers owned by Purchaser (ionization
chamber PTW model TM31010, ionization chamber
PinPoint Chamber 3D model TM31016 PTW)
Large universal detector holder for cylindrical ionization chambers – 2 pieces
For cylindrical ionization chamber with diameter range
10 - 15 mm
Detector mounting in vertical and horizontal
orientation
Holders are required to be compatible with cylindrical
ionization chambers owned by Purchaser (ionization
chamber PTW model TM30010-1 and TM30013)
Universal detector holder for parallel plate ionization chambers – 2 pieces
Detector mounting in vertical and horizontal
orientation
Holder must be compatible with parallel plate
ionization chambers owned by Purchaser (Markus
ionization chamber type PTW TM23343)
Detector holder for parallel plate ionization chamber for measuring Bragg peak of proton
beams – 2 pieces
For detectors with diameter from 8 cm
Detector mounting in vertical and horizontal
orientation
Holder must be compatible with Bragg Peak ionization
chambers owned by Purchaser (PTW model TW340702.5)
The calibration certificate of positioning mechanism
for the entire range of motion is required
3D water phantom set with accessories and software
must be delivered with certificate for medical devices
class IIb
User's Manual (in Polish or in English)
6
Item
6.1
6.1.1
6.1.2
6.1.3
6.1.4
6.1.5
6.1.6
6.1.7
6.1.8
6.1.9
6.1.10
6.1.11
6.1.12
6.2
6.2.1
6.2.2
6.2.3
6.2.4
6.2.5
6.2.6
A two-dimensional matrix detector with dedicated water phantom, accessories
and software
Required parameters,
functions or conditions
Offered parameters,
function and conditions
Two-dimensional matrix detector with one-dimensional water phantom – 1 pieces
Detector formed as a matrix of air ventilated thimble
ionization chambers with ability to mount in a
dedicated water phantom
Minimum 1020 ionization chambers arranged
uniformly on a rectangular mesh of minimum size 24
by 24 cm
Distance between chambers not bigger than 7.7 mm
Chamber bias voltage in the range from 450 to 550 V
Appropriate for dose rates up to 100 Gy/s
Signal to noise ratio better than 0.3% for integrated
dose at level of 1 cGy
Minimum sampling time not bigger than 100 ms
Acquisition of profiles and 2D distributions
Power supply input from AC source at 50 Hz and 230
V
Ethernet communication interface
Calibration in terms of absorbed dose in water against
reference ionization chamber in a reference beam of
quality Qo, where Qo is 60Co and certificate of
uniformity calibration is required
User's Manual to operate the detector (in Polish or in
English)
Water phantom with dedicated software – 1 piece
Phantom filled with water enabling mounting of
detector inside a waterproof sleeve in a vertical
position and its scanning movement in horizontal
direction
Phantom with two-dimensional matrix of ionization
chambers and dedicated software for data acquisition
and analysis allows to measure the absorbed dose at a
given depth in water and the dose distributions of
proton scanning beam at a predetermined depth in
water. The ability to compare the measured dose
distributions with distributions generated from the
treatment planning system is required.
Dedicated control software allows for remote control of
phantom including a selection of positions in which
measurements are made. The software shall be in
accordance with points 6.2.4 to 6.2.7. At least 1 license
unlimited in time and territory for minimum 5
workstations is required.
