Detail Package

Project

SIHREN Parallel Financing

Project Description

Strengthening Indonesia's Healthcare Referral Network (SIHREN IsDB): a parallel financing IsDB for the referral hospital component.

Package Name

Procurement of CT Simulator

Loan No.

IDN1070

Activity Reference No.

KS.01.02/A.VI/6119/2024

Market Approach

International Open

Procurement Method

Request for Bids (RFB) - 1 Stage 2 Envelope (Rated Criteria)

Estimated Total Cost

€18,465,112.94

Currency

Euro

Stages

Contract Signed

Bid Submission Deadline

04 Dec 2024

Package Lot

Name Of Lots	Units	Amount
Lot 1: Procurement of CT Simulator	9	€8,309,300.82
Lot 2: Procurement of CT Simulator	11	€10,155,812.12

Documentation

Published Date	Document Name
2024-10-10	Specific Procurement Notice - Procurement of CT Simulator
2024-10-10	Bidding Document - Procurement of CT Simulator
2024-10-10	Technical Specification - Procurement of CT Simulator
2024-11-21	1st Amendments to Bidding Document - Procurement of CT Simulator
2024-11-21	Technical Specification (Updated file as per the issued 1st Amendment to Bidding Document) - Procurement of CT Simulator
2024-11-12	Minutes of Prebid Meeting - Procurement of CT Simulator

Responses to Clarification of Bidding Document (Procurement of CT Simulator)

