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Vendor Neutral Archive Market & PACS Market - VNA [On-premise Software, Hybrid & Cloud, Multi-Department & Multi-Site VNA] & Picture Archiving and Communication System [Enterprise, Cardiology & Radiology] - Global Forecast to 2018

Vendor neutral archives (VNAs) are information technology platforms that allow single, long-term, centralized, and standard-based storage of medical imaging studies and other patient data from multiple vendor PACS. Picture Archiving and Communication System, on the other hand, function as tools that directly connect to different imaging modalities in a facility by acquiring images from them. The global market is estimated to be valued at $165.3 million in 2013 and is expected to reach $335.4 million by 2018, at a healthy CAGR of 15.2%.

The Picture Archiving and Communication System market is broadly categorized into departmental PACS and enterprise PACS. Departmental PACS dominates the revenue market with a market share of around 90.8% in 2013. The departmental PACS market is segmented into radiology, cardiology, and other departmental PACS. Radiology PACS accounts for the largest share—63%—of the departmental PACS market owing to the increasing volumes of diagnostic images in this department.

The vendor neutral archives market is classified on the basis of delivery mode (the form of the product offering), procurement model (deployment options chosen by customers), and VNA suppliers. In this market by delivery mode, on-premise VNA solutions are the largest segment of the market owing to the better data security and control that they offer, as perceived by hospitals. This segment is valued at $140.3 million in 2013. Hybrid vendor neutral archives solutions are expected to grow at the highest CAGR during the forecast period. By procurement model, multi-departmental VNAs have the highest adoption rate globally in 2013 and contribute around 41% to the overall market.

The driving forces for this market include the rising demand for non-DICOM content management, disaster recovery, and lifecycle management solutions. New opportunities for the market lie in development of VNAs through implementation of a patient-centric approach. However, factors such as long vendor neutral archives lifecycles and misinterpretation of the VNA concept restrain the market. Keeping pace with the evolving standards for medical images and image enablement of EHRs (Electronic Health Records) are the challenges faced by the market.

North America holds the largest share of the global market in 2013. The large share is attributed to Meaningful Use, a staged program for adoption of healthcare information systems that is a part of the HITECH Act (Healthcare Information Technology for Economical and Clinical Health Act) in the U.S., and the enterprise and state-wide installation of VNAs in Canada. Europe will witness strong growth due to the public-based healthcare system in most European countries that allows high-priced and large scale VNA contracts. The European market is poised to grow at a CAGR of 16.6% to reach $44.8 million by 2018. Australia, Brazil, China, India, and Japan and are the major contributors amongst all emerging countries in 2013.

The market is highly consolidated with key players being Acuo Technologies (U.S.), Agfa Healthcare (Belgium), Carestream Health (U.S.), Dell, Inc. (U.S.), GE Healthcare (U.K.), Merge Health (U.S.), and TeraMedica (U.S.).

Scope of the Report

This research report categorizes and analyzes the market on the basis of delivery mode, procurement model and supplier type. These markets are further divided into segments and sub-segments, to provide exhaustive value analysis for the years 2011, 2012, 2013, and forecast to 2018. Each market is comprehensively analyzed at a regional level (North America, Europe, Asia-Pacific and RoW) to provide in-depth information on the global market scenario.

Global Vendor Neutral Archives Market

Delivery Mode
On-Premise/Onsite VNA
Hybrid VNA
Fully Cloud-hosted VNA

Procurement Model
Departmental VNA
Multi-department Enterprise VNA
Multi-site Enterprise VNA

Market Players
Picture Archiving and Communication System Vendors
Independent Software Vendors
Infrastructure Vendors

Geography
North America
Europe
Asia-Pacific
RoW

Table Of Contents

Vendor Neutral Archive Market and PACS Market - VNA [On-premise Software, Hybrid and Cloud, Multi-Department and Multi-Site VNA] and Picture Archiving and Communication System [Enterprise, Cardiology and Radiology] - Global Forecast to 2018
TABLE OF CONTENTS

1 INTRODUCTION 18

1.1 KEY TAKE-AWAYS 18
1.2 REPORT DESCRIPTION 18
1.3 MARKETS COVERED 20
1.4 STAKEHOLDERS 20
1.5 MARKET SCOPE 21
1.6 RESEARCH METHODOLOGY 22
1.6.1 MARKET SIZE ESTIMATION 24
1.6.2 MARKET CRACKDOWN and DATA TRIANGULATION 26
1.6.3 MARKET SHARE 27
1.6.4 KEY DATA POINTS FROM SECONDARY SOURCES 27
1.6.5 KEY DATA POINTS FROM PRIMARY SOURCES 27
1.6.6 ASSUMPTIONS 28

