World Radiation Therapy Equipment Market

World Radiation Therapy Equipment Market

This report analyzes the worldwide markets for Radiation Therapy Equipment in Millions of US$. The specific product segments analyzed are Linear Accelerator, Treatment Planning Systems, and Radiation Therapy Simulator. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, and Latin America. Annual forecasts are provided for each region for the period of 2000 through 2015. The report profiles 39 companies including many key and niche players worldwide such as Elekta AB, Computerized Medical Systems, Inc., MDS Nordion, Nucletron B.V, Philips Healthcare, Siemens Healthcare, TomoTherapy Incorporated, and Varian Medical Systems, Inc. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.

RADIATION THERAPY EQUIPMENT MCP-3356
A GLOBAL STRATEGIC BUSINESS REPORT


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
Linear Accelerator I-3
Treatment Planning System I-4
Radiation Therapy Simulator I-4


II. EXECUTIVE SUMMARY

1. Global Market Overview II-1
Outlook II-1
Current & Future Analysis II-1
Market Trends & Issues II-1
Developing Nations: Offer Lucrative Opportunities II-1
Increasing Usage of Radiation Oncology Management Systems
Software II-2
Linear Accelerators (Linacs) Increasingly Replacing
Conventional Equipment II-2
Table 1: Linear Accelerators (LINAC) Market Worldwide (2004)
– Distribution Percentage by Type in Unit Terms (includes
corresponding Graph/Chart) II-3
Cobalt-60 Units on a Decline II-3
Table 2: Number of Cobalt-60 Units in the World (1997 &
2007): Breakdown by Region for Asia-Pacific, Eastern
Europe, Central and South America, Western Europe, North
America, Middle East & Africa, and Caribbean (includes
corresponding Graph/Chart) II-3
Planning - Gaining Its Rightful Place In Treatment II-4
Aging Population Drives RTE Market II-4
Advancing Medical Technologies Propel Market Growth II-4
TomoTherapy – Future of Radiation Treatment II-4
Conventional Therapy Vs TomoTherapy II-5
Current Applications II-5
Proton Therapy – Revolutionizing the Industry II-5
Industry Marked by Intense Competition II-6
IMRT – An Insight II-6
IMRT: A Breakthrough for the Treatment of Pediatric Cancer II-7
Hospitals Focus on Buying IMRT-Capable LINACs II-7
Asia Presents a Promising Market II-7
Adaptive Radiation Therapy (ART) Gains Significance II-7
IGRT Gaining Grounds II-8
Technological Progress in the Treatment of Localized
Prostate Cancer II-8
Shortage of Medical Professionals & Systems – A Major Obstacle II-8

2. Cancer - A Global Concern II-9
Cancer Cases - Mortality Rates II-9
Cancer Incidence – Statistics on New Cases II-9
Table 3: Number of New Cancer Cases (2000-2020) (includes
corresponding Graph/Chart) II-10

Table 4: Worldwide Number of New Cancer Cases (in ‘000) for
2005: Breakdown by Age Group for Developing and Developed
Countries (includes corresponding Graph/Chart) II-10
Cancer Incidence in Developing Countries II-10
Cancer in Asia II-11
Oncology- Growing At a Cancerous Rate II-11
Worldwide Cancer Cases II-11
Lung Cancer Dominates the Worldwide Reported Cancer Cases II-12
Table 5: Worldwide Cancer Cases (2002): Breakdown of Cancer
Cases by Type for Developed and Developing Countries
(includes corresponding Graph/Chart) II-12
Cancer Treatment Modalities II-13
Radiation Therapy II-13

3. Competitive Scenario II-14
Radiotherapy Equipment Market – Highly Oligopolistic in Nature II-14
Table 6: Leading Players in Global Radiation Therapy
Equipment Market (2006) – Percentage Breakdown by Value Sales
for Varian, Siemens, Elekta, TomoTherapy, and Others
(includes corresponding Graph/Chart) II-14

Table 7: Leading Players in Global Linear Accelerators Market
(2005): Percentage Breakdown by Value Sales for Varian,
Siemens, Elekta, and Others (includes corresponding
Graph/Chart) II-14

Table 8: Leading Players in Global Radiation Therapy
Treatment Planning Market (2005): Percentage Breakdown by
Value Sales for Philips, Varian, Nomos, CMS, Elekta,
Nucletron, and Others (includes corresponding Graph/Chart) II-15
Varian is Numero Uno II-15
Elekta - Focusing On Its Strength II-15
Factors Impacting Radiation Therapy Equipment Market II-16
Change: The Only Constant Activity in the Market II-16
a. Strategic Alliances II-16
b. Diversification of Product Line II-16
c. Product Bundling II-16
Peep into the Future II-16

