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1 1 1.00 Revolution CT EX Configuration

Revolution CT EX configuration is a breakthrough that delivers high-definition image quality and unique clinical capabilities through the convergence of coverage, spatial resolution, temporal resolution and dose performance – all in one. Until now, CT users have had to compromise between systems that could only provide a sub- set of these capabilities.

Revolution CT delivers industry leading technical specifications for a premium CT system, including:

• HD reconstruction, 3D Collimator, and focal aligned detectors provide high-definition image quality, while overcoming the challenges of typical wide detector systems such as cone beam artifacts, HU uniformity, scatter and beam hardening artifacts.

• ASiR-V provides integrated advanced iterative reconstruction technology that reduces noise and reduces low-signal streak artifact at very low signal levels. This technology is designed to deliver reduced noise levels, improved low contrast detectability and may enable a reduction in dose for all clinical applications. In clinical practice, the use of ASiR-V may reduce CT patient dose depending on the clinical task, patient size, anatomical location and clinical practice.

• The single energy metal artifact reduction solution for Revolution CT is Smart MAR. It uses an automated, three-stage projection-based process. Smart MAR is designed to reveal anatomic details obscured by metal artifacts by reducing photon starvation, beam hardening and streak artifacts caused by metal in the body, such as hip implants, surgical clips, endovascular coils, and dental fillings. Smart MAR requires one single kV scan and can be enabled in secondary reconstructions, making the metal artifact reduction workflow fast and efficient.

A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task.

Clinical Highlights (To achieve the full benefits described below, an AW workstation or server with post processing tools may be required. Please consult with your GE sales representative) Cardiovascular

• One-Beat , High definition, motion free coronary images at any heart

• Whole heart coverage at 160 mm allowing temporal and contrast uniformity across the whole volume.

• Smart Phase: Analyzes the motion of the coronaries throughout the volume to auto-select the best cardiac phase with the least motion.

• SnapShot(TM) Freeze temporal enhanced acquisition: A Intelligent motion correction acquisition technique that is designed to provide a 6x reduction of motion-blur while maintaining high spatial resolution and is demonstrated in cardiac phantom testing.

The reduction in motion artifacts is comparable to a 0.058s equivalent gantry rotation speed with effective temporal resolution of 29 msec, as demonstrated in mathematical phantom testing.

• Arrhythmia management: The system can monitor and alert the user to these situations and also recommend turning on a challenging patient mode. This mode avoids scanning during an irregular beat and can further rescan during the next regular beat using the same contrast bolus.

• Best-in-class spatial resolution at 18.2lp/cm in z-direction and 14.8lp/cm in X-Y direction (measured at 2% MTF).

This spatial resolution provides clear images to help the physician with tasks such as accurately quantifying stenosis in coronary and other vascular structures.

• One-Beat, comprehensive cardiac assessment allows for acquiring motion free coronaries, rest or stress perfusion and functional data in a single beat , giving you a comprehensive assessment and potentially reducing the need for additional imaging tests.

Integrated beam hardening reduction capabilities allows for accurate perfusion assessment. The ability to perform stress perfusion with motion free CCTA in a single exam can potentially reduce unnecessary dose by not requiring a rest perfusion exam in case no defects are found in the stress perfusion.

• Whole organ dynamic perfusion: This allows perfusion acquisition of the heart or other organs and tissues with uniform contrast along with integrated beam hardening reduction. The scanner also allows for a flexible aperture size and sampling rate during dynamic perfusion acquisitions. Revolution CT also allows for the ability to acquire a prospectively gated dynamic perfusion acquisition of the whole heart using up to 16 cm of coverage.

• The scanner is also capable of 4D imaging to acquire morphology and perfusion information from a single exam. This can help assess conditions such as congenital heart disease and visualize blood flow through vascular structures.

• TAVR planning: Dedicated TAVR/TAVI protocols allow for mixed acquisitions of the heart, aorta, and femoral arteries, with ECG-gated axial scans and non-ECG- gated axial or helical scans, using only one injection of contrast media, covering 700 mm of anatomy in less than 10 seconds.

• Calcium Scoring: The system also allows single beat acquisition for cardiac calcium scoring

• Triple RuleOut™: The system allows for robust Triple Rule Out studies with motion free coronaries, PE & aorta evaluation in a single exam. The system can cover the entire thorax anatomy in less than three seconds to provide contrast uniformity at low dose.

SHIP TO:

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V.A. Medical Center

BUILDING 138

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REQUESTING SERVICE: RADIOLOGY SECTION(ll4) P.O.# 556-B93167

Neurology highlights

• Routine non-contrast whole brain scans can be performed in a single rotation without moving the table. VHD reconstruction technology ensures CT number uniformity across the whole brain coverage. Iterative Smart MAR can reduce the beam hardening artefacts at bone / brain interface and posterior fossa region. Enhanced Contrast can achieve excellent grey white matter differentiation.

