Global Radiation Therapy Equipment Industry

• Publication date: October 2010

This report analyzes the worldwide markets for Radiation Therapy Equipment in US$ Million by the following product segments: 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 estimates and forecasts are provided for the period 2007 through 2015. A seven-year historic analysis is also provid...

This report analyzes the worldwide markets for Radiation Therapy Equipment in US$ Million by the following product segments: 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 estimates and forecasts are provided for the period 2007 through 2015. A seven-year historic analysis is also provided for these markets. The report profiles 39 companies including many key and niche players such as Elekta AB, MDS Nordion, Nucletron B.V, Philips 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.

Medical Devices Industry

RADIATION THERAPY EQUIPMENT MCP-3356
A GLOBAL STRATEGIC BUSINESS REPORT


CONTENTS


1. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS 1
Study Reliability and Reporting Limitations 1
Disclaimers 2
Data Interpretation & Reporting Level 3
Quantitative Techniques & Analytics 3
Product Definitions and Scope of Study 3
Linear Accelerator 4
Treatment Planning System 4
Radiation Therapy Simulator 4

2. GLOBAL MARKET OVERVIEW 5
Outlook 5
Current & Future Analysis 5
Market Trends & Issues 5
Rising Incidence of Cancer to Boost Demand for Radiation Therapy 5
Technology Obsolescence Drives Innovation 6
Huge Finances - Imperative for Radiation Therapy Equipment
Purchases 6
Insurance Plans Determine the Feasibility of Novel Technologies 6
Developing Nations: Offer Lucrative Opportunities 6
Asia Presents a Promising Market 7
Increasing Usage of Radiation Oncology Management Systems
Software 7
Linear Accelerators (LINACS) Increasingly Replace
Conventional Equipment 8
Table 1: Linear Accelerators (LINAC) Distribution Worldwide
by Type (2004) -Percentage Share Breakdown in Unit Terms for
Digital High-End, Digital Low-end, and Analogue Low-End
Linear Accelerators (includes corresponding Graph/Chart) 8
Cobalt-60 Units on a Decline 9
Table 2: Cobalt-60 Units Distribution Worldwide by
Geographic Region (A Comparative Analysis of 1997 Vis-à-vis
2007): Number of Units in Asia-Pacific, Eastern Europe,
Central and South America, Western Europe, North America,
Middle East & Africa, and Caribbean (includes corresponding
Graph/Chart) 9
Planning - Gaining its Rightful Place in Cancer Treatment 9
Aging Population Drives Radiation Therapy Equipment Market 10
Table 3: Worldwide Distribution of Population by
Region/Country: As on July 2009 (includes corresponding
Graph/Chart) 10

Table 4: Worldwide Distribution of 65+ Population by
Region/Country: As on July 2009 (includes corresponding
Graph/Chart) 10
TomoTherapy - Future of Radiation Treatment 10
Conventional Therapy Vs. TomoTherapy 11
Current Applications 11
Proton Therapy - Revolutionizing the Industry 12
Industry Marked by Intense Competition 12
IMRT - An Insight 13
IMRT: A Breakthrough for the Treatment of Pediatric Cancer 13
Hospitals Focus on Buying IMRT-Capable LINACs 13
Adaptive Radiation Therapy (ART) Gains Significance 13
IGRT Gaining Ground 14
Technological Progress in the Treatment of Localized Prostate
Cancer 14
Shortage of Medical Professionals & Systems - A Major Obstacle 14

3. CANCER - A GLOBAL CONCERN 15
Cancer Incidence - Statistics on New Cases 15
Table 5: Global Cancer Incidence by Region: 2009 (includes
corresponding Graph/Chart) 15

Table 6: Global Cancer Incidence by Country: 2009 (includes
corresponding Graph/Chart) 16

Table 7: Global Cancer Incidence by Income Group: 2009
(includes corresponding Graph/Chart) 17

Table 8: Cancer Incidence in Upper Middle Income Countries by
Site: 2009 (includes corresponding Graph/Chart) 18

Table 9: Cancer Incidence in Lower Middle Income Countries by
Site: 2009 (includes corresponding Graph/Chart) 19

Table 10: Cancer Incidence in High Income Countries by Site:
2009 (includes corresponding Graph/Chart) 20
Cancer Incidence in Developing Countries 20
Cancer in Asia 21
Cancer Cases - Mortality Rates 21
Table 11: Global Cancer Related Deaths in Male Population by
Site: 2007 (includes corresponding Graph/Chart) 21