No.	Date of Received	Question	Responses	Part (RFB)	Cluster	Sub Cluster
1	2024-10-30	8.Line No. 41 Clarification and elaborate Heat Dissipation Rate, kHU/min; ≥ 1500 kHU/min. As we all know that only a small fraction (typically less than 1%) of the energy deposited in the x-ray tube is converted into x-rays; most appears in the form of heat. This places a limitation on the use of x-ray apparatus. If excessive heat is produced in the x-ray tube, the temperature will rise above critical values, and the tube can be damaged. This damage can be in the form of a melted anode or a ruptured tube housing. In order to prevent this damage, the x-ray equipment operator must be aware of the quantity of heat produced and its relationship to the heat capacity of the x-ray tube. Hence, the better the heat dissipation or cooling rate the better the chances of the tube to last more. Clinically – this enables tube to fire for a longer duration. Propose amendment to; Heat Dissipation Rate, kHU/min; ≥ 2000 kHU/min	Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
2	2024-10-30	15. Line No. 264 Clarification and elaborate Installation Based (Specific to this model). Every vendor will have more than 2 types of CT Simulator in the portfolio, so if the mandatory requirement is based on specific to the model we will propose, it is difficult for vendor to offer the high specs or the new product to participate in this Tender. Propose amendment to; Installation Based (Specific to this or Similar model).	Many thanks for this feedback. As this specification is Mandatory, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
3	2024-10-30	14. Line No. 180 Clarification and elaborate UPS – Estimated operation time, minutes; Preferred at least 30 minutes. In the Technical Specification mention at least 30 minutes. We need to change at least 10 minutes, because if we follow 30 minutes will need more space for the installation of the battery and increase maintenance cost. Propose amendment operation time 10 minutes back up.	Many thanks for this feedback. MoH has considered this input and will update the specification and included in a forthcoming amendment to the specifications.	Supply Requirements	Evaluation Process	Technical Evaluation
4	2024-10-30	3. Line No. 35 Clarification and elaborate Generator, kW; ≥ 60 kW. In radiation therapy (RT) simulation and planning, patients often come with external attachments like masks and positioning devices, which need to be penetrated by X-ray photons, in addition to the patient’s body. To achieve this, we require X-rays with high penetrating power, which demands a higher mA (milli ampere). To generate this higher mA without compromising diagnostic image quality, a high-power generator is essential. A lower-capacity generator, on the other hand, limits the user and may force compromises in image quality, which could affect the accuracy of treatment planning. Propose amendment to; Generator, kW; ≥ 70 kW	Many thanks for this feedback. The bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
5	2024-10-30	4. Line No. 36 Clarification and elaborate Generator, kW; ≥ 70 kW. In radiation therapy (RT) simulation and planning, patients often come with external attachments like masks and positioning devices, which need to be penetrated by X-ray photons, in addition to the patient’s body. To achieve this, we require X-rays with high penetrating power, which demands a higher mA (milliamps). To generate this higher mA without compromising diagnostic image quality, a high-power generator is essential. A lower capacity generator, on the other hand, limits the user and may force compromises in image quality, which could affect the accuracy of treatment planning. Propose amendment to; Generator, kW; ≥ 100 kW	Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
6	2024-10-30	11. Line No. 52 Clarification on Configuration; ≥ 2 laser. Is this a Moving or stationary laser? Ceiling-mounted or wall-mounted?	Thank you for your question. Bidder is requested to supply moving laser and wall mounted	Supply Requirements	Evaluation Process	Technical Evaluation
7	2024-10-30	we have some question about technical part, would you mine to help us for the question bellow : 1. Points 252 on user training states: "Twice within 4 weeks of successful Acceptance Testing & Commissioning. The bidder shall specify sessions for different user groups (e. g. operators, oncologists, medical physicists, biomedical engineers, etc.)". However, in the RFB it is stated in the page section "VII - Schedule of Requirements Item page 102, poins 16. IN-PERSON TRAINING Upon installation of the goods at the final destination, the supplier shall provide a minimum of two (2) in-person training sessions at each location. The first training shall be provided within 2 weeks of successful acceptance and commissioning. The second training shall be a refresher course to be provided three months later. ". Please confirm requirement First training to be conducted after successful Acceptance Testing & Commissioning. Thank you for your attention.	Many thanks for this feedback. MoH has considered this input and will update and included in a forthcoming amendment in the RFB.	Supply Requirements	Evaluation Process	Technical Evaluation