2 EXECUTIVE SUMMARY 30

3 MARKET OVERVIEW 33

3.1 INTRODUCTION 34
3.2 MARKET DYNAMICS 36
3.2.1 DRIVERS 36
3.2.1.1 Increasing demand for standard-based medical image archiving and non-DICOM content management fuels VNA deployments 36
3.2.1.2 VNAs overcome PACS technological limitations; act as a major market propellant 37
3.2.1.3 Healthcare IT-specific government regulations and guidelines positively impact the adoption of VNAs 37
3.2.1.4 Reduction of data migration costs, a crucial benefit of a VNA, encourages investments in the technology 38
3.2.1.5 Need for effective disaster recovery and lifecycle management strategies boosts the market 39
3.2.2 RESTRAINTS 39
3.2.2.1 Rising incidences of data breaches compromise privacy and security of imaging data 39
3.2.2.2 Longer VNA lifecycles impact the adoption decisions of providers 40
3.2.2.3 Unclear definition of a true VNA results in confusion among providers 41
3.2.3 OPPORTUNITIES 42
3.2.3.1 Increasing interest from emerging markets promotes VNA technology in these regions 42
3.2.3.2 Cloud-based solutions represent high-growth opportunities 43
3.2.3.3 Patient-centric approach to deliver enhanced care to open new avenues for development of VNAs 44
3.2.4 WINNING IMPERATIVE 44
3.2.4.1 Best-of-breed solutions through partnerships 44
3.2.5 BURNING ISSUES 45
3.2.5.1 Evolving interoperability standards present considerable challenges 45
3.2.5.2 Integration of VNAs with EHRs and ECMs appears futuristic 45

4 INDUSTRY ANALYSIS 47

4.1 VENDOR NEUTRAL ARCHIVES ECOSYSTEM 48
4.1.1 IMAGING MODALITIES 48
4.1.2 PACS 49
4.1.3 VNA SOFTWARE 49
4.1.4 PRIMARY SUBSYSTEM (PRIMARY DATA CENTER) 49
4.1.5 SECONDARY SUBSYSTEM (SECONDARY DATA CENTER) 49
4.2 PORTERS FIVE FORCES ANALYSIS 50
4.2.1 THREAT FROM NEW ENTRANTS 50
4.2.2 THREAT FROM SUSBSTITUTES 51
4.2.3 COMPETITORS RIVALRY 51
4.2.4 BARGAINING POWER OF SUPPLIERS 52
4.2.5 BARGAINING POWER OF BUYERS 52
4.3 PRODUCT LIFECYCLE 53
4.3.1 INTRODUCTION 53
4.3.2 PACS VS. VNA PRODUCT LIFECYCLE 53
4.4 MARKET CHASM ANALYSIS 55

5 GLOBAL PACS (PICTURE ARCHIVING AND COMMUNICATION SYSTEM) MARKET 56

5.1 INTRODUCTION 57
5.2 DEPARTMENTAL PACS 61
5.3 ENTERPRISE PACS 67

6 GLOBAL VNA (VENDOR NEUTRAL ARCHIVES) MARKET 69

6.1 INTRODUCTION 70
6.2 VNA MARKET, BY DELIVERY MODE 78
6.2.1 ON-PREMISE (ON-SITE) VNA 78
6.2.2 HYBRID VNA 79
6.2.3 FULLY CLOUD-HOSTED VNA 81
6.3 VNA MARKET, BY PROCUREMENT MODEL 83
6.3.1 DEPARTMENTAL VNA 83
6.3.2 MULTI-DEPARTMENTAL VNA 84
6.3.3 MULTI-SITE VNA 86
6.4 VNA MARKET, BY PLAYER TYPE 89
6.4.1 PACS VENDORS 89
6.4.2 INDEPENDENT SOFTWARE VENDORS 90
6.4.3 INFRASTRUCTURE VENDORS 92

7 GEOGRAPHIC ANALYSIS 94

7.1 INTRODUCTION 95
7.2 PEST ANALYSIS 97
7.2.1 POLITICAL FACTORS 97
7.2.2 ECONOMICAL FACTORS 97
7.2.3 SOCIAL FACTORS 98
7.2.4 TECHNOLOGICAL FACTORS 98
7.3 NORTH AMERICA 99
7.4 EUROPE 105
7.5 ASIA-PACIFIC 110
7.6 ROW 115