• Smart Stroke, the stroke-dedicated hardware, software and post-processing solution on Revolution CT, can help physicians to reduce “CT scan-to-report” time and “door-to-treatment” time, thus to save more brain tissue of patient with stroke. (Post processing solutions are optional purchases)

• Whole brain CT perfusion with 70kVp, ASiR-V, smart collimation and variable sampling can acquire temporally uniform dynamic blood flow information to achieve accurate volumetric perfusion values at lower dose.

• Single phase or dynamic 4D whole brain CTA can be acquired within a single exam of whole brain CT perfusion to achieve comprehensive functional and anatomical assessment of the brain.

Body highlights

• Whole organ diagnosis and follow-up of organs such as the liver, kidneys, and pancreas is enabled by dynamic acquisition modes.

The scanner can also acquire multiple images at the same location over time to provide a 4D view to assess vascular flow to these organs.

• Fast body scans enabled by multi-volume 16cm acquisition with excellent image quality allows for reduced breath hold times and shallow breathing. Dose is minimized through the ability to select collimations between 5 mm and 160 mm personalized to each patient.

• Low Dose Lung Cancer Screening protocols Emergency & Trauma

• The system allows for robust Triple RuleOut™ acquisition for all patients providing One-Beat , high definition, motion free coronaries, PE and aortic dissection in a single exam covering the entire thorax in less than three seconds. ECG gating and mA modulation along with flexible collimations enable low dose acquisition personalized to the patient.

• Flexible scanning modes with 160 mm axial scan, 80 mm helical scan, table speeds as fast as 300 mm/s, and short inter-group scan delay allows for ultra-fast and versatile whole body and multi-group scanning, thus reducing the effect of breathing and other motion during the poly trauma scan.

• Smart Trauma with clinical ID can enable recon priority for trauma scans, prospective DMPR settings and faster reconstruction throughput.

Pediatrics

• Split second pediatric trauma acquisition of abdomen/pelvis is enabled by wide 160 mm z-coverage, thus reducing the need for sedation and eliminating unnecessary repetition of rescanning young children due to failed sedation, as is the case in 29% of conventional exams, shown in a large trial (British Journal of Anesthesia, 84 (6), 743-8 (2000))

• 70kV scan mode allows for minimizing dose to pediatric patients while preserving excellent contrast to noise ratio and image quality.

Musculoskeletal Imaging

• The Revolution CT can acquire high definition images of the bone with excellent details. Smart MAR technology can significantly reduce artifacts from metal objects such as screws and plates.

• 4D dynamic imaging mode can acquire kinetic studies to assess joint articulation up to 16cm coverage.

Dual Energy Capability Revolution CT features protocols which allow easy configuration of back to back Axial or helical scans of the same anatomy my at two different X-ray energies (kVp’s). To further improve registration accuracy patient immobilization may be utilized. The additionally acquired dual energy data can be post-processed on AW Workstation using Add/Sub function to gain additional clinical information.

Key Hardware Components Gemstone Clarity Detector The Gemstone Clarity detector features a unique focally aligned layout of the detector sub-modules and a 3D collimator (post patient) to minimize scatter artifacts, ensure HU uniformity & reduce beam hardening artifacts associated with wide coverage systems. Combined with VHD reconstruction technology, the system delivers excellent image quality at full 160 mm coverage to enable whole organ imaging. The Gemstone Clarity detector also features a revolutionary ultra-low capacitance photo diode with new ASIC technology that redefines electronic noise at the quantum limit to less than 3 photons @ 120 keV (3100 electrons). The detector includes acquisition electronics which allow 4x faster bandwidth and 3x faster trigger rate than previous generations and reduces electronic noise by 25% which may improve image quality and reduce artifacts in low signal conditions as may be encountered in large patients. 3D Collimator Scatter Reduction Technology reduces scatter to primary ratio by more than 50% (R Melnyk, J Boudry, X Liu, and M Adamak, “Anti-scatter grid evaluation for wide- cone CT,” Proc. of SPIE, Vol. 9033, 90332P1-7, 2014) and results in significant improvement in image quality and reduction in beam hardening and metal artifacts.

Gemstone Clarity detector specifications:

• Z-Coverage/360 degree rotation: 160 mm

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• Number of slices: 512

• Number of detector rows: 256

• Number of detector elements: 212,992 cells with individual electronic/DAS channels

• Sampling rate: Up to 2,496 views per rotation (Up to 8914 Hz)

• Electronic noise: less than 3 photons noise (3100 electrons)

• Effective analog to digital conversion range >2,000,000:1

• Scintillator speed: 0.03us (100 times faster than GOS)

• Afterglow: 0.001% (4 times lower than GOS)

• Radiation damage: 0.03% (20 times less than GOS)