4. Product Overview II-17
Linear Accelerator II-17
Fast Replacing Other Radiation Therapy Devices II-17
Clinac 6 - A First of its Kind II-17
Accelerator- Down to Nuts & Bolts II-17
Clinical Demands and Device Characteristics II-18
Dual X-ray Energy Linear Accelerator - Numerous Energy
Offerings II-19
Cost Economics At Its Best II-19
Increase In Efficiency Levels II-19
Narrow Electron Energy Spectra- Highly Crucial II-20
Price- A Direct Functionality of Features II-20
Beam Energy and Dose Rates- Deciding Factors II-20
Isocentric Units- The Prevalent Form in Accelerators II-20
Subsystem Design Factors II-21
Bending Magnet Systems- For a Smooth Functioning II-21
Dosimetry System- Regulating the Radiation Dosage II-22
Beam Steering Systems- Directing the Flow II-22
Cobalt-60 II-22
Characteristics of Cobalt-60 Machines II-22
Competitive Edge: Cobalt 60 Units Vs Linear Accelerators II-23
Comparative Assessment of Cobalt-60 Teletherapy Units and
Linear Accelerators II-23
Treatment Planning System: An Innovative Technique in
Radiation Therapy II-24
Radiation Therapy Simulator II-25
CT Simulation Systems II-25
Major Systems of Radiation Therapy Simulator II-26
Mechanical Systems II-26
Principles of Operations II-27
X-Ray Systems II-27
Others II-28
Betatron II-28
Cesium and other Therapy Units II-28
Superficial X-ray/Orthovoltage/Megavoltage Units II-28

5. Radiotherapy Accessories II-29
Tumor Localization and Treatment Simulation Devices II-29
Patient Restraint and Repositioning Devices II-29
Different Types of Patient Restraint and Repositioning Devices II-30
Patient Targeting System II-30
Field-Shaping Devices II-30
Dose-Modifying Devices II-31
Treatment Setup and Delivery Devices II-32
Need for Surgery and Radiotherapy Likely to Diminish II-33

6. Cancer Therapy – Epidemiology II-35
Four Progressive Stages of Cancer II-35
Types of Cancer II-35
Breast Cancer II-36
Treatment Options II-36
Major Developments in the Treatment Area of Breast Cancer II-36
Colorectal cancer II-37
Prostate Cancer II-37
Pancreatic Cancer II-37
Cervical Cancer II-38
Esophageal Cancer II-38
Lung Cancer II-38
Technological Developments II-39
a. Cures II-39
b. Enhanced Therapies II-39
c. Prevention and Public Awareness II-39
d. Better Screening and Earlier Detection II-39
e. Other Emerging Therapies II-39

7. Radiotherapy II-40
Comprehensive Review on Radiation Therapy II-40
Radiation Therapy, a Panacea for all Cancer Diseases II-41
Composition of Radiation Therapy Treatment Team II-41
Types of Radiation Therapy II-41
Brachytherapy II-41
More About Brachytherapy II-42
Technical Scope of Brachytherapy II-42
Radiation Therapy for Treating Oral Cancer II-43
Other forms of Radiation Therapy Include II-43
Photoradiation Therapy (PRT) II-43
Photodynamic Therapy (PDT) II-43
Cost of Radiation Therapy II-43
Limitations of Conventional Radiation Therapy Techniques II-44

8. Cancer Treatment - A Cost Analysis II-45
Demographics II-45
Matrix of Death II-45
Improved Therapies II-45
Increase in Out-Patient Care II-45
Hospital Market: Under Pressure II-45
Medicare and Medicaid Reimbursement II-45

9. Major Developments II-47
A New Generation of Systems Under Development II-47
3-D Conformal Radiation Therapy: A New Technology II-47
IMRT: Gains Significance II-47
Types of IMRT II-48
Dynamic Multi Leaf Collimator IMRT II-48
Segmental Multi Leaf Collimator IMRT II-48
Image-Guided IMRT II-48
Mobetron (TM) - Radiation Therapy on the Wheels II-48
Radiation Therapy: An Effective Way to Reduce Restenosis II-48
High Dose Radiation Treatment Found to Reduce Side Effects in
Prostate Cancer Treatment II-48
Four-Dimensional CT Scanning II-49
Convergence of PET and CT Images for Treatment Planning II-49
World's First 3-D Image-Guided Radiation Therapy System from
Elekta II-49
Stereotactic Radiosurgery Market Overview II-49
Gamma Knife II-49
Precision Therapy II-49
CyberKnife II-50
TomoTherapy II-50