8 COMPETITIVE LANDSCAPE 120

8.1 COMPETITIVE SITUATION and TRENDS 120
8.1.1 INTRODUCTION 120
8.1.2 NEW PRODUCT LAUNCHES 121
8.1.3 AGREEMENTS, PARTNERSHIPS, COLLABORATIONS and JOINT VENTURES 128
8.1.4 MERGERS and ACQUISITIONS 135
8.1.5 OTHER DEVELOPMENTS 137
8.2 MARKET SHARE ANALYSIS 139

9 COMPANY PROFILES 142

9.1 ACUO TECHNOLOGIES (PERCEPTIVE SOFTWARE) 142
9.2 AGFA HEALTHCARE 148
9.3 BRIDGEHEAD SOFTWARE 154
9.4 CARESTREAM HEALTH, INC. 159
9.5 DEJARNETTE RESEARCH SYSTEMS, INC. 165
9.6 DELL, INC. 168
9.7 FUJIFILM CORPORATION 175
9.8 GE HEALTHCARE 179
9.9 MACH 7 TECHNOLOGIES 186
9.10 MCKESSON CORPORATION 189
9.11 MERGE HEALTHCARE 192
9.12 NOVARAD CORPORATION 197
9.13 PHILIPS HEALTHCARE 200
9.14 SIEMENS HEALTHCARE 205
9.15 TERAMEDICA 210