8	2024-10-30	6. Line No. 39 Clarification and elaborate Heat Capacity, MHU; ≥ 7. As we all know that only a small fraction (typically less than 1%) of the energy deposited in the x-ray tube is converted into x-rays; most appears in the form of heat. This places a limitation on the use of x-ray apparatus. If excessive heat is produced in the x-ray tube, the temperature will rise above critical values, and the tube can be damaged. This damage can be in the form of a melted anode or a ruptured tube housing. In order to prevent this damage, the x-ray equipment operator must be aware of the quantity of heat produced and its relationship to the heat capacity of the x-ray tube. Hence, the better the heat dissipation or cooling rate the better the chances of the tube to last more. Clinically – this enables tube to fire for a longer duration. Propose amendment to; Heat Capacity, MHU; ≥ 8	Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
9	2024-10-30	5. Line No. 38 Clarification and elaborate Heat Capacity, MHU; ≥ 5. As we all know that only a small fraction (typically less than 1%) of the energy deposited in the x-ray tube is converted into x-rays; most appears in the form of heat. This places a limitation on the use of x-ray apparatus. If excessive heat is produced in the x-ray tube, the temperature will rise above critical values, and the tube can be damaged. This damage can be in the form of a melted anode or a ruptured tube housing. In order to prevent this damage, the x-ray equipment operator must be aware of the quantity of heat produced and its relationship to the heat capacity of the x-ray tube. Hence, the better the heat dissipation or cooling rate the better the chances of the tube to last more. Clinically – this enables tube to fire for a longer duration. Propose amendment to; Heat Capacity, MHU; ≥ 7	Many thanks for this feedback. The bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
10	2024-10-30	12. Line No. 53 Clarification on Configuration; Preferred; ≥ 3 laser Moving or stationary laser? Ceiling-mounted or wall-mounted?	Thank you for your question. Bidder is requested to supply moving laser, ceiling mounted, and wall-mounted	Supply Requirements	Evaluation Process	Technical Evaluation
11	2024-10-30	13. Line No. 142 Clarification on Couchtop Overlay with Indexing Facilitites; Provides a surface consistent with LINAC couchtops along with usage of all kinds of immobilization system for proper positioning of patient. Couchtop Overlay with indexing facility compatible with LINAC model.	Thank you for your question. Detail information about the LINAC model will be inform during the contract signing with successful bidder.	Supply Requirements	Evaluation Process	Technical Evaluation
12	2024-10-30	9. Line No. 45 Clarification and elaborate Longitudinal Range of Movement, cm; Preferred; ≥ 200 cm. Since the tender is for a CT Simulator which is used to accurately mapping the patient's anatomy to guide the precise targeting of tumors, which is in the size of microns. Hence there is no point of asking for a Range of 200 cm which is mostly used for Peripheral angio, not for CT Simulator. Propose amendment to; Longitudinal Range of Movement, cm; Preferred; ≥ 170 cm	Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification. 170 cm is covered by the mandatory specification and the preferred specification aims to cover a wider range of patient/ size congruency.	Supply Requirements	Evaluation Process	Technical Evaluation
13	2024-10-30	7. Line No. 40 Clarification and elaborate Heat Dissipation Rate, kHU/min; ≥ 700 kHU/min. As we all know that only a small fraction (typically less than 1%) of the energy deposited in the x-ray tube is converted into x-rays; most appears in the form of heat. This places a limitation on the use of x-ray apparatus. If excessive heat is produced in the x-ray tube, the temperature will rise above critical values, and the tube can be damaged. This damage can be in the form of a melted anode or a ruptured tube housing. In order to prevent this damage, the x-ray equipment operator must be aware of the quantity of heat produced and its relationship to the heat capacity of the x-ray tube. Hence, the better the heat dissipation or cooling rate the better the chances of the tube to last more. Clinically – this enables tube to fire for a longer duration. Propose amendment to; Heat Dissipation Rate, kHU/min; ≥ 1000 kHU/min	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
14	2024-10-30	2. Line No. 25 Clarification and elaborate Bore Diameter, cm ; Preferred; ≥ 90 cm It's a Vendor Specific specification - hence pls remove it.	Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
15	2024-10-30	In regards to the CT Simulator SIHREN Tender (RFB No: KS.01.02/A.VI/6119/2024), we have reviewed the RFB document and would like to raise below questions for clarification based on the published technical specification (excel) for both Lot 1 AND Lot 2: 1. Line No. 11 Clarification and elaborate on U.S. FDA Clearance, CE Mark (Conformité Européenne mark) (MDD), or other health, safety and environmental standard adherence. Some vendors have a new unit for CT Simulator that still in process to get FDA approval, so for this case we hope we can use 510k submission. Propose amendment to U.S. FDA Clearance (510k submission), CE Mark (Conformité Européenne mark) (MDD), or other health, safety and environmental standard adherence.	Thank for your question. Bidder must provide U.S. FDA Clearance, CE Mark (Conformité Européenne mark) (MDD), or other health, safety and environmental standard adherence	Supply Requirements	Evaluation Process	Qualification Requirements
