Medical Imaging Bundle:

Published by: Trimark Publications

Published: Jun. 1, 2009 - 844 Pages

Table of Contents

Mammography World Markets

1 Overview

1.1 Statement of Report

1.2 Scope of this Report

1.3 Methodology

1.4 Executive Summary

2 Overview of the Medical Imaging Market

2.1 Medical Imaging Industry Market Size

2.1.1 Global Medical Imaging Market

2.1.2 U.S. Medical Imaging Market

2.2 Medical Imaging Infrastructure

2.2.1 Total Healthcare Expenditures and Demographics

2.2.2 Number of Hospitals

2.2.3 Number of Radiologists

2.2.4 Radiologic Services

2.2.5 Overview of Medical Imaging Market Segments

2.2.6 Market Drivers

2.2.6.1 Product Enhancements Drive Adoption of Imaging Procedures among End Users

2.2.6.2 Potential of Novel Contrast Agents Development to Drive Imaging Procedure Volumes

2.2.6.3 Rapid Pace of Innovation Narrows Product Lifecycles and Restricts Spending

2.2.7 Market Restraints

2.2.8 Market Segments for Medical Imaging

2.2.8.1 Discovery

2.2.8.2 Clinical Applications

2.2.8.3 Clinical Trials

2.2.8.4 Outpatient Facilities Best Growth Market

2.2.8.5 Diagnostic Imaging Modalities Witness Several Technology Advancements

2.2.8.6 Safety and Ergonomics Concerns Drive Technology Growth

2.2.8.7 Volumetric Imaging and Post-image Processing Techniques Develop Rapidly

2.2.8.8 Increasing Implementation of PACS Pushes Digital Radiography into High Gear

2.2.8.9 Future Price Reduction Set to Stimulate Wider Acceptance of DR Systems

2.2.8.10 High-performance Imaging Combined with Lower Radiation Doses Spurs Growth of DR

2.3 Contrast Media

2.3.1 Market Share

2.3.2 Market Drivers

2.4 Picture Archiving Communications Systems

2.4.1 Picture Archiving Communications Systems and Radiology Information Systems

2.4.2 Increasing Digitization of Cardiology-Image Storage and Management Creates Market Growth Opportunities

2.4.3 Enterprise-Wide Integration Is an Important Area for Future Market Development

2.4.4 Competition among Large Companies Intensifies

2.4.5 Benefits of This Service

2.4.6 Market Sectors

2.4.7 Digital Imaging Technology Platforms

2.5 Medical Imaging Companies

2.5.1 A Few Firms Dominate the Industry

2.6 Medical Imaging Industry Forecasts

2.7 Market Niches and Digitalization

2.8 Digital Imaging Techniques

2.8.1 Clinical Uses

2.8.2 Product Enhancements Drive Adoption of Imaging Devices among End-Users

2.8.3 Rapid Pace of Innovation Narrows Product Lifecycles and Restricts Spending

2.8.4 Current and New Digital Imaging Procedures

2.8.5 The Digital Impact on Clinical Imaging Markets

2.8.6 Trends in Digital Imaging

2.8.7 Enhancing Computed Radiography

2.8.8 Digital Radiography vs. Computed Radiography

2.8.9 DR Products

2.8.10 Vasodilator Perfusion Imaging

3 World Mammography Market

3.1 Mammography Overview

3.2 Market Overview

3.2.1 Introduction to Market Overview

3.2.2 World Mammography Markets Revenue

3.2.3 Mammography Markets by Region

3.2.4 Total Market Share

3.2.5 Competitive Structure

3.3 Market Opportunities

3.3.1 Resource Management for Mammography Markets

3.3.2 Movement to Higher Reimbursement Rates

3.3.3 Market Benchmarks for Increased Mammography Utilization

3.4 Market Analysis

3.4.1 Strategic Partnerships

3.4.2 Long Term Trends

3.5 Strategic Outlook

3.5.1 Competitive Elements of Mammography Markets

3.5.2 Higher Reimbursement Rates

3.5.3 Volume Requirements

3.5.4 Product Innovation

3.5.5 Product Leadership

3.5.6 Product Line Strategy

3.5.7 Pricing Strategy and Reimbursement

3.5.8 Strategic Partnerships

3.6 Film-based Mammography Market

3.6.1 Market Overview

3.6.1.1 Unit and Revenue Forecasts

3.6.1.2 Product Analysis

3.6.2 Market Drivers

3.6.3 Market Restraints

3.6.4 Film-based Mammography Market and Technology Trends

3.6.5 U.S. Market for Film-based Screening Systems

3.6.5.1 Unit Shipment and Revenue Forecasts

3.6.5.2 Competitive Analysis

3.6.5.3 U.S. Installed Base Analysis

3.6.6 European Market for Film-based Mammography Systems

3.6.6.1 Unit Shipment and Revenue Forecasts

3.6.6.2 Competitive Analysis

3.6.6.3 Installed Base Analysis

3.6.7 Japanese (Pacific Rim) Market for Film-based Mammography Systems

3.6.7.1 Unit Shipment and Revenue Forecasts

3.6.7.2 Competitive Analysis

3.6.7.3 Installed Base Analysis

3.6.8 Rest of the World Market for Analog Screening Systems

3.6.8.1 Unit Shipment and Revenue Forecasts

3.6.8.2 Installed Base Analysis

3.7 Digital X-ray Mammography Market

3.7.1 Digital Mammography Overview

3.7.2 Market Overview

3.7.3 Product Background

3.7.4 Product Description

3.7.5 Market Drivers

3.7.6 Market Restraints

3.7.7 Unit Shipment and Revenue Forecasts

3.7.8 Percentage Breakdown of Revenues by Region

3.7.9 Market Share

3.7.10 U.S. Market for Digital Mammography Systems

3.7.10.1 Unit Sales

3.7.10.2 Competitive Analysis

3.7.10.3 U.S. Installed Base Analysis

3.7.11 European Market for Digital Mammography Systems

3.7.11.1 Unit Shipment and Revenue Forecasts

3.7.11.2 Competitive Analysis

3.7.11.3 Installed Base Analysis

3.7.12 Japanese (Pacific Rim) Market for Digital Mammography Systems

3.7.12.1 Unit Shipment and Revenue Forecasts

3.7.12.2 Competitive Analysis

3.7.12.3 Installed Base Analysis

4 Mammography: Growth Regulators

4.1 Moderators of Growth

4.2 Personnel Acceptance

4.3 Key People for Mammography

4.4 Key Elements for Mammography

4.5 Satellite Facilities

4.6 Reimbursement for Mammography

5 Business Trends in the Industry

5.1 Sector Consolidation

5.2 Mammographic Testing Growth Trends

5.3 Acquisition, License Agreements, Internal Development and Partnerships

5.4 Product Testing Depth in Mammography

5.5 Government Regulation

5.5.1 U.S. Regulation

5.5.1.1 Importing Medical Devices into the U.S.

5.5.1.2 Exporting Medical Devices from the U.S.

5.5.2 U.K. Regulation

5.5.3 E.U. Regulation

5.5.4 Japanese Regulation

5.6 Increased Market Penetration

6 Important Technology Trends

6.1 Stereoscopic Digital Mammography (SDM)

6.2 Magnetic resonance imaging (MRI)

6.3 Mammography Trends

6.4 Computer-Aided Detection (CAD)

6.5 Laser Image Development

7 Company Profiles

7.1 Agfa-Gevaert Corporation

7.2 Carestream Health

7.3 CMT Medical Systems

7.4 Fischer Imaging (Acquired by Hologic)

7.5 FujiFilm Medical Systems

7.6 General Electric Healthcare

7.7 Hitachi Medical Systems America, Inc.

7.8 Hologic Inc.

7.9 iCAD, Inc.

7.10 Imaging Diagnostic Systems Inc.

7.11 Philips Medical Systems

7.12 R2 Technology, Inc (Acquired by Hologic)

7.13 Scanis Inc.

7.14 Sectra Imtec AB

7.15 Siemens Healthcare

7.16 Toshiba America Medical Systems

7.17 Vidar Systems Corp.

8 Appendices

8.1 Digital Database for Screening Mammography (DDSM)

8.2 Sources of National Cancer Institute Information

8.3 Screening Mammograms: Questions and Answers

8.4 FDA Rule: State Certification of Mammography Facilities

INDEX OF FIGURES

Figure 2.1: Worldwide Annual Percent Increase in Imaging Market Size, 2002-2012

Figure 2.2: U.S. Annual Percent Increase in Imaging Market Size, 2002-2012

Figure 2.3: Total Spending on Healthcare in the U.S., 1960-2007

Figure 2.4: International Per Capita Healthcare Spending by Country, 2006

Figure 2.5: Number Uninsured and Uninsured Rate in the U.S., 1987-2006

Figure 2.6: Global Market Share of Contrast Media Markets, 2006

Figure 2.7: Worldwide Market Share of Medical Imaging and Diagnostic Companies, 2006

Figure 3.1: Worldwide Market for Mammography Systems by Region, 2007

Figure 3.2: Worldwide Market for Digital Mammography Systems by Region, 2007

INDEX OF TABLES

Table 2.1: Global Medical Imaging Market Size, 2001-2012

Table 2.2: U.S. Medical Imaging Market Size, 2001-2012

Table 2.3: U.S. User Expenditures for Medical Imaging Equipment and Related Products, 2000-2007

