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2007 Nuclear Medicine Market Summary Report

Published by: IMV Medical Information Division, Inc.

Published: Oct. 1, 2007 - 141 Pages


Table of Contents


I. Objectives

II. Executive Summary

III. Methodology

IV. Findings

A. Nuclear Medicine Patient Visits and Procedure Volume

B. Radiopharmaceuticals and Pharmacological Stress Agents

C. Nuclear Medicine Cameras - Installed Base

D. Nuclear Medicine Computers - Installed Base

E. Nuclear Medicine Equipment Purchase Plans

F. Networking for Nuclear Medicine Images

G. Site Operations Characteristics

List of Exhibits

A. Nuclear Medicine Patient Visits and Procedure Volume

1. Nuclear Medicine Sites, Patient Visits and Procedures, 2006

2. Total Number of Nuclear Medicine Patient Visits, Hospital and Non-Hospital Sites, 1997-2007

3. Average Nuclear Medicine Patient Visits per Site, by Site Type, 2002-2006

4. Total Nuclear Medicine Procedure Volume, Hospital and Non-Hospital Sites, 1992-2007

5. Average Nuclear Medicine Procedures Performed per Site, Hospital and Non-Hospital Sites, 2002-2006

6. Average Nuclear Medicine Procedures Performed per Site, by Site Type, 2002-2006

7. 2006 Nuclear Medicine Patient Visit Mix, by Procedure Type, All Sites

8. Total Number of Nuclear Medicine Patient Visits, by Procedure Type, All Sites, 2006

9. Distribution of Nuclear Medicine Patient Visits by Procedure Type, Hospitals and Non-Hospitals, 2006

10. Distribution of Nuclear Medicine Procedures or Patient Visits by Procedure Type, Hospitals and Non-Hospitals, 2002-2006

11. Hospital vs. Non-Hospital Mix of Nuclear Medicine Procedures or Patient Visits by Procedure Type, 2002-2006

12. Percent of Sites Performing Nuclear Medicine Procedures, by Procedure Type, Hospitals and Non-Hospitals, 2006

13. Average Number of Nuclear Medicine Patient Visits per Site Performing, by Procedure Type, Hospitals vs. Non-Hospitals, 2006

14. Distribution of Tumor Localization Patient Visits, by Cancer Type, 2006

15. Percent of Nuclear Medicine Sites Performing Tumor Localization Studies, by Cancer Type, Hospitals and Non-Hospitals, 2006

16. Inpatient vs. Outpatient Mix, 1997-2006

17. Nuclear Medicine Sites Reporting that Their Facility Performs Stress Echo, by Site Type, as of 2007 Census Survey

18. Distribution of Nuclear Medicine Sites Performing or Planning to Perform PET Procedures Using PET Technology, by Site Type, as of 2007 Census Survey

19. Type of PET Technology Planned by Nuclear Medicine Sites Who Plan to Perform PET Procedures Over the Next Three Years, by Site Type, as of 2007 Census Survey

