Medical Imaging Markets
There will be a steady increase in demand for medical imaging services, along with pressures to improve the quality of healthcare delivered in the home and to lower its cost. The medical imaging segments are poised for a major new phase of growth fueled by the availability of new technology coming out of the computer and digital information technology segment, and the higher interest of individual older baby boom patients and general healthcare consumers to monitor health status. Continuous improvements in technology are resulting in a growing number of new imaging tests that combine high levels of accuracy with rapid, easy-to-use product formats. Digital mammography is driving more screening programs. The purpose of this TriMark Publications report is to describe the specific market segment of the diagnostics market sector called medical imaging. This sector includes all of the generally-accepted imaging activities that are currently used today, including X-ray and radiography, mammography, magnetic resonance imaging (MRI), ultrasound, gamma camera market, computed tomography (CT) scans and positron emission tomography (PET) scans. It examines these clinical measurement devices and their reagents and supplies as used in hospitals, clinics and doctor's offices. It also includes associated market segments like picture archiving and communications system (PACS) markets, cardiology imaging markets, three-dimensional (3D) imaging markets and other emerging technologies.
1 Overview 12
1.1 Statement of Report 12
1.2 Scope of this Report 12
1.3 Methodology 14
1.4 Executive Summary 15
2 Overview of the Medical Imaging Market 18
2.1 Medical Imaging Industry Market Size 18
2.1.1 World Medical Imaging Market 18
2.1.2 U.S. Medical Imaging Market 18
2.2 Medical Imaging Infrastructure 19
2.2.1 Total Healthcare Expenditures and Demographics 19
2.2.2 Number of Hospitals 21
2.2.3 Number of Radiologists 22
2.2.4 Radiologic Services 23
2.2.5 Medical Imaging Companies 25
2.2.6 Market Drivers 25
2.2.7 Market Restraints 27
2.2.8 Market Segments for Medical Imaging 27
2.2.9 Key Players in the Medical Imaging Segment 30
2.2.10 Medical Imaging Sector Analysis 32
2.2.11 Medical Imaging Industry Forecasts 34
2.3 Contrast Media 35
2.3.1 Market Share 36
2.3.2 Market Drivers 36
3 Digital Imaging 37
3.1 Overview of Medical Imaging Market Segments 37
3.2 Market Niches and Digitalization 37
3.3 Digital Imaging Techniques 38
3.3.1 Clinical Uses 38
3.4 Current and New Digital Imaging Procedures 39
3.5 The Digital Impact on Clinical Imaging Markets 42
3.6 Picture Archiving and Communication Systems 42
3.7 Picture Archiving and Communication Systems and Radiology Information Systems 43
3.7.1 Increasing Digitization of Cardiology Image Storage and Management Creates Market Growth Opportunities 44
3.7.2 Enterprise-Wide Integration Is an Important Area for Future Market Development 44
3.7.3 Competition Among Large Companies Intensifies 44
3.7.4 Benefits of This Service 44
3.7.5 Market Sectors 45
3.7.6 Digital Imaging Technology Platforms 45
3.8 Trends in Digital Imaging 45
3.9 Enhancing Computed Radiography 46
3.10 Digital Radiography versus Computed Radiography 47
3.11 DR Products 48
3.12 Vasodilator Perfusion Imaging 48
4 Digital Radiography Markets 50
4.1 Market Overview 50
4.2 Disadvantages of Film Technology 50
4.3 CR and ddR Systems 50
4.4 DR Market Trends 51
4.5 Market Segmentation 51
4.6 DR Market Drivers 51
4.7 Market Restraints 52
4.8 Radiography Market Forecasts 52