Table 2.4: Millions of Americans Over 65 Years of Age, 2000-2050

Table 2.5: Insured and Uninsured Breakdown in the U.S., 2001-2005

Table 2.6: Percentage of Population Without Health Insurance in the U.S., 2007

Table 2.7: Total Number of U.S. Hospitals, 2007

Table 2.8: U.S. Radiological Images Taken, 1999-2010

Table 2.9: Global Market Share of Contrast Media Markets, 2006

Table 2.10: Worldwide Market Share of Medical Imaging and Diagnostic Companies, 2006

Table 2.11: Worldwide Imaging Procedures, 2001 to 2012

Table 3.1: U.S. Use of Mammography in Women Over 40, 1987-2005

Table 3.2: Annual Mammography Procedures in the U.S., 2000-2008

Table 3.3: Annual Mammography Procedures in Europe, 2002-2007

Table 3.4: Annual Mammography Procedures in Japan, 2002-2007

Table 3.5: Annual Mammography Procedures in the Rest of the World, 2002-2007

Table 3.6: Mammography Facts (U.S.), 2005

Table 3.7: Breast Cancer Survival Rates by Country

Table 3.8: Surgical Biopsies Performed in the U.S., 2000-2007

Table 3.9: The Worldwide Mammography Instrument Market, 2000-2010

Table 3.10: Worldwide Mammography Instrumentation Placements, 2002-2010

Table 3.11: Worldwide Film-based Mammography Instrumentation Placements, 2002-2010

Table 3.12: Worldwide Mammography Film-based Instrument Market, 2000-2010

Table 3.13: Worldwide Mammography Film-based Instrument Market by Region, 2000-2010

Table 3.14: U.S. Mammography Film-based Instrument Market, 2000-2010

Table 3.15: U.S. Mammography Film-based Instrument Market Manufacturer Share, 2007

Table 3.16: U.S. Film-based Mammography Instrumentation Placements, 2002-2010

Table 3.17: European Mammography Film-based Instrument Market, 2000-2010

Table 3.18: European Film-based Mammography Instrumentation Placements, 2002-2010

Table 3.19: European Mammography Film-based Instrument Market Manufacturer Share, 2007

Table 3.20: Japanese Mammography Film-based Instrument Market, 2000-2010

Table 3.21: Japanese Film-based Mammography Instrumentation Placements, 2002-2010

Table 3.22: Japanese Mammography Film-based Instrument Market Manufacturer Share

Table 3.23: ROW Mammography Film-based Instrument Market, 2000-2010

Table 3.24: ROW Film-based Mammography Instrumentation Placements, 2002-2010

Table 3.25: Advantages of Digital Mammography

Table 3.26: Worldwide Digital General Radiography Market, 2000-2012

Table 3.27: Worldwide Market for Digital Mammography Systems Annual Unit Sales 2000-2010

Table 3.28: Worldwide Market for Digital Mammography Systems Dollar Volume

2000-2010

Table 3.29: Worldwide Mammography Digital Instrumentation Placements, 2002-2010

Table 3.30: Worldwide Mammography Digital Instrument Market by Region, 2000-2010

Table 3.31: Share of Worldwide Market for Digital Mammography Systems by Competitor, 2007