• Scatter to Primary Ratio: <10%

• Detection efficiency: 98% @ 120 kV Performix HDw tube The Performix HDw tube is a next generation anode-grounded, metal-ceramic x-ray tube. The tube enables improved spatial resolution via dynamic in-plane focal spot deflection and independent control of the focal spot size in both X and Z-axis which optimizes the focal spot to deliver consistent beam quality across the full 160 mm Z-axis coverage, making it one of the most innovative CT tubes offered today. The design is optimized for exams requiring a large number of scans without tube cooling. It is powered by an onboard high frequency generator capable of ultra-fast kVp switching. Due to the ultrashort exposure times associated with wide coverage scanning, traditional metrics related to tube cooling such as anode heat content & cooling rate lose their relevance. The GE Performix HDw tube includes a standard license that automatically enables the use of tube dependent advanced applications. The use of a third party X-ray tube will require an additional license for the activation of these features.

Ultra-fast kV Switching Generator The new generator features 3x faster rise and fall times for kV switching compared to previous generator. This would allow for more time to be spent at the target energy levels and result in better energy separation between the datasets acquired at different kV levels using fast kV switching.

• Generator maximum peak power: 103 kW

• Tube current range: 10-740 mA with 5 mA increments

• Tube voltage: 70, 80, 100, 120, 140 kV. Automatically selected through kV Assist based on patient body habitus and examination type

• Max x-ray tube assembly heat content: 5.0 MJ (6.8 MHU)

• Max continuous heat dissipation: 3.0 kW

• Focal spot size according to IEC 60336/2005: 1.0 x 0.7mm, 1.6 x 1.2mm, 2.0x1.2mm Gantry and Slipring Revolution CT’s gantry platform has been designed from the ground up to support the demands of today’s scanning environment.

Exclusive Whisper Drive system technology reduces audible noise during gantry rotation at 0.28s by more than 50% compared to a typical belt driven system thus improving patient comfort (audible gantry noise is measured at 69 dBA).

The contactless slipring transfers power and data to and from the rotating side of the gantry (slip ring) to the stationary side through contactless RF technology. This eliminates carbon dust due to brush wear- out in typical CT systems thereby increasing the reliability of the system. In addition, the gantry frame features redundant fail-safe mounts for all major components that is designed and tested to stringent standards to ensure safe and reliable operation even at fast rotation speeds.

• Aperture: 80 cm

• Focus-to- detector Distance: 109.7 cm

• Focus-to- isocenter Distance: 62.6 cm

• Scan FOV: 50 cm

• Rotation speeds: 0.28s, 0.35s, 0.5s, 0.6s, 0.7s, 0.8s, 0.9s, 1.0s per 360° acquisition

• Temporal resolution: 140ms cardiac temporal resolution without using SnapShot Freeze. 29ms effective temporal resolution using SnapShot Freeze.(As demonstrated in mathematical phantom testing)(AW workstation or server with CardIQ Xpress 2.0 required to process SnapShot Freeze data)

• Data chain bandwidth: 40 Gbps

• Table and gantry control panels: Define both internal and external scan planes to +/- 1 mm accuracy. Activated any time during exam (with tube stationary)

• Front and rear integrated gantry LCD Display: Display patient information, ECG data from the integrated ECG module, built-in patient breathing lights and countdown timer, cardiac gating indicator light and patient information videos

• Flexible cable manage system with coordinated straps attached to the gantry sides to keep cables connected to the gantry away from the floor and to reduce clutter Operator Console The Revolution CT scanner desktop allows simultaneous scanning, image reconstruction, display, processing and analysis, as well as networking and archival.

It features the new “Clarity Operator Environment” designed with your everyday needs in mind. The environment allows for more

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real time adaptive capabilities thus enabling dramatical- ly improved timing with Smart Prep including automatically transitioning to acquisition in as quickly as 1 second when the set HU threshold is reached. The benefits provided by the new interface include:

• Smart prescription workflow automates scan set up by recommending scan parameters specific to the patient based on scout attenuation and ECG information, in the case of cardiac, to enable consistent image quality & dose performance across scans, irrespective of the technologist expertise level

• Seamless multi-tasking through ability to have multiple patient sessions open with one active patient for acquisition and the rest for post-acquisition tasks

• “Plan ahead” task list as part of scan setup automates repetitive tasks such as reconstructions, image transfer, image processing, etc. without requiring technologist intervention

• Ability to prospectively prescribe multi planar reconstructions for anatomies such as spine as part of the protocol, thus automating the workflow seamlessly

• Clear status visibility across all automated patient tasks without any interaction enables you to focus on the primary task at hand

• Manage your patient flow better with the ability to pre- pare scan prescription for the next patient while the current patient is getting off the table

• Quickly select scan protocols through global search, anatomical selection or user specific favorites in the newly designed protocol management system

• Facilitates protocol consistency by controlling access to changes and simplifying inputs required

• Integration with AW allows prescribing automatic image processing steps to be performed on the AW / AW Server post acquisition