4.8.1 Revenue Forecasts 52
4.9 Competition 53
4.10 X-Ray Film Market Share 54
4.11 Installed Base and Procedure Forecasts 54
4.12 DR Technology Platforms 54
4.12.1 DR Infrastructure 55
4.12.2 Volume Levels 55
4.12.3 Vendor Choice 56
4.12.4 Computed Radiography versus Digital Radiography 56
4.12.5 Convincing the Administration 56
4.12.6 Vendor/Customer Consultation 57
4.12.7 Enhancing Computed Radiography 57
4.12.8 DR Technology 58
4.12.9 Charge-Coupled Devices 58
4.12.10 Computed Radiology 59
4.12.11 Flat-Panel Indirect Detectors 60
4.12.12 Flat-Panel Direct Detectors 60
4.12.13 Fluoroscopy 60
4.12.14 Direct versus Indirect Detection Technology 63
4.12.15 Picture Archiving and Communication Systems 64
4.12.16 PACS Units versus CCD Units 64
4.12.17 Slot Scan 65
4.12.18 Tiled CCD Arrays 65
4.12.19 Direct Conversion 65
4.13 Types of Digital X-Ray Imaging 65
4.13.1 From Four Components to One 66
4.13.2 The Benefits of Digital X-Ray 66
4.13.3 Image Intensifier/TV Systems 67
4.13.4 CR Technology Platforms 68
4.13.5 Charge-Coupled Devices 70
4.13.6 Scintillator with Photodiode Array 72
4.13.7 Direct Capture Using Flat-Panel Detectors 72
4.14 DR Applications 73
4.14.1 Three-Dimensional Imaging 73
4.14.2 Cardiovascular Imaging 74
4.15 Market Factors 75
4.15.1 Portable DR Systems 76
4.15.2 Detector Choices 77
4.15.3 Software and Advanced Applications 77
4.15.4 Future Trends 78
4.16 Products 78
4.16.1 Carestream Health, Inc. (formally Kodak Health Imaging Group) 78
4.16.2 Agfa 78
4.16.3 Fuji Medical Systems 79
4.16.4 Shimadzu Medical Systems 79
4.16.5 Toshiba Medical Systems 79
4.16.6 Siemens Medical Engineering 80
4.16.7 GE Medical Systems 80
4.16.8 Canon Medical Systems 80
4.16.9 Philips Medical Systems 81
4.16.10 Swissray International 81
4.16.11 Trixell SAS 81
4.16.12 Additional Product Entries 82
4.17 Manufacturers 84
5 Mammography 88
5.1 Mammography Overview 88
5.2 Breast Cancer 91
5.3 Digital Mammography 93
5.3.1 Digital Mammography Offers Attractive Operation Costs/Ownership Benefits 93
5.4 Digital versus Standard Mammography 94
5.5 Digital Mammography Markets 96
5.5.1 Structure Unit Sales and Revenue 96
5.5.2 World Mammography Markets Revenue Forecast 97
5.6 World Mammography Markets Revenue 97
5.6.1 Unit Shipment and Revenue Forecasts 97
5.6.2 Market Share 98
5.6.3 Mammography Placements and Digital Share 99
5.6.4 Competitive Structure 100
5.6.5 New Technologies and Features Essential for Future Growth 100
5.7 Digital X-Ray Mammography Technology Analysis 101
5.7.1 Product Background 101
5.7.2 Market Drivers 101
5.7.3 Market Restraints 102
5.7.4 Technological Solutions 104
5.7.5 Competitive Analysis 104
5.7.6 U.S. Installed Base Analysis 106
5.8 Trends in Digital X-Ray Imaging Markets 106
5.9 Types of Mammography Imaging 108
5.9.1 Stereoscopic Digital Mammography 108
5.9.2 Magnetic Resonance Imaging 108
5.9.3 Computer-Aided Detection 108
5.9.4 Molecular Breast Imaging 111
5.9.5 Positron Emission Mammography 112
5.9.6 CR Mammography 112
5.9.7 Breast Imaging and Reporting and Database System (BI-RADS) 114
5.10 Product Description 115
5.10.1 GE Medical Systems 115
5.10.2 Shimadzu 116
5.10.3 Imaging Diagnostic Systems 116
5.10.4 Carestream Health 117
5.10.5 Hologic 118
5.10.6 Fischer Medical Technologies 118
5.10.7 Fujifilm Medical Systems 119
5.10.8 Sectra 119
5.10.9 Siemens 119
5.10.10 Others 120
5.11 Manufacturers 121
6 Computed Tomography Market 123
6.1 Overview 123
6.2 Market Measurements 124
6.2.1 Market Drivers 124
