World PACS and Teleradiology Systems Markets

World PACS and Teleradiology Systems Markets

This report analyzes the worldwide markets for PACS and Teleradiology Systems in Millions of US$. The specific product segments analyzed are PACS ( Computed Radiography, Digital Voice Dictation/Speech Recognition Systems, Image Storage and Archiving Devices, Laser Printers/Imagers, Networking, Radiology Information Systems, Workstations and Viewing Stations, & X-Ray Film Scanners/Digitizers), and Teleradiology. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Middle East/Africa, and Latin America. Annual forecasts are provided for each region for the period of 2000 through 2015. The report profiles 122 companies including many key and niche players worldwide such as Agfa HealthCare, BRIT Systems Inc., Canon Medical Systems, DR Systems Inc., Carestream Health, Inc., FUJIFILM Medical Systems USA Inc., GE Healthcare, Hitachi Medical Systems America, Inc., IBM Corp., IMCO Technologies Corp., Intelerad Medical Systems, Inc., McKesson's Medical Imaging Group, Philips Medical Systems, and Siemens Medical Solutions. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.

CONTENTS


I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

Study Reliability and Reporting Limitations I-1
Disclaimers I-2
Data Interpretation & Reporting Level I-2
Quantitative Techniques & Analytics I-3
Product Definitions and Scope of Study I-3
Product Segments I-3
PACS I-3
Computed Radiography I-4
Image-Archiving Devices I-4
Radiology Information Systems I-4
Workstations and Viewing Stations I-4
X-Ray Film Scanners/Digitizers I-4
Teleradiology I-5


II. EXECUTIVE SUMMARY

1. Market Insights II-1
Digitalized Medical Imaging – “The Dawn Of PACS” II-1
PACS Market Potential Extraordinaire! II-1
PACS in the US II-1
PACS in Europe II-2
Canada & Asia Pacific- A Potentially Lucrative Haven for PACS II-2
PACS – A Viable Solution for Digital Mammography Images II-3
Factors Fanning the Growth of PACS II-3
Soaring Prices of PACS Impede Market Growth II-4
Digital Radiography – An Increasingly Polarized Market II-4
Digital & Computed Radiography – On the Right Track! II-5
Growth in PACS Shifts Focus of Imaging Suppliers II-6
Market Scenario in the United States and Europe II-6
The United States –“A Technology Driven Market” II-6
Bottlenecks in the PACS Market II-7
Europe – “A Needs Driven Market” II-7
Competitive Structure II-9

2. Outlook II-10
Global PACS & Teleradiology Market Set to Traverse an Upbeat Path II-10
PACS – To Continue as the Largest Segment II-11
Full Scale PACS to Outdo Mini PACS II-11
Analysis of PACS Technology Shift From Mini PACS to Full PACS
in a 2X2 Matrix II-11
Teleradiology – The High Flyer Segment II-11

3. Industry Scenario II-13
Technology Infrastructure of Next Generation Healthcare
Delivery Systems II-13
Telemedicine Enters the Lexicon of Medical World II-14
Electronic Health Record System II-15
Applications of Telemedicine II-16
Defining Moment of Telemedicine II-16
Security & Privacy – A Prime Concern in Telemedicine II-17
Factors That Hinder Effective Application of Telemedicine II-18
Cultural/Human Barriers II-18
Legal and Regulatory Barriers II-18
Other Barriers II-18
Telemedicine in the US & Europe – A Synopsized Review II-19
Key Trends Influencing Telemedicine in Europe II-19
Future of Telemedicine – “Shape of Things to Come” II-19
Virtual Online Medical System – “Reality At Close Quarters” II-20
Dynamics of Imaging & Its Growing Relevance in the Hospital II-21
Final Move Towards Filmless Radiology II-22
Advantages of Filmless Radiology II-23
PACS - A Landmark in the Field of Radiology II-23
Evolution of PACS II-23
DICOM Mantra II-24
Teleradiology – “A Harbinger of the Era of Telemedicine” II-25
Internet Teleradiology – “Untangling the Web” II-25
Healthcare in the West– A Statistical Review II-26

4. Competitive Structure in the Global Telemedicine Market II-27

Overview of the Global Telemedicine Market II-27
Table 1: World Market for Telemedicine (2006) – Percentage
Breakdown by Major Application Segment for Medical Education
and Distance Consultation, Teleradiology, Telepathology, and
Others (includes corresponding Graph/Chart) II-27
Player Composition in the Global Telemedicine Market II-27
Table 2: Leading Players in the World Market for PACS and
Teleradiology (2005 & 2006): Percentage Share Breakdown by
Value Sales for GE Healthcare,Philips Medical, Siemens, Agfa,
and Others (includes corresponding Graph/Chart) II-28

Table 3: Leading Players in the World Market for Medical
Imaging (2006) – Percentage Breakdown of Value Sales by
Company for GE Healthcare, Agfa, Siemens, Philips Medical
Systems, Kodak/Carestream Health, Inc. and Others (includes
corresponding Graph/Chart) II-28