Table 12: Global Cancer Related Deaths in Female Population
by Site: 2007 (includes corresponding Graph/Chart) 22
Oncology- Growing At a Cancerous Rate 22
Worldwide Cancer Cases 22
Cancer Treatment Modalities 23
Radiation Therapy 23

4. COMPETITIVE SCENARIO 24
Global Competitive Scenario - Varian Medical Systems Leads the
Fray 24
Table 13: Global Radiation Therapy Equipment Market by
Leading Players (2006) -Market Share Breakdown by Value Sales
for Varian, Siemens, Elekta, TomoTherapy, and Others
(includes corresponding Graph/Chart) 25

Table 14: Global Linear Accelerators Market by Leading
Players (2005): Market Share Breakdown by Value Sales for
Varian, Siemens, Elekta, and Others (includes corresponding
Graph/Chart) 25

Table 15: Global Radiation Therapy Treatment Planning Market
by Leading Players (2005): Market Share Breakdown by Value
Sales for Philips, Nucletron, Varian, CMS, and Others
(includes corresponding Graph/Chart) 25
Elekta - Focusing On Its Strength 25
Factors Impacting Radiation Therapy Equipment Market 26
Change: The Only Constant Activity in Market 26
(a) Strategic Alliances 26
(b) Diversification of Product Line 26
(c) Product Bundling 26

5. PRODUCT OVERVIEW 27
Linear Accelerator 27
Clinac 6 - A First of its Kind 27
Accelerator - Down to Nuts & Bolts 28
Clinical Demands and Device Characteristics 29
Dual X-ray Energy Linear Accelerator - Numerous Energy Offerings 29
Cost Economics At Its Best 29
Increase In Efficiency Levels 30
Narrow Electron Energy Spectra- Highly Crucial 30
Price - A Direct Functionality of Features 30
Beam Energy and Dose Rates- Deciding Factors 31
Isocentric Units - The Prevalent Form in Accelerators 31
Subsystem Design Factors 31
Bending Magnet Systems- For a Smooth Functioning 32
Dosimetry System- Regulating the Radiation Dosage 32
Beam Steering Systems- Directing the Flow 32
Cobalt-60 32
Characteristics of Cobalt-60 Machines 33
Competitive Edge: Cobalt 60 Units Vs. Linear Accelerators 33
Comparative Assessment of Cobalt-60 Teletherapy Units and
Linear Accelerators 34
Treatment Planning System: An Innovative Technique in
Radiation Therapy 35
Radiation Therapy Simulator 35
CT Simulation Systems 36
Major Systems of Radiation Therapy Simulator 36
Mechanical Systems 37
Principles of Operations 38
X-Ray Systems 38
Others 39
Betatron 39
Cesium and other Therapy Units 39
Superficial X-ray/Orthovoltage/Megavoltage Units 39

6. RADIOTHERAPY ACCESSORIES 40
Tumor Localization and Treatment Simulation Devices 40
Patient Restraint and Repositioning Devices 40
Different Types of Patient Restraint and Repositioning Devices 41
Patient Targeting System 41
Field-Shaping Devices 41
Dose-Modifying Devices 43
Treatment Setup and Delivery Devices 43
Need for Surgery and Radiotherapy Likely to Diminish 45

7. CANCER THERAPY - EPIDEMIOLOGY 46
Four Progressive Stages of Cancer 46
Types of Cancer 46
Breast Cancer 47
Treatment Options 47
Major Developments in the Treatment Area of Breast Cancer 47
Colorectal cancer 48
Prostate Cancer 48
Pancreatic Cancer 49
Cervical Cancer 49
Esophageal Cancer 49
Lung Cancer 49
Technological Developments 50
Cures 50
Enhanced Therapies 50
Prevention and Public Awareness 50
Better Screening and Earlier Detection 50
Other Emerging Therapies 50

8. RADIOTHERAPY 52
Comprehensive Review on Radiation Therapy 52
Radiation Therapy, a Panacea for all Cancer Diseases 53
Composition of Radiation Therapy Treatment Team 53
Types of Radiation Therapy 53
Brachytherapy 53
More About Brachytherapy 54
Technical Scope of Brachytherapy 54
Radiation Therapy for Treating Oral Cancer 55
Other forms of Radiation Therapy Include 55
Photoradiation Therapy (PRT) 55
Photodynamic Therapy (PDT) 55
Cost of Radiation Therapy 55
Limitations of Conventional Radiation Therapy Techniques 56