16	2024-10-30	10. Line No. 47 Clarification and elaborate Scannable Range, cm; Preferred; ≥ 200 cm. Since the tender is for a CT Simulator which is used to accurately mapping the patient's anatomy to guide the precise targeting of tumors, which is in the size of microns. Hence there is no point of asking for a Range of 200 cm which is mostly used for Peripheral angio, not for CT Simulator. Propose amendment to; Scannable Range, cm; Preferred; ≥ 170 cm	Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification. 170 cm is covered by the mandatory specification and the preferred specification aims to cover a wider range of patient/ size congruency.	Supply Requirements	Evaluation Process	Technical Evaluation
17	2024-11-01	2.Point 35 written Generator, kW With requirement ≥ 60 kW Our advice to change the value of requirement to be ≥ 50 kW, now CT Scan have technology feature to reduce dose examination, so it is mean can also reduce needed high generator power or electricity.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
18	2024-11-01	Dear Procurement Committee 6 - IHSS, Moh Hope this email find you well, We are XXXX, in connection with Procurement of CT Simulator IDN1070 RFB:KS. 01.02/A.VI/6119/2024 we have some question about technical part, would you mine to help us for the question bellow : 1.In section Technical Specifications / Features, Point 26 written Max Field of View (FOV), cm With Requirement ≥ 60 cmOur advice to change the value off requirement to be ≥ 50 cm, with standard FOV 50 cm enough to cover body wide for Asian people and if needed bigger FOV than 50 cm , our CT Scan can use extended FOV to 80 cm in reconstruction data. Thank you for your attention	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
19	2024-11-01	We have the attached input/questions for submission to the Procurement Committee. We urge MOH, ISDB and the World Bank to please consider the critical input from us and to make the necessary adjustments/revisions to the technical specifications. We acknowledge and appreciate that the Procurement Committee, MOH and ISDB are highly committed and working very diligently for the project – in recognition of that and in order to ensure a successful RFB process that attracts the submission of high-quality bids from the market, we kindly request the Procurement Committee, MOH and ISDB to: please release answers, feedback and technical specification revisions no later than 7 calendar days after receipt of the questions/input and/or at the latest 10 calendar days before bid submission deadline, as the information shared with the market are very pertinent, impactful and in many cases, mandatory (e.g. technical specifications sheet) for individual bidder’s bid preparation please give early announcement for new/extended submission deadline that is issued at least 10 days before the actual new/extended deadline itself please stagger submission deadlines of all and individual on-going ISDB-related RFBs wider apart, minimally 1 calendar week from each other We believe early notice will be helpful for all stakeholders involved and reduce health stresses from short notice updates/changes. Our requests are in connection to ensure good, fair, transparent and healthy participation of the entire market for an eventual successful tender process for the ultimate benefit of the people of Indonesia. Thank you. Best regards,	Thank you for your feedback. MOH (Purchaser) will respond to bidders' clarifications at least 5 (five) days before the deadline of bid submission to ensure sufficient time for the prospective bidder to prepare and submit its bid. If any changes are communicated close to the bid submission date, an extension of time will be included in the amendment. Please also be advised that late requests for clarification will not be reviewed and responded to. All guidance and documents have been published on the IHSS public website: https://ihss.kemkes.go. id/naskah/announcement Any amendments (if any) and responses to questions will be published there as well	Bidding Procedure	Procurement Regulations	Procurement Methodology
20	2024-11-04	2. In section Start-up Consumables, WHERE Applicable Points 152 written For CT simulator with Requirement: Bidder to supply The Following for 100 Typical Patient Procedures: 1. Mask 2. Plastic Supports 3. Bolus material 4. Vacuum bag what is the explanation of 100 Typical Patient Procedures? Is it the quantity of item number 1 until number 4 shoud be 100 in total?.	Thank you for your question. All of requested consumables ( Number 1-4) should be sufficient for 100 typical patient procedures	Supply Requirements	Evaluation Process	Technical Evaluation
21	2024-11-04	in connection with Procurement of CT Simulator IDN1070 RFB:KS.01.02/A. VI/6119/2024 we have some question about technical part, would you mine to help us for the question bellow : 96. What's the meaning of DDR? Is it not DRR (Digitally Reconstructed Radiograph)?.	Thank you for your question. MoH will retain the current specification. Bidder will be required to comply to the specification. DDR refers to Digital Dose Rate (DDR) measurements during the CT simulation process which is used to ensure accurate and effective radiation dose delivery in radiotherapy. DRR (Digitally Reconstructed Radiograph) refers to ability to generate a simulated 2D X-ray image from a 3D computed tomography (CT) scan, which can be referred in Row 63.	Supply Requirements	Evaluation Process	Technical Evaluation