10. Product Innovations/Introductions II-51
Varian Secures FDA Approval for RapidArc Radiotherapy Technology II-51
Nucletron Oncentra®Brachy Receives US FDA Clearance II-51
Nucletron Introduces Electronic Miniature X-ray Radiation
Delivery System II-51
Leksell Gamma Knife® Perfexion™ Obtains Regulatory Approval II-51
TomoTherapy Introduces Hi-Art System II-52
Varian Unveils Smart Treatment Planning Tool, Smart
Segmentation™ II-52
Elekta Unveils Elekta Compact Linear Accelerator II-52
Varian Launches iX Range of HDR Afterloaders II-52
Nomos Releases Batcam Multi-probe II-53
Calypso Launches Connectivity Product II-53
CMS Obtains FDA 510(k) Clearance for New IMRT Planning
Platform, Monaco™ II-53
Nucletron Launches Digital Afterloader II-53
Varian Launches The Vitesse™ 2.0 Treatment Planning System II-54
Varian Receives FDA Approval for Extending Use of Trilogy
Accelerators II-54
Nucletron and RaySearch Launch New Planning Tool II-54
SFDA Approves Sale of North American Scientific’s SXi IGRT
System in China II-55
Siemens Receives FDA Approval for MV Cone Beam II-55
NOMOS Obtains SFDA Approval to Sell PEACOCK® in China II-55
Philips Launches Upgraded Products for Improved and Effective
Cancer Treatment II-55
Siemens to Introduce KV Cone Beam II-56
Siemens Launches CT-on-Rails II-56
Elekta Launches Elekta Synergy®S II-56
Elekta Unveils Leksell Gamma Knife®4C II-56
Varian Introduces Trilogy ™ Accelerator II-56
Varian Presents iX Series Clinac® accelerator II-56
Nucletron Gains Clearance for Launch of SWIFT II-56
Varian Introduces 3D Imaging On Acuity™ System for Image-
Guided Radiotherapy II-57
Varian Unveils Trilogy™ System for Image-Guided Radiation
Therapy II-57
Varian Releases Redesigned Version of Major VARiS Vision™
Software II-57
Elekta Announces European Clinical Release of Elekta Synergy™
System II-57
Philips Introduces Syntegra ™ Multi-Modality Software II-58
GE Medical Systems Unveils Lightspeed RT II-58
Siemens Bags 510(K) Clearance for Oncor Avant-Garde Linear
Accelerator II-58