6.2.2 Market Restraints 124
6.3 CT Market Forecasts 124
6.3.1 U.S. Revenue Forecasts 124
6.3.2 Single-Slice Computed Tomography 125
6.3.3 Multi-slice Computed Tomography 126
6.3.4 U.S. Competitive Structure 126
6.3.5 European Market Revenue Forecasts 127
6.3.6 European Competitve Structure 128
6.4 DR Technology Platforms 128
6.4.1 Fan-Beam 128
6.4.2 Sub-Second Helical Scanners 128
6.4.3 Multi-Slice Scanners 129
6.5 CT Market Trends 129
6.5.1 Market Segmentation 129
6.6 Digital CT Applications 134
6.6.1 Introduction 134
6.6.2 Competitive Analysis 135
6.6.3 Cardiac CT and EBT Scanner Forecasts and Trends 135
6.6.4 Other Applications 135
6.7 Market Factors 135
6.8 Contrast Media 136
6.8.1 Revenue Forecasts 136
6.9 Product Technology Platforms 136
6.9.1 Shimadzu Medical Systems 136
6.9.2 Toshiba America Medical Systems 136
6.9.3 Siemens 137
6.9.4 GE Medical Systems 137
6.9.5 Philips Medical Systems 137
6.9.6 Others 137
6.10 Manufacturers 138
7 Magnetic Resonance Market 140
7.1 MRI Overview 140
7.1.1 Market Segmentation and Definitions: MRI Market 140
7.2 Market Measurements 140
7.2.1 Market Drivers for Open and Closed MRI Segments 140
7.3 Market Restraints for Open and Closed MRI Segments 141
7.4 Market Drivers for Low-/Mid-/High-Field MRI Segments 142
7.5 Market Restraints for Low-/Mid-/High-Field MRI Segments 142
7.6 Revenue Forecasts 142
7.7 Unit Shipment and Installed Base Forecast 144
7.8 Procedure Forecast 146
7.8.1 Breast Imaging 150
7.8.2 Cardiac Imaging 150
7.8.3 Orthopedic Imaging 152
7.8.4 Functional MRI 152
7.8.5 The Angiography Alternative 153
7.8.6 More Directions for Magnetic Resonance Imaging 154
7.8.7 Buying and Selling MRI Market Dynamics 155
7.9 Competitive Structure: Open and Closed Magnetic Resonance Imaging 156
7.10 Competitive Structure: Low-/Mid-/High-Field Magnetic Resonance Imaging 156
7.11 Market Analysis 156
7.12 Contrast Media 157
7.12.1 Revenue Forecasts 157
7.13 Manufacturers 158
8 Ultrasound Market 160
8.1 Ultrasound Market Trends 160
8.1.1 Market Segmentation and Definitions 160
8.1.2 Overview 161
8.1.3 Market Developments 162
8.1.4 Market Drivers 163
8.1.5 Market Restraints 163
8.2 Ultrasound Market Forecasts 163
8.2.1 Revenue Forecasts 163
8.2.2 Unit Shipment Forecasts 164
8.2.3 Installed Base Forecast 165
8.2.4 Competitive Structure 165
8.2.5 Market Analysis 165
8.3 Cardiology Ultrasound Segment Forecasts 167
8.3.1 Revenue Forecasts 167
8.3.2 Unit Shipment Forecasts 169
8.3.3 Market Share Analysis 169
8.4 OB/GYN Ultrasound Segment Forecasts 170
8.5 Radiology Ultrasound Segment Forecasts 171
8.6 Hand-Carried Ultrasound Segment Forecasts 171
8.6.1 Revenue Forecasts 171
8.6.2 Market Share Analysis 172
8.7 Contrast Media 172
8.7.1 Revenue Forecasts 173
8.7.2 Market Share Analysis 174
8.8 Products 174
8.8.1 Ardent Sound 174
8.8.2 CIVCO Medical Instruments 174
8.8.3 Fischer Medical Technologies 175
8.8.4 Medison Co. Ltd. 175
8.8.5 Mindray Co. Ltd. 175
8.8.6 Sea Ridge Software 175
8.8.7 Sony Medical Products 175
8.8.8 TeraRecon 175
8.8.9 Toshiba America Medical Systems 175
8.8.10 ZONARE Medical Systems 175
8.8.11 U-Systems 176
8.8.12 Siemens Medical 176
8.8.13 Philips Medical 176
8.8.14 GE Healthcare 176
8.9 Manufacturers 177
8.10 New Transducer Technology 178
9 Gamma Camera Market 179
9.1 Market Overview 179
9.2 Gamma Camera Market Trends 182
9.3 Market Segmentation and Definitions 184
9.4 Market Drivers 184
9.5 Market Restraints 184
9.6 Gamma Camera Market Forecasts 185
9.6.1 Revenue Forecasts 185
9.6.2 Gamma Camera Market Trends 185
