Ultrasound Markets

Ultrasound Markets

During the past 35 years, ultrasound and nuclear medicine were introduced into clinical medicine, computed tomography (CT) revolutionized diagnostic procedures and magnetic resonance imaging (MRI) emerged, bringing new diagnostic information at the cellular level. X-ray morphed from analog films to digital, and virtually all medical images became “soft” files on the electronic superhighway. This TriMark Publications report describes the increasingly diversified market segment of the diagnostics market sector called ultrasonography or, more commonly, ultrasound. This sector currently includes prenatal ultrasonography, cardiac and cardiology-imaging ultrasound, and increasingly portable or handheld ultrasound, which some believe may partly to fully replace the ubiquitous use of stethoscopes over time. Emerging market segments such as three-dimensional (3D) and now four-dimensional (4D) ultrasound are also examined.

- Agfa-Gevaert Corp. Heartlab
- Analogic Corp.
- Biosound Esaote
- Boston Scientific
- B-K Medical
- GE Healthcare
- Hitachi Medical Systems America, Inc.
- Hologic, Inc.
- Medison Co., Ltd.
- MEDRAD, Inc. (U.S.)
- Philips Medical Systems
- Siemens Medical Solutions
- SonoSite, Inc. (U.S.)
- Toshiba America Medical Systems
- Varian Medical Systems, Inc.

1. Overview 6
1.1 Statement of Report 6
1.2 Scope of the Report 6
1.3 Methodology 7
1.4 Executive Summary 9

2. Overview of the Medical Imaging Market 10
2.1 Medical Imaging Industry Market Size 10
2.2 Medical Imaging Industry Profile 12
2.2.1 Healthcare Delivery System Profile 12
2.2.2 Radiologists 14
2.2.3 Radiologic Services 15
2.2.4 Medical-Image Market Drivers and Restraints 17
2.2.5 Medical Imaging Market Segments 19
2.2.6 Contrast Media 21
2.2.7 Picture Archiving and Communication Systems 23
2.2.8 Picture Archiving and Communication Systems and Radiology Information Systems 23
2.2.9 Medical Imaging Companies 26
2.2.10 Significant Ultrasound Companies 29
2.2.11 Medical Imaging Industry Forecasts 33
2.3 Market Niches and Digitalization 34
2.4 Digital Imaging Techniques 35
2.4.1 Clinical Uses 35
2.5 Current and New Digital Imaging Procedures 36
2.6 The Digital Impact on Clinical Imaging Markets 39
2.7 Trends in Digital Imaging 39
2.8 Enhancing Computed Radiography 40
2.9 Digital Radiography vs. Computed Radiography 41
2.10 DR Products 41
2.11 Vasodilator Perfusion Imaging 42

3. Ultrasound Market 44
3.1.1 Overview of Ultrasound Market Segments 44
3.1.2 Increase in Application Areas Stirs Demand 44
3.2 Ultrasound Market Trends 49
3.2.1 Market Segmentation and Definitions 49
3.2.2 Ultrasonography Is of Great Value in Other Obstetric Conditions such as: 54
3.2.3 Overview 61
3.2.4 Market Developments 62
3.2.5 Market Drivers 63
3.2.6 Market Restraints 63
3.3 Ultrasound Market Forecasts 63
3.3.1 Unit Shipment Forecasts 65
3.3.2 Installed-Base Forecast 66
3.3.3 Competitive Structure 66
3.3.4 Market Analysis 66
3.4 Cardiology Ultrasound Segment Forecasts 68
3.4.1 Unit Shipment Forecasts 70
3.4.2 Market Share Analysis 70
3.5 OB/GYN Ultrasound Segment Forecasts 72
3.6 Radiology Ultrasound Segment Forecasts 72
3.7 Hand-Carried Ultrasound Segment Forecasts 73
3.7.1 Market Share Analysis 74
3.7.2 Portable Ultrasound Equipment Displays Rapid Growth 75
3.8 Contrast Media 76
3.8.1 Market Share Analysis 78
3.8.2 Contrast-Enhanced Ultrasound (CEUS) and Microbubbles 78
3.8.3 Targeting Microbubbles 79
3.8.4 How Contrast-Enhanced Ultrasound (CEUS) Works 79
3.8.5 Applications of Contrast-Enhanced Ultrasound 80
3.9 Products 80
3.9.1 The Acquisition Decision 80
3.9.2 Ardent Sound 81
3.9.3 ALOKA, Ltd. 81
3.9.4 B-K Medical 81
3.9.5 CIVCO Medical Solutions 81
3.9.6 Esaote Group Company 81
3.9.7 Fischer Medical Technologies 82
3.9.8 GE Healthcare 82
3.9.9 Hitachi Medical Systems America 84
3.9.10 Medison Co., Ltd. 84
3.9.11 MEDRAD 84
3.9.12 Mindray Co., Ltd. 84
3.9.13 Philips Medical 84
3.9.14 Sea Ridge Software 85
3.9.15 Siemens Medical 85
3.9.16 SonoSite 85
3.9.17 Sony Medical Products 85
3.9.18 TeraRecon 85
3.9.19 Toshiba America Medical Systems 86
3.9.20 U-Systems 86
3.9.21 Zonare Medical Systems 86
3.10 Manufacturers 86
3.11 New Transducer Technology 87
3.12 Ultrasound Product Introductions to the Market 88