11. Recent Industry Activity II-59
Elekta Acquires CMS II-59
TomoTherapy to Acquire Twin Peak Accelerator Technology II-59
Jiangsu Haiming to Enhance Production of Linacs II-59
Siemens & Prowess in Technology Partnership II-59
C-RAD Signs Distribution Agreement with Yanmedi II-60
MBP Selects Elekta’s Synergy® Digital Linear Accelerator Systems II-60
CHU de Poitiers Selects Elekta to Supply Elekta Synergy Systems II-60
Varian Receives Record Orders for RapidArc II-60
Elekta Acquires 3D Line Medical Systems II-61
Still River System and CMS Enter into Collaboration Agreement II-61
Varian and Still River Systems Ink Agreement for ARIA™ and
Monarch250™ II-61
Varian Collaborates with RaySearch II-62
TomoTherapy in Strategic Alliance with PTW II-62
Varian and BrainLAB Collaborate to Develop Novalis®Tx II-62
XCounter Enters into Commercial Partnership with Nucletron II-62
TomoTherapy to Collaborate with LLNL for Novel Proton Therapy
Systems II-63
Elekta Secures Contracts for Elekta Synergy® Systems II-63
Two Italy-based Hospitals Select Elekta’s Advanced Radiation
Therapy II-63
Elekta Bags Contract to Supply Digital IGRT and IMRT
Treatment Systems II-64
Still River Systems & OncoLogics Ink Agreement for PBRT Equipment II-64
SCI to Acquire Proton Beam Radiotherapy Equipment from Still
River Systems II-64
CMS and Verbeeten Partner to Offer Radiation Treatment Solutions II-64
BVI to Acquire Linear Accelerators from Varian II-65
Accuray Collaborates with Siemens II-65
Nucletron Inks Agreement with RaySearch to Develop Software
for Proton Therapy II-65
Varian Establishes New Linear Accelerator Facility in China II-66
Elekta Wins Contract from St Luke’s Hospital in Ireland II-66
Consorta Enters into Agreement with Varian II-66
Oxford Churchill Offers PFI Managed Equipment Service Contract
to Varian II-66
Toshiba and CMS Sign Virtual Simulation and CT Imaging
Distributing Agreement II-67
Humanitas Clinic Installs On-Board Imager™ Device in Italy II-67
Royal Marsden Selects Elekta Synergy™ Linear Accelerators II-67
TomoTherapy and Kirloskar to Introduce Radiation Therapy
Equipment in India II-68
Elekta Acquires Controlling Stake in BMEI II-68
Elekta in Deal to Provide Radiation Oncology Products &
Solutions to MedAssets II-68
Elekta Deploys Advance Radiation Oncology Systems at TMH II-69
Philips Installs Treatment Planning Systems at Barnes- Jewish
Hospital II-69
Varian Bags Order to Deliver Clinac Linear Accelerators to
Russian Oncology Center II-69
Varian Deploys Trilogy Medical Linear Accelerator at
Australian Hospital II-69
Radiation Therapy Purchases Radiation Therapy Treatment
Facilities in the US II-69
Philips Extends Alliances with RaySearch and Calypso Medical
for Developing Advanced Radiation Systems II-70
Accuray Acquires Assets of HES Related to Linear Accelerators II-70
Radiation Therapy Takes Over Four Treatment Centers II-70
Elekta Acquires Impac Medical II-70
Intraop Delivers Mobetron Radiation Therapy System to Arthur
James Cancer Hospital II-71
Elekta Integrates NAS’ BAT Technology into its Linear
Accelerator Platforms II-71
Hitachi Delivers PET System Based on AccSys’ Linear Accelerator II-71
Varian Acquires Sigma Micro Informatique II-71
Varian Acquires OpTx II-71
Varian Acquires Radiation Therapy Business of Mitsubishi II-72
Nucletron in Agreement With RaySearch II-72

12. Industry Activity in the Recent Past II-73
Nucletron Renews Its Agreement With Elekta II-73
Varian Medical Systems Acquires Zmed, Inc II-73
Elekta and Siemens Sign Distribution Agreement II-73
Siemens Acquires Radiation Therapy Business of MRC II-73
MDS Nordion Inks Technology Transfer Deal with NTP
Radioisotopes (Pty) Ltd II-74

13. Focus on Select Key Players II-75
Elekta AB (Sweden) II-75
Computerized Medical Systems, Inc. (US) II-75
MDS Nordion (Canada) II-76
Nucletron B.V. (The Netherlands) II-76
Philips Healthcare (US) II-76
Siemens Healthcare (Germany) II-77
TomoTherapy Incorporated (US) II-77
Varian Medical Systems, Inc. (US) II-78

14. Global Market Perspective II-79
Table 9: World Recent Past, Current & Future Analysis for
Radiation Therapy Equipment by Geographic Region – United
States, Canada, Japan, Europe, Asia-Pacific and Latin
American Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2000 through 2010 (includes
corresponding Graph/Chart) II-79

Table 10: World Long-term Projections for Radiation Therapy
Equipment by Geographic Region – United States, Canada, Japan,
Europe, Asia-Pacific and Latin American Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2011 through 2015 (includes corresponding Graph/Chart) II-80

Table 11: World 10-Year Perspective for Radiation Therapy
Equipment by Geographic Region – Percentage Breakdown of
Value Sales for United States, Canada, Japan, Europe,
Asia-Pacific and Latin American Markets for 2003, 2008 & 2012
(includes corresponding Graph/Chart) II-81
Market for Radiation Therapy Equipment by Product Segment II-82
Table 12: World Recent Past, Current & Future Analysis for
Linear Accelerator by Geographic Region – United States,
Canada, Japan, Europe, Asia-Pacific and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2000 through 2010 (includes corresponding
Graph/Chart) II-82

Table 13: World Long-term Projections for Linear Accelerator
by Geographic Region – United States, Canada, Japan, Europe,
Asia-Pacific and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2011
through 2015 (includes corresponding Graph/Chart) II-83