• Better dose awareness through clearly visible real time projected dose indicator for the selected protocol Operator console specifications

• Intel Xeon performance processor: 2.60GHz/8-Core CPU (or equivalent)

• Nvidia high performance GPU (or equivalent)

• 64 GB DDR3 unbuffered ECC (or equivalent)

• 24 inch dual monitors with screen resolution of 1920x1200

• Image data storage up to 700,000 uncompressed DICOM images (512x512)

• Scan data storage of 1 TB (up to 1500 scan files are supported)

• DVD-ROM (supports DVD-R, DVD-RW, DVD+R, DVD+RW, DVD+R DL, CD-R, CD- RW)

• USB 3.0 Port for External Hard Disk Drive Connectivity (scan data storage and image data storage are supported)

• Recon Server Xtream enables recon task parallelism and achieves up to 1.8x faster reconstruction throughput than Recon Server Pro

• Image reconstruction speed up to 65 fps with FBP and up to 25 fps with ASiR-V.

System Software Smart Flow Simplified, automated scan prescriptions, personalized to the patient and easy-to-use reference protocols make the Revolution CT fast and efficient in patient set-up, prescription & scanning. The following features further help you streamline your workflow.

Protocol Management System Protocols can be copied, built and edited intuitively using the Protocol Management System.

• GE Reference Protocol: A set of predefined protocols for adult patients that cannot be modified but can be copied and used.

These protocols are factory installed. They have been developed in collaboration with clinical partners to provide users with a convenient and clinical relevant starting point for tailoring your departmental protocols.

• Recently Scanned Protocols: A copy of the last 90 proto- cols reside exactly as they were used for review purposes only. These protocols can also be copied and used within into your departmental protocols.

• Anatomical Selector: Use the Anatomical Selector area to select a specific anatomical region to show only protocols related to that region.

• Favorites: A user can add to a list of favorite protocols commonly used by your site.

Clinical ID Clinical ID is designed to streamline the clinical application specific workflow from protocol setup to reconstruction prioritization and automated reformatted views for timely diagnostic decisions.

AutoVoice™ Auto Voice provides recorded breathing instructions for the patient. Consistent breathing instructions assist with more precise timing during an exam. Auto Voice also provides a pre- message in the SmartPrep feature. The system also comes equipped with microphones at the console and gantry for communicating with the patient. The system has three, pre-recorded messages in ten selectable languages that cannot be deleted. You can also record up to 17 additional messages for each language. Default language options include: Chinese, English (Female) , English (Male), French, German, Italian, Korean, Japanese, Spanish (European), Spanish (Latin America).

Smart Patient Centering The smart patient centering feature helps to detect suboptimal centering prior to the diagnostic scan. When scout is acquired, the

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system will assess patient centering. If the patient is off-centered greater than 2 cm, the system will display the table height location and an up or down arrow to indicate the elevation needed to reach that height.

SmartStart (TM)

• Gantry-mounted start scan button and countdown dis- play,

• Facilitates single-technologist operation by allowing start of scan at the gantry, with a visual reminder of time until X-ray initiation SmartPrep ™ with Dynamic Transition Enables real-time monitoring of IV contrast and a user-selectable mode to dynamically transition to the diagnostic scan phase when a user entered Enhancement Threshold is reached in the Transition ROI.

Trauma Patient entry Allows patient scans and image display/analysis without entering patient data before scanning.

Prospective Exam Split Prospective Exam Split allows operator to specify how to split images from a scan into separate requested procedures/accession numbers in protocol management. This capability is especially useful in cases of full body trauma or for chest, abdomen and pelvis exams. Prospective Exam Split works with primary, secondary and reformatted images.

Smart DMPR Smart DMPR can automatically generate reformatted views with prospectively set window width and window level and automatically transferring these image datasets to the designated PACS destination for fast review and diagnosis.

Digital Tilt The system has preset protocols that can be selected prospectively, which allows images to be reconstructed at a specified tilt angle. This capability, combined with organ dose modulation and tilted head holder accessory for the patient allows for reducing the dose to sensitive organs such as the eyes while also reducing dental artifacts.

Enhanced Xtream Injector (Requires a compatible Bayer or Nemoto Injector system) The Enhanced Xtream Injector provides synchronization of the start of the scan and the start of the contrast injector using the start scan button on the Scan Control Interface or the gantry controls. The Enhanced Xtream Injector also allows setting of the contrast injector parameters within the CT scan protocol and creation of an Injector Report at End Exam of what was delivered by the injector. The system and injector are operated independently after the start scan button is pressed on the system.

System Software Volume High Definition Reconstruction The system features state of the art image reconstruction technology designed to mitigate cone beam artifacts associated with wide coverage systems. In addition, the algorithm preserves temporal uniformity and provides excellent image quality at full 160 mm coverage. It further reduces variation in iodinated contrast HU uniformity across the full 160 mm Z coverage, typically caused due to heel effect. In addition, Smart MAR technology utilizes material physics learnings from GSI incorporated in single energy acquisition. In conjunction with the 3D Collimator, this reduces beam hardening artifacts due to iron, bone, metal & other dense objects.