9. CANCER TREATMENT - A COST ANALYSIS 57
Demographics 57
Matrix of Death 57
Improved Therapies 57
Increase in Out-Patient Care 57
Hospital Market: Under Pressure 57
Medicare and Medicaid Reimbursement 58

10. MAJOR DEVELOPMENTS 59
A New Generation of Systems Under Development 59
3-D Conformal Radiation Therapy: A New Technology 59
IMRT: Gains Significance 59
Types of IMRT 60
Dynamic Multi Leaf Collimator IMRT 60
Segmental Multi Leaf Collimator IMRT 60
Image-Guided IMRT 60
Mobetron™ - Radiation Therapy on the Wheels 60
Radiation Therapy: An Effective Way to Reduce Restenosis 60
High Dose Radiation Treatment Found to Reduce Side Effects in
Prostate Cancer Treatment 61
Four-Dimensional CT Scanning 61
Convergence of PET and CT Images for Treatment Planning 61
World's First 3-D Image-Guided Radiation Therapy System from
Elekta 61
Stereotactic Radiosurgery - An Overview 61
Gamma Knife 62
Precision Therapy 62
CyberKnife 62
TomoTherapy 62

11. PRODUCT INNOVATIONS/INTRODUCTIONS 63
Varian Medical Systems Unveils TrueBeam™ 63
Elekta Unveils Monaco Version 2.03 63
Acceletronics Introduces Theraview KV Imaging IGRT System 64
Nucletron Introduces Oncentra® Simulation 2.3 64
Siemens Healthcare Rolls Out ARTISTE Linear Accelerator 64
MDS Nordion Introduces Enhanced TheraSphere® Administration
System 65
VMS Showcases Recent Treatment Solution for Energy-Saving
Radiation Therapy 65
VMS Introduces New Surgical Device for Inoperable Lung Cancer
Cases 65
Nucletron Launches Oncentra RT Viewer Treatment- Planning
Software for Radiotherapy 66
NPL Launches New Clinical Electron LINAC 66
VMS Unveil Modern Radiosurgery and Radiotherapy Offerings at
ESTRO 2008 66
Mirion Technologies Introduces Expeditious Neutron Radiation
Monitoring Badge 67
Varian Secures FDA Approval for RapidArc Radiotherapy Technology 67
Nucletron Oncentra®Brachy Receives US FDA Clearance 67
Nucletron Introduces Electronic Miniature X-ray Radiation
Delivery System 68
Leksell Gamma Knife® Perfexion™ Obtains Regulatory Approval 68

12. PRODUCT INNOVATIONS/INTRODUCTIONS IN THE RECENT PAST-
A PERSPECTIVE BUILDER 69
TomoTherapy Introduces Hi-Art System 69
Varian to Unveil Smart Treatment Planning Tool, Smart
Segmentation™ 69
Elekta Unveils Elekta Compact Linear Accelerator 69
Varian Launches iX Range of HDR Afterloaders 69
Nomos Releases Batcam Multi-probe 70
Calypso Launches Connectivity Product 70
CMS Obtains FDA 510(k) Clearance for New IMRT Planning
Platform, Monaco™ 70
Nucletron Launches Digital Afterloader 71
Varian Launches The Vitesse™ 2.0 Treatment Planning System 71
Varian Receives FDA Approval for Extending Use of Trilogy
Accelerators 71
Nucletron and RaySearch Launch New Planning Tool 72
SFDA Approves Sale of North American Scientific’s Sxi IGRT
System in China 72
Siemens Receives FDA Approval for MV Cone Beam 72
NOMOS Obtains SFDA Approval to Sell PEACOCK® in China 72
Philips Launches Upgraded Products for Improved and Effective
Cancer Treatment 73
Siemens to Introduce KV Cone Beam 73
Siemens Launches CT-on-Rails 73
Elekta Launches Elekta Synergy®S 73
Elekta Unveils Leksell Gamma Knife®4C 73
Varian Introduces Trilogy ™ Accelerator 74
Varian Presents iX Series Clinac® accelerator 74
Nucletron Gains Clearance for SWIFT 74
Varian Introduces 3D Imaging On Acuity™ System for Image-
Guided Radiotherapy 74
Varian Unveils Trilogy™ System for Image-Guided Radiation Therapy 74
Varian Releases Redesigned Version of Major VARiS Vision™
Software 75
Elekta Announces European Clinical Release of Elekta Synergy™
System 75
Philips Introduces Syntegra ™ Multi-Modality Software 75
GE Medical Systems Unveils Lightspeed RT 75
Siemens Bags 510(K) Clearance for Oncor Avant-Garde Linear
Accelerator 76