Table 14: World 10-Year Perspective for Linear Accelerator by
Geographic Region – Percentage Breakdown of Value Sales for
United States, Canada, Japan, Europe, Asia-Pacific and Latin
American Markets for Years 2003, 2008 & 2012 (includes
corresponding Graph/Chart) II-84

Table 15: World Recent Past, Current & Future Analysis for
Treatment Planning Systems by Geographic Region – United
States, Canada, Japan, Europe, Asia-Pacific and Latin
American Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2000 through 2010 (includes
corresponding Graph/Chart) II-85

Table 16: World Long-term Projections for Treatment Planning
Systems by Geographic Region – United States, Canada, Japan,
Europe, Asia-Pacific and Latin American Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2011 through 2015 (includes corresponding Graph/Chart) II-86

Table 17: World 10-Year Perspective for Treatment Planning
Systems by Geographic Region – Percentage Breakdown of Value
Sales for United States, Canada, Japan, Europe, Asia-Pacific
and Latin American Markets for Years 2003, 2008 & 2012
(includes corresponding Graph/Chart) II-87

Table 18: World Recent Past, Current & Future Analysis for
Radiation Therapy Simulators by Geographic Region – United
States, Canada, Japan, Europe, Asia-Pacific and Latin
American Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2000 through 2010 (includes
corresponding Graph/Chart) II-88

Table 19: World Long-term Projections for Radiation Therapy
Simulators by Geographic Region – United States, Canada,
Japan, Europe, Asia-Pacific and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2011 through 2015 (includes corresponding
Graph/Chart) II-89

Table 20: World 10-Year Perspective for Radiation Therapy
Simulators by Geographic Region – Percentage Breakdown of
Value Sales for United States, Canada, Japan, Europe,
Asia-Pacific and Latin American Markets for Years 2003, 2008 &
2012 (includes corresponding Graph/Chart) II-90


III. MARKET

1. The United States III-1
A.Market Analysis III-1
US Continues to be the Largest Market III-1
Demographic & Technological Factors Drive Radiation Therapy
Market III-1
Radiation Therapy Market – An Insight III-1
Table 21: Radiation Therapy Centers by Type in the US in
2004 (includes corresponding Graph/Chart) III-2
IMRT Market III-2
Innovations Propel Market Growth III-3
Utilization of Digital Images for Treatment Planning on the
Rise III-3
Cancer Therapy Industry Marked By Changing Demographics III-3
Cancer Trends III-4
Table 22: Major Cancer Types (New Cases) in Males in the
US (2004) – Percentage Breakdown by Organ Involved
(includes corresponding Graph/Chart) III-4

Table 23: Major Cancer Types (New Cases) in Females in the
US (2004) – Percentage Breakdown by Organ (includes
corresponding Graph/Chart) III-5
Eradication of Cancer: A National Priority in the US III-5
Cancer Treatment and Reimbursement Rates III-5
Leading Players III-6
Table 24: Leading Players in Linear Accelerators Market in
the US (2005): Percentage Breakdown by Value Sales for
Varian, Siemens, Elekta, and Others (includes corresponding
Graph/Chart) III-6

Table 25: Leading Players in IMRT Market in the US (2004 &
2005): Percentage Share Breakdown by Value Sales for
Varian and Others III-6
Software for Radiation Treatment Planning III-6
Table 26: Use of Radiation Treatment Planning Software
(TPS) in the U.S Hospitals/Clinics (2004) – Percentage
Breakdown by Major Manufactures (Brands) (includes
corresponding Graph/Chart) III-7
Factors Responsible for the Rise in Cancer Cases III-7
Table 27: New Cancer Cases Among Men in the US in 2005 &
2006 (In Number) (includes corresponding Graph/Chart) III-8

Table 28: Cancer Mortality Statistics Among Men in US in
2005 & 2006 (In Number) (includes corresponding
Graph/Chart) III-9

Table 29: New Cancer Case Among Women in the US in 2005 &
2006 (In Number) (includes corresponding Graph/Chart) III-10

Table 30: Cancer Mortality Statistics Among Women in US
in 2005 & 2006 (In Number) (includes corresponding
Graph/Chart) III-11

Table 31: Cancer Cases and Related Deaths in the US – 1999
and 2002 III-12

Table 32: Major Causes of Death in the US (2001) –
Percentage Breakdown by Organ Involved (includes
corresponding Graph/Chart) III-12
Export-Import Statistics III-13
Table 33: US Exports of X-Ray Based Radiography &
Radiotherapy Equipment (2006-2007): Percentage Breakdown of
Export Value for Japan, France, Canada, China, UK,
Germany, Finland and Others (includes corresponding
Graph/Chart) III-13