4. Three- and Four-Dimensional Ultrasonography Markets 90
4.1 Total 3D Imaging Market Trends 90
4.1.1 Overview 90
4.1.2 Market Drivers 91
4.1.3 Market Restraints 91
4.2 Total 3D Imaging Market Forecasts 92
4.3 Three-Dimensional Ultrasound Imaging Market Forecasts 92
4.4 Three-Dimensional Imaging Markets 92
4.5.1 Echocardiography: The Largest Growth Area 95
4.5.2 Real-Time Color Doppler System 96
4.6 Manufacturers 97

5. Business Trends in the Industry 99
5.1 Sector Consolidation 99
5.2 Medical Imaging Growth Trends 99
5.3 Acquisition, License Agreements, Internal Development and Partnerships 99
5.4 Mergers and Acquisitions 99
5.4.1 Center for Diagnostic Imaging Signs With Medicalis 99
5.4.2 HealthSouth Sells Diagnostic Division to The Gores Group 100
5.4.3 AMICAS Acquires Technology Partners' Practice-Management Software 100
5.4.4 MDS Nordion and Avid Radiopharmaceuticals Enter Collaboration 100
5.4.5 NightHawk Radiology Holdings Acquired Teleradiology Diagnostic Service 100
5.4.6 Onex Acquires Kodak's Health Group 100
5.4.7 Successor to Kodak's Health Group To Be Called 'Carestream Health' 101
5.4.8 Siemens Acquires German HIS Company 101
5.4.9 Siemens Medical Finalizes Acquisition of Bayer's Diagnostics Division 101
5.5 Product Testing Depth in Medical-Imaging Testing 102
5.6 Government Regulation 102
5.6.1 U.S. Regulation 102
5.6.2 U.K. Regulation 105
5.6.3 E.U. Regulation 106
5.6.4 Japanese Regulation 107
5.7 Increased Market Penetration 108
5.8 Partnerships 108

6. Company Profiles 109
6.1 Agfa-Gevaert Corp. Heartlab 109
6.3 Analogic Corp. 110
6.4 Biosound Esaote 111
6.5 Boston Scientific 111
6.6 B-K Medical 112
6.7 GE Healthcare 112
6.8 Hitachi Medical Systems America, Inc. 114
6.9 Hologic, Inc. 114
6.10 Medison Co., Ltd. 117
6.11 MEDRAD, Inc. (U.S.) 119
6.12 Philips Medical Systems 119
6.13 Siemens Medical Solutions 120
6.14 SonoSite, Inc. (U.S.) 123
6.15 Toshiba America Medical Systems 123
6.16 Varian Medical Systems, Inc. 124

INDEX OF FIGURES

Figure 2.1: U.S. Annual Percent Increase in Imaging Market Size, 2003 to 2012 11
Figure 2.2: Worldwide Annual Percent Increase in Imaging Market Size, 2002 to 2011 11
Figure 2.3: Global Market Share of Contrast Media Markets 22
Figure 2.4: Global Market Share of Medical Imaging and Diagnostic Companies 27
Figure 3.1: Annual Increase in Worldwide Sales of Ultrasound Equipment, 2001 to 2010 64
Figure 3.2: Annual Increase U.S. Sales of Ultrasound Equipment, 2001 to 2010 65
Figure 3.3: Annual Increase in Worldwide Sales of Cardiology Ultrasound Equipment, 2001 to 2010 69
Figure 3.4: U.S. Annual Increase in Worldwide Sales of Cardiology Ultrasound Equipment, 2001 to 2010 70
Figure 3.5: Annual Increase in U.S. Sales of Handheld Ultrasound Equipment, 2001 to 2010 74
Figure 3.6: Annual Increase in Worldwide Sales of Ultrasound Contrast Agents, 2000 to 2010 78

LIST OF TABLES

Table 2.1: U.S. Medical Imaging Market Size, 2001 to 2012 10
Table 2.2: Global Medical Imaging Market Size, 2001 to 2012 11
Table 2.3: U.S. Healthcare Expenditures 12
Table 2.4: U.S. Health Expenditures as a Percentage of GDP, 1998 to 2010 12
Table 2.5: U.S. User Expenditures for Medical Imaging Equipment and Related Products 13
Table 2.6: Comparison of Spending on Health by Country 13
Table 2.7: Spending on Health by Country 13
Table 2.8: Millions of Americans Over 65 Years of Age, 2000 to 2050 13
Table 2.9: Percent Change in Volume of Examinations per Imaging Modality: 1996 to 2006 16
Table 2.10: Market Share of Contrast Media Markets 22
Table 2.11: Worldwide Market Share of Medical Imaging and Diagnostic Companies 26
Table 2.12: Worldwide Imaging Procedures, 2001 to 2012 33
Table 3.1: Ultrasonography Comparison: U.S. vs. Europe 49
Table 3.2: Worldwide Ultrasound Procedures, 2000 to 2010 64
Table 3.3: Worldwide Sales of Ultrasound Equipment, 2000 to 2010 64
Table 3.4: U.S. Sales of Ultrasound Equipment, 2000 to 2010 65
Table 3.5: Worldwide Cardiology Ultrasound Procedures 68
Table 3.6: Worldwide Sales of Cardiology Ultrasound Equipment, 2000 to 2010 69
Table 3.7: U.S. Sales of Cardiology Ultrasound Equipment, 2000 to 2010 69
Table 3.8: Worldwide Sales of Handheld Ultrasound Equipment, 2000 to 2012 73
Table 3.9: U.S. Sales of Handheld Ultrasound Equipment, 2000 to 2012 74
Table 3.10: Worldwide Sales of Ultrasound Contrast Agents, 1999 to 2010 78