20. Estimates of Annual U.S. Nuclear Imaging Procedures or Patient Visits, 1992-2006

B. Radiopharmaceuticals and Pharmacological Stress Agents

1. Facilities Performing Radionuclide Therapy, by Site Type, as of 2007 Census Survey

2. Whether Respondent’s Department Performs Radionuclide Therapy, as of 2007 Census Survey

3. Number of Patients Treated with Radionuclide Therapy, 1997-2006

4. Average Annual Number of Patients Treated with Radionuclide Therapy, per Site Performing, by Site Type, 2006

5. Average Annual Number of Patients Treated with Radionuclide Therapy, per Site Performing, 1997-2006

6. Radionuclide Therapy Patient Volume, by Radioactive Agent, 2001-2006

7. Percent of Radionuclide Therapy Sites Using Specific Radionuclide Therapy Agents, by Site Type, 2006

8. Sites Performing and Patients Receiving Myocardial Ischemia/Perfusion Scans, by Site Type, 2006

9. Number of Patients Receiving Myocardial Ischemia/Perfusion Scans, by Site Type, 2002-2006

10. Number of Sites Performing Myocardial Ischemia/Perfusion Scans, by Site Type, 2002-2006

11. Proportion of Myocardial Perfusion Studies Using Gated SPECT, 2001-2006

12. Average Myocardial Perfusion Patient Visits Using Gated SPECT per Site, by Site Type, 2006

13. Radioactive Agents Used for Myocardial Ischemia / Cardiac Perfusion Patient Visits, 2006

14. Percentage of Cardiac Perfusion Studies Using Specific Isotopes, 2000-2006

15. Percentage of Cardiac Perfusion Studies Using Single vs. Dual Isotopes, 2000-2006

16. Percentage of Cardiac Perfusion Studies Using Single vs. Dual Isotopes, by Site Type, 2006

17. Percentage of Cardiac Perfusion Studies Using Specific Isotopes, by Site Type, 2006

18. Percentage of Cardiac Perfusion Sites Using Specified Agents, 2000-2006

19. Patients Receiving One- vs. Two-Day Protocols for Perfusion Studies, by Site Type, 2006

20. Percentage of Sites Providing One- vs. Two-Day Protocols for Perfusion Studies, by Site Type, 2006

21. Percent of Myocardial Ischemia/Perfusion Patients, by Injection Type, 2006

22. Percentage of Sites Providing Perfusion Injections, by Injection Type, 2006

23. Distribution of Perfusion Injections by Isotope, 2001-2006

24. Distribution of Perfusion Injections by Isotope, by Site Type, 2006

25. Cardiac Perfusion Patients by Stress Mode, Hospitals and Non-Hospitals, 2006

26. Cardiac Perfusion Patients by Stress Mode, 2001-2006

27. Percent of Cardiac Perfusion Pharmacological Stress Patients, by Stress Agent, by Site Type, 2006

28. Percent of Cardiac Perfusion Pharmacological Stress Patients, by Stress Agent, 2001-2006

29. Number of Cardiac Perfusion Pharmacological Stress Patients, by Stress Agent, 2001-2006

30. Distribution of 2007 Radiopharmaceutical Budgets

31. Radiopharmaceutical Budget Trend, 1999-2007

32. Distribution of Radiopharmaceutical Budgets, by Site Type, 2007

33. Radiopharmaceutical Expenditures, Hospital and Non-Hospital Sites, 1999-2007

34. Average Radiopharmaceutical Expenditures per Site and per Patient, by Site Type, 2006

35. Average Radiopharmaceutical Expenditures per Patient, Hospital and Non-Hospital Sites, 2001-2006

36. Radiopharmaceutical Expenditure Trend by Distribution Source, by Census Year, 1997/98 to 2007

37. Radiopharmaceutical Distribution Sources, by Site Type, as of 2007 Census Survey

38. Estimated Expenditures for Radiopharmaceuticals by Source, All Sites, 2001-2006

39. Market Share of Expenditures for Radiopharmaceuticals by Source, Hospital and Non-Hospital Sites, 1997-2006

40. Membership in Buying Groups for Radiopharmaceuticals, Hospitals and Non-Hospitals, as of 2007 Census Survey

41. Distribution of Sites, by Percentage of Radiopharmaceuticals Purchased by Group Members Under Buying Group’s Product or Price List, Hospital and Non-Hospital Sites, as of 2007 Census Survey

42. Average Radiopharmaceutical Cost per Patient, by Membership in Buying Groups for Radiopharmaceuticals, 2006

C. Nuclear Medicine Cameras - Installed Base

1. Distribution of Nuclear Medicine Sites and Cameras, Hospital and Non-Hospital Sites, as of 2007 Census Survey

2. Installed Base of Nuclear Medicine Cameras, in Hospital and Non-Hospital Sites, by Census Year, 1996 to 2007

3. Distribution of Sites, by Number of Nuclear Medicine Cameras Installed, by Site Type, as of 2007 Census Survey

4. Percent Distribution of Camera Installed Base, by Manufacturer, as of 2007 Census Survey

5. Installed Base of Nuclear Medicine Cameras, by Manufacturer, by Census Year, 2001/2002 to 2007

6. Percent Distribution of Camera Installed Base, by Current Manufacturers, by Census Year, 1995 to 2007

7. Camera Installed Base, by Year of Installation, as of 2007 Census Survey

8. Distribution of Nuclear Medicine Camera Installed Base, by Year of Installation, Hospital and Non-Hospital Sites, as of 2007 Census Survey

9. Camera Installed Base Market Share, by Year of Installation, from 2002 to Mid-2007, as of 2007 Census Survey

10. Installed Base of Nuclear Medicine Cameras, by Type, by Census Year, 2001/02 to 2007

11. Distribution of Camera Installed Base, by Camera Type, by Site Type, as of 2007 Census Survey

12. Recent Adoption Rate of Nuclear Medicine Camera Types, by Year of Installation, from 2002 to Mid-2007, as of 2007 Census Survey