22	2024-11-05	9. Line 245 : Control and Treatment Planning Room The CT Simulator (CT scanner) and associated equipment (control console, UPS, viewing workstation) will be installed in the CT examination room, CT Control Room and CT technical room. The treatment planning room (for treatment planning system - TPS) should be considered under scope of supply with the Linear Accelerator. Currently, Purchaser (MoH) responsibility under Installation Activities, there is no mention of treatment planning room under Preparation for "bare room" as well We request to kindly remove treatment planning (Treatment Planning System - TPS) from the scope of supply and install	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Please refer to Excelsheet Technical Specification (Installation Activities Sheet , line 6, Preparation of the CT Simulator area, consisting of at least three adiacent rooms (procedure, control, technical)).	Supply Requirements	Evaluation Process	Technical Evaluation
23	2024-11-05	4. Line 114 : Rise Time Feature (Injector) We understand that this function is typically required for injectors supporting intensive angiographic studies from systems such as C arms in interventional/ Cath Labs. We request the committee to kindly amend requirement from Preferred (Orange colour coded) to Information-only (White colour coded)	Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification. The Rise Time feature is included as a preferred criteria to reduce the incidence of catheter dislocation and vascular trauma for patients	Supply Requirements	Evaluation Process	Technical Evaluation
24	2024-11-05	7. Line 152 : For CT Simulation 2. Plastic Supports Kindly clarify if plastic supports refer to Head/ Arm/ Knee supports etc?	Thank you for your feedback. Yes, Plastic support is used for immobilisation of patient head, arms and legs. Can be any form of plastic-based immobilisation device.	Supply Requirements	Evaluation Process	Technical Evaluation
25	2024-11-05	10. Line 2 : Access and Authorizations It is mentioned that MoH (Purchaser) will provide "Access and Authorizations to hospital and dedicated project site. Space and parking nearby project site, suitable for unloading and transportation of delivered equipment modules to the installation site." We kindly request to the Procurement Committee to confirm that "Authorizations" include the Radiotherapy Construction License (per BAPETEN guidelines) to enable customs clearance and delivery of the CT Simulator to the installation site as part of the RFB's Section VII - Schedule of Requirements, Facility/site readiness criteria.	Many thanks for this feedback. MoH will retain the current specification. According to installation activities sheet, the access and authorizations is intended to the hospital and dedicated project site for preparing the suitable space or unloading and transportation delivered equipment.	Supply Requirements	Evaluation Process	Technical Evaluation
26	2024-11-05	8. Line 180 : Estimated Operation time, minutes (in reference to UPS in Line 179) Clarification of Estimated Operation Time, minutes (UPS) Kindly consider 10 minutes as preferred operation time as the duration of a CT scan does not exceed 5 minutes. The choice of going for a solution supplying power for 10 min not only aligns with environmental objectives, it also offers enhanced practicality from a reduction of physical footprint due to their compact size - enhancing efficiency within the operating environment, ultimately benefitting clinical users and patients. We request the committee to kindly amend operatiing time to 10 minutes for the UPS	Please refer to the respective response on the question #4.	Supply Requirements	Evaluation Process	Technical Evaluation
27	2024-11-05	11. Line 7 : Provisions of utilities It is mentioned that MoH (Purchaser) will provide "Power distribution board at Radiology department with adequate power capacity". Per BAPETEN guidelines, the CT Simulator is intentioned to be a dedicated scanner only for Radiotherapy. Kindly confirm that the power distribution board provided by MoH (Purchaser) will be at the Radiotherapy department	Many thanks for this feedback. MoH will retain the current specification. The Power distribution board/panel will be available at Radiotheraphy department.	Supply Requirements	Evaluation Process	Technical Evaluation
28	2024-11-05	5. Line 137-145 : ACCESSORIES REQUIRED FOR EACH CLINICAL APPLICATION/PROCEDURES Kindly clarify if any radiation protection apparel is required	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