Table 3.32: U.S. Mammography Digital Instrument Market, 2001-2010

Table 3.33: U.S. Digital Mammography Instrumentation Placements, 2002-2010

Table 3.34: European Mammography Digital Instrument Market, 2001-2010

Table 3.35: European Digital Mammography Instrumentation Placements, 2002-2010

Table 3.36: Japanese Mammography Digital Instrument Market, 2001-2010

Table 3.37: Japanese Digital Mammography Instrumentation Placements, 2002-2010

Table 4.1: Medicare Reimbursement for Mammography Services, 2007

Table 6.1: CAD Mammography Systems

Medical Imaging Markets

1 Overview

1.1 Statement of Report

1.2 Scope of this Report

1.3 Methodology

1.4 Executive Summary

2 Overview of the Medical Imaging Market

2.1 Medical Imaging Industry Market Size

2.1.1 World Medical Imaging Market

2.1.2 U.S. Medical Imaging Market

2.2 Medical Imaging Infrastructure

2.2.1 Total Healthcare Expenditures and Demographics

2.2.2 Number of Hospitals

2.2.3 Number of Radiologists

2.2.4 Radiologic Services

2.2.5 Overview of Medical Imaging Market Segments

2.2.6 Market Drivers

2.2.7 Market Restraints

2.2.8 Market Segments for Medical Imaging

2.3 Contrast Media

2.3.1 Market Share

2.3.2 Market Drivers

2.4 Picture Archiving and Communication Systems

2.4.1 Picture Archiving and Communication Systems and Radiology Information Systems

2.4.2 Increasing Digitization of Cardiology Image Storage and Management Creates Market Growth Opportunities

2.4.3 Enterprise-Wide Integration is an Important Area for Future Market Development

2.4.4 Competition Among Large Companies Intensifies

2.4.5 Benefits of This Service

2.4.6 Market Sectors

2.4.7 Digital Imaging Technology Platforms

2.5 Medical Imaging Companies

2.5.1 A Few Firms Dominate the Industry

2.6 Medical Imaging Industry Forecasts

2.7 Market Niches and Digitalization

2.8 Digital Imaging Techniques

2.8.1 Clinical Uses

2.8.2 Product Enhancements Drive Adoption of Imaging Devices Among End-Users

2.8.3 Rapid Pace of Innovation Narrows Product Life Cycles and Restricts Spending

2.8.4 Current and New Digital Imaging Procedures

2.8.5 The Digital Impact on Clinical Imaging Markets

2.8.6 Trends in Digital Imaging

2.8.7 Enhancing Computed Radiography

2.8.8 Digital Radiography versus Computed Radiography

2.8.9 Digital Radiography Products

3 Digital Radiography Markets

3.1 Market Overview

3.2 Disadvantages of Film Technology

3.3 Computed Radiography and Direct-to-Digital Radiography Systems

3.4 Digital Radiography Market Trends

3.5 Market Segmentation

3.6 Digital Radiography Market Drivers

3.7 Market Restraints

3.8 Radiography Market Forecasts

3.8.1 Revenue Forecasts

3.9 Competition

3.10 X-Ray Film Market Share

3.11 Installed Base and Procedure Forecasts

3.12 Digital Radiography Technology Platforms

3.12.1 Digital Radiography Infrastructure

3.12.2 Volume Levels

3.12.3 Vendor Choice

3.12.4 Computed Radiography versus Digital Radiography

3.12.5 Convincing the Administration

3.12.6 Vendor/Customer Consultation

3.12.7 Enhancing Computed Radiography

3.12.8 Digital Radiography Technology

3.12.9 Charge-Coupled Devices

3.12.10 Computed Radiography

3.12.11 Flat-Panel Indirect Detectors

3.12.12 Flat-Panel Direct Detectors

3.12.13 Fluoroscopy

3.12.14 Direct versus Indirect Detection Technology

3.12.15 Picture Archiving and Communication Systems

3.12.16 PACS Units Versus CCD Units

3.12.17 Slot Scan

3.12.18 Tiled CCD Arrays

3.12.19 Direct Conversion

3.13 Types of Digital X-Ray Imaging

3.13.1 From Four Components to One

3.13.2 The Benefits of Digital X-Ray

3.13.3 Image Intensifier/TV Systems

3.13.4 CR Technology Platforms

3.13.5 Charge-Coupled Devices

3.13.6 Scintillator with Photodiode Array

3.13.7 Direct Capture Using Flat-Panel Detectors

3.14 Digital Radiography Applications

3.14.1 Three-Dimensional Imaging

3.14.2 Cardiovascular Imaging

3.15 Market Factors

3.15.1 Portable DR Systems

3.15.2 Detector Choices

3.15.3 Software and Advanced Applications

3.16 Products

3.16.1 Agfa

3.16.2 Analogic

3.16.3 Carestream Health, Inc.

3.16.4 Canon Medical Systems

3.16.5 Fuji Medical Systems

3.16.6 GE Medical Systems

3.16.7 Imaging Dynamics

3.16.8 InfiMed

3.16.9 Konica Minolta Medical Imaging

3.16.10 Orex

3.16.11 Philips Medical Systems

3.16.12 Precise Optics

3.16.13 Quantum Medical Imaging

3.16.14 Siemens Medical Solutions

3.16.15 Shimadzu Medical Systems

3.16.16 Toshiba Medical Systems

3.16.17 Stallion Technologies

3.16.18 Swissray International

3.16.19 Trixell SAS

3.16.20 Varian Medical Systems

3.17 Manufacturers

4 Mammography

4.1 Mammography Overview

4.2 Breast Cancer

4.3 Film-based Mammography Market

4.3.1 Market Overview

4.3.2 Market Drivers

4.3.3 Market Restraints

4.3.4 Film-based Mammography Market and Technology Trends

4.3.5 U.S. Market for Film-based Screening Systems

4.3.6 European Market for Film-based Mammography Systems

4.4 Digital Mammography

4.4.1 Digital Mammography Offers Attractive Operation Costs/Ownership Benefits

4.5 Digital versus Standard Mammography

4.6 Digital Mammography Markets

4.6.1 Structure Unit Sales and Revenue

4.6.2 World Mammography Markets Revenue Forecast

4.7 World Mammography Markets Revenue

4.7.1 Unit Shipment and Revenue Forecasts

4.7.2 Market Share

4.7.3 Mammography Placements and Digital Share

4.7.4 Competitive Structure

4.7.5 New Technologies and Features Essential for Future Growth

4.8 Digital X-Ray Mammography Technology Analysis

4.8.1 Product Background

4.8.2 Market Drivers

4.8.3 Market Restraints

4.8.4 Technological Solutions

4.8.5 Competitive Analysis

4.8.6 U.S. Installed Base Analysis

4.9 Trends in Digital X-Ray Imaging Markets

4.10 Types of Mammography Imaging

4.10.1 Stereoscopic Digital Mammography

4.10.2 Magnetic Resonance Imaging

4.10.3 Computer-Aided Detection

4.11 Products

4.11.1 Agfa-Gevaert Corporation

4.11.2 Carestream Health

4.11.3 CMT Medical Systems

4.11.4 Fischer Medical Technologies

4.11.5 Fujifilm Medical Systems

4.11.6 GE Medical Systems

4.11.7 Hologic

4.11.8 Imaging Diagnostic Systems

4.11.9 Sectra

4.11.10 Shimadzu

4.11.11 Siemens

4.12 Manufacturers

5 Computed Tomography Market

5.1 Overview

5.2 Market Measurements

5.2.1 Market Drivers

5.2.2 Market Restraints

5.3 CT Market Forecasts

5.3.1 U.S. Revenue Forecasts

5.3.2 Single-Slice Computed Tomography

5.3.3 Multi-slice Computed Tomography

5.3.4 U.S. Competitive Structure

5.3.5 European Market Revenue Forecasts

5.3.6 European Competitive Structure

5.4 CT Technology Platforms

5.4.1 Fan-Beam

5.4.2 Sub-Second Helical Scanners

5.4.3 Multi-Slice Scanners

5.5 CT Market Trends

5.5.1 Market Segmentation

5.6 Digital CT Applications

5.6.1 Introduction

5.6.2 Competitive Analysis

5.6.3 Cardiac CT and EBT Scanner Forecasts and Trends

5.6.4 Other Applications

5.7 Market Factors

5.8 Contrast Media

5.8.1 Revenue Forecasts

5.9 Products

5.9.1 Shimadzu Medical Systems

5.9.2 Toshiba America Medical Systems

5.9.3 Siemens

5.9.4 GE Healthcare

5.9.5 Philips Medical Systems

5.9.6 Others

5.10 Manufacturers

6 Magnetic Resonance Market

6.1 MRI Overview

6.1.1 Market Segmentation and Definitions: MRI Market

6.2 Market Measurements

6.2.1 Market Drivers for Open and Closed MRI Segments

6.3 Market Restraints for Open and Closed MRI Segments

6.4 Market Drivers for Low-/Mid-/High-Field MRI Segments

6.5 Market Restraints for Low-/Mid-/High-Field MRI Segments

6.6 Revenue Forecasts

6.7 Unit Shipment and Installed Base Forecast

6.8 Procedure Forecast

6.8.1 Breast Imaging

6.8.2 Cardiac Imaging

6.8.3 Orthopedic Imaging

6.8.4 Functional MRI

6.8.5 The Angiography Alternative

6.8.6 More Directions for Magnetic Resonance Imaging

6.8.7 Buying and Selling MRI Market Dynamics

6.9 Competitive Structure: Open and Closed Magnetic Resonance Imaging

6.10 Competitive Structure: Low-/Mid-/High-Field Magnetic Resonance Imaging

6.11 Market Analysis

6.12 Contrast Media

6.12.1 Revenue Forecasts

6.13 Products

6.13.1 Choy Medical Technologies

6.13.2 ETS-Lindgren

6.13.3 Fonar Corporation

6.13.4 Hitachi

6.13.5 Machnet BV

6.13.6 Mallinckrodt

6.13.7 Medis Medical Imaging Systems BV

6.13.8 Mednovus, Inc.

6.13.9 ONI Medical Systems

6.13.10 Philips Medical Systems

6.14 Manufacturers

7 Ultrasound Market

7.1 Ultrasound Market Trends

7.1.1 Overview

7.1.2 Market Segmentation and Definitions

7.1.3 Market Developments

7.1.4 Market Drivers

7.1.5 Market Restraints

7.2 Ultrasound Market Forecasts

7.2.1 Revenue Forecasts

7.2.2 Unit Shipment Forecasts

7.2.3 Installed Base Forecast

7.2.4 Competitive Structure

7.2.5 Market Analysis

7.3 Cardiology Ultrasound Segment Forecasts

7.3.1 Revenue Forecasts

7.3.2 Unit Shipment Forecasts

7.3.3 Market Share Analysis

7.4 OB/GYN Ultrasound Segment Forecasts

7.5 Radiology Ultrasound Segment Forecasts

7.6 Handheld Ultrasound Segment Forecasts

7.6.1 Revenue Forecasts

7.6.2 Market Share Analysis

7.7 Contrast Media

7.7.1 Revenue Forecasts

7.7.2 Market Share Analysis

7.8 New Transducer Technology

7.9 Intravascular Ultrasound

7.10 Products

7.10.1 Ardent Sound

7.10.2 CIVCO Medical Instruments

7.10.3 Fischer Medical Technologies

7.10.4 GE Healthcare

7.10.5 Medison Co. Ltd.

7.10.6 Mindray Co. Ltd.

7.10.7 Philips Medical

7.10.8 Sea Ridge Software

7.10.9 Siemens Medical

7.10.10 Sony Medical Products

7.10.11 SonoSite Inc.

7.10.12 TeraRecon

7.10.13 Toshiba America Medical Systems

7.10.14 U-Systems

7.10.15 ZONARE Medical Systems

7.11 Manufacturers

8 Nuclear Imaging Market

8.1 Market Overview

8.2 Market Segmentation and Definitions

8.3 Market Trends

8.4 Market Drivers

8.5 Market Restraints

8.6 Gamma Camera Market Forecasts

8.6.1 Revenue Forecasts

8.7 Competition

8.8 Market Share

8.9 Market Factors

8.10 Installed Base and Procedure Forecasts

8.11 Gamma Camera Technology Platforms

8.11.1 Single Photon Emission Computed Tomography

8.11.2 Attenuation Correction Technology

8.11.3 Charge-Coupled Devices

8.11.4 Flat-Panel Indirect Detectors