Table 4: Leading Players in the World Market for Patient
Monitoring Systems (2006) – Percentage Breakdown of Value
Sales by Company for Philips Medical Systems, GE Healthcare,
Spacelabs, Siemens, and Others (includes corresponding
Graph/Chart) II-29

5. Product Overview II-30
PACS – An Introduction II-30
Fundamental Structure of PACS II-31
Image Acquisition Devices II-31
Host Computer II-31
Image-Archiving Devices II-31
Display Stations II-31
Networks and Interface II-32
Different Types of Networks II-32
A Working Model of PACS II-32
HIPIN (HIs/ris-Pacs Integration) Interface – A Fundamental
Aspect of PACS Integration II-32
Need for HIS/RIS Interface II-33
X-Ray Storage and Retrieval – “Now a Stress Free Task” II-34
PACS - A Cost Effective System II-34
Infrastructural Prerequisites Needed to Effectively Support PACS II-34
PACS Workflow Optimization – A Detailed Review of the Process II-35
Synopsized Review of the Economic Advantages and Benefits of
Optimized Workflow: II-36
Economic Effects II-36
Working procedure II-36
Personnel II-36
Ecological Aspects II-36
Successful Implementation of PACS – “Playing bythe Rules” II-37
Benefits of PACS II-39
Drawbacks of PACS II-40
Role of a PACS in Shaping an Integrated Image Management System II-40
ASP-An Attractive Option to Handle Image Storage II-40
PACS Assessment II-42
PACS in the Future – “A Rumination” II-43
Digital Radiography (DR) – “The Future is Digital” II-43
Major Types of X-Ray Detector Systems II-44
Advantages of Digital Radiography II-44
Digital Radiography Challenges Shaping of Computed Radiography II-45
Computed Radiography (CR) - Playing a Vital Role in Critical
Care Imaging II-46
Advantages of CR Systems Over Conventional X-ray Imaging II-46
Digital Archives: Electronic Storage of Digital Images II-47
Digital PACS II-47
Full PACS Systems: A Filmless Diagnostic System II-47
Image Distribution Network: Retrieves Images and Reports II-47
Imaging Workstations: Instant Access to Medical Records II-47
Mini PACS: Serving An Exclusive Facility II-48
Printer Networks II-48
Remote Archives II-48
Internet - The In-Thing Playing a Major Role in PACS II-48
Teleradiology – “The Most Advanced Application of Telemedicine” II-48
Need of the Hour - A User Friendly Software II-48
A Working Model of Teleradiology II-49
Components of a Teleradiology System II-49
Image Sending Station II-49
Transmission Network II-50
Receiving/Image Review Station II-50
Telephone Lines – “The Widely Utilized Telecommunications
Media in Teleradiology” II-50
Optimum Image Resolution – “A Challenge to Reckon With” II-51
Selection Criteria II-51
Benefits of Teleradiology for Hospitals II-52
Integration of Teleradiology into the Hospital Environment II-52
Choice Between Proprietary Solutions & Open Solutions II-52
Teleradiology “Overread Network – A New Concept in the Making” II-52
Types of Implementation Costs II-53
i. Digitizing II-53
ii. Transmitting II-53
iii. Viewing II-54
Postential & Actual End-Users of Teleradiology Systems II-54
Background of Teleradiology II-54
Future of Teleradiology II-55
DIPE – A Distributed Environment for Medical Image Processing II-55
PACS Vs Teleradiology II-55

6. Analysis of Purchasing Patterns II-56
Dynamics of Purchasing Behavior – A Review II-56
Pivotal Issues that Confront Open Systems II-56
Manufacturers Exhibit Reluctance to Open Up Their Systems II-56
Compliance with DICOM Standards II-57
Inefficient System Integration Among Vendors II-57
Regulatory Shackles II-57
Lack of Widespread Knowledge About The Extent of DICOM
Compatibility II-57
Purchasing Patterns that Drive Sales of PACS/ Teleradiology
Systems II-58
Needs Assessment II-58
DICOM Conformance Requirements II-58
RFP Generation II-59
Acceptance and Turnover Section II-59
Vendor Responses II-60
Installation, Training and Turnover II-60

7. Trends & Issues II-61
PACS Expected to Witness Further Developments II-61
PACS Market to Witness Continuous Growth II-61