9.7 Competition 185
9.8 Market Share 186
9.9 Installed Base and Procedure Forecasts 186
9.10 Gamma Camera Technology Platforms 186
9.10.1 Single Photon Emission Computed Tomography 186
9.10.2 Attenuation Correction Technology 187
9.10.3 Charge-Coupled Devices 188
9.10.4 Computed Radiology 188
9.10.5 Flat-Panel Indirect Detectors 188
9.10.6 Flat-Panel Direct Detectors 188
9.10.7 Fluoroscopy 188
9.10.8 Direct and Indirect Detection Technology 189
9.10.9 Picture Archiving and Communication Systems 189
9.10.10 Picture Archiving and Communication Systems versus Couple-Charged Devices 190
9.11 Types of Gamma Camera Imaging 190
9.11.1 Image Intensifier/Television Systems 190
9.11.2 Scintillator with Photodiode Array 191
9.12 Gamma Camera Applications 191
9.12.1 Prostate Cancer 191
9.12.2 Scintimammography 194
9.12.3 Cardiovascular Imaging 195
9.13 Market Factors 195
9.14 Products 196
9.14.1 Eurorad-Euromedical 196
9.14.2 Gamma Medica 196
9.14.3 Toshiba America Medical Systems 196
9.14.4 Siemens 196
9.14.5 GE Medical Systems 196
9.14.6 Philips Medical Systems 197
9.15 Manufacturers 197
10 PET Market 199
10.1 Total PET and PET/CT Market Trends 199
10.1.1 Market Segmentation and Definitions 199
10.1.2 Overview 200
10.1.3 Market Measurements 201
10.1.4 Market Drivers 202
10.1.5 Market Restraints 203
10.1.6 Clinical Usages 203
10.2 Total PET and PET/CT Market Forecasts 204
10.2.1 Revenue Forecasts 204
10.2.2 Unit Shipment Forecasts 205
10.2.3 Procedure Forecast 205
10.2.4 Competitive Structure 205
10.2.5 Market Share Analysis 207
10.2.6 Future Directions for Positron Emission Tomography 209
10.2.7 New PET Technology Platforms 210
10.3 Stand-Alone PET Market Forecasts 211
10.3.1 Revenue Forecasts 211
10.3.2 Unit Shipment Forecasts 211
10.3.3 Market Share Analysis 211
10.4 PET/CT Market Forecasts 211
10.4.1 PET/CT Revenue Forecasts 212
10.4.2 PET/CT Unit Shipment Forecasts 212
10.4.3 PET/CT Market Share Analysis 212
10.5 Products 212
10.5.1 Gamma Medica 212
10.5.2 Mallinckrodt 213
10.5.3 Naviscan PET Systems 213
10.5.4 Siemens 213
10.5.5 TeraRecon 213
10.5.6 Toshiba America Medical Systems 213
10.6 Manufacturers 213
11 PACS Markets 215
11.1 PACS Market Trends 215
11.1.1 Market Segmentation and Definitions 216
11.1.2 Overview 216
11.1.3 Market Measurements 217
11.1.4 Market Drivers 218
11.1.5 Market Restraints 219
11.2 PACS Market Forecasts 219
11.2.1 Revenue Forecasts 219
11.2.2 Installed Base and Penetration Forecasts 221
11.2.3 Competitive Structure 222
11.2.4 Market Share Analysis 222
11.3 PACS Software and Services 223
11.4 PACS Hardware Solutions 224
11.4.1 RIS/PACS Revenue Forecasts 224
11.5 Products 224
11.5.1 BarcoView, LLC 224
11.5.2 Carestream Health Inc. 224
11.5.3 Cedara Software 225
11.5.4 Communication Synergy Technologies, Inc. 225
11.5.5 DeJarnette Research Systems 225
11.5.6 Dynamic Imaging 225
11.5.7 EMC Corp. 225
11.5.8 eSys Medical 226
11.5.9 Fujifilm Medical Systems USA 226
11.5.10 Fujitsu Computer Products of America, Inc. 226
11.5.11 GE Medical Systems 226
11.5.12 IMCO Technologies 227
11.5.13 InSiteOne, Inc. 227
11.5.14 Intelerad Medical Systems, Inc. 227
11.5.15 Intuitive Imaging Informatics, LLC 227
11.5.16 MedImage, Inc. 227
11.5.17 Merge eFilm 227
11.5.18 Merge Healthcare (acquired eMed Technologies on May 25, 2005) 228
11.5.19 MIMvista Corp. 228
11.5.20 NovaRad Corp. 228
11.5.21 ODS Medical 228
11.5.22 Radical Radiology 228
11.5.23 RamSoft, Inc. 228
11.5.24 ScImage 229
11.5.25 Sectra Imtec AB 229
11.5.26 TDK Medical 229