13. RECENT INDUSTRY ACTIVITY 77
TomoTherapy Bags Australian Contract 77
Indo-American Cancer Institute Installs Elekta Compact™ Linear
Accelerator 77
TomoTherapy Inks Purchasing Agreement with Amerinet 77
Varian Supplies Radiotherapy Equipment and Software to
Oncology Centre 78
Elekta Snaps Up Resonant Medical 78
M-Cast and Block Imaging International Enter Into Joint Venture 79
Kirloskar Technologies and InSightec Ink Agreement 79
ADAM Announces Launch of First Unit of LIGHT 79
Candelis Enters into Distribution Agreement with Siemens
Healthcare 80
Calypso Enters into Master Development Agreement with Siemens
Healthcare 80
Varian to Supply Radiotherapy Equipment to IPOP in Portugal 81
Elekta Wins Contract to Supply Radiotherapy Systems to Cancer
Institute in Brazil 81
Varian to Supply Radiotherapy Technology to Providence Health
and Services 82
RaySearch Inks Agreement with WPE to Supply Proton Treatment
Planning System 82
Centre Oscar Installs TomoTherapy® Hi·Art® Treatment System 83
Glan Clywd Hospital to Install RapidArc™ Radiotherapy Technology 83
University Hospitals in Switzerland and Germany Deploy RapidArc™ 83
Nucletron Enters into Partnership with ART 84
Hospitals in Sweden and Estonia Invest in Radiation Therapy
Systems 84
SFDA Grants Approval to Elekta’s Elekta Compact™ 85
Elekta Bags Order from Velindre Cancer Centre 85
Nucletron and Elekta Ink Agreement to Market Elekta's Software
System 85
Helios Purchases Linear Accelerators from Varian Medical 86
Oregon Health & Science University Purchases Monaco 86
North American Scientific Inks Definitive Agreement with Best
Theratronics 86
START Purchases Latest Technology to Treat Cancer 87
M.D. Anderson Cancer Center Buys Leksell Gamma Knife Perfexion 87
RaySearch Extends Collaboration with Nucletron 87
AMS Inks Supply Contract with Smilow Cancer Hospital 88
Elekta Collaborates with The Ottawa Hospital 88
TomoTherapy to Set Up TomoTherapy Unit at KFSH&RC 89
Fujifilm Takes Over Empiric Systems 89
Bruker Takes Over Varian’s ACCEL Research Equipment Business 89
Siemens and RaySearch Enter into Partnership 90
American Shared Hospital Services to Establish Proton Beam
Radiation Therapy Facility 90
IBt Inks JV Agreement with Santis and Rusnanotech 90
Al Amal Hospital to Deploy Advanced Radiotherapy Solutions 91
TomoTherapy Inks Distribution Agreement with Hitachi Medical 91
Varian Purchases IKOEtech and IKOEmed 92
Nucletron and Isodose Partner on Brachytherapy 92
TomoTherapy Inks Supply Agreement with Novation 93
Varian Medical Inks Collaboration Agreement with Siloam
Hospitals in Indonesia 93
Ghent University Hospital to Purchase RapidArc Technology from
Varian 94
Varian Inks an Agreement with MEI for the Supply of Radiation
Therapy Systems 94
Radiation Therapy Services Merges with Vestar Capital's Affiliate 94
Haukelend University Hospital Deploys Leksell Gamma Knife®
Perfexion™ 94
Skagit Valley Hospital to Install Elekta's Axesse™ 95
ARPANSA Selects Elekta to Deliver Elekta Synergy® 95
Elekta to Deliver Cancer Treatment Solutions to Macquarie
University Private Hospital 95
Auckland Radiation Oncology to Invest in New Elekta Equipment 95
Varian and Siemens to Adopt Standard Industry Interfaces 96
JCUH to Install TomoTherapy Hi-Art Treatment System 96
TomoTherapy to Develop World's Foremost Mobile Radiation
Therapy Solution 96
TomoTherapy Partners with Vision RT for Expansion of Imaging
Options 97
North Shore Radiation Uses RapidArc™ for Curing Cancer Patients 97
Varian Signs Agreement with Still River 97
Varian Equips Hospital in Spain with Superior IGRT Treatments 97
Auckland Radiation Oncology Commences Business in Auckland 98
Radiology Oncology Systems and Acceletronics Acquire C-RAD
Sentinel® Distribution Rights 98
June E. Nylen Cancer Center Buys New Radiation Equipment 99
Tata Memorial Hospital to Acquire Advanced Novalis Tx™ Platform 99
Siloam Hospitals Group Signs MOU with Varian Medical Systems 99
JMC Purchases Trilogy System from Varian Medical Systems 100
Nucletron Enters into Partnership with AKH Vienna 100
Nucletron Partners with BrachySolutions to Increase
Brachytherapy Adoption 100
Mitsubishi to Commence Manufacturing of Radiotherapy Machine 101
BOCOC to Purchase Elekta's Modern Radiation Therapy Systems 101
Odense University Hospital to Provide Elekta VMAT Technology 101
NPL Selects Elekta to Supply Synergy Linear Accelerator 102
Elekta and Xoft Sign Agreement for Sharing Sales Opportunities 102
FHLCC Purchases Advanced Trilogy™ System 102
Dynasil Corp. Takes Over Radiation Monitoring Devices 103
Elekta Acquires CMS 103
TomoTherapy to Acquire Twin Peak Accelerator Technology 103
Jiangsu Haiming to Enhance Production of Linacs 104
Siemens & Prowess in Technology Partnership 104
C-RAD Signs Distribution Agreement with Yanmedi 104
MBP Selects Elekta’s Synergy® Digital Linear Accelerator Systems 104
CHU de Poitiers Selects Elekta to Supply Elekta Synergy Systems 105
Varian Receives Record Orders for RapidArc 105