8. Product Innovations/Introductions II-62
RAD Info Systems Offers DICOM Mail Product II-62
Sun MicroSystems Launches B2B E-Master Patient Index II-62
IntelliDOT to Reveal New Solution II-62
Med seek Launches Master Patient eID Solution II-63
Neoware To Launch Neoware m100 II-63
Agfa Healthcare Introduces Latest Version of IMPAX II-63
PHS Introduces Modern PACS II-63
Cedara Software Reveals New Orthopaedic Packaging II-64
Plasmon Reveals Archive Appliance Express II-64
Merge Launches Advanced Imaging Software II-64
Merge Launches Novel Fusion RIS/PACS MX II-65
FUJIFILM and SGI Reveals Novel PACS Solutions II-65
7 MediCal Systems Launches EMR & Digital Imaging II-66
FUJI Reveals Obliquus Software for 3D Viewing II-66
RADinfo Rolls Out Orthopedic Templating Solution II-66
Toshiba & McKesson Introduces a Mini-PACS Solution II-67
Toshiba & McKesson Signs an Agreement II-67
Belgian Barco Reveals MediCal QAWeb II-67
Agfa Introduces Latest Version of PACS II-67
Barco Introduces Nio Color 2MP II-68
Barco Introduces Nio Color 2MP II-68
Merge Reveals Fusion-Bit PACS II-69
AMES Color-File Launches PACS CD Mailers II-69
Sectra Releases Novel Version of Orthopedic PACS II-69
CDW Introduces Latest Infrastructure Solutions II-69
Med Web Reveals Med Web Dashboard II-70
Agfa Introduces Impax 6.0 PACS Mobile Version II-70
Merge eMed Launches FUSION Matrix PACS™ II-70
Novel X Ray Technology Simplifies X-Ray Workflow II-70
Canon Develops Film less and Faster X-Rays II-71
Philips iSite PACS Released with Optional Communications from
Primordial LLC II-71
Cedara Reveals C4™ Platform II-71
Heart IT Enables Web-Based View of Medical Images II-72
Researchers Develop Hanging Protocol for Dental Radiography II-72
New PACS To Ease X-ray Procedure II-73
Connect Imaging Puts New Product Features on Display II-73
DR Systems Adds Orthopedic Template Software to its PACS System II-73
Amicas Offers Improved PACS System II-74
Connect Imaging Launches DVDCopy Solution II-74
Kodak Extends CR Portfolio II-74
Rogan Launches Online XS PACS II-74
Kodak Introduces RIS for Hospitals and Imaging Centers II-74
Agfa Launches RIS/PACS Solutions II-74
Kodak and Viatronix Integrate Virtual Colonoscopy Module with
Kodak’s PACS II-75
Philips Unveils EasyAccess Focus II-75
Kodak Launches PACS for Mammography II-75
Agfa Introduces CR Radiotherapy Solution II-75
IBM Launches Grid Medical Archive Solution for Patient Care II-76
StorCOMM Introduces AccessNET II-76
Stentor Unveils PACS Version 3.3 II-76
Guardian Ventures into UK II-76
Merge eFilm Launches Fusion PACS II-77