8.11.5 Flat-Panel Direct Detectors

8.11.6 Fluoroscopy

8.11.7 Direct and Indirect Detection Technology

8.11.8 Picture Archiving and Communication Systems

8.11.9 Picture Archiving and Communication Systems versus Charge-Coupled Devices

8.12 Types of Gamma Camera Imaging

8.12.1 Image Intensifier/Television Systems

8.12.2 Scintillator with Photodiode Array

8.13 Gamma Camera Applications

8.13.1 Prostate Cancer

8.13.2 Scintimammography

8.13.3 Cardiovascular Imaging

8.14 PET Market

8.14.1 Total PET and PET/CT Market Trends

8.14.2 Total PET and PET/CT Market Forecasts

8.14.3 Stand-Alone PET Market Forecasts

8.14.4 PET/CT Market Forecasts

8.15 Products

8.15.1 Eurorad-Euromedical

8.15.2 Gamma Medica

8.15.3 GE Medical Systems

8.15.4 Mallinckrodt

8.15.5 Naviscan PET Systems

8.15.6 Philips Medical Systems

8.15.7 TeraRecon

8.15.8 Toshiba America Medical Systems

8.15.9 Siemens

8.16 Manufacturers

9 PACS Markets

9.1 PACS Market Trends

9.1.1 Market Segmentation and Definitions

9.1.2 Overview

9.1.3 Market Measurements

9.1.4 Market Drivers

9.1.5 Market Restraints

9.2 PACS Market Forecasts

9.2.1 Revenue Forecasts

9.2.2 Installed Base and Penetration Forecasts

9.2.3 Competitive Structure

9.2.4 Market Share Analysis

9.3 PACS Software and Services

9.4 PACS Hardware Solutions

9.4.1 RIS/PACS Revenue Forecasts

9.5 Products

9.5.1 Carestream Health Inc.

9.5.2 Cedara Software

9.5.3 DeJarnette Research Systems

9.5.4 Dynamic Imaging

9.5.5 FujiFilm Medical Systems USA

9.5.6 GE Healthcare (RIS/PACS)

9.5.7 IMCO Technologies

9.5.8 Infinitt North America

9.5.9 Intelerad Medical Systems, Inc.

9.5.10 Intuitive Imaging Informatics, LLC

9.5.11 McKesson Corporation

9.5.12 Merge Healthcare

9.5.13 MIMvista Corp.

9.5.14 NovaRad Corp.

9.5.15 Philips Medical Systems (PACS)

9.5.16 ODS Medical

9.5.17 RamSoft, Inc.

9.5.18 Siemens Medical Solutions (RIS/PACS)

9.5.19 ScImage

9.5.20 Sectra Imtec AB

9.5.21 Thinking Systems Corporation

9.6 Manufacturers

10 Three-Dimensional Imaging Markets

10.1 Total 3D Imaging Market Trends

10.1.1 Overview

10.1.2 Market Drivers

10.1.3 Market Restraints

10.2 Total 3D Imaging Market Forecasts

10.3 Three-Dimensional CT/MRI/Angiography Market Forecasts

10.4 Three-Dimensional Ultrasound Imaging Market Forecasts

10.5 Three-Dimensional Imaging Markets

10.6 Manufacturers

11 Emerging Technologies and Products

11.1 Global Picture Archiving and Communication Systems

11.2 Image Processing

11.3 Magnetic Resonance Imaging

11.4 Computed Tomography for Calcium Scoring

11.5 Vasodilator Perfusion Imaging

11.6 Real-time Three-Dimensional Scanning

11.7 Optical Imaging

12 Products by Modality

12.1 Comparing Modalities

12.2 Magnetic Resonance Imaging

12.3 Computed Tomography

12.4 Mammography

12.5 Digital Mammography

12.6 Positron Emission Tomography

12.7 Reimbursement

12.8 X-Ray

12.9 Vascular X-Ray

12.10 Digital Modalities

12.11 Digital Benefits

13 Market Analysis by Modality

13.1 Magnetic Resonance Imaging

13.1.1 Products

13.2 Computed Tomography

13.2.1 Products

13.3 Nuclear Medicine

13.3.1 Products

13.4 X-Ray

13.4.1 Products

13.5 Digital Mammography

13.5.1 Products

14 Business Trends in the Industry

14.1 Sector Consolidation

14.2 Medical Imaging Growth Trends

14.3 Mergers and Acquisitions

14.3.1 Center for Diagnostic Imaging Signs With Medicalis

14.3.2 HealthSouth Sells Diagnostic Division to The Gores Group

14.3.3 AMICAS Acquires Technology Partners’ Practice Management Software

14.3.4 MDS Nordion and Avid Radiopharmaceuticals Enter Collaboration

14.3.5 NightHawk Radiology Holdings Acquires Teleradiology Diagnostic Service

14.3.6 Siemens Acquires German HIS Company

14.3.7 Siemens Medical Finalizes Acquisition of Bayer’s Diagnostics Division

14.3.8 GE Healthcare Acquires Dynamic Imaging

14.3.9 Hologic Acquires BioLucent

14.4 Product Testing Depth in Medical Imaging Testing

14.5 Government Regulation

14.5.1 U.S. Regulation

14.5.2 U.K. Regulation

14.5.3 E.U. Regulation

14.5.4 Japanese Regulation

14.6 Increased Market Penetration

15 Company Profiles

15.1 Agfa-Gevaert Corp.

15.2 Analogic Corp.

15.3 Canon

15.4 Carestream Health, Inc. (formally Kodak Health Imaging Division)

15.5 CMT Medical Technologies

15.6 Confirma, Inc.

15.7 DALSA

15.8 Del Medical Systems

15.9 Fischer Imaging

15.10 Fonar Corp.

15.11 FujiFilm Medical Systems USA

15.12 General Electric Healthcare

15.13 Hitachi Medical Systems America, Inc.

15.14 Hologic, Inc.

15.15 iCAD, Inc.

15.16 Imaging Diagnostic Systems, Inc.

15.17 IMIX

15.18 InfiMed, Inc.

15.19 Medison Co., Ltd.

15.20 Philips Medical Systems

15.21 Scanis Inc.

15.22 Sectra

15.23 Schick Technologies, Inc.

15.24 Siemens Healthcare

15.25 Swissray International

15.26 Toshiba America Medical Systems

15.27 Trixell SAS

15.28 Varian Medical Systems, Inc.

15.29 Vidar Sytems Corp.

16 Appendices

16.1 Digital Database for Screening Mammography

16.2 Sources of National Cancer Institute Information

16.3 Screening Mammograms: Questions and Answers

16.4 FDA Rule: State Certification of Mammography Facilities

LIST OF FIGURES

Figure 2.1: Total Spending on Healthcare in the U.S., 1960-2007

Figure 2.2: International Healthcare Spending Per Capita Per Country, 2006

LIST OF TABLES

Table 2.1: Global Medical Imaging Market Size, 2001-2013

Table 2.2: U.S. Medical Imaging Market Size, 2001-2013

Table 2.3: U.S. User Expenditures for Medical Imaging Equipment and Related Products

Table 2.4: Millions of Americans Over 65 Years of Age, 2000-2050

Table 2.5: Hospital Survey, 2007

Table 2.6: U.S. Radiological Images Taken, 1999-2010

Table 2.7: Market Share of Contrast Media Markets, 2006

Table 2.8: Worldwide Market Share Medical Imaging and Diagnostic Companies, 2006

Table 2.9: Worldwide Imaging Procedures, 2001-2013

Table 3.1: World Market for Digital General Radiography Systems, 2000-2013

Table 3.2: U.S. Digital Radiography Unit Sales, 2002-2013

Table 3.3: X-Ray Film Brand Market Segment, U.S. Market Share, 2006

Table 3.4: Average Examination Times: Cassette-Based Computed Radiography versus Digital Radiography

Table 3.5: Manufacturers of CCD-Based Digital Radiography Systems

Table 4.1: U.S. Use of Mammography in Women Over 40, 1987-2005

Table 4.2: Annual Mammography Procedures in the U.S., 2000-2008

Table 4.3: Annual Mammography Procedures in Europe, 2002-2007

Table 4.4: Annual Mammography Procedures in Japan, 2002-2007

Table 4.5: Annual Mammography Procedures in the Rest of the World, 2002-2007

Table 4.6: Breast Cancer Survival Rates by Country

Table 4.7: Surgical Biopsies Performed in the U.S., 2000-2007

Table 4.8: Worldwide Film-based Mammography Instrumentation Placements, 2002-2010

Table 4.9: Worldwide Mammography Film-based Instrument Market, 2000-2010

Table 4.10: Worldwide Mammography Film-based Instrument Market by Region, 2000-2010

Table 4.11: U.S. Mammography Film-based Instrument Market, 2000-2010

Table 4.12: U.S. Mammography Film-based Instrument Market Manufacturer Share, 2007

Table 4.13: U.S. Film-based Mammography Instrumentation Placements, 2002-2010

Table 4.14: European Mammography Film-based Instrument Market, 2000-2010

Table 4.15: European Film-based Mammography Instrumentation Placements, 2002-2010

Table 4.16: European Mammography Film-based Instrument Market Manufacturer Share, 2007

Table 4.17: Worldwide Market for Digital Mammography Systems, Annual Unit Sales, 2000-2012

Table 4.18: Worldwide Market for Digital Mammography Systems, 2000-2012

Table 4.19: U.S. Mammography Digital Instrument Market, 2001-2012

Table 4.20: Share of Worldwide Market for Digital Mammography Systems by Competitor, 2007

Table 4.21: The Worldwide Mammography Instrument Market, 2000-2010

Table 4.22: Worldwide Mammography Instrumentation Placements, 2002-2010

Table 4.23: U.S. Digital Mammography Instrumentation Placements, 2002-2010

Table 4.24: CAD Mammography Systems

Table 5.1: U.S. CT Scans per Year, 2001-2010

Table 5.2: U.S. Market for CT Scanners, 2001-2013

Table 5.3: U.S. Market for Single-Slice CT Scanners, 2001-2010

Table 5.4: European Market for CT Scanners, 2006-2013

Table 5.5: CT Contrast Media Market Size and Growth, 2000-2013

Table 6.1: U.S. MRI Scans per Year, 2001-2012

Table 6.2: The High-Field (1T and Up) MRI Market, 2001-2012

Table 6.3: The Mid-Field (0.5T to 0.9T) MRI Market, 2001-2012

Table 6.4: The Low-Field (Below 0.5T) MRI Market, 1999-2012

Table 6.5: Installed Base of Cardiac MRI Units, 1999-2012

Table 6.6: MRI Contrast Media Market Size and Growth, 2000-2012

Table 7.1: Worldwide Ultrasound Procedures, 2000-2012

Table 7.2: Worldwide Sales of Ultrasound Equipment, 2000-2012

Table 7.3: U.S. Sales of Ultrasound Equipment, 2000-2012

Table 7.4: Worldwide Cardiology Ultrasound Procedures, 2000-2012

Table 7.5: Worldwide Sales of Cardiology Ultrasound Equipment, 2000-2012

Table 7.6: U.S. Sales of Cardiology Ultrasound Equipment, 2000-2012

Table 7.7: U.S. Sales of Handheld Ultrasound Equipment, 2000-2012

Table 7.8: Worldwide Sales of Ultrasound Contrast Agents, 1999-2012

Table 8.1: World Radiopharmaceutical Scans, 2001-2010

Table 8.2: World Market for Gamma Camera Scans, 2002-2012

Table 8.3: Worldwide Dollar Sales of PET Imaging Systems, 2004-2012

Table 8.4: U.S. Dollar Sales of PET Imaging Systems, 2004-2012

Table 8.5: Unit Sales of PET Imaging Systems, U.S. and Worldwide, 2004-2012

Table 8.6: Installed Base of PET Imaging Systems, 2004-2012

Table 8.7: PET Procedure Volume, 2004-2012

Table 8.8: FDG Sales, 2004-2012

Table 8.9: Unit Sales of PET Imaging Systems, U.S. and Worldwide, 2004-2012

Table 8.10: U.S. PET/CT Scanner Market Size and Growth, 2002-2012

Table 9.1: U.S. Market for PACS, 2004-2012

Table 9.2: Penetration Rates of PACS in U.S. Hospitals, 2006-2012

Table 13.1: World Medical Diagnostic Market for MRI Systems, 2002-2012

Table 13.2: U.S. Medical Diagnostic Market for MRI Systems, 2002-2012

Table 13.3: U.S. Medical Diagnostic Market for MRI Systems Less Than 1T, 2002-2012