14. CORPORATE ACTIVITY IN THE RECENT PAST - A PERSPECTIVE BUILDER 106
NOMOS Takes Over NOMOS Radiation Oncology 106
Elekta Acquires 3D Line Medical Systems 106
Still River System and CMS Enter into Collaboration Agreement 106
Varian and Still River Systems Ink Agreement for ARIA™ and
Monarch250™ 107
Varian Collaborates with RaySearch 107
TomoTherapy in Strategic Alliance with PTW 107
Varian and BrainLAB Collaborate to Develop Novalis®Tx 107
XCounter Enters into Commercial Partnership with Nucletron 108
TomoTherapy to Collaborate with LLNL for Novel Proton Therapy
Systems 108
Elekta Secures Contracts for Elekta Synergy® Systems 108
Two Italy-based Hospitals Select Elekta’s Advanced Radiation
Therapy 109
Elekta Bags Contract to Supply Digital IGRT and IMRT Treatment
Systems 109
Still River Systems & OncoLogics Ink Agreement for PBRT Equipment 109
SCI to Acquire Proton Beam Radiotherapy Equipment from Still
River Systems 110
CMS and Verbeeten Partner to Offer Radiation Treatment Solutions 110
BVI to Acquire Linear Accelerators from Varian 110
Varian Acquires ACCEL 110
Accuray Collaborates with Siemens 111
Nucletron Inks Agreement with RaySearch to Develop Software
for Proton Therapy 111
Varian to Establish New Linear Accelerator Facility in China 111
Elekta Wins Contract from St Luke’s Hospital in Ireland 112
Consorta Enters into Agreement with Varian 112
Oxford Churchill Offers PFI Managed Equipment Service Contract
to Varian 112
Toshiba and CMS Sign Virtual Simulation and CT Imaging
Distributing Agreement 113
Humanitas Clinic Installs On-Board Imager™ Device in Italy 113
Royal Marsden Selects Elekta Synergy™ Linear Accelerators 113
TomoTherapy and Kirloskar to Introduce Radiation Therapy
Equipment in India 114
Elekta Acquires Controlling Stake in BMEI 114
Elekta in Deal to Provide Radiation Oncology Products &
Solutions to MedAssets 114
Elekta Deploys Advance Radiation Oncology Systems at TMH 115
Philips Installs Treatment Planning Systems at Barnes- Jewish
Hospital 115
Varian Bags Order to Deliver Clinac Linear Accelerators to
Russian Oncology Center 115
Varian Deploys Trilogy Medical Linear Accelerator at
Australian Hospital 115
Radiation Therapy Purchases Radiation Therapy Treatment
Facilities in the US 115
Philips Extends Alliances with RaySearch and Calypso Medical
for Developing Advanced Radiation Systems 116
Accuray Acquires Assets of HES Related to Linear Accelerators 116
Radiation Therapy Takes Over Four Treatment Centers 116
Elekta Acquires Impac Medical 117
Intraop Delivers Mobetron Radiation Therapy System to Arthur
James Cancer Hospital 117
Elekta Integrates NAS’ BAT Technology into its Linear
Accelerator Platforms 117
Hitachi Delivers PET System Based on AccSys’ Linear Accelerator 117
Varian Acquires Sigma Micro Informatique 117
Varian Acquires OpTx 118
Varian Acquires Radiation Therapy Business of Mitsubishi 118
Nucletron in Agreement With RaySearch 118
Nucletron Renews Agreement with Elekta 119
Varian Medical Systems Acquires Zmed, Inc 119
Elekta and Siemens Sign Distribution Agreement 119
Siemens Acquires Radiation Therapy Business of MRC 120
MDS Nordion Inks Technology Transfer Deal with NTP
Radioisotopes (Pty) Ltd 120