9. Recent Industry Activity II-78
Health Communication Enters into an Alliance with GE Medical II-78
Srishti Software Deploys PACS in President Estate Clinic II-78
Fujifilm Selects Hitachi Data Systems for Advanced Storage
Solutions II-78
NightHawk Acquires Teleradiology II-78
MedQuist Bags Long Term Contract from Amerinet II-79
Kodak Signs Co-Marketing Agreement with Med Link in the US II-79
Kodak Health Group Bags New PACS Contract from Novation II-79
Dynamic Imaging Collaborates with Novation for Integras Web PACS II-79
Fujifilm Renews PACS Contract with Novation II-80
Apollo PACS Collaborates with National Digital Medical Archive II-80
DR Systems Secures Three-year Contract from Novation II-80
Aspyra and Imaging Dynamics Company Enter into a Reseller
Agreement II-81
Merge Healthcare Secures New Contracts for Fusion RIS/ PACS MX
Solution II-81
Rothman Institute Selects Sectra for Orthopedic PACS II-81
Morristown-Hamblen Selects Vision Series PACS of Amicas II-82
Apollo PACS and IBM Deploy Pathology PACS Solution II-82
Fujifilm Medical Systems Acquires Problem Solving Concepts II-82
Morris Hospital Installs Agfa’s PACS and CVIS II-82
AFP Imaging Acquires Quantitative Radiology II-83
Care stream Health and Medical Tronik Ink a Supplier Agreement II-83
Onex Takes over Health Group from Kodak II-83
Philips Japan Joins Forces with PSP II-83
Sectra Bags Contract for Mammography System in Ireland II-83
Agfa HealthCare Bags Contracts from Novation II-84
Merge Healthcare and HBO Middle East Form Partnership II-84
GE Healthcare Deploys First Digital Radiology Workflow System
in Jordan II-84
Siemens Divests Medical Monitor Operations to Eizo II-85
Sectra To Supply Breast Imaging Solution II-85
Agfa Healthcare Extends Product Line II-85
AFP Imaging acquires Quantitative Radiology II-85
Agfa Certifies iSCSI SAN for Supporting II-86
Nuffield Hospitals Selects Extreme Networks for Network
Improvements II-86
Swearingen Partners with Connect Imaging II-86
Acuo Technologies Appoints Agfa HealthCare as Reseller II-86
Medical Systems Sign Multiple Agreements II-87
Vocollect Takes over Adherence Technologies II-87
Mercury Computer Enters into an Agreement with Genesis II-87
Agfa Secures Supply Order from US Hospitals II-88
Connect Imaging Enters into an Agreement with Ashva Technologies II-88
North Coast Signs an Agreement with Evolved Digital II-88
Mercury Enters into a Partnership Agreement with BRIT Systems II-88
Allegheny Enters into a Five-Year Agreement with Kodak II-89
Waterbury Hospital Selects AMICAS’ AMICAS Vision Series PACS II-89
Aspyra Inks Distribution Agreement with Merry X-Ray II-89
New Mexico Software Forms ASP Contract with U.S. Laboratory II-90
Willamette Selects SourceMedical’s Radiology Information System II-90
St. Luke’s Cornwall Hospital Selects Dynamic Imaging
IntegradWeb PACS II-90
Sectra Secures Supply Contract from XRANM II-90
Agfa Healthcare Inks an Agreement with OSI II-91
Philips Enters into Joint Agreement with II-91
Agfa HealthCare Enters into Agreement with Thomas Memorial
Hospital II-91
Foresight Inks a Distribution Pact with Cedara Software II-91
Cedara Collaborates with Medavis for FUSION RIS/PACS II-92
Philips Enters into an Accord with Canada Health Infoway II-92
McKesson Signs a Distribution Agreement with Toshiba II-92
Agfa HealthCare to Enter into an Agreement with RUIS II-93
BUPA Enters into an Accord with Kodak II-93
Agfa HealthCare Enters into an Agreement with Nuffield
Hospital Group II-94
Agfa HealthCare Enters into an Agreement with Classic Hospitals II-94
Sectra Enters into a Distribution Accord with Andra II-94
Fuji Photo Film Acquires Two Companies in France II-94
Mercury Computer Receives U.S. FDA Clearance II-95
Agfa Gevaert Wins British Radiology Supply Contract II-95
Genesis to Integrate Kodak Desktop With Visage PACS II-95
Relational Technology Expands Leasing Services II-95
New Mexico’s XR-EXpress PACS Selected By JFW & Jacksonville II-95
Cedara and Eklin Install DRA Solution at Keeneland II-95
New Mexico Inks a Deal with X-Ray on Wheels II-96
ADI Enters into Agreement with Dr Sulaiman Al Habib Medical
Centre II-96
CET Agfa HealthCare Enters into an Agreement with Novation II-96
OISI Secures Contract from Kaiser Foundation II-96
BGAT Signs a Contract with OK Omed Downtown Imaging II-97
Mercury Enters into Three Strategic Accords II-97
RAID and Kodak Ink Information Storage Deal II-97
VirtuRad Inks an Agreement with Agfa HealthCare II-98
Philips Acquires Stentor II-98
DR and Vital Sign Marketing and Reseller Agreement II-98
Crothall Acquires Kinetic Biomedical II-99
Creative Computer and StorCOMM Merge to Form Aspyra II-99
Thomson Corp. Closes Deal On Healthcare Information Provider
NexCura II-99
SourceOne and Imaging Dynamics Enter Distribution Pact II-99
Sectra Strikes Distribution Deal with PCCG II-99
MDX Wins FDA Approval for its Newest PACS/RIS System II-100
Fuji Receives Exclusive Rights for SYNAPSE II-100
Agfa Acquires Heartlab II-100
Kodak Acquires OREX Radiography II-100
MDX Collaborates with Portland Neurovascular II-100
Stryker Acquires eTrauma II-101
Agfa HealthCare Acquires GWI II-101
Kodak and Heartlab Sign Marketing and Reseller Agreement II-101
McKesson Receives FDA Approval for PACS Solution II-101
McKesson Acquires Medcon II-101
ISS and Fujifilm Sign PACS Contract II-102
Mercury and Radin Join Hands for Web- Based PACS II-102
Planar Implements PACS with Dome Dashboard II-102
TeraRecon Incorporates AquariusNET with PACS II-103
MAZ Purchases DIRECTVIEW PACS II-103
Radiologix and Merge Forge a Purchase Contract II-103
Stentor Obtains FDA Approval for iSite II-103
Focus Radiology Purchases Kodak’s RIS System II-103
Lower Bucks Purchases Misys PACS and Image Management Solution II-103
Fischer and Kodak Join Hands II-104
Delft Increases Stake in Rogan II-104
GWI Acquires Interest in Tiani II-104
ContextVision AB Inks Collaboration Agreement with an
Unidentified PACS Vendor II-104
Konica and Minolta Merge to Form Konica Minolta II-104
Xograph Imaging Obtains Market Exclusivity for PACS Products II-105
Year 2002 in Review II-105
Year 2001 in Review II-110

10. Focus on Select Players II-112
Agfa HealthCare (Belgium) II-112
BRIT Systems Inc. (USA) II-112
Canon Medical Systems (USA) II-113
DR Systems Inc. (USA) II-113
Carestream Health, Inc. (USA) II-113
FUJIFILM Medical Systems USA Inc. (USA) II-113
GE Healthcare (USA) II-114
Hitachi Medical Systems America, Inc. (US) II-114
IBM Corp. (USA) II-114
IMCO Technologies Corp. (USA) II-114
Intelerad Medical Systems Inc (Canada) II-115
McKesson's Medical Imaging Group (Canada) II-115
Philips Medical Systems (USA) II-115
Siemens Medical Solutions (Germany) II-116

11. Global Market Perspective II-117
Table 5: World Recent Past, Current & Future Analysis for PACS
and Teleradiology Systems by Geographic Region – US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Middle
East/Africa, and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010 (includes corresponding Graph/Chart) II-117