LIST OF TABLES

TABLE 1 GLOBAL VNA and PACS MARKET, BY TYPE, 2013 - 2018 ($MILLION) 30
TABLE 2 GLOBAL PACS MARKET, BY TYPE, 2013 - 2018 ($MILLION) 59
TABLE 3 PACS MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 60
TABLE 4 GLOBAL DEPARTMENTAL PACS MARKET, BY TYPE,
2013 - 2018 ($MILLION) 62
TABLE 5 DEPARTMENTAL PACS MARKET, BY GEOGRAPHY,
2013 - 2018 ($MILLION) 63
TABLE 6 RADIOLOGY PACS MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 64
TABLE 7 CARDIOLOGY PACS MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 65
TABLE 8 OTHER DEPARTMENTAL PACS MARKET, BY GEOGRAPHY,
2013 - 2018 ($MILLION) 66
TABLE 9 ENTERPRISE PACS MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 68
TABLE 10 GLOBAL VNA MARKET, BY DELIVERY MODE, 2013 - 2018 ($MILLION) 71
TABLE 11 GLOBAL VNA MARKET, BY PROCUREMENT MODEL,
2013 - 2018 ($MILLION) 72
TABLE 12 GLOBAL VNA MARKET, BY PLAYER TYPE, 2013 - 2018 ($MIILION) 73
TABLE 13 GLOBAL VNA MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 74
TABLE 14 GLOBAL VNA MARKET, BY DELIVERY MODE, BY GEOGRAPHY,
2013 ($MILLION) 75
TABLE 15 GLOBAL VNA MARKET, BY PROCUREMENT MODEL, BY GEOGRAPHY, 2013 ($MILLION) 76
TABLE 16 GLOBAL VNA MARKET, BY PLAYER TYPE, BY GEOGRAPHY,
2013 ($MILLION) 77
TABLE 17 ON-PREMISE VNA MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 79
TABLE 18 HYBRID VNA MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 80
TABLE 19 FULLY CLOUD-HOSTED MARKET, BY GEOGRAPHY,
2013 - 2018 ($MILLION) 82
TABLE 20 DEPARTMENTAL VNA MARKET, BY GEOGRAPHY,
2013 - 2018 ($MILLION) 84
TABLE 21 MULTI-DEPARTMENTAL VNA MARKET, BY GEOGRAPHY,
2013 - 2018 ($MILLION) 86
TABLE 22 MULTI-SITE VNA, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 88
TABLE 23 PACS VENDORS MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 90
TABLE 24 INDEPENDENT SOFTWARE VENDORS (ISV) MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 91
TABLE 25 INFRASTRUCTURE VENDORS, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 93
TABLE 26 GLOBAL VNA MARKET, BY GEOGRAPHY, 2013 - 2018 ($MILLION) 96
TABLE 27 NORTH AMERICA: VNA and PACS MARKET, 2013 - 2018 ($MILLION) 101
TABLE 28 NORTH AMERICA: PACS MARKET, BY TYPE, 2013 - 2018 ($MILLION) 102
TABLE 29 NORTH AMERICA: DEPARTMENTAL PACS MARKET, BY TYPE,
2013 - 2018 ($MILLION) 102
TABLE 30 NORTH AMERICA: VNA MARKET, BY DELIVERY MODE,
2013 - 2018 ($MILLION) 103
TABLE 31 NORTH AMERICA: VNA MARKET, BY PROCUREMENT MODEL,
2013 - 2018 ($ MILLION) 104
TABLE 32 NORTH AMERICA: VNA MARKET, BY PLAYER TYPE,
2013 - 2018 ($MILLION) 104
TABLE 33 EUROPE: VNA and PACS MARKET, 2013 - 2018 ($MILLION) 106
TABLE 34 EUROPE: PACS MARKET, BY TYPE, 2013 - 2018 ($MILLION) 107
TABLE 35 EUROPE: DEPARTMENTAL PACS MARKET, BY TYPE,
2013 - 2018 ($MILLION) 107
TABLE 36 EUROPE: VNA MARKET, BY DELIVERY MODE, 2013 - 2018 ($MILLION) 108
TABLE 37 EUROPE: VNA MARKET, BY PROCUREMENT MODEL,
2013 - 2018 ($MILLION) 109
TABLE 38 EUROPE VNA MARKET, BY PLAYER TYPE, 2013 - 2018 ($MILLION) 109
TABLE 39 ASIA-PACIFIC: VNA and PACS MARKET, 2013 - 2018 ($MILLION) 111
TABLE 40 ASIA-PACIFIC: PACS MARKET, BY TYPE, 2013 - 2018 ($MILLION) 112
TABLE 41 ASIA-PACIFIC: DEPARTMENTAL PACS MARKET, BY TYPE,
2013 - 2018 ($MILLION) 112
TABLE 42 ASIA-PACIFIC: VNA MARKET, BY DELIVERY MODE,
2013 - 2018 ($MILLION) 113
TABLE 43 ASIA-PACIFIC: VNA MARKET, BY PROCUREMENT MODEL,
2013 - 2018 ($MILLION) 114
TABLE 44 ASIA-PACIFIC: VNA MARKET, BY PLAYER TYPE,
2013 - 2018 ($MILLION) 114
TABLE 45 ROW: VNA and PACS MARKET, 2013 - 2018 ($MILLION) 116
TABLE 46 ROW: PACS MARKET, BY TYPE, 2013 - 2018 ($MILLION) 116
TABLE 47 ROW: DEPARTMENTAL PACS MARKET, BY TYPE,
2013 - 2018 ($MILLION) 117
TABLE 48 ROW: VNA MARKET, BY DELIVERY MODE, 2013 - 2018 ($MILLION) 118
TABLE 49 ROW: VNA MARKET, BY PROCUREMENT MODEL,
2013 - 2018 ($MILLION) 118
TABLE 50 ROW: VNA MARKET, BY PLAYER TYPE, 2013 - 2018 ($MILLION) 119
TABLE 51 NEW PRODUCT LAUNCHES, 2010 - 2013 122
TABLE 52 AGREEMENTS, PARTNERSHIPS, COLLABORATIONS and JOINT VENTURES, 2009 - 2013 129
TABLE 53 MERGERS and ACQUSISTIONS, 2010 - 2013 136
TABLE 54 OTHER DEVELOPMENTS, 2010 - 2013 138