15. FOCUS ON SELECT KEY PLAYERS 121
Elekta AB (Sweden) 121
MDS Nordion (Canada) 121
Nucletron B.V. (The Netherlands) 122
Philips Healthcare (US) 122
Siemens Healthcare (Germany) 122
TomoTherapy Incorporated (US) 123
Varian Medical Systems (US) 123

16. GLOBAL MARKET PERSPECTIVE 125
Table 16: 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 2007 through 2015 (includes
corresponding Graph/Chart) 125

Table 17: World Historic Review for Radiation Therapy
Equipment by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, and Latin American Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2000 through 2006 (includes corresponding Graph/Chart) 126

Table 18: World 11-Year Perspective for Radiation Therapy
Equipment by Geographic Region - Percentage Breakdown of Value
Sales for US, Canada, Japan, Europe, Asia-Pacific and Latin
American Markets for 2005, 2010 & 2015 (includes corresponding
Graph/Chart) 127
Market for Radiation Therapy Equipment by Product Segment 128
Table 19: 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 2007 through 2015 (includes corresponding
Graph/Chart) 128

Table 20: World Historic Review for Linear Accelerators by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2000 through 2006
(includes corresponding Graph/Chart) 129

Table 21: World 11-Year Perspective for Linear Accelerators by
Geographic Region - Percentage Breakdown of Value Sales for
United States, Canada, Japan, Europe, Asia-Pacific and Latin
American Markets for Years 2005, 2010 & 2015 (includes
corresponding Graph/Chart) 130

Table 22: 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 2007 through 2015 (includes
corresponding Graph/Chart) 131

Table 23: World Historic Review for Treatment Planning Systems
by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, and Latin American Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2000 through 2006 (includes corresponding Graph/Chart) 132

Table 24: World 11-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 2005, 2010 & 2015
(includes corresponding Graph/Chart) 133

Table 25: 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 2007 through 2015 (includes
corresponding Graph/Chart) 134

Table 26: World Historic Review for Radiation Therapy
Simulators by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, and Latin American Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2000 through 2006 (includes corresponding Graph/Chart) 135

Table 27: World 11-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 2005, 2010 &
2015 (includes corresponding Graph/Chart) 136

17. THE UNITED STATES 137
A.Market Analysis 137
US Continues to be the Single Largest Market 137
Market Overview 137
Recession Brings in More Worries for Cancer Patients 137
Manufacturers Face the Heat, as Recession Wards off Capital
Expenditure 138
Demographic & Technological Factors Drive Radiation Therapy
Market 138
Radiation Therapy Market - An Insight 138
Table 28: Radiation Therapy Centers by Type in the US :
2004 (includes corresponding Graph/Chart) 139
IMRT Market 139
Innovations Propel Market Growth 140
Use of Digital Images for Treatment Planning on the Rise 140
Cancer Therapy Industry Marked By Changing Demographics 140
Leading Players - A Recent Past Perspective 141
Table 29: 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) 141

Table 30: Leading Players in IMRT Market in the US (2004 &
2005): Percentage Share Breakdown by Value Sales for Varian
and Others 142
Software for Radiation Treatment Planning 142
Table 31: Use of Radiation Treatment Planning Software
(TPS) in the U.S Hospitals/Clinics (2004) - Percentage
Breakdown by Major Manufactures (Brands) (includes
corresponding Graph/Chart) 142
Cancer Trends 143
Table 32: New Cancer Cases in the US by Affected Site: 2009 143