13. Planar Camera Installed Base Share, as of 2007 Census Survey

14. Single-Head SPECT Camera Installed Base Share, as of 2007 Census Survey

15. Dual-Head SPECT Camera Installed Base Share, as of 2007 Census Survey

16. Triple-Head SPECT Camera Installed Base Share, as of 2007 Census Survey

17. SPECT/CT Camera Installed Base Share, as of 2007 Census Survey

18. Percent of Cameras with Coincidence Detection Capability, as of 2007 Census Survey

19. Recent Adoption Rate of Dual- or Triple-Head SPECT Cameras with Coincidence Detection, by Year of Installation, from 2002 to Mid-2007, as of 2007 Census Survey

20. Percent of Nuclear Camera Installed Base with Attenuation Correction Capability, by Site Type, as of 2007 Census Survey

21. Recent Adoption Rate of Nuclear Medicine Cameras with Attenuation Correction Capability, by Year of Installation, from 2002 to Mid-2007, as of 2007 Census Survey

22. Distribution of Camera Installed Base, by Attenuation Correction Type, by Site Type, as of 2007 Census Survey

23. Recent Adoption Rate of Nuclear Medicine Cameras, by Attenuation Correction Type, by Year of Installation, from 2002 to Mid-2007, as of 2007 Census Survey

24. Distribution of SPECT/CT Cameras, by Number of CT Slices, as of 2007 Census Survey

25. Recent Adoption Rate of SPECT/CT Cameras, by Number of CT Slices, by Year of Installation, from 2000 to Mid-2007, as of 2007 Census Survey

26. Finance Method for Installed Nuclear Medicine Cameras, by Site Type, as of 2007 Census Survey

D. Nuclear Medicine Computers - Installed Base

1. Distribution of Nuclear Medicine Sites and Computers, Hospital and Non-Hospital Sites, as of 2007 Census Survey

2. Installed Base of Nuclear Medicine Computers, Hospital and Non-Hospital Sites, by Census Year, 1996 to 2007

3. Whether Nuclear Medicine Computers are Separate from or Integrated with Cameras, as of 2007 Census Survey

4. Percent Distribution of Computer Installed Base, by Manufacturer, as of 2007 Census Survey

5. Installed Base of Nuclear Medicine Computers, by Manufacturer, by Census Year, 2001/02 to 2007

6. Percent Distribution of Nuclear Medicine Computer Installed Base, by Current Manufacturers, by Census Year, 1995 to 2007

7. Computer Installed Base, by Year of Installation, as of 2007 Census Survey

8. Distribution of Nuclear Medicine Computer Installed Base, by Year of Installation, Hospital and Non-Hospital Sites, as of 2007 Census Survey

9. Computer Installed Base Market Share, by Year of Installation, from 2002 to Mid-2007, as of 2007 Census Survey

10. Percent of Sites with Specified Nuclear Medicine Computer Software Capabilities for Cardiac Studies, by Census Year, 2001/2002 to 2007

11. Finance Method for Installed Nuclear Medicine Computers, by Site Type, as of 2007 Census Survey

12. Percent of Sites Familiar with the Concept of Image Fusion, by Site Type, as of 2007 Census Survey

13. Whether Sites Familiar with Image Fusion Currently or Plan to Combine Nuclear Medicine Images with Other Images, as of 2007 Census Survey

14. Whether Sites Familiar with Image Fusion Currently or Plan to Combine Nuclear Medicine Images with Other Images, by Site Type, as of 2007 Census Survey

15. Whether Sites Familiar with Image Fusion Currently or Plan to Combine Nuclear Medicine Images with Other Images, by Census Year, 1999/2000 to 2007

16. Types of Images Currently Combined with Nuclear Medicine Images, by Site Type, as of 2007 Census Survey

17. Types of Images to be Combined with Nuclear Medicine Images, by Site Type, as of 2007 Census Survey

E. Nuclear Medicine Equipment Purchase Plans

1. Camera Type Planned for Next Purchase, as of 2007 Census Survey

2. Camera Type Planned for Next Purchase, by Site Type, as of 2007 Census Survey

3. Distribution of Planned SPECT/CT Units, by Number of CT Slices Planned, as of 2007 Census Survey

4. Intended Applications for Planned Camera Purchases, as of 2007 Census Survey

5. Percent of Cameras Planned with Coincidence Detection Capability, as of 2007 Census Survey

6. Percent of Cameras Planned with Attenuation Correction Capability, as of 2007 Census Survey

7. Percent of Computers Planned to be Separate from vs. Built into Cameras, as of 2007 Census Survey

8. Plans for Purchasing Reconditioned Nuclear Medicine Equipment, as of 2007 Census Survey

9. Percent Distribution of Sites Mentioning Vendors Considered for Next Nuclear Medicine Equipment Purchase, as of 2007 Census Survey

