This research service evaluates the U.S and Canadian radiology PACS and integrated RIS/PACS markets for 2008 to 2018. This analysis provides an overview of the market and of main market metrics, identifies the key market drivers and restraints, evaluates ongoing market and competitive trends, and provides detailed SWOT and market share analyses on competitors for 2011. Based on these factors, annual unit shipments, average contract sizes, revenue, market penetration and installed base are estimated and forecasted for various segments of the market, including new contract and recurring revenue streams, net new and replacement contracts, and solution components for hospitals categorized by annual procedure volume and imaging centers.

Executive Summary
•Historically the leading clinical department with regard to information technology (IT) adoption, radiology has invested heavily in radiology information systems and picture archiving and communications systems (RIS, PACS) throughout the past two decades.
•Following the wide adoption of RIS by U.S. hospitals, the first wave of wide-scale adoption of radiology PACS in the late 1990s was driven mainly by its appealing return on investment (ROI) model, as it allows for immediate cost reductions associated with replacing analog film printing and distribution with digital image viewing and communication.
•The first wave of PACS adoption has reached its trailing end, and the market has entered its second generation as PACS technology has diffused top-down from larger-scale to smaller-scale provider market segments.
•With the vast majority of North American radiology providers already using RIS, PACS, or a combination of these two systems, the RIS/PACS market is mature and driven largely by system replacements. Many providers have already replaced one or two PACS and are using or seeking a third-generation solution.
•Unlike with first-generation PACS systems, the ROI model for system replacements is based on incremental workflow efficiency and productivity gains, and on their remote distribution capabilities.
•Radiology PACS have been evolving in recent years into enterprise-wide systems, making them the core platform for multidepartmental integrated image management platforms and for distributed medical image access across multisite environments.
•Radiology PACS have also evolved from first-generation systems to integrate higher levels of functionality, including traditionally stand-alone functions such as RIS and advanced (3D/4D) visualization, as well as traditionally RIS-based functions such as reporting.
•Despite the growing role and scope of PACS, the North American PACS market slowed dramatically starting in 2008, declining in revenue for three consecutive years.
•This recessionary trend was triggered by economic pressures on hospital finances, but was accelerated by the high degree of saturation and lengthening replacement cycles in the large-scale PACS market, combined with pricing pressures and provider consolidation in smaller segments.
•While the three-year revenue decline appears to be a permanent readjustment of the market opportunity, the outlook for the North American market remains positive for the period 2012-2017, with radiology PACS recovering their role as a productivity workhorse for the imaging enterprise and with medical imaging finding its place as part of the U.S. healthcare IT reform.

Table Of Contents

TABLE OF CONTENTS

Executive Summary 4
Market Overview: Radiology Image and Information Management Systems 11
Total Radiology PACS and Integrated RIS/PACS Market -
External Challenges: Drivers and Restraints 17
Forecasts and Trends 31
Revenue Forecasts by Revenue Stream 48
Revenue Forecasts by Solution Component 53
Forecasts and Trends by Annual Procedure Volume 61
Demand Analysis 67
Market Share and Competitive Analysis 73
Over 200,000 APV Segment Breakdown 88
Between 100,000 and 200,000 APV Segment Breakdown 97
Between 50,000 and 100,000 APV Segment Breakdown 105
Between 25,000 and 50,000 APV Segment Breakdown 114
Under 25,000 APV Segment Breakdown 123
Imaging Center Segment Breakdown 132
The Last Word (Conclusions and Implications) 139
Appendix 142

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