Table 33: New Cancer Cases in Males in US by Leading Site:
2009 (includes corresponding Graph/Chart) 145

Table 34: New Cancer Cases in Females in US by Leading
Site: 2009 (includes corresponding Graph/Chart) 146
Factors Responsible for the Rise in Cancer Cases 146
Table 35: Cancer Related Deaths in the US by Affected
Site:2009 147

Table 36: Cancer Related Deaths in Males in US by Leading
Site: 2009 (includes corresponding Graph/Chart) 149

Table 37: Cancer Related Deaths in Females in US by
Leading Site: 2009 (includes corresponding Graph/Chart) 150
Eradication of Cancer: A National Priority in the United States 150
Cancer Treatment and Reimbursement Rates 151
Export-Import Statistics of Radiation Therapy Equipment 151
Table 38: US Exports of X-Ray Based Radiography &
Radiotherapy Equipment by Country of Destination (2006 &
2007): Percentage Share Breakdown of Export Value for
Japan, France, Canada, China, UK, Germany, Finland and
Others (includes corresponding Graph/Chart) 152

Table 39: US Imports of X-Ray Based Radiography &
Radiotherapy Equipment by Country of Origin (2006 & 2007):
Percentage Share Breakdown of Import Value for Germany, UK,
Japan, Netherlands, Malaysia, Singapore, Switzerland, and
Others (includes corresponding Graph/Chart) 153
B.Market Analytics 154
Table 40: 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 2007 through
2015 (includes corresponding Graph/Chart) 154

Table 41: US Historic Review 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 2006 (includes corresponding
Graph/Chart) 154

Table 42: US 11-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 2005, 2010 &
2015 (includes corresponding Graph/Chart) 155

18. CANADA 156
A.Market Analysis 156
Cancer Statistics in Canada 156
Table 43: New Cancer Cases in Canada by Gender: 2009 156

Table 44: New Cancer Cases in Canada by Province: 2009
(includes corresponding Graph/Chart) 157

Table 45: New Cancer Cases in Canada by Age Group: 2009
(includes corresponding Graph/Chart) 158

Table 46: Cancer Related Deaths in Canada by Gender: 2009 159

Table 47: Cancer Related Deaths in Canada by Province: 2009
(includes corresponding Graph/Chart) 160

Table 48: Cancer Related Deaths in Canada by Age Group:
2009 (includes corresponding Graph/Chart) 161
Import-Export Statistics of Radiation Therapy Equipment 162
Table 49: Canadian Exports of X-Ray Based Radiography &
Radiotherapy Equipment by Country of Destination (2006&
2007): Percentage Share Breakdown of Export Value for
Japan, US, Italy, Germany, Brazil, Finland, and Others
(includes corresponding Graph/Chart) 162

Table 50: Canadian Imports of X-Ray Based Radiography &
Radiotherapy Equipment by Country of Origin (2006 & 2007):
Percentage Breakdown of Import Value for the US, Germany,
UK, Netherlands, Japan, Singapore, and Others (includes
corresponding Graph/Chart) 163
B.Market Analytics 164
Table 51: 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 2007 through
2015 (includes corresponding Graph/Chart) 164

Table 52: Canadian Historic Review 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 2006 (includes corresponding
Graph/Chart) 165

Table 53: Canadian 11-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 2005, 2010 &
2015 (includes corresponding Graph/Chart) 165

19. JAPAN 166
A.Market Analysis 166
Radiation Therapy Market - An Overview 166
B.Market Analytics 167
Table 54: 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 2007 through
2015 (includes corresponding Graph/Chart) 167

Table 55: Japanese Historic Review 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 2006 (includes corresponding
Graph/Chart) 168

Table 56: Japanese 11-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 2005, 2010 &
2015 (includes corresponding Graph/Chart) 168

20. EUROPE 169
A.Market Analysis 169
Radiation Therapy Market - An Overview 169
Table 57: Number of Radiation Therapy Systems Per Million
Population in Select European Countries (2006) (includes
corresponding Graph/Chart) 170
Cancer Trends 170
Table 58: Cancer Incidence in Europe by Site (2009) (
includes corresponding Graph/Chart) 171
B.Market Analytics 172
Table 59: 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 2007 through 2015 (includes corresponding
Graph/Chart) 172