Table 13.4: U.S. Medical Diagnostic Market for MRI Systems More Than 1T, 2002-2012

Table 13.5: World Medical Diagnostic Market for CT Systems, 2002-2012

Table 13.6: U.S. Medical Diagnostic Market for CT Systems, 2002-2012

Table 13.7: World Medical Diagnostic Market for Nuclear Medicine, 2002-2012

Table 13.8: U.S. Medical Diagnostic Market for Nuclear Medicine, 2002-2012

Table 13.9: World Medical Diagnostic Market for X-Ray Systems, 2002-2012

Table 13.10: U.S. Medical Diagnostic Market for X-Ray Systems, 2002-2012

Table 13.11: World Medical Diagnostic Market for Digital X-Ray Systems, 2002-

Nuclear Cardiology Markets

1. Overview

1.1 Objectives

1.2 Scope

1.3 Methodology

1.4 Executive Summary

2. Medical Imaging Market Analysis

2.1 Medical Imaging Industry Market Size

2.2 Medical Imaging Infrastructure

2.2.1 Total Healthcare Expenditures and Demographics

2.2.2 Number of Hospitals

2.2.3 Number of Radiologists

2.2.4 Radiology Services

2.2.5 Medical Imaging Companies

2.2.6 Market Drivers

2.2.6.1 Product Enhancements

2.2.6.2 Contrast Agents Development

2.2.6.3 Innovation

2.2.7 Market Restraints

2.2.8 Market Segments for Medical Imaging

2.2.8.1 Discovery

2.2.8.2 Clinical Applications

2.2.8.3 Clinical Trials

2.2.8.4 Outpatient Facilities

2.2.8.5 Technology Advances in Diagnostic Imaging Modalities

2.2.8.6 Safety and Ergonomics Concerns

2.2.8.7 Volumetric Imaging

2.2.8.8 Digital Radiography (DR)

2.2.8.9 Contrast Media

3. Nuclear Medicine and Nuclear Cardiology Market

3.1 Medical Imaging Industry Forecasts

3.2 Hardware Companies (Nuclear Medicine Instrumentation)

3.3 Software Companies (Image Processing and PACS)

3.4 Radiopharmaceuticals and Pharmaceuticals Companies

3.5 Ancillary Products Companies

3.6 Service and Support Companies

3.7 Nuclear Cardiology Market

3.8 Hardware (PET, SPECT and Hybrids)

3.8.1 Scanner Investment: Not Just a Cardiology Market

3.8.1.1 Impact of Alzheimer’s Reimbursement

3.8.2 Sales Trends for PET Scanners

3.8.3 Market Consolidation in the U.S.

3.8.4 Learning Curve Impact for PET

3.8.5 Hardware Market Trends

3.9 Software (PACS and RIS)

3.10 Radiopharmaceuticals

3.10.1 Diagnostic Radiopharmaceuticals

3.10.2 Therapeutic Radiopharmaceuticals

4. Products Analysis

4.1 Nuclear Medicine Instrumentation

4.1.1 PET Scan

4.1.2 SPECT Scan

4.1.2.1 Heart Imaging

4.1.3 PET Versus SPECT

4.1.4 Hybrid Technology

4.2 Image Processing: PACS

4.2.1 PACS and Nuclear Medicine

4.2.2 Difficulties in Making PACS Work with Nuclear Medicine

4.2.1.2 3-D and Quantitative Analysis

4.2.1.5 Small Market Opportunities

4.3 Radiopharmaceuticals and Pharmaceuticals

4.3.1 Introduction

4.3.2 Background

4.3.3 Areas of Current Interest

5. Regulations, Reimbursements and Other Issues

5.1 Food and Drug Administration (FDA)

5.1.1 FDA Guidance

5.1.2 FDA Nuclear Medicine Coalition

5.2 U.S. Nuclear Regulatory Commission (NRC)

5.2.1 What NRC Regulates

5.2.2 How NRC Regulates

5.2.3 Related Information

5.3 Memorandum of Understanding between NRC and FDA

5.3.1 Authorities and Regulatory Programs

5.4 Current NRC Issues and Actions

5.4.1 Meetings

5.4.2 Program and Policy Issues

5.4.3 Recently Issued Significant Enforcement Actions

5.4.3.1 Stark II Regulations

5.4.3.2 Recent Impact of Stark II Regulations

5.4.3.3 Reimbursement

6. Business Affairs (Mergers, Acquisitions and Partnerships)

6.1 Recent Corporate Partnerships and Mergers

6.2 Recent Industry Activity

6.3 Product Launches and Developments

7. Technology Trends

7.1 Hardware (Nuclear Medicine Instrumentation)

7.2 Software (PACS)

7.2.1 Problems Interfacing PACS and NM

7.2.2 SNM and IHE

7.2.3 IHE Nuclear Medicine Profile

7.2.4 What Next?

7.2.5 Optimal Patient Care

7.2.6 Four Steps to Standards Adoption

7.2.7 Technical Framework: Business with Technology

7.2.8 Leading by Example

7.2.9 IHE and Electronic Health Record (EHR)

7.3 Radiopharmaceuticals and Pharmaceuticals

7.3.1 Market Share

7.3.2 Contrast Media Market Drivers

7.3.3 Contrast Media Market Sector Overview

7.3.4 Contrast Media Market Analysis

7.3.5 Growth Prospects for Contrast Media

7.4 Market Sector Analysis

7.5 Leading Companies in General Medical Imaging

8. Company Profiles

8.1 Hardware (Nuclear Medicine Instrumentation)

8.1.1 AccuSync Medical Research

8.1.2 Bristol-Myers Squibb (Medical Imaging)

8.1.3 Capintec

8.1.4 CardiArc

8.1.5 Cardinal Health (Cardiology Solutions)

8.1.6 Digirad

8.1.7 GE Healthcare

8.1.8 GVI Medical Devices

8.1.9 Hitachi Medical Systems America

8.1.10 IS2 Medical Systems

8.1.11 Mediso

8.1.12 Philips Medical

8.1.13 Positron

8.1.14 Siemens Medical

8.1.15 Spectrum Dynamics

8.2 Software (Image Processing and PACS)

8.2.1 Heartlab

8.2.2 Hermes Medical Solutions

8.2.3 INVIA

8.2.4 McKesson

8.2.5 MedImage

8.2.6 MIMvista

8.2.7 Numa

8.2.8 ProSolv Cardiovascular

8.2.9 Scientific Imaging

8.2.10 Segami Corporation

8.2.11 Syntermed

8.2.12 Thinking Systems Corporation

8.2.13 UltraSPECT

8.2.14 Witt Biomedical Corporation

8.3 Radiopharmaceuticals and Pharmaceuticals

8.3.1 Astellas Pharma U.S.

8.3.2 Bracco Diagnostics

8.3.3 Isotope Products Laboratories

8.3.4 Izotop: Institute of Isotopes

8.3.5 Mallinckrodt

8.3.6 Merck

8.3.7 NuView Radiopharmaceuticals

8.3.8 Pfizer

8.3.9 Tyco Healthcare

8.4 Ancillary Products

8.4.1 CNMTStore.com

8.4.2 Data Spectrum Corporation

8.4.3 Daxor Corporation

8.4.4 Ivy Biomedical Systems

8.4.5 MarCal Medical

8.5 Service and Support

8.5.1 BC Technical

8.5.2 Diagnostix Plus

8.5.3 MedAxiom

8.5.4 MediNuclear Corporation (MNC)

8.5.5 MEDX

8.5.6 Pinestar Technology

8.5.7 Technology Imaging Services

8.6 Other Business Opportunities

9. Other Elements of Nuclear Medicine Industry

9.1 Nuclear Medicine: Guidelines, Certification and Societies

9.1.1 American College of Radiology (ACR)

9.1.2 American Society of Nuclear Cardiology (ASNC)

9.1.3 Associates in Medical Physics (AMP)

9.1.4 Certification Board of Nuclear Cardiology (CBNC)

9.1.5 ICANL

9.1.6 IHE

9.1.7 ISO

9.1.8 MedPage Today

9.1.9 Nuclear Medicine Technology Certification Board (NMTCB)

9.1.10 Society of Cardiovascular Computed Tomography (SCCT)

9.1.11 Society of Nuclear Medicine (SNM)

9.2 Nuclear Medicine: Publications

9.2.1 Elsevier

9.2.2 HRA Research

9.2.3 Lippincott Williams & Wilkins

INDEX OF FIGURES

Figure 3.1: U.S. Nuclear Imaging Procedures

Figure 3.2: Digirad--Growth of Nuclear Imaging Procedures, 2004-2006

Figure 4.1: Nuclear Imaging

Figure 4.2: PET Scan

Figure 4.3: SPECT Scan

Figure 4.4: PET-CT Scan

Figure 4.5: SPECT-CT Scan

Figure 7.1: IHE Technical Framework

Figure 7.2: IHE Framework Organization

Figure 7.3: IHE Actors and Transactions

INDEX OF TABLES

Table 2.1: U.S. Medical Imaging Market Size, 2001-2010

Table 2.2: Global Medical Imaging Market Size, 2001-2010

Table 2.3: U.S. Health Expenditures as a Percentage of GDP, 2000-2010

Table 2.4: U.S. User Expenditures for Medical Imaging Equipment and Related Products