Table 6: World Long-term Projections for PACS and
Teleradiology Systems by Geographic Region – US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Middle
East/Africa, and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2011
through 2015 (includes corresponding Graph/Chart) II-118

Table 7: World 10-Year Perspective for PACS and Teleradiology
Systems by Geographic Region – Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Middle East/Africa, and Latin American Markets for
Years 2000, 2007 & 2010 (includes corresponding Graph/Chart) II-119
Market by Product Segment II-120
Table 8: World Recent Past, Current & Future Analysis for PACS
Systems by Geographic Region – US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Middle East/Africa, and Latin
American Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2000 through 2010 (includes
corresponding Graph/Chart) II-120

Table 9: World Long-term Projections for PACS Systems by
Geographic Region – US, Canada, Japan, Europe, Asia- Pacific
(excluding Japan), Middle East/Africa,and Latin American
Markets IndependentlyAnalyzed with Annual Sales Figures in US$
Million for Years 2011 through 2015 (includes corresponding
Graph/Chart) II-121

Table 10: World 10-Year Perspective for PACS Systems by
Geographic Region – Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Middle East/Africa, and Latin American Markets for Years 2000,
2007 & 2010 (includes corresponding Graph/Chart) II-122

Table 11: World Recent Past, Current & Future Analysis for
PACS Systems by Product Segment-Computed Radiography, Digital
Voice Dictation/Speech Recognition Systems, Image Storage and
Archiving Devices, Laser Printers/Imagers, Networking,
Radiology Information Systems, Workstations and Viewing
Stations, and X-Ray Film Scanners/Digitizers Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2000 through 2010 (includes corresponding
Graph/Chart) II-123

Table 12: World Long-term Projections for PACS Systems by
Product Segment-Computed Radiography, Digital Voice
Dictation/Speech Recognition Systems, Image Storage and
Archiving Devices, Laser Printers/Imagers, Networking,
Radiology Information Systems, Workstations and Viewing
Stations, and X-Ray Film Scanners/Digitizers Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2011 through 2015 (includes corresponding
Graph/Chart) II-124

Table 13: World 10-Year Perspective for PACS Systems by
Product Segment – Percentage Breakdown of Dollar Sales for
Computed Radiography, Digital Voice Dictation/ Speech
Recognition Systems, Image Storage and Archiving Devices,
Laser Printers/Imagers, Networking, Radiology Information
Systems, Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers Markets for Years 2000, 2007 & 2010
(includes corresponding Graph/Chart) II-125

Table 14: World Recent Past, Current & Future Analysis for
PACS Systems by Type - Full Scale/Enterprise Wide PACS and
Mini/Department Wide PACS Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) II-126

Table 15: World Long-term Projections for PACS Systems by Type -
Full Scale/Enterprise Wide PACS and Mini/ Department Wide
PACS Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) II-126

Table 16: World 10-Year Perspective for PACS Systems by Type -
Percentage Breakdown of Dollar Sales for - Full
Scale/Enterprise Wide PACS and Mini/Department Wide PACS
Markets for Years 2000, 2007 & 2010 II-127

Table 17: World Recent Past, Current & Future Analysis for
Computed Radiography by Geographic Region – US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/ Africa,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2000 through 2010
(includes corresponding Graph/Chart) II-128

Table 18: World Long-term Projections for Computed Radiography
by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Middle East/Africa, and Latin American
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) II-129

Table 19: World 10-Year Perspective for Computed Radiography
by Geographic Region – Percentage Breakdown of Dollar Sales
for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Middle East/Africa, and Latin American Markets for Years 2000,
2007 & 2010 (includes corresponding Graph/Chart) II-130

Table 20: World Recent Past, Current & Future Analysis for
Digital Voice Dictation/Speech Recognition Systems by
Geographic Region – US, Canada, Japan, Europe, Asia- Pacific
(excluding Japan), Middle East/Africa, and Latin American
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2000 through 2010 (includes
corresponding Graph/Chart) II-131

Table 21: World Long-term Projections for Digital Voice
Dictation/ Speech Recognition Systems by Geographic Region –
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Middle East/Africa, and Latin American Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2011 through 2015 (includes corresponding Graph/Chart) II-132

Table 22: World 10-Year Perspective for Digital Voice
Dictation/ Speech Recognition Systems by Geographic Region –
Percentage Breakdown of Dollar Sales for US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/Africa,
and Latin American Markets for Years 2000, 2007 & 2010
(includes corresponding Graph/Chart) II-133

Table 23: World Recent Past, Current & Future Analysis for
Image Storage and Archiving Devices by Geographic Region – US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Middle
East/Africa, and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010 (includes corresponding Graph/Chart) II-134

Table 24: World Long-term Projections for Image Storage and
Archiving Devices by Geographic Region – US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/Africa,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2011 through 2015
(includes corresponding Graph/Chart) II-135

Table 25: World 10-Year Perspective for Image Storage and
Archiving Devices by Geographic Region – Percentage Breakdown
of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Middle East/Africa, and Latin American
Markets for Years 2000, 2007 & 2010 (includes corresponding
Graph/Chart) II-136