10. Brand Loyalty: Nuclear Medicine Camera Vendors Being Considered by Current Camera Installed Base, as of 2007 Census Survey

11. Brand Loyalty: Nuclear Medicine Computer Vendors Being Considered by Current Computer Installed Base, as of 2007 Census Survey

12. Plans for Replacement vs. Additional Cameras and Computers, Hospitals and Non-Hospitals, as of 2007 Census Survey

13. Intended Financing Method for Next Camera and Computer Acquisition, Hospitals and Non-Hospitals, as of 2007 Census Survey

14. Distribution of Sources for Service Support of Nuclear Medicine Equipment, by Site Type, as of 2007 Census Survey

15. Current and Planned Equipment Service Support by Modem, by Site Type, as of 2007 Census Survey

16. Distribution of 2007 Nuclear Medicine Equipment Budgets, All Sites

17. Nuclear Medicine Equipment Budget Trend, 2001-2007

18. 2007 Nuclear Medicine Equipment Budget Distribution, by Site Type

19. Average Nuclear Medicine Equipment Budget per Site Having a Budget, by Site Type, 2001-2007

20. Buying Group Influence on Nuclear Imaging Equipment Purchases, as of 2007 Census Survey

21. Buying Group Influence on Nuclear Imaging Equipment Purchases, Hospital vs. Non-Hospital Sites, as of 2007 Census Survey

F. Networking for Nuclear Medicine Images

1. Current Use of Networks to Transmit Nuclear Medicine Images, by Site Type, as of 2007 Census Survey

2. Current Use of Networks to Transmit Nuclear Medicine Images, by Census Year, 2005-2007

3. Nuclear Medicine Sites Using Networks, by Year of Network Installation, as of 2007 Census Survey

4. Software Vendors of Networks Used for Nuclear Medicine Images, as of 2007 Census Survey

5. Whether Network Used for Transmission of Nuclear Medicine Images is Web-Enabled, by Site Type, as of 2007 Census Survey

6. Whether Network Used for Transmission of Nuclear Medicine Images is Web-Enabled, by Census Year, 2005-2007

7. Whether Network Used for Transmission of Nuclear Medicine Images Uses DICOM, by Site Type, as of 2007 Census Survey

8. Whether Network Used for Transmission of Nuclear Medicine Images Uses DICOM, by Census Year, 2005-2007

9. Whether Network Used for Transmission of Nuclear Medicine Images Also Transmits Other Images, by Site Type, as of 2007 Census Survey

10. Whether Network Used for Transmission of Nuclear Medicine Images Also Transmits Other Images, by Census Year, 2005-2007

11. Whether Other Images Transmitted are from Radiology vs. Cardiac Modalities, by Site Type, as of 2007 Census Survey

12. Whether Nuclear Medicine Image Network Interfaces to RIS, by Site Type, as of 2007 Census Survey

13. Whether Nuclear Medicine Image Network Interfaces to RIS, by Census Year, 2005-2007

14. Whether Nuclear Medicine Image Network Interfaces to HIS, by Site Type, as of 2007 Census Survey

15. Whether Nuclear Medicine Image Network Interfaces to HIS, by Site Type, by Census Year 2005-2007

16. Proportion of Sites Planning to Buy, Replace or Expand their Network Capability for Nuclear Medicine Images, by Site Type, as of 2007 Census Survey

17. Sites Planning to Purchase Networks for Nuclear Medicine Images, by Whether they Currently Have Networks, as of 2007 Census Survey

18. Proportion of Sites Planning to Buy Nuclear Medicine Image Transmission Capability for an Existing Network or Purchase a New Network, by Site Type, as of 2007 Census Survey

19. Current Type of Network that Nuclear Medicine Image Transmission Capability is being Added to, Hospitals and Non-Hospitals, as of 2007 Census Survey

20. Type of Expansion being Planned for Existing Nuclear Medicine Image Networks, Hospitals and Non-Hospitals, as of 2007 Census Survey

