The Norwegian government has decided that 2 proton therapy centres shall be established in Norway. The 2 centres will be established at the Norwegian Radium Hospital, Oslo University Hospital (OUS) in Oslo and at Haukeland University Hospital, Helse Bergen HF. This procurement is a joint purchase of proton therapy equipment and operation, maintenance and support services of the equipment for the projects in Oslo and Bergen. The Tender shall contain the equipment for both centers including delivery, installation, mounting and testing, including the operation, maintenance and support services of the centers.

The proton therapy center in Oslo will include: 3 gantry treatment rooms and 1 research room with fixed beam.

The proton therapy center in Bergen will include: 1 gantry treatment rooms and 1 research room with fixed beam.

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The proton centers in Oslo and Bergen aim to treat a total of 290 patients per treatment room/per year at full capacity, which will lead to a total capacity of 1 160 proton therapy patients per year in Norway. This will lead to the integration of proton therapy into the public health care services for radiation therapy in cancer treatment in Norway. The planned operation hours are 13 hours per day, 240 days per year, and at average 26 treatment fractions per patients (one treatment fraction is estimated at 25 minutes on average). The establishment of a solution for safe, effective and state-of-the-art proton therapy for these patients is the overall aim of the procurement.

In addition, each of the proton therapy centres will include a dedicated research room for basic and pre-clinical research, which will also serve as a reserve capacity for patient treatment in the way that it should be possible to install a full gantry solution in the room at a later stage, if needed. Hence the size of the bunker will be the same as the bunkers for the clinical gantries, and the fixed beam initially installed could be of e.g. horizontal or vertical orientation.

The proton therapy facilities in Oslo and Bergen will be planned in close relation to the existing cancer clinics at the respective sites in order to optimize seamless and efficient workflow for radiation therapy. The aim is that the proton therapy centres will be able to facilitate the most optimum use of proton therapy in multi-modal cancer treatment, where a combination of chemotherapy, surgery and the best available radiation therapy for cancer patients is included.The aim is that the proton therapy center should accommodate the optimal use of proton therapy in a multi-modality approach to the treatment of cancer; combining chemotherapy, surgery and the best available radiation therapy to cancer patients.

The proton therapy project in Oslo is closely connected to the timeline for the new clinical building at the hospital. The aim is to start patient treatments in Oslo in 2023 and in Bergen in 2024.

The purchase will not include the following: Oncology Information System (OIS), Treatment Planning System (TPS), CT, MRI and PET scanners for dose planning.

Options: The Contracting Authority will have an option to expand the contract with the installation of an extra gantry at a later date.