Table 26: World Recent Past, Current & Future Analysis for
Laser Printers/Imagers by Geographic Region – US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Middle East/
Africa, and Latin American Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) II-137

Table 27: World Long-term Projections for Laser
Printers/Imagers by Geographic Region – US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/Africa,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2011 through 2015
(includes corresponding Graph/Chart) II-138

Table 28: World 10-Year Perspective for Laser Printers/
Imagers by Geographic Region – Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia- Pacific (excluding
Japan), Middle East/Africa, and Latin America Markets for
Years 2000, 2007 & 2010 (includes corresponding Graph/Chart) II-139

Table 29: World Recent Past, Current & Future Analysis for
Networking Systems by Geographic Region – US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/ Africa,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2000 through
2010.(includes corresponding Graph/Chart) II-140

Table 30: World Long-term Projections for Networking Systems
by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Middle East/Africa, and Latin American
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015. II-141

Table 31: World 10-Year Perspective for Networking Systems by
Geographic Region – Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Middle East/Africa, and Latin American Markets for Years 2000,
2007 & 2010 (includes corresponding Graph/Chart) II-142

Table 32: World Recent Past, Current & Future Analysis for
Radiology Information Systems by Geographic Region – US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Middle
East/Africa, and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010. (includes corresponding Graph/Chart) II-143

Table 33: World Long-term Projections for Radiology
Information Systems by Geographic Region – US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/Africa,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2011 through 2015
(includes corresponding Graph/Chart) II-144

Table 34: World 10-Year Perspective for Radiology Information
Systems by Geographic Region – Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Middle East/Africa, and Latin American Markets for
Years 2000, 2007 & 2010 (includes corresponding Graph/Chart) II-145

Table 35: World Recent Past, Current & Future Analysis for
Workstations and Viewing Stations by Geographic Region – US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Middle
East/Africa, and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010 (includes corresponding Graph/Chart) II-146

Table 36: World Long-term Projections for Workstations and
Viewing Stations by Geographic Region – US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/Africa,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2011 through 2015
(includes corresponding Graph/Chart) II-147

Table 37: World 10-Year Perspective for Workstations and
Viewing Stations by Geographic Region – Percentage Breakdown
of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Middle East/Africa, and Latin American
Markets for Years 2000, 2007 & 2010 (includes corresponding
Graph/Chart) II-148

Table 38: World Recent Past, Current & Future Analysis for
X-Ray Film Scanners/Digitizers by Geographic Region – US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Middle
East/Africa, and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010. (includes corresponding Graph/Chart) II-149

Table 39: World Long-term Projections for X-Ray Film
Scanners/Digitizers by Geographic Region – US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/Africa,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2011 through 2015
(includes corresponding Graph/Chart) II-150

Table 40: World 10-Year Perspective for X-Ray Film
Scanners/Digitizers by Geographic Region – Percentage
Breakdown of Dollar Sales for US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Middle East/Africa, and Latin
American Markets for Years 2000, 2007 & 2010 (includes
corresponding Graph/Chart) II-151

Table 41: World Recent Past, Current & Future Analysis for
Teleradiology by Geographic Region – US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Middle East/Africa,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2000 through 2010.
(includes corresponding Graph/Chart) II-152

Table 42: World Long-term Projections for Teleradiology
Systems by Geographic Region – US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Middle East/Africa, and Latin
American Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) II-153

Table 43: World 10-Year Perspective for Teleradiology by
Geographic Region – Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Middle East/Africa, and Latin American Markets for Years 2000,
2007 & 2010 (includes corresponding Graph/Chart) II-154


III. MARKET

1. The United States III-1
A. Market Analyses III-1
Outlook III-1
An Overview of American Telemedicine & PACS Market III-1
Telemedicine Projects in the United States III-1
Correctional Care – A Gaining Niche for Telemedicine III-2
A Technology Driven Market III-2
Major Market Drivers III-2
Growth of PACS in Hospitals III-3
Table 44: US Market for PACS (2000-2006) – Number of
Hospitals and Imaging Centers with PACS and Penetration
Rate of PACS (%) (includes corresponding Graphs/Chart) III-3
Bottlenecks in the PACS Market III-3
Player Composition in the US PACS Market III-4
Table 45: Leading Players in the US Market for PACS and
Teleradiology Systems (2005-2007E) -Percentage breakdown
of Value Sales by Company for GE Healthcare, Siemens
Medical Systems, Eastman Kodak Health Imaging, Agfa
Medical Imaging, Philips Medical Systems, and Others
(includes corresponding Graph/Chart) III-4
An Insight Into the HIPAA Act of 1996 III-5
Key Issues Addressed By the HIPAA Act of 1996 III-5
Trends & Issues III-5
DRA Drives Imaging Centers to Close or Group III-5
Patient Monitoring Procedures and Equipment to Witness High
Growth III-5
Product Launches III-6
Strategic Corporate Developments III-22
Key Players III-43
BRIT Systems Inc. III-43
Canon Medical Systems III-43
DR Systems Inc III-44
Carestream Health, Inc. III-44
FUJIFILM Medical Systems USA Inc. III-44
GE Healthcare III-44
Hitachi Medical Systems America, Inc. III-45
IBM Corp. III-45
IMCO Technologies Corp. III-45
Konica Minolta Medical Imaging U.S.A, Inc. III-46
Philips Medical Systems III-46
Aspyra Inc III-47
B.Market Analytics III-48
Table 46: US Recent Past, Current & Future Analysis for PACS
and Teleradiology Systems by Product Segment – PACS
(Computed Radiography, Digital Voice Dictation/Speech
Recognition Systems, Image Storage and Archiving Devices,
Laser Printers/Imagers, Networking, Radiology Information
Systems, Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers) and Teleradiology Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2000 through 2010 (includes corresponding Graph/Chart) III-48