21. Type of New Network Planned, by Site Type, as of 2007 Census Survey

22. Whether Networks that are Planned for Nuclear Medicine Images Only Will Link to Other Networks, as of 2007 Census Survey

23. Software Vendors Being Considered for Planned Nuclear Medicine Image Networks, as of 2007 Census Survey

24. Whether New or Expanded Networks Will Be Web-Enabled, as of 2007 Census Survey

25. Current and Planned Status of Internet Access for Nuclear Medicine Departments, as of 2007 Census Survey

G. Site Operations Characteristics

1. Department Operating Nuclear Medicine Equipment, by Site Type, as of 2007 Census Survey

2. Year Facility Started Performing Nuclear Medicine Studies, Hospitals and Non-Hospitals, as of 2007 Census Survey

3. Average Nuclear Medicine Procedures per Camera, Hospital and Non-Hospital Sites, 1999-2006

4. Estimated Total FTE Staffing of Nuclear Medicine Sites, by Staff Type, as of 2007 Census Survey

5. Estimated Technologist FTE Staffing of Nuclear Medicine Hospital and Non-Hospital Sites, by Census Year, 1999/2000 to 2007

6. Percent of Nuclear Medicine Sites with Staff Types, as of 2007 Census Survey

7. Percent of Nuclear Medicine Sites with Staff Types, by Site Type, as of 2007 Census Survey

8. Average Number of FTE Staff per Site Employing that Staff Type, All Sites, as of 2007 Census Survey

9. Average Number of Technologist FTEs per Site, by Census Year, 1999/2000 to 2007

10. Average Number of FTE Staff per Site Employing that Staff Type, by Site Type, as of 2007 Census Survey

11. Average Annual Nuclear Medicine Procedures per Technologist FTE, Hospital and Non-Hospital Sites, 2001 to 2007

12. Average Annual Nuclear Medicine Patients per Technologist FTE, Hospital and Non-Hospital Sites, 2001 to 2007

13. Percent of Nuclear Medicine Sites Having Physicians Reading Scans, and Average Number of Physicians per Site Having, by Full- or Part-Time Status, as 2007 Census Survey

14. Average Number of Physicians Reading Nuclear Medicine Scans per Site Having, by Full- or Part-Time Status, by Site Type, as of 2007 Census Survey

15. Distribution of Sites, by Total Physicians that Read Nuclear Medicine Scans, as of 2007 Census Survey

16. Average Annual Nuclear Medicine Procedures Read per Site, per Physician, by Site Type, 2006 & 2007

17. Specialties of Physicians Reading Nuclear Medicine Scans in Hospital and Non-Hospital Sites, as of 2007 Census Survey

18. Whether Nuclear Medicine Exams are Sent to an Off-Site Radiology Service to be Read, as of 2007 Census Survey

19. Average Waiting Time for a Non-Emergency Outpatient Visit for a Nuclear Medicine Study, Hospital and Non-Hospital Sites, as of 2007 Census Survey

20. Average Waiting Time for a Non-Emergency Outpatient Visit for a Nuclear Medicine Study, by Census Year, 2001/02 to 2007

21. Hours per Week (Monday-Friday) Nuclear Medicine Department Open for Scheduled Procedures, by Site Type, as of 2007 Census Survey

22. Hours per Weekend Nuclear Medicine Department Open for Scheduled Procedures, by Site Type, as of 2007 Census Survey

23. Total Hours per Week (Monday-Friday) Nuclear Medicine Department Open, Including On-Call, by Site Type, as of 2007 Census Survey

24. Total Hours per Weekend Nuclear Medicine Department Open, Including On-Call, by Site Type, as of 2007 Census Survey

25. Reimbursement Sources for Nuclear Medicine Patient Billings, as of 2007 Census Survey

26. 2006 Nuclear Medicine Patient Visits per Thousand Population, by State

Abstract

Based on interviews with 2,300 locations, this report extrapolates the data to our identified universe of 7,323 U.S. sites, profiling major trends in nuclear medicine utilization and purchasing decisions. This report summarizes data from a census conducted by IMV from January 2007 through July 2007, covering the nation’s hospitals and non-hospitals that perform nuclear medicine procedures. The report covers national trends in procedure volumes by major anatomical category, planar and SPECT camera installed base, features and manufacturers of installed nuclear medicine cameras and computers, equipment buying plans, networking plans, radiopharmaceutical and pharmacological stress agent utilization and suppliers, operational budgets and staffing levels.

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