Table 60: European Historic Review 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
2006 (includes corresponding Graph/Chart) 173

Table 61: European 11-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 2005, 2010 & 2015 (includes
corresponding Graph/Chart) 174

Table 62: 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 2007 through
2015 (includes corresponding Graph/Chart) 175

Table 63: European Historic Review 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 2006 (includes corresponding
Graph/Chart) 176

Table 64: European 11-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 2005,
2010 & 2015 (includes corresponding Graph/Chart) 177

20a. FRANCE 178
Market Analysis 178
Table 65: 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 2007 through
2015 (includes corresponding Graph/Chart) 178

Table 66: French Historic Review 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 2006 (includes corresponding
Graph/Chart) 179

Table 67: French 11-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 2005, 2010 &
2015 (includes corresponding Graph/Chart) 179

20b. GERMANY 180
Market Analysis 180
Table 68: 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 2007 through
2015 (includes corresponding Graph/Chart) 180

Table 69: German Historic Review 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 2006 (includes corresponding
Graph/Chart) 181

Table 70: German 11-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 2005, 2010 &
2015 (includes corresponding Graph/Chart) 181

20c. ITALY 182
Market Analysis 182
Table 71: 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 2007 through
2015 (includes corresponding Graph/Chart) 182

Table 72: Italian Historic Review 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 2006 (includes corresponding
Graph/Chart) 183

Table 73: Italian 11-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 2005, 2010 &
2015 (includes corresponding Graph/Chart) 183

20d. THE UNITED KINGDOM 184
A.Market Analysis 184
Radiotherapy Sector - An Overview 184
B.Market Analytics 185
Table 74: The 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 2007 through
2015 (includes corresponding Graph/Chart) 185

Table 75: The UK Historic Review 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 2006 (includes corresponding
Graph/Chart) 186

Table 76: The UK 11-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 2005, 2010 &
2015 (includes corresponding Graph/Chart) 186

20e. REST OF EUROPE 187
Market Analysis 187
Table 77: 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 2007
through 2015 (includes corresponding Graph/Chart) 187

Table 78: Rest of Europe Historic Review 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 2006 (includes
corresponding Graph/Chart) 188

Table 79: Rest of Europe 11-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 2005,
2010 & 2015 (includes corresponding Graph/Chart) 189

21. ASIA-PACIFIC 190
A.Market Analysis 190
An Overview of Cancer Statistics in Asia-Pacific 190
Table 80: Cancer Incidence in Asia-Oceania by Site: 2009
(includes corresponding Graph/Chart) 191
Asian Radiation Therapy Equipment Market Surges Ahead 191
Asia- A Potential Market for Radiation Therapy Equipment 192
Table 81: Population Statistics in Asia (Including Japan) &
Percentage of Population Aged Above 65 Years (includes
corresponding Graph/Chart) 192

Table 82: Installed Base of Clinical Accelerators in Asia
(Including Japan) (includes corresponding Graph/Chart) 193

Table 83: Market Potential for Clinical Accelerators in
Asia (Including Japan): Calculated in Terms of Thousands of
People Per Accelerator (includes corresponding Graph/Chart) 193
Competitive Scenario 194
Table 84: Asia-Pacific Radiation Therapy Equipment Market in
Oncology by Leading Players (FY 2009-10): Market Share
Breakdown of Unit Sales for Varian, Elekta, Siemens, BrainLab,
Tomotherapy, CO-60, and Others (includes corresponding
Graph/Chart) 194

Table 85: Asia-Pacific Radiation Therapy Equipment Market by
Leading Players (FY 2009-10): Market Share Breakdown of Units
Installed for Varian, Siemens, Elekta, CO-60, and Others
(includes corresponding Graph/Chart) 194
Cancer Statistics in Select Asia-pacific Countries 194
China 194
Vietnam 195
India 195
Cancer Diagnostic and Treatment Equipment Market 195
Table 86: Cancer Diagnostic and Treatment Equipment Market
in India (2003-2006): Production and Import of Equipment
(In US$ Million) (includes corresponding Graph/Chart) 195
Indonesia 196
Korea 196
Oncology Infrastructure Market 196
Table 87: Number of Radiation Therapy Machines in Korea:
2006 (includes corresponding Graph/Chart) 196
Malaysia 196
Thailand 197
B.Market Analytics 197
Table 88: Asia-Pacific Recent Past, Current & Future
Analysis for Radiation Therapy Equipment by Product Se