Table 34: US Imports of X-Ray Based Radiography &
Radiotherapy Equipment (2006-2007): Percentage Breakdown of
Import Value for Germany, UK, Japan, Netherlands, Malaysia,
Singapore, Switzerland, and Others (includes corresponding
Graph/Chart) III-14
Product Introductions III-14
Strategic Corporate Developments III-19
Review of Major Players III-26
Computerized Medical Systems, Inc. III-26
Philips Healthcare III-27
Siemens Medical Solutions USA, Inc. III-27
TomoTherapy Incorporated III-28
Varian Medical Systems Inc III-28
B.Market Analytics III-29
Table 35: US Recent Past, Current & Future Analysis for
Radiation Therapy Equipment by Product Segment - Linear
Accelerator, Treatment Planning Systems, and Radiation
Therapy Simulators Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) III-29

Table 36: US Long-term Projections for Radiation Therapy
Equipment by Product Segment- Linear Accelerator, Treatment
Planning Systems, and Radiation Therapy Simulators Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2011 through 2015 (includes corresponding
Graph/Chart) III-29

Table 37: US 10-Year Perspective for Radiation Therapy
Equipment by Product Segment – Percentage Breakdown of Value
Sales for Linear Accelerator, Treatment Planning Systems,
and Radiation Therapy Simulators Markets for 2003, 2008 &
2012 (includes corresponding Graph/Chart) III-30

2. Canada III-31
A.Market Analysis III-31
Cancer Trends in Canada III-31
Import-Export Statistics III-31
Table 38: Canadian Exports of X-Ray Based Radiography &
Radiotherapy Equipment (2006-2007): Percentage Breakdown of
Export Value for Japan, US, Italy, Germany, Brazil,
Finland, and Others (includes corresponding Graph/Chart) III-31

Table 39: Canadian Imports of X-Ray Based Radiography &
Radiotherapy Equipment (2006-2007): Percentage Breakdown of
Import Value for the US, Germany, UK, Netherlands, Japan,
Singapore, and Others (includes corresponding Graph/Chart) III-32
Strategic Corporate Developments III-32
MDS Nordion – A Leading Player in Canada III-32
B.Market Analytics III-33
Table 40: Canadian Recent Past, Current & Future Analysis
for Radiation Therapy Equipment by Product Segment - Linear
Accelerator, Treatment Planning Systems, and Radiation
Therapy Simulators Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) III-33

Table 41: Canadian Long-term Projections for Radiation
Therapy Equipment by Product Segment - Linear Accelerator,
Treatment Planning Systems, and Radiation Therapy Simulators
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) III-34

Table 42: Canadian 10-Year Perspective for Radiation Therapy
Equipment by Product Segment – Percentage Breakdown of Value
Sales for Linear Accelerator, Treatment Planning Systems,
and Radiation Therapy Simulators Markets for 2003, 2008 &
2012 (includes corresponding Graph/Chart) III-34

3. Japan III-35
A.Market Analysis III-35
Radiation Therapy Market – An Overview III-35
Strategic Corporate Developments III-35
B.Market Analytics III-36
Table 43: Japanese Recent Past, Current & Future Analysis
for Radiation Therapy Equipment by Product Segment - Linear
Accelerator, Treatment Planning Systems, and Radiation
Therapy Simulators Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) III-36

Table 44: Japanese Long-term Projections for Radiation
Therapy Equipment by Product Segment- Linear Accelerator,
Treatment Planning Systems, and Radiation Therapy Simulators
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) III-37

Table 45: Japanese 10-Year Perspective for Radiation Therapy
Equipment by Product Segment – Percentage Breakdown of Value
Sales for Linear Accelerator, Treatment Planning Systems,
and Radiation Therapy Simulators Markets for 2003, 2008 &
2012 (includes corresponding Graph/Chart) III-37

4. Europe III-38
A.Market Analysis III-38
Radiation Therapy Market – An Overview III-38
Table 46: Number of Radiation Therapy Systems Per Million
Population in Select European Countries (2006) (includes
corresponding Graph/Chart) III-38
Cancer Trends III-39
B.Market Analytics III-39
Table 47: European Recent Past, Current & Future Analysis
for Radiation Therapy Equipment by Geographic Region-
France, Germany, Italy, UK and Rest of Europe Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2000 through 2010 (includes corresponding
Graph/Chart) III-39