Iterative Reconstruction: ASiR-V Integrated advanced iterative reconstruction technology (ASiR-V) reduces noise, even at very low signal levels. The ASiR- V algorithm focuses primarily on the modeling of the system noise statistics, objects, and physics and de-emphasizes the modeling of the system optics. The most time-consuming portion of the IR process is the modeling of the system optics. By excluding the most time-consuming component, system optics, and focusing on the other terms during the IR process, significant image quality improvement can be achieved with- out paying a large penalty in reconstruction speed. The advanced system noise model includes the modeling of the data acquisition system (photon noise and electronic noise) as well as noise characteristics of the reconstructed images. The photon noise model includes characterization of the photon statistics as it propagates through the imaging chain. The modeling of the reconstructed image noise includes characterization of the scanned object, using information obtained from extensive phantom and clinical data. This technology is designed to deliver reduced noise levels, improved low contrast detectability and may enable up to 82% reduction in dose when compared to FBP for all clinical applications.

Smart Dose technologies Automatic Exposure Control (AEC) AEC is a versatile and powerful tool designed to tailor the scanner’s radiation output to each patient based on the patient’s size, age, shape and attenuation and the user’s re- quested level of image noise/quality criterion. AEC technology uses estimated patient attenuation values to adjust the mA dynamically in order to achieve the requested level of image noise/quality criterion.

3D Dose Modulation Utilizing SmartmA Volumetric knowledge prior to scanning allows you to personalize protocols and optimize dose for every patient, large and small.

During the scan, real-time, 3D dose modulation helps deliver consistent image quality because it automatically accounts for the changing dimensions of your patient’s anatomy. In addition, the system provides guidance to assist in centering the patient to maximize the benefit of mA modulation.

Organ Dose Modulation Organ Dose Modulation (ODM) builds on the SmartmA feature to enable even further patient dose reduction. By reducing the mA exposure profile as a function of the X-ray tube angle, radiosensitive organs towards the anterior surface of the patient, such as the

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eyes, breasts and thorax, can benefit from enhanced dose reduction while the overall image noise is still maintained.

kV Assist kV Assist makes it easy to select optimal kV settings for the patient being scanned. It recommends tube voltage and current to achieve the lowest dose while meeting desired image quality goals.

70 kV Scanning 70 kVp scan mode enables low dose pediatric and small patient scans CG Modulated mA For cardiac applications, prospective ECG dose modulation automatically adjusts the mA to minimize the patient’s exposure to X-rays – reducing mA, and thus dose, near the beginning and end of each prescribed phase range. Up to 3 phase ranges are selected within a heart cycle with different mA levels. The peak mA for the first phase range is automatically determined based on noise index set by the user. The user can also select the relative mA level for an optional second or third phase range, set as a percent of the mA level of the first phase range. This provides clear images and allows you to reduce dose yet provides motion free, high quality images for functional and anatomical analysis within a heart cycle Color Coding for Kids Based on the Broselow-Luten Pediatric System, the Color Coding for Kids was developed to help operator to select the correct pediatric CT protocol. The system divides the protocols into nine color zones based on height and weight, and incrementally increases scan technique as the patient’s size in- creases. This arrangement of protocols assists you in reducing the variations in pediatric protocol selection. If the patient weight is unavailable, a Broselow-Luten Tape can also be used to obtain the weight based on the length.

Smart Dose technologies

• Smart Track: Advanced hardware and software for X-ray beam tracking minimizes patient dose.

• Smart Beam: Optimizes X-ray beam filtration independently for body, head, and cardiac applications.

• Soft Shutter: This capability reduces the over-beaming dose in helical scans by using an advanced reconstruction algorithm for helical scans that makes better use of acquired data through intelligent view weighting and back projection.

• Dose Check: Provides the user with tools to help them manage CT dose in clinical practice and is based on the standard XR-25- 2010 published by The Association of Electrical and Medical Imag- ing Equipment Manufacturers Association (NEMA). Dose Check provides the following:

o Checking against a Notification Value if the estimated dose for the scan is above your site established value o Checking against an Alert Value where the user needs spe- cific authority to continue the scan at the current estimated dose without changing the scan parameters if the estimated dose exceeds the alert value o The ability to define Alert Values for Adult and Pediatric with age threshold o Audit Logging and Review capabilities o Protocol Change Control capabilities provided by robust protocol management interface

- DoseWatch Explore is an introductory dose management software application that provides you secure access, via any PC with internet access, to dose and protocol data from this system. An InSite connection to the system and completion of the registration process is required to use the DoseWatch Explore application. For US and Canadian Customers, this quotation includes access to the DoseWatch Explore application for a period of time concurrent with the system warranty.