Table 2.5: Millions of Americans Over 65 Years of Age, 2000-2050

Table 2.6: Hospital Survey

Table 2.7: Percent Change in Volume of Examinations per Imaging Modality, 1993-2004

Table 2.8: Worldwide Market Share of Medical Imaging Companies

Table 2.9: Worldwide Imaging Procedures, 2001 to 2010

Table 2.10: Data Sources for Nuclear Medicine Professionals and Facilities

Table 7.1: Market Share of Contrast Media Players

Table 7.2: Contrast Media Market Growth, 2003-2010

Table 7.3: Worldwide Imaging Procedures, 2001-2010

Table 8.1: Astellas Alliances

Picture Archiving and Communications Systems (PACS)

1. Overview

1.1 Statement of Report

1.2 About This Report

1.3 Scope of the Report

1.4 Objectives

1.5 Methodology

1.6 Executive Summary

2. The Medical Imaging Market

2.1 Medical Imaging Industry Market Size

2.2 Medical Imaging Infrastructure

2.2.1 Total Healthcare Expenditures and Demographics

2.2.2 Number of Hospitals

2.2.3 Number of Radiologists

2.2.4 Radiology Services

2.2.5 Medical Imaging Companies

2.2.6 Market Drivers

2.2.6.1 Product Enhancements Drive Adoption of Imaging Procedures Among End-Users

2.2.6.2 Potential of Novel Contrast Agents Development to Drive Imaging Procedure Volumes

2.2.6.3 Rapid Pace of Innovation Narrows Product Lifecycles and Restricts Spending

2.2.7 Market Restraints

2.2.8 Market Aspects

2.2.8.1 Molecular Imaging

2.2.8.2 Outpatient Facilities are the Best Growth Market

2.2.8.3 Diagnostic Imaging Modalities Witness Several Technology Advancements

2.2.8.4 Safety and Ergonomics Concerns Drive Technology Growth

2.2.8.5 Volumetric Imaging and Post-Image Processing Techniques Develop Rapidly

2.2.8.6 Increasing Implementation of PACS Units Pushes Digital Radiography into High Gear

2.2.8.7 Future Price Reduction Set to Stimulate Wider Acceptance of DR Systems

2.2.8.8 High-Performance Imaging Combined with Lower Radiation Doses Spurs DR Growth

2.3 Market Sector Analysis

2.3.1 Competition

2.3.2 Penetration Rates of PACS

3. PACS Market

3.1 PACS Technology

3.1.1 PACS History

3.1.1.1 In the Beginning

3.1.1.2 PACS Pioneers

3.1.1.3 Early Efforts

3.1.1.4 Early PACS Efforts

3.1.1.5 DICOM Begins

3.1.1.6 Filmless

3.1.1.7 Today and Tomorrow

3.1.2 Image Acquisition

3.1.3 Distribution and Communication

3.1.4 Archiving

3.1.5 Servers

3.1.6 Image Display Systems

3.1.7 PACS Drivers

3.1.8 Barriers

3.2 PACS Vendors

3.3 Leading PACS Vendors

3.4 PACS Societies

3.5 PACS Forecasts

3.6 Market Dynamics

3.6.1 Market Challenges

3.6.2 Integrating Imaging Systems

3.6.3 Lack of Funding can Stall Introduction of PACS

3.6.4 Determining and Defining the Return on Investment (ROI) of PACS Solutions

3.6.5 Effective PACS Training

3.6.6 PACS Outside the Radiology Department and the Hospital

3.6.7 Development of Web-based and GUI PACS Solutions

3.6.8 How Much is Enough Storage?

3.6.9 Information Lifecycle Management (ILM)

3.6.9.1 The Process

3.6.9.2 Automation

3.6.9.3 Simplified Disaster Recovery

3.6.9.4 Better Backups

3.6.9.5 Solving the problem

3.6.10 Always Online PACS

3.6.11 Cost of Electronic Storage and Data Transfer Decreasing (Moore’s Law)

3.6.12 Hospital CEOs and PACS

3.6.13 PACS and RIS Integration Benefits

3.6.13.1 Brokered Versus Integrated RIS/PACS

3.6.14 The Healthcare Leadership Council Congressional Recommendations

3.6.15 Deployment of Filmless Environments Attracting the Best Recruits

3.6.15.1 Planning for Migration from One PACS to Another?

3.6.15.2 Critical Success Factors as Seen by the Referring Physicians

3.6.15.3 Connecting PACS to Results: Text and Images Together

3.6.15.4 ROI on PACS and RIS

3.6.15.5 Advantages of Outsourcing Digital Storage Rather than Implementing an Archive in House

3.6.15.6 Special Considerations in PACS for Extensive Remote or Outsourced Image Reading

3.6.15.7 Enhancing Workflow to Optimize Service to Emergency Medicine

3.6.15.8 Customer Support for PACS: Guidelines

3.6.15.9 RIS/PACS Target Outcomes and Benefit Realization

3.6.15.10 How PACS Helps Radiology Deal with CR?

3.6.15.11 Interfaced, Integrated and Unified PACS

3.7 PACS Usage

3.8 Purchase Options

3.8.1 Turnkey

3.8.2 Software-only PACS (Best of Breed/Unbundled Solutions)

3.8.3 Web-based PACS

3.8.4 Application Service Provider

3.9 Telemedicine/Teleradiology

3.9.1 Opportunities

3.9.1.1 Civilian

3.9.1.2 Military

3.10 Software (Image Processing, PACS, etc.) Companies

3.11 Software (PACS and RIS)

4. Regulations and Standards

4.1 HIPAA

4.1.1 Title I: Healthcare Access, Portability and Renewability

4.1.2 Title II: Preventing Healthcare Fraud and Abuse, Administrative Simplification and Medical Liability Reform

4.1.2.1 The Privacy Rule

4.1.2.2 The Transactions and Code Sets Rule

4.1.2.3 The Security Rule

4.1.2.4 The Unique Identifiers Rule (National Provider Identifier)

4.1.2.5 The Enforcement Rule

4.2 DICOM

4.2.1 History

4.2.2 DICOM Data Format

4.2.3 DICOM Services

4.2.3.1 Store

4.2.3.2 Storage Commitment

4.2.3.3 Query/Retrieve

4.2.3.4 Modality Worklist

4.2.3.5 Modality Performed Procedure Step

4.2.3.6 Printing

4.2.3.7 Off-line Media (DICOM Files)

4.2.4 Application Areas

4.3 HL7

4.3.1 What Does the Name HL7 Mean?

4.3.2 Why HL7?

4.3.3 How is HL7 Organized?

4.3.4 New and Ongoing Initiatives

4.3.4.1 HIPAA

4.3.4.2 The Reference Information Model (RIM)

4.4 Clinical Data Interchange Standards Consortium

4.5 The IHE

4.6 Optimal Patient Care

4.7 The Four Steps of the Process

4.8 The Technical Framework—Business and Technology Together

4.9 Leading by Example

4.10 IHE and the EHR

4.11 Nuclear Medicine Special Issues

4.11.1 SNM and the IHE

4.11.2 Problems interfacing PACS and NM

4.11.3 The IHE Nuclear Medicine Profile

4.11.4 The Next Step

4.12 Government Healthcare Initiatives Creates Opportunities for PACS Vendors

5. Technology Trends

5.1 Content-based Image Retrieval (CBIR)

5.2 Digital Dashboard

5.3 Digital Dashboard Example: PACSPulse

5.4 Paperless Workflow in PACS

5.5 Process and Workflow Example for RIS PACS Integration

5.6 Process and Workflow Example for High Speed CT

6. Company Profiles

6.1 Agfa-Gevaert Corp.

6.2 Canon

6.3 Carestream Health, Inc. (Formerly Kodak Health Imaging Division)

6.4 Cerner Corporation

6.5 DR Systems

6.6 Dynamic Imaging

6.7 Emageon

6.8 FujiFilm Medical Systems USA

6.9 GE Healthcare (RIS/PACS)

6.10 Hitachi Medical Systems America

6.11 IBM (PACS)

6.12 IMCO Technologies

6.13 Intelerad Medical System

6.14 McKesson Corporation

6.15 Merge Healthcare (Acquired eMed Technologies)

6.16 Philips Medical Systems (PACS)

6.17 ScImage

6.18 Siemens Medical Solutions (RIS/PACS)

6.19 SmartPACS (Newly Renamed to Infinitt)

6.20 Thinking Systems Corporation

7. Manufacturers

INDEX OF FIGURES

Figure 2.1: Total Spending on Healthcare in the U.S., 1960-2007

Figure 2.2: International Per Capita Healthcare Spending by Country, 2006

Figure 3.1: Representative PACS Architecture

Figure 3.2: PACS Facilities Shown by Number of Exams/Procedures Performed Per Year