Table 48: European Long-term Projections for Radiation
Therapy Equipment by Geographic Region- France, Germany,
Italy, UK and Rest of Europe Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2011
through 2015 (includes corresponding Graph/Chart) III-40

Table 49: European Recent Past, Current & Future Analysis
for Radiation Therapy Equipment by Product Segment - Linear
Accelerator, Treatment Planning Systems, and Radiation
Therapy Simulators Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) III-40

Table 50: European Long-term Projections for Radiation
Therapy Equipment by Product Segment- Linear Accelerator,
Treatment Planning Systems, and Radiation Therapy Simulators
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) III-41

Table 51: European 10-Year Perspective for Radiation Therapy
Equipment by Geographic Region – Percentage Breakdown of
Value Sales for France, Germany, Italy, UK and Rest of
Europe Markets for Years 2003, 2008 & 2012 (includes
corresponding Graph/Chart) III-41

Table 52: European 10-Year Perspective for Radiation Therapy
Equipment by Product Segment – Percentage Breakdown of Value
Sales for Linear Accelerator, Treatment Planning Systems,
and Radiation Therapy Simulators Markets for Years 2003,
2008 & 2012 (includes corresponding Graph/Chart) III-42

4a. France III-43
A.Market Analysis III-43
Strategic Corporate Development III-43
B.Market Analytics III-44
Table 53: French Recent Past, Current & Future Analysis for
Radiation Therapy Equipment by Product Segment - Linear
Accelerator, Treatment Planning Systems, and Radiation
Therapy Simulators Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) III-44

Table 54: French Long-term Projections for Radiation Therapy
Equipment by Product Segment - Linear Accelerator, Treatment
Planning Systems, and Radiation Therapy Simulators Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2011 through 2015 (includes corresponding
Graph/Chart) III-44

Table 55: French 10-Year Perspective for Radiation Therapy
Equipment by Product Segment – Percentage Breakdown of Value
Sales for Linear Accelerator, Treatment Planning Systems,
and Radiation Therapy Simulators Markets for 2003, 2008 &
2012 (includes corresponding Graph/Chart) III-45

4b. Germany III-46
A.Market Analysis III-46
Strategic Corporate Developments III-46
Key Players III-47
BrainLAB AG III-47
Siemens Healthcare III-47
B.Market Analytics III-48
Table 56: German Recent Past, Current & Future Analysis for
Radiation Therapy Equipment by Product Segment - Linear
Accelerator, Treatment Planning Systems, and Radiation
Therapy Simulators Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) III-48

Table 57: German Long-term Projections for Radiation Therapy
Equipment by Product Segment - Linear Accelerator, Treatment
Planning Systems, and Radiation Therapy Simulators Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2011 through 2015 (includes corresponding
Graph/Chart) III-48

Table 58: German 10-Year Perspective for Radiation Therapy
Equipment by Product Segment – Percentage Breakdown of Value
Sales for Linear Accelerator, Treatment Planning Systems,
and Radiation Therapy Simulators Markets for 2003, 2008 &
2012 (includes corresponding Graph/Chart) III-49

4c. Italy III-50
A.Market Analysis III-50
Strategic Corporate Development III-50
B.Market Analytics III-51
Table 59: Italian Recent Past, Current & Future Analysis for
Radiation Therapy Equipment by Product Segment - Linear
Accelerator, Treatment Planning Systems, and Radiation
Therapy Simulators Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) III-51

Table 60: Italian Long-term Projections for Radiation
Therapy Equipment by Product Segment- Linear Accelerator,
Treatment Planning Systems, and Radiation Therapy Simulators
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) III-52

Table 61: Italian 10-Year Perspective for Radiation Therapy
Equipment by Product Segment – Percentage Breakdown of Value
Sales for Linear Accelerator, Treatment Planning Systems,
and Radiation Therapy Simulators Markets for 2003, 2008 &
2012 (includes corresponding Graph/Chart) III-52

4d. The United Kingdom III-53
A.Market Analysis III-53
Radiotherapy Sector – An Overview III-53
Strategic Corporate Developments III-53
B.Market Analytics III-55
Table 62: UK Recent Past, Current & Future Analysis for
Radiation Therapy Equipment by Product Segment - Linear
Accelerator, Treatment Planning Systems, and Radiation
Therapy Simulators Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2000 through
2010 (includes corresponding Graph/Chart) III-55