Table 47: US Long-term Projections for PACS and
Teleradiology Systems by Product Segment – PACS (Computed
Radiography, Digital Voice Dictation/Speech Recognition
Systems, Image Storage and Archiving Devices, Laser
Printers/Imagers, Networking, Radiology Information Systems,
Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers) and Teleradiology Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2011 through 2015 (includes corresponding Graph/Chart) III-49

Table 48: US 10-Year Perspective for PACS and Teleradiology
Systems by Product Segment – Percentage Breakdown of Dollar
Sales for PACS (Computed Radiography, Digital Voice
Dictation/Speech Recognition Systems, Image Storage and
Archiving Devices, Laser Printers/Imagers, Networking,
Radiology Information Systems, Workstations and Viewing
Stations, and X-Ray Film Scanners/Digitizers) and
Teleradiology Markets for 2000, 2007 & 2010 (includes
corresponding Graph/Chart) III-50

Table 49: US Recent Past, Current & Future Analysis for PACS
Systems by Product Type: Full Scale/Enterprise Wide PACS,
and Mini/Department Wide PAC Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010 (includes corresponding Graph/Chart) III-51

Table 50: US Long-term Projections for PACS Systems by
Product Type: Full Scale/Enterprise Wide PACS, and
Mini/Department Wide PAC Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2011 through
2015 (includes corresponding Graph/Chart) III-51

Table 51: US 10-Year Perspective for PACS Systems by Product
Segment – Percentage Breakdown of Dollar Sales for Full
Scale/Enterprise Wide PACS, and Mini/Department Wide PAC
Markets for 2000, 2007 & 2010 III-52

2. Canada III-53
A.Market Analysis III-53
Outlook III-53
Telemedicine in Canada – A Synopsis III-53
A Long Road Ahead III-53
Market Drivers III-54
Reimbursement & Licensing – A Weighty Issue III-54
Foreign Competition In the Canadian Telemedicine Industry III-54
Business Challenges III-55
Product Launches III-56
Strategic Developments III-57
Key Players III-60
Intelerad Medical Systems Inc III-60
McKesson’s Medical Imaging Group III-60
B.Market Analytics III-61
Table 52: Canadian Recent Past, Current & Future Analysis
for PACS and Teleradiology Systems by Product Segment – PACS
(Computed Radiography, Digital Voice Dictation/Speech
Recognition Systems, Image Storage and Archiving Devices,
Laser Printers/Imagers, Networking, Radiology Information
Systems, Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers) and Teleradiology Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2000 through 2010 (includes corresponding Graph/Chart) III-61

Table 53: Canadian Long-term Projections for PACS and
Teleradiology Systems by Product Segment – PACS (Computed
Radiography, Digital Voice Dictation/Speech Recognition
Systems, Image Storage and Archiving Devices, Laser
Printers/Imagers, Networking, Radiology Information Systems,
Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers) and Teleradiology Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2011 through 2015 (includes corresponding Graph/Chart) III-62

Table 54: Canadian 10-Year Perspective for PACS and
Teleradiology Systems by Product Segment – Percentage
Breakdown of Dollar Sales for PACS (Computed Radiography,
Digital Voice Dictation/Speech Recognition Systems, Image
Storage and Archiving Devices, Laser Printers/Imagers,
Networking, Radiology Information Systems, Workstations and
Viewing Stations, and X-Ray Film Scanners/Digitizers) and
Teleradiology Markets for 2000, 2007 & 2010 (includes
corresponding Graph/Chart) III-63

Table 55: Canadian Recent Past, Current & Future Analysis
for PACS Systems by Product Type: Full Scale/Enterprise
Wide PACS, and Mini/Department Wide PAC Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2000 through 2010 (includes corresponding
Graph/Chart) III-64

Table 56: Canadian Long-term Projections for PACS Systems by
Product Type: Full Scale/Enterprise Wide PACS, and
Mini/Department Wide PAC Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2011 through
2015 (includes corresponding Graph/Chart) III-64

Table 57: Canadian 10-Year Perspective for PACS Systems by
Product Segment – Percentage Breakdown of Dollar Sales for
Full Scale/Enterprise Wide PACS, and Mini/Department Wide
PAC Markets for 2000, 2007 & 2010 III-65