Figure 3.3: Modalities Offered by PACS Facilities

Figure 3.4: US Facilities with PACS

Figure 3.5: PACS Installation Duration

Figure 3.6: Number of Vendors Evaluated

Figure 3.7 Ranking of PACS Evaluation Factors

Figure 3.8 PACS Features Considered in Evaluating PACS

Figure 3.9 PACS Vendor Aspects Considered in Evaluating PACS

Figure 3.10: Number of Service Calls

Figure 3.11: PACS Satisfaction

Figure 3.12: Vendor’s US Market Share

Figure 4.1: IHE Technical Framework

Figure 4.2: IHE Framework Organization

Figure 5.1: Digital Dashboard

Figure 5.2: PACSPulse Architecture

Figure 5.3: The Usage and Performance Dashboard

Figure 5.4: Paper Versus Paperless PACS Workflow

Figure 5.5: PACS Workflow Example for a CT System

INDEX OF TABLES

Table 2.1: U.S. Medical Imaging Market Size, 2001-2010

Table 2.2: Global Medical Imaging Market Size, 2001-2010

Table 2.3: U.S. User Expenditures for Medical Imaging Equipment and Related Products, 2000-2007

Table 2.4: Total Number of Americans Over 65 Years of Age, 2000-2050

Table 2.5: Hospital Survey

Table 2.6: Percent Change in Volume of Examinations Per Imaging Modality between 1993 and 2004

Table 2.7: Worldwide Market Share Medical Imaging Companies

Table 2.8: Worldwide Imaging Procedures, 2001-2010

Table 2.9: Penetration Rates of PACS in U.S. Hospitals, 2006-2012

Table 3.1: List of Vendors

Table 3.2: U.S. Market for PACS, 2004-2012

Table 3.3: Worldwide and Regional Markets for PACS, 2004-2012

Table 3.4: European PACS Expenditures, 2004-2012

Table 3.5: ECRI Criteria for PACS Evaluation

Table 3.6: Healthcare Leadership Council

Table 3.7: Healthcare Leadership Council Summary of HIT Benefits

Table 3.8: PACS Placements by Facility Type

Table 3.9: Vendor’s US Market Share

Table 4.1: IHE Actors and Transactions

Table 5.1: The Usage and Performance Dashboard

Positron Emission Tomography (PET) Markets

1 Overview

1.1 Statement of Report

1.2 Scope of this Report

1.3 Methodology

1.4 Executive Summary

2 Overview of the Medical Imaging Market

2.1 Medical Imaging Industry Market Size

2.2 Medical Imaging Infrastructure

2.2.1 Total Healthcare Expenditures and Demographics

2.2.2 Number of Hospitals

2.2.3 Number of Radiologists

2.2.4 Radiologic Services

2.2.5 Medical Imaging Companies

2.2.6 Medical Imaging Market Drivers

2.2.7 Market Restraints

2.2.8 Market Segments for PET Imaging

2.2.9 Key Players in the PET Imaging Segment

2.2.10 Medical Imaging Sector Analysis

2.3 Structure and Use of PET Imaging

2.3.1 Functional Imaging versus Anatomic Imaging

2.3.2 Functional Imaging Using Single-Photon Imaging (SPECT)

2.3.3 PET in Clinical Use

2.3.4 PET Sensitivity

2.3.5 Therapeutic Uses of PET

2.3.6 PET/CT

2.3.7 The Future of PET in Cancer Imaging

2.3.8 PET Reimbursement

2.4 Radiopharmaceutical Imaging

2.4.1 Cardinal Health Acquires PET Radiopharmaceutical Production Facilities

2.4.2 GE Healthcare Launches New Platform for Automated Synthesis of PET Radiopharmaceuticals

2.4.3 Siemens Medical PETNET Radiopharmacy

2.4.4 Future Growth of PET Imaging Procedures

2.4.5 Diagnostic Radiopharmaceuticals: Market Analysis and Future Prospects

2.4.6 New Radiopharmaceutical Applications

3 PET Market

3.1 Market Size

3.2 Total PET and PET/CT Market Trends

3.2.1 Market Segmentation and Definitions

3.2.2 Overview

3.2.3 Market Measurements

3.2.4 Market Drivers

3.2.5 Market Restraints

3.2.6 Future Needs for Market Development

3.2.7 Clinical Usages

3.3 Total PET and PET/CT Market Forecasts

3.3.1 Revenue Forecasts

3.3.2 Unit Shipment Forecasts

3.3.3 Procedure Forecast

3.3.4 Competitive Structure

3.3.5 Market Share Analysis

3.3.6 Future Directions for PET

3.3.7 New PET Technology Platforms

3.4 SPECT Market Forecasts

3.5 Stand-Alone PET Market Forecasts

3.5.1 Revenue Forecasts

3.5.2 Unit Shipment Forecasts

3.5.3 Market Share Analysis

3.6 PET/CT Market Forecasts

3.6.1 PET/CT Revenue Forecasts

3.6.2 PET/CT Unit Shipment Forecasts

3.6.3 PET/CT Market Share Analysis

3.7 Products

3.7.1 Gamma Medica

3.7.2 Mallinckrodt

3.7.3 Naviscan PET Systems

3.7.4 Siemens Medical

3.7.5 TeraRecon

3.7.6 Toshiba America Medical Systems

3.7.7 CTI Molecular Imaging Inc.

3.7.8 GE Healthcare

3.7.9 Philips Medical Systems

3.7.10 MedImage Inc.

4 PET/CT

4.1 Strengths of CT and PET Scanning

4.2 Combining CT’s Strengths with PET Scanning

4.3 Nuclear Medicine Safety Protocols

4.4 PET Safety Protocols

4.4.1 Radiation Safety

4.4.2 Appropriate Shielding

4.4.3 Radioactive Package Protocols

4.5 Regulatory Requirements

4.6 PET and SPECT Tracers

4.6.1 FDG Centers

4.7 PET Imaging

4.8 PET and Cancer Staging

4.9 PET/CT Reimbursement

5 Hybrid Technology: PET/CT and SPECT/CT

5.1 PET/CT

5.2 SPECT/CT

5.2.1 Blending of Technology Platforms

5.2.2 SPECT vs. PET

6 SPECT and SPECT/CT

6.1 Single-Photon Emission Computed Tomography (SPECT)

6.1.1 SPECT Imaging

6.1.2 SPECT Instrumentation

6.1.3 SPECT Market

6.2 SPECT/CT

6.2.1 Differences between PET and SPECT

6.3 Potential Applications of SPECT/CT

6.3.1 SPECT/CT in Cardiology

6.3.2 Myocardial Perfusion Imaging

6.3.3 Functional Brain Imaging

6.3.4 SPECT/CT in General Nuclear Medicine

6.3.5 SPECT/CT in Neurology

6.3.6 Oncology Applications

6.4 New Technology Platforms: SPECT

6.4.1 Future Growth

7 Clinical PET/CT for Oncology Applications

7.1 Pulmonary Nodules

7.2 Non-Small-Cell Lung Cancer

7.3 Melanoma

7.4 Lymphoma

7.5 Colorectal Cancer

7.6 Head and Neck Cancer

7.7 Esophageal Cancer

7.8 Breast Cancer

7.9 Brain Cancer

7.10 Prostate Cancer

7.11 Ovarian Cancer

7.12 Cervical Cancer

7.13 Testicular Cancer

7.14 Thyroid Cancer

7.15 Pancreatic Cancer

7.16 Trends in Clinical Use of PET/CT

7.17 Development of PET/MRI

8 Company Listings

Appendix 1. Radiopharmaceutical Diagnostic Imaging Agent Codes and PET Scan Services

LIST OF TABLES

Table 2.1: U.S. Medical Imaging Market Size, 2001 to 2010

Table 2.2: Global Medical Imaging Market Size, 2001 to 2010

Table 2.3: U.S. Healthcare Expenditures, 1999 to 2010

Table 2.4: U.S. Health Expenditures as a Percentage of GDP, 1999 to 2010

Table 2.5: U.S. User Expenditures for Medical Imaging Equipment and Related Products

Table 2.6: Millions of Americans Over 65 Years of Age, 2000 to 2050

Table 2.7: Hospital Survey

Table 2.8: U.S. Radiological Images Taken, 1999 to 2010

Table 2.9: Worldwide Market Share Medical Imaging and Diagnostic Companies

Table 2.10: U.S. Nuclear Medicine Procedures, 2002 to 2010

Table 2.11: PET Radioisotopes

Table 3.1: Type of Imaging Offered by Facility

Table 3.2: PET Procedures by Type

Table 3.3: PET Patient Studies Performed in U.S.