Table 63: UK Long-term Projections for Radiation Therapy
Equipment by Product Segment- Linear Accelerator, Treatment
Planning Systems, and Radiation Therapy Simulators Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2011 through 2015 (includes corresponding
Graph/Chart) III-55

Table 64: UK 10-Year Perspective for Radiation Therapy
Equipment by Product Segment – Percentage Breakdown of Value
Sales for Linear Accelerator, Treatment Planning Systems,
and Radiation Therapy Simulators Markets for 2003, 2008 &
2012 (includes corresponding Graph/Chart) III-56

4e. Rest of Europe III-57
A.Market Analysis III-57
Product Launch III-57
Strategic Corporate Developments III-60
Key Players III-61
Elekta AB (Sweden) III-61
Nucletron B.V. (The Netherlands) III-62
B.Market Analytics III-63
Table 65: Rest of Europe Recent Past, Current & Future
Analysis for Radiation Therapy Equipment by Product Segment
- Linear Accelerator, Treatment Planning Systems, and
Radiation Therapy Simulators Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010 (includes corresponding Graph/Chart) III-63

Table 66: Rest of Europe Long-term Projections for Radiation
Therapy Equipment - By Product Segment - Linear Accelerator,
Treatment Planning Systems, and Radiation Therapy Simulators
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) III-64

Table 67: Rest of Europe 10-Year Perspective for Radiation
Therapy Equipment by Product Segment – Percentage Breakdown
of Value Sales for Linear Accelerator, Treatment Planning
Systems, and Radiation Therapy Simulators Markets for 2003,
2008 & 2012 (includes corresponding Graph/Chart) III-65

5. Asia-Pacific III-66
A.Market Analysis III-66
An Overview of Cancer Statistics in Asia-Pacific III-66
China III-66
Cancer Demographics III-66
Vietnam III-66
Cancer Statistics III-66
India III-67
Cancer Statistics III-67
Cancer Diagnostic and Treatment Equipment Market III-67
Table 68: Cancer Diagnostic and Treatment Equipment Market
in India (2003-2006): Production and Export of Equipment
(In US$ Million) (includes corresponding Graph/Chart) III-67
Indonesia III-68
Korea III-68
Oncology Infrastructure Market III-68
Table 69: Number of Radiation Therapy Machines in Korea
(2006) (includes corresponding Graph/Chart) III-68
Malaysia III-68
Cancer Statistics III-68
Thailand III-69
Cancer Statistics III-69
Strategic Corporate Developments III-70
B.Market Analytics III-72
Table 70: Asia-Pacific Recent Past, Current & Future
Analysis for Radiation Therapy Equipment by Product Segment
- Linear Accelerator, Treatment Planning Systems, and
Radiation Therapy Simulators Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010 (includes corresponding Graph/Chart) III-72

Table 71: Asia-Pacific Long-term Projections for Radiation
Therapy Equipment by Product Segment - Linear Accelerator,
Treatment Planning Systems, and Radiation Therapy Simulators
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) III-72

Table 72: Asia-Pacific 10-Year Perspective for Radiation
Therapy Equipment by Product Segment – Percentage Breakdown
of Value Sales for Linear Accelerator, Treatment Planning
Systems, and Radiation Therapy Simulators Markets for 2003,
2008 & 2012 (includes corresponding Graph/Chart) III-73

6. Latin America III-74
A.Market Analysis III-74
Argentina III-74
Radiation Therapy Equipment - High Growth Potential III-74
B.Market Analytics III-75
Table 73: Latin American Recent Past, Current & Future
Analysis for Radiation Therapy Equipment by Product Segment
- Linear Accelerator, Treatment Planning Systems, and
Radiation Therapy Simulators Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2000
through 2010 (includes corresponding Graph/Chart) III-75

Table 74: Latin American Long-term Projections for Radiation
Therapy Equipment by Product Segment - Linear Accelerator,
Treatment Planning Systems, and Radiation Therapy Simulators
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2011 through 2015 (includes
corresponding Graph/Chart) III-75

Table 75: Latin American 10-Year Perspective for Radiation
Therapy Equipment by Product Segment - Percentage Breakdown
of Value Sales for Linear Accelerator, Treatment Planning
Systems, and Radiation Therapy Simulators Markets for 2003,
2008 & 2012 (includes corresponding Graph/Chart) III-76


IV. COMPETITIVE LANDSCAPE