• Dose Computation, Display & Reporting: CTDIvol (CTDI volume), DLP (Dose Length Product), and Dose Efficiency computation and display during scan prescription provide dose information to the operator. Dose Reporting saves the CTDIvol, DLP, and phantom type in a DICOM Structured Dose Report and a secondary screen cap- ture. Series and cumulative exam values are saved.

Saved values can be networked or archived.

DICOM Interchange DICOM Interchange allows the saving of any image from the database, along with a PC viewer using Internet Explorer, to a CD-R or DVD-R with- out marking the exam/series or image as archived for exam transfer between stations that are not networked or pass along to referring physicians or patients. For detailed information, please reference DICOM conformance statement.

• DICOM Storage Service Class

• Service Class User (SCU) for image send

• Service Class Provider (SCP) for image receive

• Service Class User (SCU) for storage commitment

• DICOM Query/Retrieve Service Class

• DICOM Modality Worklist

• DICOM Modality Performed Procedure Step Image Networking Exams can be selected and moved between the Revolution CT and any imaging system supporting the DICOM protocol for network send, receive and pull/query. Image transfer time using DICOM protocols is > 16fps on a 1000baseT network.

Warranty: The published Company warranty in effect on the date of shipment shall apply. The Company reserves the right to make changes. All specifications are subject to change. Regulatory Compliance: This product is designed to comply with applicable standards under the Radiation Control for Health and Safety Act of 1968. Laser alignment devices contained within this product are

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appropriately labeled according to the requirements of the Center for Devices and Radiological Health.

This product complies with the performance standards of 21 CFR, sub-chapter J, and the applicable IEC 60601-1 series.

This product complies with NEMA Standard XR29-2013 / MITA Smart Dose Standard.

See the Pre-Installation manual for details of the siting requirements for GE Revolution CT.

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NG2000V heavy patient table

The NG2000V heavy patient table has been exclusively designed for GEHC Ultra-premium CT systems.

The patient table features:

Maximal metal free horizontal scannable range: 2000 mm Maximal table load: 306 kg / 675 lbs.

Maximal horizontal travel speed: 300 mm/s (standard) (437.5 mm/s optional with HyperDrive) Horizontal positioning accuracy +/- 0.25 mm from any direction Motor-driven table height adjustment from min. 550 mm to max. 1030 mm Maximal vertical travel speed: 40 mm/s 10x more stiffness design to meet AAPM TG66 guideline specification.

Integrated ECG module with waveform and configuration through the gantry display Workflow hub area with a see-through tray to give you the most flexibility in placing scanning related supplies, etc. without limiting visibility to the integrated ECG inputs.

IV Pole integrated at the foot-end of the table helps to prevent IV lines from becoming crossed and tangled and helps keep lines in place during patient table travel.

The X-strong foot switch cover, capable of supporting 612 kg / 1350 lbs. load, has been specially designed to support physicians or technologies to stand atop of it to implement diagnostic and/or treatment procedures to patients.

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English keyboard

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Standard cable set for GEHC ultra-premium CT systems

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GSI Xtream on Revolution CT

GSI Xtream is the first volume spectral CT technology with integrated and simplified workflow you can make part of your daily practice.

GSI Xtream utilizes ultrafast kVp switching x-ray source (0.252 msec switching between two different energy levels of X-rays from view to view during a single rotation) and ultra-fast response Gemstone Clarity Detector to acquire almost perfectly registered volumetric dual energy CT data. The data is then processed through projection domain material decomposition algorithms to generate material density maps (MD), monochromatic images (MC) and virtual unenhanced images (VUE). This data can be utilized to identify material specific differences in attenuation in terms of Water, Iodine, Calcium, Uric Acid, Fat and Hydroxyapatite (HAP) basis-pair images, allowing monochromatic and material representations. Metal Artifact Reduction (MAR) algorithms can also be

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applied to all GSI images to reduce artifacts due to the presence of metal.

GSI Xtream can provide:

• Nearly perfect temporal and spatial registration to avoid mis-registration artifacts due to motion in dual energy CT (0.252 ms)

• Advanced material differentiation, classification and quantification

• Optimization of contrast-to-noise ratio (CNR) by using monochromatic images

• Reduction in artifacts due to beam hardening and metal.

• Volume GSI Acquisition across 80 mm collimation with 50 cm FOV

• 245mm/s GSI scan speed with 1.5:1 pitch

• Dose neutral with ASiR-V integration

• Integrated with GE’s Smart Technology suite of workflow tools: GSI Assist and Clinical ID standardize and automate protocol selection, including direct transfer to PACS

• Parallel processing of GSI images with Recon Server Xtream for improved workflow

• 10 Native GSI recons: keV, VUE, MD: Iodine, MD: Water, MD: Calcium, MD: Fat, MD: Uric Acid, MD: HAP, GSI MAR, 140kVp with automatic network to PACS and AW GSI viewer when needed.