3. Japan III-66
A.Market Analysis III-66
Outlook III-66
Telemedicine in Japan – A Historical Review III-66
Smooth Sailing for Telemedicine in Japan in the 90’s III-66
Historical Trends in PACS Installations III-67
Table 58: Japanese Market for PACS (1995-1999) – New
Installations (In Units) (includes corresponding
Graphs/Chart) III-67
Telemedicine Projects in Japan III-67
US – The Leading Exporter to Japan III-67
Competitive Structure III-68
Table 59: Leading Players in the Japanese Market for PACS
(2004-2006) – Percentage Share Breakdown of Value Sales by
Company for GE Healthcare, Fujifilm, Infinitt,, and Others
(includes corresponding Graph/Chart) III-68
Telemedicine in 2001- A Critical Review III-69
Key Factors Cited for the Reduced Vigor III-69
Key Players III-69
Product Innovation III-69
Strategic Developments III-70
B.Market Analytics III-71
Table 60: Japanese Recent Past, Current & Future Analysis
for PACS and Teleradiology Systems by Product Segment – PACS
(Computed Radiography, Digital Voice Dictation/Speech
Recognition Systems, Image Storage and Archiving Devices,
Laser Printers/Imagers, Networking, Radiology Information
Systems, Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers) and Teleradiology Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2000 through 2010 (includes corresponding Graph/Chart) III-71

Table 61: Japanese Long-term Projections for PACS and
Teleradiology Systems by Product Segment – PACS (Computed
Radiography, Digital Voice Dictation/Speech Recognition
Systems, Image Storage and Archiving Devices, Laser
Printers/Imagers, Networking, Radiology Information Systems,
Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers) and Teleradiology Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2011 through 2015 (includes corresponding Graph/Chart) III-72

Table 62: Japanese 10-Year Perspective for PACS and
Teleradiology Systems by Product Segment – Percentage
Breakdown of Dollar Sales for PACS (Computed Radiography,
Digital Voice Dictation/Speech Recognition Systems, Image
Storage and Archiving Devices, Laser Printers/Imagers,
Networking, Radiology Information Systems, Workstations and
Viewing Stations, and X-Ray Film Scanners/Digitizers) and
Teleradiology Markets for 2000, 2007 & 2010 (includes
corresponding Graph/Chart) III-73

Table 63: Japanese Recent Past, Current & Future Analysis
for PACS Systems by Product Type: Full Scale/Enterprise Wide
PACS, and Mini/Department Wide PAC Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2000 through 2010 (includes corresponding Graph/Chart) III-74

Table 64: Japanese Long-term Projections for PACS Systems by
Product Type: Full Scale/Enterprise Wide PACS, and
Mini/Department Wide PAC Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2011 through
2015 (includes corresponding Graph/Chart) III-74

Table 65: Japanese 10-Year Perspective for PACS Systems by
Product Segment – Percentage Breakdown of Dollar Sales for
Full Scale/Enterprise Wide PACS, and Mini/Department Wide
PAC Markets for 2000, 2007 & 2010 III-75

4. Europe III-76
A.Market Analysis III-76
Outlook III-76
Telemedicine in Europe – A Synopsized Review III-76
Bubbling With Life? III-76
European PACS Market – An Overview III-77
Europe – “A Needs Driven Market” III-77
Competitive Structure III-78
Trends & Issues III-79
Strategic Developments III-80
B.Market Analytics III-81
Table 66: European Recent Past, Current & Future Analysis
for PACS and Teleradiology Systems by Geographic Region –
France, Germany, Italy, UK, Spain, Russia & Rest of Europe
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2000 through 2010 (includes
corresponding Graph/Chart) III-81

Table 67: European Long-term Projections for PACS and
Teleradiology Systems by Geographic Region – France,
Germany, Italy, UK, Spain, Russia & Rest of Europe Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2011 through 2015 (includes corresponding
Graph/Chart) III-82

Table 68: European 10-Year Perspective for PACS and
Teleradiology Systems by Geographic Region – Percentage
Breakdown of Dollar Sales for France, Germany, Italy, UK,
Spain, Russia & Rest of Europe Markets for Years 2000, 2007 &
2010 (includes corresponding Graph/Chart) III-83

Table 69: European Recent Past, Current & Future Analysis
for PACS and Teleradiology Systems by Product Segment – PACS
(Computed Radiography, Digital Voice Dictation/Speech
Recognition Systems, Image Storage and Archiving Devices,
Laser Printers/Imagers, Networking, Radiology Information
Systems, Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers) and Teleradiology Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2000 through 2010 (includes corresponding Graph/Chart) III-84

Table 70: European Long-term Projections for PACS and
Teleradiology Systems by Product Segment – PACS (Computed
Radiography, Digital Voice Dictation/Speech Recognition
Systems, Image Storage and Archiving Devices, Laser
Printers/Imagers, Networking, Radiology Information Systems,
Workstations and Viewing Stations, and X-Ray Film
Scanners/Digitizers) and Teleradiology Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2011 through 2015 (includes corresponding Graph/Chart) III-85

Table 71: European 10-Year Perspective for PACS and
Teleradiology Systems by Product Segment – Percentage
Breakdown of Dollar Sales for PACS (Computed Radiography,
Digital Voice Dictation/ Speech Recognition Systems, Image
Storage and Archiving Devices, Laser Printers/Imagers,
Networking, Radiology Info