Movement of scanner controlled by a dedicated control
unit which allows remote connection to a PC using
Ethernet
Horizontal scanning range not smaller than 5 cm - 33
cm
Detector positioning precision not worse than ±0.5 mm
Fulfills
requirement
YES/NO
6.2.7
6.2.8
6.2.9
6.3
6.3.1
6.3.2
6.3.3
6.3.4
6.3.5
6.3.6
6.3.7
6.3.8
6.3.9
6.3.10
6.4
6.4.1
6.4.2
6.4.3
6.4.4
6.4.5
6.4.6
6.4.7
6.4.8
Compatible with operating systems: Windows XP,
Windows 7- 32 & 64 bit, Windows 8.1 - 32 & 64 bit
Free of charge access to software upgrades during
entire warranty time
User's Manual for phantom and software (in Polish or
in English)
Central control unit with two integrated electrometers fully compatible with one-dimensional
water phantom – 1 piece
Independent measurement for each of the electrometers
Possibility of independent set up of sensitivity, high
voltage and polarity for each of the electrometers
Remote control of the movement of one-dimensional
water phantom and data acquisition using dedicated
software
TNC triax connectors with switchable floated or
grounded input for each of the electrometers
Minimum 5 m long control cable for connection
between central control unit and phantom scanner
controller
Minimum 30 m long ethernet cable between central
control unit and PC
Measuring ranges of the electrometers:
 From 0 to 0.4 nA with resolution not worse than
0.5 fA
 From 0 to 40 nA with resolution not worse than 5
fA;
 From 0 to 4 µA with resolution not worse than 0.5
pA;
Leakage current cannot be bigger than 1 fA
The bias voltage in the range from ±50 V to ±500 V
Power supply input from AC source at 50 Hz and 230
V
Control and acquisition software – 1 license unlimited in time and territory for min 1 station
Software tools enabling acquisition of measurements
for quality assurance tests of scanning proton beam
Software tools enabling acquisition of measurements
for patient therapy plan verification of scanning proton
beam
Acquisition and analyze of dose distribution in 2D and
3D measured with tools owned by Purchaser (MatriXX
PT, Lynx PT)
Profile analysis in 2D and 3D
Relative and absorbed dose analysis
A tool for a comparative study between measured dose
distributions and distributions generated by the
treatment planning system (test gamma)
Hard copy storage available
Printing to popular formats like PDF, RTF, HTML,
XLS
6.4.9
6.4.10
6.4.11
6.4.12
6.5
Import of planned 2D and 3D dose distributions from
all TPS systems, in particular with the software owned
by the Purchaser (Eclipse Treatment Planning System
V.13), for planning therapy with scanning proton beam
supporting DICOM RT. Compatible with DICOM RT
and RTOG formats. Import EPID data via of DICOM
interface. Compatible with DICOM CR format.
Compatible with operating system: Microsoft
Windows XP, SP2; Vista Ultimate, SP1; Windows 7:
32-bit/64-bit, Windows 8.1: 32 & 64 bit
Free access to software updates within the warranty
period
User's Manual (in Polish or in English)
Two-dimensional matrix detector should be delivered
with certificate for medical devices class IIb
Item
Item/device name
(brand, model etc.)
Qua
ntity
Net price
per item
[PLN]
Net value
[PLN]
VAT
tax [%]
Value including tax
[PLN]*
1
2
3
4
5
6
7
1
2
3
4…
TOGETHER:
* foreign entity – net value only
4. TASK NO. 2 – ANTROPHOMORPHIC PHANTOM FOR DOSE DISTRIBUTION
MEASUREMENTS
The table below describes functional requirements, which must be fulfilled independently by
the offered relative dosimetry system. The column “Required parameters, functions and
conditions” contains descriptions of each requirement. In the column “Offered parameters,
functions and conditions” supplier should provide data describing offered system and attach
documents if required. Finally the column “Fulfills requirement YES/NO” must contain a
mandatory statement of the supplier with an appropriate answer.
1
Item
1.1
1.1.1
1.1.2
Tissue equivalent head phantom dedicated for proton radiotherapy
Required parameters,
functions or conditions
Tissue equivalent head phantom – 1 piece
Phantom designed for treatment planning system (TPS)
verification during tests of TPS
Tissue-equivalent materials, which mimic reference
tissues better than 2%
Offered parameters,
function and conditions
Fulfills
requirement
YES/NO
1.1.3
1.1.4
1.1.5
1.1.6
1.1.7
1.1.8
1.1.9
Phantom is the average male human head including
anatomical structures such as bones and air cavities
inside skull
CT scan of the phantom may be performed
Phantom contains structures corresponding in terms of
density and location to the following organs and bone
structures: brain, bones (including different types of
bones in the skull), larynx, trachea, fully open sinus
cavity, nose and mouth, and teeth with distinct dentine,
enamel and root structure.
Phantom should allow the location of a minimum 3
film detectors in the cranio-caudal plane at a distance
of 2 cm. The slots for the detectors should be located
on one side of the skull relative to the sagittal plane
Possibility to place a marker of tungsten
at any point on the phantom and a titanium prosthesis
(included) in the vicinity of the circle C3 and C5
The design of the phantom must allow its stable
assembly
A certificate confirming of tissue-equivalent
material of phantom is required
Item
Item/device name
(brand, model etc.)
Qua
ntity
Net price
per item
[PLN]
Net value
[PLN]
VAT
tax [%]
Value including tax
[PLN]*
1
2
3
4
5
6
7
1
2
3
4…
TOGETHER:
* foreign entity – net value only
UNIA EUROPEJSKA
Europejski Fundusz
Rozwoju Regionalnego