29	2024-11-05	2. Line 54 : Projected Beam Pattern Size, mm Treatment verification imaging (IGRT-Image Guided Radiotherapy) at the linear accelerator is the practice of performing imaging to verify that a patient is postioned to the correct coordinates (Isocentre) for treatment with reference to his/ her internal anatomies. Projecting Beam Pattern from lasers onto the patient's skin at point of CT Simulation is an outdated practice as the actual treatment portal beam patterns are often determined only offline (after CT Simulation) from a finalized treatment plan. Moreover, external skin markings made at CT Simulation cannot be reliably depended on to relate to internal anatomies especially in highly mobile areas (abdomen, lungs etc...). As before mentioned, treatment verification imaging (IGRT) ultimately determines if a patient is in the correct position for treatment. We kindly request the committee to remove Projected Beam Pattern Size, mm and include instead technical points for automatic/ integrated/ seamless patient marking functionality that improves patient safety through minimization of data transfers between systems (i.e. CT Simulator Scanner - virtual simulation software - patient marking laser system) Reason: Up to 60% of radiotherapy incidents are caused by manual operation and data exchange1. An “incident” is defined by the IAEA safety standards as any unintended event that has consequences that are not negligible from the point of view of protection or safety, whereas a “near miss” is a potential significant event that did not occur owing to the facility conditions prevailing at the time. If “incidents” can be converted to “near misses” or good catches, then patients can be saved from harm. It would be better if incidents can be avoided with automation and elimination of manual data transfers altogether. 1 Greenwalt JC et al. Reducing errors in radiation therapy through electronic safety checklists	Many thanks for this feedback. As this specification Mandatory, the bidder can choose to comply or not. MoH will retain the current specification. This preferred specification is a feature of the laser positioning system. Virtual simulation software has been covered in Row 86 to 98, that addresses patient safety which reduces RT errors via usage of software, safety checklist and workflows	Supply Requirements	Evaluation Process	Technical Evaluation
30	2024-11-05	6. Line 143 : Immobilization/Positioning device and aids Kindly clarify the specific types of immobilization aids required	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
31	2024-11-05	3. Line 99 : Contrast Injection Integration The contrast injector has no interface/ connection to the virtual simulation software. The reason is because the virtual simulation workflow step occurs only after CT image acquisition and reconstruction. Synchronization of contrast injection should be at point of CT acquisition and this functionality is already requested for under the b. Contrast Media Injectors segment in Line 129 (X-ray Generator Synchronization). We kindly request the committee to kindly remove Contrast Injection Integration from Virtual Simulation Software category segment.	Many thanks for this feedback. As this specification Mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The contrast injection integration (in bold letters) separately refers to the connection (wired or wireless) and integration between the CT system and the contrast injector system. Bidder to specify the method of integration and provide accessories	Supply Requirements	Evaluation Process	Technical Evaluation
32	2024-11-13	1. Line No.99 : What is the meaning of the Contrast Injection Integration?	Please refer to the respective response on the question #9.	Supply Requirements	Evaluation Process	Technical Evaluation
33	2024-11-13	3. Line 152 : What is the definition of the plastic support for this item? could you elaborate or give example of the products?	Thank you for your feedback. Plastic support is used for immobilisation of patient arms and legs. Can be any form of plastic-based immobilisation device.	Supply Requirements	Evaluation Process	Technical Evaluation
34	2024-11-13	2. Line No.144 : What is the definition of fiducial marker for this item? Is it the fiducial marker that is inserted into the patient body or just the marker sign to indicate the CT Origin?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. Fiducial markers are radiopaque spheres, coils, or seeds that are implanted in or near the tumor/target area, to providing a reference point visible on the CT scan during simulation. This allows accurate radiation treatment planning.	Supply Requirements	Evaluation Process	Technical Evaluation
35	2024-11-14	1. Line No. 22 : Number of Detector Rows We kindly request the committee to consider including technical points from Optional (white) to Preferred (orange) for CT Scanner with >16 detector rows. Reason: a) Better performance in 3D & 4D image quality especially in coverage and in reducing motion artifacts1 b) To future-proof for emerging techniques such as advanced 4DCT and adaptive radiotherapy 1 Technical Note: Volumetric computed tomography for radiotherapy simulation and treatment planning J Appl Clin Med Phys. 2021 Jul 9;22(8):295–302	Many thanks for this feedback. As this specification (white cell), the bidder can describe the proposed specification. MoH will retain the current specification.	Supply Requirements	Evaluation Process	Technical Evaluation
36	2024-11-14	1. Line No. 22 : Number of Detector Rows We kindly request the committee to consider including technical points from Optional (white) to Preferred (orange) for CT Scanner with >16 detector rows. Reason: a) Better performance in 3D & 4D image quality especially in coverage and in reducing motion artifacts1 b) To future-proof for emerging techniques such as advanced 4DCT and adaptive radiotherapy 1 Technical Note: Volumetric computed tomography for radiotherapy simulation and treatment planning J Appl Clin Med Phys. 2021 Jul 9;22(8):295–302	Please refer to the respective response on the question #7	Supply Requirements	Evaluation Process	Technical Evaluation