LIST OF FIGURES

FIGURE 1 VNA MARKET: RESEARCH METHODOLOGY 22
FIGURE 2 VNA and PACS MARKET SIZE ESTIMATION METHODOLOGY - 1/2 24
FIGURE 3 VNA and PACS MARKET SIZE ESTIMATION METHODOLOGY - 2/2 25
FIGURE 4 VNA and PACS MARKET: DATA TRIANGUALTION METHODOLOGY 26
FIGURE 5 MARKET DYNAMICS 35
FIGURE 6 MARKET DYNAMICS - IMPACT ANALYSIS 42
FIGURE 7 VNA ECOSYSTEM 48
FIGURE 8 VNA MARKET: PORTERS FIVE FORCES ANALYSIS 50
FIGURE 9 PACS VS. VNA: PRODUCT LIFECYCLE 53
FIGURE 10 VNA: MARKET CHASM ANALYSIS 55
FIGURE 11 MULTI-DEPARTMENTAL VNA 85
FIGURE 12 MULTI-SITE VNA 87
FIGURE 13 KEY GROWTH STRATEGIES, 2010 - 2013 121
FIGURE 14 GLOBAL VNA MARKET SHARE ANALYSIS, BY KEY PLAYERS,
2012 ($MILLION) 140
FIGURE 15 IMAGING STUDIES VOLUME, BY KEY PLAYERS, 2012 (MILLION) 141
FIGURE 16 LEXMARK INTERNATIONAL: TOTAL REVENUE AND OPERATING MARGIN, 2010 - 2012 143
FIGURE 17 LEXMARK INTERNATIONAL: TOTAL REVENUE, BY SEGMENT,
2010- 2012 ($MILLION) 143
FIGURE 18 ACUO TECHNOLOGIES: MARKET STARTEGY, 2010 - 2013 145
FIGURE 19 ACUO TECHNOLOGIES: SWOT ANALYSIS 147
FIGURE 20 AGFA HEALTHCARE: TOTAL REVENUE AND OPERATING MARGIN,
2010 - 2012 149
FIGURE 21 AGFA HEALTHCARE: TOTAL REVENUE, BY SEGMENT,
2010 - 2012 ($MILLION) 149
FIGURE 22 AGFA HEALTHCARE: MARKET STARTEGY, 2010 - 2013 151
FIGURE 23 SWOT ANALYSIS: AGFA HEALTHCARE 153
FIGURE 24 BRIDGEHEAD SOFTWARE: MARKET STRATEGY, 2010 - 2013 156
FIGURE 25 CARESTREAM HEALTH, INC.: TOTAL REVENUE AND OPERATING MARGIN, 2010 - 2012 160
FIGURE 26 ONEX CORPORATION: HEALTHCARE REVENUE, BY SEGMENT,
2010 - 2012 ($MILLION) 160
FIGURE 27 CARESTREAM HEALTH: MARKET STRATEGY, 2010 - 2013 162
FIGURE 28 SWOT ANALYSIS : DEJARNETTE RESEARCH SYSTEMS 167
FIGURE 29 DELL, INC. (PUBLIC SEGMENT): TOTAL REVENUE AND OPERATING MARGIN, 2010 - 2012 169
FIGURE 30 DELL, INC.: TOTAL REVENUE, BY SEGMENT, 2010 - 2012 ($BILLION) 169
FIGURE 31 DELL, INC.: MARKET STRATEGY, 2010 - 2013 171
FIGURE 32 SWOT ANALYSIS: DELL, INC. 174
FIGURE 33 FUJIFILM INFORMATION SOLUTIONS BUSINESS SEGMENT:
TOTAL REVENUE AND OPERATING MARGIN, 2011 - 2013 176
FIGURE 34 GE ELECTRIC COMPANY: TOTAL REVENUE AND OPERATING MARGIN, 2010 - 2012 180
FIGURE 35 GE ELECTRIC COMPANY: TOTAL REVENUE, BY SEGMENT,
2010 - 2012 ($BILLION) 181
FIGURE 36 GE HEALTHCARE: MARKET STARTEGY, 2010 - 2013 183
FIGURE 37 GE HEALTHCARE: SWOT ANAYLSIS 185
FIGURE 38 MCKESSON CORPORATION: TOTAL REVENUE AND OPERATING MARGIN, 2011 - 2013 190
FIGURE 39 MCKESSON CORPORATION TECHNOLOGY SOLUTION SEGMENT:
TOTAL REVENUE, BY SUB-SEGMENT, 2013 ($MILLION) 190
FIGURE 40 MERGE HEALTHCARE, INC.: TOTAL REVENUE, BY SEGMENT,
2010 - 2012 ($MILLION) 193
FIGURE 41 MERGE HEATLHCARE, INC.: MARKET STRATEGY, 2010 - 2012 194
FIGURE 42 PHILIPS: TOTAL REVENUE AND OPERATING MARGIN, 2010 - 2012 201
FIGURE 43 PHILIPS HEALTHCARE: TOTAL REVENUE, BY SEGMENT,
2012 ($MILLION) 201
FIGURE 44 PHILIPS HEALTHCARE: MARKET STARTEGY, 2010 - 2013 203
FIGURE 45 SIEMENS HEALTHCARE: TOTAL REVENUE AND RandD EXPENDITURE, 2010 - 2012 206
FIGURE 46 SIEMENS AG: TOTAL REVENUE, BY SEGMENT, 2012 ($MILLION) 207
FIGURE 47 TERAMEDICA: MARKET STRATEGY, 2010 - 2013 212
FIGURE 48 SWOT ANALYSIS : TERAMEDICA 214

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