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HyperDrive on GE ultra-premium CT systems

HyperDrive is an unmatched high pitch scan mode on GE ultra-premium CT systems that combined wide coverage acquisition with high pitch helical techniques to achieve speeds up to 437 mm/s with uncompromised 50 cm field of view and image quality. This additional scan mode is especially beneficial in trauma or pediatrics environments.

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Upgrade kit for Integrated IVY Cardiac Monitor

This upgrade kit includes wrist strap and supporting cables. The kit has been designed to improve the performance of Integrated IVY Cardiac Monitor (for Revolution CT).

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CT Operator Console Desk

The CT workspace is an ergonomic working environment specifically designed for use with the GE Healthcare imaging systems. The sleek table design enables the efficient use of space while enhancing clinical workflow and technologist comfort.

The workspace provides a minimalist footprint to improve patient visibility and giving the user easier access to patients in the imaging suite.

It can also help reduce noise and heat with remote location options of the console. It is 51.2" long x 35.25" wide x 33.5" in height and weighs 122.8 lbs. 1300mm long x 895mm wide x 850mm in height and weighs 55.8kg

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Chair

Chair for CT scanner

10 1 1.00 CT Service Cabinet

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Service cabinet for system accessories storage

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Uninterruptible Power Supply for CT systems

Un-interruptible power supply provides power to CT console allowing the user to power down system in the event of source power loss; thus preventing the loss of scan data previously acquired before source power loss.

This UPS also:

• Provides continuous protection to all of the system's major electronics subsystems

• Protects the tube from power outages because it continues to provide power for tube cooling.

• Minimizes system restart time by continuing to power the thermal control of the DAS and detector.

• Provides enhanced ease of patient removal from the system by keeping the table powered.

This is compatible with the RevolutionHD, Revolution CT, Discovery CT 750HD and LightSpeed VCT systems.

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Low Dose CT Lung Screening Option with Indication For Use

This option provides lung screening reference protocols that are tailored to the CT system, patient size (small, average large), and the most current recommendations from a wide range of professional medical and governmental organizations. Now, qualified GE Healthcare CT scanners with this option are formally indicated for, and can be confidently used by physicians for low dose CT lung cancer screening of identified high-risk patient populations. These protocols deliver low dose, short scan times, and clear and sharp images for the detection of small lung nodules. Early detection from an annual lung screening with low dose CT in high-risk individuals can prevent a substantial number of lung cancer-related deaths.

All new GE 64-slice and greater CT scanners, and virtually all of the 16-slice CT scanners that GE Healthcare sells are qualified for this screening option. This solution is also available to thousands of qualified GE CT scanners currently in use, increasing access to the quality scanners that satisfy both patient and physician needs. The new protocols, do include the choice for the user to be able to utilize GE Healthcare’s industry-leading technologies such as ASiRTM, ASiR-VTM and VeoTM that are designed to reduce image noise, which is undesirable for physicians looking for small nodules.

This option contains two documents. Lung Cancer Screening Option Reference Protocol Guide, and the Lung Cancer Screening Option User Manual / Technical Reference Manual

i) The following GE Healthcare CT scanners are qualified to receive the new low dose CT Lung Cancer Screening Option: LightSpeed 16, BrightSpeed Elite, LightSpeed Pro16, Optima CT540, Discovery CT590 RT, Optima CT580, Optima CT580 W, Optima CT590 RT, LightSpeed Xtra, LightSpeed RT16, LightSpeed VCT, LightSpeed VCT XT, LightSpeed VCT XTe, LightSpeed VCT Select, Optima CT660, Revolution EVO, Discovery CT750 HD, Revolution HD, Revolution CT, Revolution Frontier.

ii) Moyer V. Screening for Lung Cancer: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med.

2014;160:330-338.

http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/lung-cancer-screening

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Standard Service License

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GE Healthcare has reclassified its service tools, diagnostics and documentation into various classes (please refer to the Service Licensing Notification statement at the beginning of this Quotation). The Standard License provides access to service tools used to perform basic level service on the Equipment and is included at no charge for the warranty period.

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GL AaS CTPET Accessories Global

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Table Slicker for CT Revolution systems - NG, 2000 and 1700 Tables

The GEHC Revolution CT and Revolution Apex table slicker is specifically designed to maximize contaminant protection.

Manufactured to be used in conjunction with the table restraining belts, this slicker adds versatility to your CT procedures. Latex free, it is strongly suggested that the slicker is cleaned with a water/bleach solutioj prior to every procedure.