Table 3.4: Worldwide Dollar Sales of PET Imaging Systems, 2004 to 2011

Table 3.5: U.S. Dollar Sales of PET Imaging Systems, 2004 to 2011

Table 3.6: Average Selling Price for PET, U.S. and Worldwide, 2004 to 2011

Table 3.7: Unit Sales of PET Imaging Systems, U.S. and Worldwide, 2004 to 2011

Table 3.8: Installed Base of PET Imaging Systems, U.S., 2004 to 2011

Table 3.9: PET Procedure Volume, 2004 to 2011

Table 3.10: FDG Sales, 2004 to 2011

Table 3.11: SPECT Procedure Volume, 2004 to 2011

Table 3.12: U.S. SPECT Scanner Market Size and Growth, 2002 to 2010

Table 3.13: U.S. Stand-Alone PET Scanner Market Size and Growth, 2004 to 2011

Table 3.14: U.S. PET/CT Scanner Market Size and Growth, 2002 to 2010

Table 4.1: PET Applications Approved for Reimbursement by CMS

Table 5.1: SPECT and PET Hybrid Sales Percentages

1. Overview

1.1 Statement of Report

1.2 Scope of the Report

1.3 Methodology

1.4 Executive Summary

2. Overview of the Medical Imaging Market

2.1 Medical Imaging Industry Market Size

2.2 Medical Imaging Industry Profile

2.2.1 Healthcare Delivery System Profile

2.2.2 Radiologists

2.2.3 Radiologic Services

2.2.4 Medical-Image Market Drivers and Restraints

2.2.5 Medical Imaging Market Segments

2.2.6 Contrast Media

2.2.7 Picture Archiving and Communication Systems

2.2.8 Picture Archiving and Communication Systems and Radiology Information Systems

2.2.9 Medical Imaging Companies

2.2.10 Significant Ultrasound Companies

2.2.11 Medical Imaging Industry Forecasts

2.3 Market Niches and Digitalization

2.4 Digital Imaging Techniques

2.4.1 Clinical Uses

2.5 Current and New Digital Imaging Procedures

2.6 The Digital Impact on Clinical Imaging Markets

2.7 Trends in Digital Imaging

2.8 Enhancing Computed Radiography

2.9 Digital Radiography vs. Computed Radiography

2.10 DR Products

2.11 Vasodilator Perfusion Imaging

3. Ultrasound Market

3.1.1 Overview of Ultrasound Market Segments

3.1.2 Increase in Application Areas Stirs Demand

3.2 Ultrasound Market Trends

3.2.1 Market Segmentation and Definitions

3.2.2 Ultrasonography Is of Great Value in Other Obstetric Conditions such as:

3.2.3 Overview

3.2.4 Market Developments

3.2.5 Market Drivers

3.2.6 Market Restraints

3.3 Ultrasound Market Forecasts

3.3.1 Unit Shipment Forecasts

3.3.2 Installed-Base Forecast

3.3.3 Competitive Structure

3.3.4 Market Analysis

3.4 Cardiology Ultrasound Segment Forecasts

3.4.1 Unit Shipment Forecasts

3.4.2 Market Share Analysis

3.5 OB/GYN Ultrasound Segment Forecasts

3.6 Radiology Ultrasound Segment Forecasts

3.7 Hand-Carried Ultrasound Segment Forecasts

3.7.1 Market Share Analysis

3.7.2 Portable Ultrasound Equipment Displays Rapid Growth

3.8 Contrast Media

3.8.1 Market Share Analysis

3.8.2 Contrast-Enhanced Ultrasound (CEUS) and Microbubbles

3.8.3 Targeting Microbubbles

3.8.4 How Contrast-Enhanced Ultrasound (CEUS) Works

3.8.5 Applications of Contrast-Enhanced Ultrasound

3.9 Products

3.9.1 The Acquisition Decision

3.9.2 Ardent Sound

3.9.3 ALOKA, Ltd.

3.9.4 B-K Medical

3.9.5 CIVCO Medical Solutions

3.9.6 Esaote Group Company

3.9.7 Fischer Medical Technologies

3.9.8 GE Healthcare

3.9.9 Hitachi Medical Systems America

3.9.10 Medison Co., Ltd.

3.9.11 MEDRAD

3.9.12 Mindray Co., Ltd.

3.9.13 Philips Medical

3.9.14 Sea Ridge Software

3.9.15 Siemens Medical

3.9.16 SonoSite

3.9.17 Sony Medical Products

3.9.18 TeraRecon

3.9.19 Toshiba America Medical Systems

3.9.20 U-Systems

3.9.21 Zonare Medical Systems

3.10 Manufacturers

3.11 New Transducer Technology

3.12 Ultrasound Product Introductions to the Market

4. Three- and Four-Dimensional Ultrasonography Markets

4.1 Total 3D Imaging Market Trends

4.1.1 Overview

4.1.2 Market Drivers

4.1.3 Market Restraints

4.2 Total 3D Imaging Market Forecasts

4.3 Three-Dimensional Ultrasound Imaging Market Forecasts

4.4 Three-Dimensional Imaging Markets

4.5.1 Echocardiography: The Largest Growth Area

4.5.2 Real-Time Color Doppler System

4.6 Manufacturers

5. Business Trends in the Industry

5.1 Sector Consolidation

5.2 Medical Imaging Growth Trends

5.3 Acquisition, License Agreements, Internal Development and Partnerships

5.4 Mergers and Acquisitions

5.4.1 Center for Diagnostic Imaging Signs With Medicalis

5.4.2 HealthSouth Sells Diagnostic Division to The Gores Group

5.4.3 AMICAS Acquires Technology Partners’ Practice-Management Software

5.4.4 MDS Nordion and Avid Radiopharmaceuticals Enter Collaboration

5.4.5 NightHawk Radiology Holdings Acquired Teleradiology Diagnostic Service

5.4.6 Onex Acquires Kodak’s Health Group

5.4.7 Successor to Kodak’s Health Group To Be Called “Carestream Health”

5.4.8 Siemens Acquires German HIS Company

5.4.9 Siemens Medical Finalizes Acquisition of Bayer’s Diagnostics Division

5.5 Product Testing Depth in Medical-Imaging Testing

5.6 Government Regulation

5.6.1 U.S. Regulation

5.6.2 U.K. Regulation

5.6.3 E.U. Regulation

5.6.4 Japanese Regulation

5.7 Increased Market Penetration

5.8 Partnerships

6. Company Profiles

6.1 Agfa-Gevaert Corp. Heartlab

6.3 Analogic Corp.

6.4 Biosound Esaote

6.5 Boston Scientific

6.6 B-K Medical

6.7 GE Healthcare

6.8 Hitachi Medical Systems America, Inc.

6.9 Hologic, Inc.

6.10 Medison Co., Ltd.

6.11 MEDRAD, Inc. (U.S.)

6.12 Philips Medical Systems

6.13 Siemens Medical Solutions

6.14 SonoSite, Inc. (U.S.)

6.15 Toshiba America Medical Systems

6.16 Varian Medical Systems, Inc.

INDEX OF FIGURES

Figure 2.1: U.S. Annual Percent Increase in Imaging Market Size, 2003 to 2012

Figure 2.2: Worldwide Annual Percent Increase in Imaging Market Size, 2002 to 2011

Figure 2.3: Global Market Share of Contrast Media Markets

Figure 2.4: Global Market Share of Medical Imaging and Diagnostic Companies

Figure 3.1: Annual Increase in Worldwide Sales of Ultrasound Equipment, 2001 to 2010

Figure 3.2: Annual Increase U.S. Sales of Ultrasound Equipment, 2001 to 2010

Figure 3.3: Annual Increase in Worldwide Sales of Cardiology Ultrasound Equipment, 2001 to 2010

Figure 3.4: U.S. Annual Increase in Worldwide Sales of Cardiology Ultrasound Equipment, 2001 to 2010

Figure 3.5: Annual Increase in U.S. Sales of Handheld Ultrasound Equipment, 2001 to 2010

Figure 3.6: Annual Increase in Worldwide Sales of Ultrasound Contrast Agents, 2000 to 2010

LIST OF TABLES

Table 2.1: U.S. Medical Imaging Market Size, 2001 to 2012

Table 2.2: Global Medical Imaging Market Size, 2001 to 2012

Table 2.3: U.S. Healthcare Expenditures

Table 2.4: U.S. Health Expenditures as a Percentage of GDP, 1998 to 2010

Table 2.5: U.S. User Expenditures for Medical Imaging Equipment and Related Products

Table 2.6: Comparison of Spending on Health by Country

Table 2.7: Spending on Health by Country

Table 2.8: Millions of Americans Over 65 Years of Age, 2000 to 2050

Table 2.9: Percent Change in Volume of Examinations per Imaging Modality: 1996 to 2006

Table 2.10: Market Share of Contrast Media Markets

Table 2.11: Worldwide Market Share of Medical Imaging and Diagnostic Companies

Table 2.12: Worldwide Imaging Procedures, 2001 to 2012

Table 3.1: Ultrasonography Comparison: U.S. vs. Europe

Table 3.2: Worldwide Ultrasound Procedures, 2000 to 2010

Table 3.3: Worldwide Sales of Ultrasound Equipment, 2000 to 2010

Table 3.4: U.S. Sales of Ultrasound Equipment, 2000 to 2010

Table 3.5: Worldwide Cardiology Ultrasound Procedures

Table 3.6: Worldwide Sales of Cardiology Ultrasound Equipment, 2000 to 2010

Table 3.7: U.S. Sales of Cardiology Ultrasound Equipment, 2000 to 2010

Table 3.8: Worldwide Sales of Handheld Ultrasound Equipment, 2000 to 2012

Table 3.9: U.S. Sales of Handheld Ultrasound Equipment, 2000 to 2012

Table 3.10: Worldwide Sales of Ultrasound Contrast Agents, 1999 to

Abstract

• Mammography World Markets.
• Medical Imaging Markets.
• Nuclear Cardiology Markets.
• Picture Archiving and Communications Systems (PACS).
• Positron Emission Tomography (PET) Markets.
• Ultrasound Markets

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