11.5.27 TeraRecon 229
11.6 Manufacturers 229
12 Three-Dimensional Imaging Markets 233
12.1 Total 3D Imaging Market Trends 233
12.1.1 Overview 233
12.1.2 Market Drivers 236
12.1.3 Market Restraints 236
12.2 Total 3D Imaging Market Forecasts 236
12.3 Three-Dimensional CT/MRI/Angiography Market Forecasts 237
12.4 Three-Dimensional Ultrasound Imaging Market Forecasts 237
12.5 Three-Dimensional Imaging Markets 237
12.6 Manufacturers 238
13 Emerging Technologies and Products 240
13.1 Global Picture Archiving and Communication Systems 240
13.2 Image Processing 241
13.3 Computed Tomography for Calcium Scoring 242
13.4 Magnetic Resonance Imaging 243
13.5 Vasodilator Perfusion Imaging 243
13.6 Functional Anatomic Mapping 244
13.7 Near-IR Spectroscopy 244
13.8 Three-Dimensional Scanning 244
13.9 Handheld Ultrasound 245
13.10 Advanced PET/MR 245
14 Products by Modality 246
14.1.1 Comparing Modalities 246
14.1.2 Magnetic Resonance Imaging 250
14.1.3 Computed Tomography 250
14.1.4 Mammography 250
14.1.5 Digital Mammography 251
14.1.6 Positron Emission Tomography 251
14.1.7 Reimbursement 253
14.1.8 X-Ray 253
14.1.9 Vascular X-Ray 253
14.1.10 Digital Modalities 254
14.1.11 Digital Benefits 254
15 Market Analysis by Modality 255
15.1 Magnetic Resonance Imaging 255
15.1.1 Products 256
15.2 Computed Tomography 257
15.2.1 Products 258
15.3 Nuclear Medicine 259
15.3.1 Products 260
15.4 X-Ray 260
15.4.1 Products 262
15.5 Digital Mammography 264
15.5.1 Products 265
16 Business Trends in the Industry 267
16.1 Sector Consolidation 267
16.2 Medical Imaging Growth Trends 267
16.3 Mergers and Acquisitions 267
16.3.1 Center for Diagnostic Imaging Signs With Medicalis 267
16.3.2 HealthSouth Sells Diagnostic Division to The Gores Group 267
16.3.3 AMICAS Acquires Technology Partners' Practice Management Software 267
16.3.4 MDS Nordion and Avid Radiopharmaceuticals Enter Collaboration 268
16.3.5 NightHawk Radiology Holdings Acquires Teleradiology Diagnostic Service 268
16.3.6 Onex Acquires Kodak's Health Group 268
16.3.7 Successor to Kodak's Health Group to Be Called Carestream Health 268
16.3.8 Siemens Acquires German HIS Company 268
16.3.9 Siemens Medical Finalizes Acquisition of Bayer's Diagnostics Division 269
16.3.10 GE Healthcare Acquires Dynamic Imaging 269
16.3.11 Hologic Acquires BioLucent 269
16.3.12 Siemens and CTI Molecular Imaging, Inc 269
16.4 Product Testing Depth in Medical Imaging Testing 269
16.5 Government Regulation 270
16.5.1 U.S. Regulation 270
16.5.2 U.K. Regulation 272
16.5.3 E.U. Regulation 273
16.5.4 Japanese Regulation 275
16.6 Increased Market Penetration 275
17 Company Profiles 275
17.1 Agfa-Gevaert Corp. 276
17.2 Analogic Corp. 276
17.3 Canon 277
17.4 Carestream Health, Inc. (formally Kodak Health Imaging Division) 278
17.5 CMT Medical Technologies 279
17.6 Confirma, Inc. 280
17.7 DALSA 280
17.8 dpiX, Inc. 281
17.9 Fischer Medical Technologies 282
17.10 Fonar Corp. 283
17.11 Fuji Medical Systems 283
17.12 General Electric Medical Systems 284
17.13 Hitachi Medical Systems America, Inc. 287
17.14 Hologic, Inc. 287
17.15 iCAD 290
17.16 Imaging Diagnostic Systems, Inc. 291
17.17 InfiMed, Inc. 291
17.18 Medison Co., Ltd. 292
17.19 Oy IMIX AB 295
17.20 Philips Medical Systems Nederland BV 295
17.21 Rad-icon Imaging Corp. 296
17.22 Scanis 296
17.23 Sectra 296
17.24 Schick Technologies, Inc. 297
17.25 Siemens Medical Solutions 298
17.26 Sterling Diagnostic Imaging, Inc. 302
17.27 Swissray International 302
17.28 Toshiba America Medical Systems 303
17.29 Trixell S