Features:

• Table gray cushion sealed in vinyl slicker Dimension 2403 x 788

• Table extender gray cushion sealed in vinyl slicker Dimension 406 x 788

• Cover for catheter bag hanger

• Increase system uptime by protecting table from spills and particulate contaminants

• Easy to install and comfortable for patients

• Will not interfere with normal operation of CT table

• Clear PVC plastic facilitates faster cleanup of blood and fluids

• Prevents contaminant build up in hard to clean areas

• Thermosealed seams and flaps

• Recommended for trauma centers and sites concerned about exposure to blood and fluid-borne disease

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Foot Slicker for CT Revolution and Revolution Apex

The GEHC Revolution CT and Revolution Apex Foot Switch slicker is specifically designed to maximize contaminant protection.

Latex free, it is strongly suggested that the slicker is cleaned with a water/bleach solutioj prior to every procedure.

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GL AaS CT PET and PET/CT Power Quality Global

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UL Main Disconnect Panel 380-480V 50/60Hz 175A for CT Rev2.0

The MDP (Main Disconnect Panel) and UPS Control Panels serve as the main facility power disconnect source installed ahead of the Revolution CT system. On systems where the optional partial system UPS is included in the system, the panel provides NEC

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mandated UPS emergency power-off control function via a UPS control cable included with the UPS. The MDP saves time, installation labor, and valuable mounting space by consolidating the main circuit breaker, control power source and required indicator lights into a compact factory manufactured panel.

Applications For general installations of GE Revolution Apex™.

Designed for reliability and easy installation

• The MDP saves time, installation labor, and valuable mounting space by consolidating the main circuit breaker, the feeder overcurrent devices, magnetic contactors and UPS emergency power-off into one compact panel

• The system provides stock availability of otherwise special-order devices, saving time and installation costs

• Reduces installation time and cost by eliminating delays in obtaining individually enclosed components and by eliminating on site assembly

• UPS emergency power-off functions are included for future, partial system UPS addition

• Disconnects system power on first loss of incoming power, preventing damage to system components

• Provides a standardized platform for UPS or other future GE engineered modifications or upgrades

Built for investment protection

• UL, cUL listed

• Supplied with low voltage, cover mounted Push to Stop, Twist to Restore pushbutton and long life LED pilot lights

• Provides overcurrent and short circuit protection

• Suitable for use on systems with 25,000A of short circuit current. It is the installer’s responsibility to verify that the available shout circuit current is 25,000A or less for compliance to all electrical codes.

• An optional partial system UPS provides clean uninterrupted power to the system computer, maintaining system integrity during power loss while also providing a solution to power quality problems.

• Emergency-off disconnects power to both the PDU and optional partial system UPS output, per National Electric Code

• Main power disconnect operating handle can be padlocked in the Off position for servicing safety and OSHA lock out/tag out

• The door has provisions for padlocking

• Enclosure door is interlocked with On / Off disconnect handle to prevent unauthorized access if disconnect is in the On position

• Factory wired and tested

• Panel disconnect provides OSHA lockout / tag out provisions

• The main disconnect panel may be used as a stand-alone main disconnect, with the optional GE partial system UPS or with a GE full system UPS

Remote EPO (Emergency Power Off) Includes two normally closed contact blocks attached to the back of the emergency off push button. Two are included with each

MDP.

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GL AaS CT Injectors Global

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TiP CT Imaging Academy Training: Revolution CT Expert Training Package for Government Accounts (New to GE/Revolution CT with GSI)

Training designed for users new to GE or that have purchased the Revolution CT with GSI; package includes HQ, onsite and remote training options and involves a blended approach for continuous learning and skill building.

Training package includes partnership and planning discussions, console simulator user interface overview and protocol building sessions, CE accredited go-live, follow-up, and advanced training over the course of 28 onsite days, 1 tuition only HQ class, and 10 TVA hours; additional CE accredited online and remote training is also included.

Key components include Preparation, Pre-Onsite, Onsite, and Ongoing Training.

• The Preparation component aligns the training plan with customer specific needs and expectations. It includes discussion of a program overview and customized training options as well as staffing and scheduling and identification of IT needs and support.

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• The Pre-Onsite component includes online self-paced prerequisite learning taken prior to and in preparation for onsite training.

This will help build foundational knowledge to enable maximum engagement and retention during onsite training. Learners can immediately apply new concepts into clinical practice.

• The Onsite component provides agendas that include a focus on the User Interface, Workflow and Protocol building using a console simulator, a structured Phase one agenda featuring training on the key functions and features of the scanner and including hands on practice and additional protocol building. Several customized agenda options are available post turnover based on clinical specializations and advanced scanning designed to cater to staff competencies and desired outcomes. This component is delivered onsite by an experienced Clinical Applications Specialist.

• The Ongoing component provides the opportunity for continued learning, anywhere and anytime, through virtual training sessions with GE experts, continued access to online training modules, reference guides and tutorials. Non-emergency assistance will also be available via the Answerline during the warranty period. These resources will help to maintain clinical performance, continue to improve upon knowledge and competencies and ongoing development of skills.

Instruction is provided from 8 AM to 5 PM, Monday through Friday. Program concludes two years after the initial start date.

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AW Hardware Upgrade to…