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

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

2. Overview of the Medical Imaging Market 10
2.1 Medical Imaging Industry Market Size 10
2.2 Medical Imaging Industry Profile 12
2.2.1 Healthcare Delivery System Profile 12
2.2.2 Radiologists 14
2.2.3 Radiologic Services 15
2.2.4 Medical-Image Market Drivers and Restraints 17
2.2.5 Medical Imaging Market Segments 18
2.2.6 Contrast Media 21
2.2.7 Picture Archiving and Communication Systems 23
2.2.8 Picture Archiving and Communication Systems and Radiology Information Systems 23
2.2.9 Medical Imaging Companies 26
2.2.10 Significant Ultrasound Companies 30
2.2.11 Medical Imaging Industry Forecasts 33
2.3 Market Niches and Digitalization 35
2.4 Digital Imaging Techniques 36
2.4.1 Clinical Uses 36
2.5 Current and New Digital Imaging Procedures 37
2.6 The Digital Impact on Clinical Imaging Markets 39
2.7 Trends in Digital Imaging 40
2.8 Enhancing Computed Radiography 41
2.9 Digital Radiography vs. Computed Radiography 41
2.10 DR Products 42
2.11 Vasodilator Perfusion Imaging 43

3. Ultrasound Market 44
3.1.1 Overview of Ultrasound Market Segments 44
3.1.2 Increase in Application Areas Stirs Demand 44
3.2 Ultrasound Market Trends 48
3.2.1 Market Segmentation and Definitions 48
3.2.2 Ultrasonography Is of Great Value in Other Obstetric Conditions such as: 54
3.2.3 Overview 60
3.2.4 Market Developments 61
3.2.5 Market Drivers 62
3.2.6 Market Restraints 62
3.3 Ultrasound Market Forecasts 63
3.3.1 Unit Shipment Forecasts 65
3.3.2 Installed-Base Forecast 65
3.3.3 Competitive Structure 65
3.3.4 Market Analysis 66
3.4 Cardiology Ultrasound Segment Forecasts 67
3.4.1 Unit Shipment Forecasts 70
3.4.2 Market Share Analysis 70
3.5 OB/GYN Ultrasound Segment Forecasts 72
3.6 Radiology Ultrasound Segment Forecasts 72
3.7 Hand-Carried Ultrasound Segment Forecasts 73
3.7.1 Market Share Analysis 74
3.7.2 Portable Ultrasound Equipment Displays Rapid Growth 75
3.8 Contrast Media 76
3.8.1 Market Share Analysis 78
3.8.2 Contrast-Enhanced Ultrasound (CEUS) and Microbubbles 78
3.8.3 Targeting Microbubbles 79
3.8.4 How Contrast-Enhanced Ultrasound (CEUS) Works 79
3.8.5 Applications of Contrast-Enhanced Ultrasound 80
3.9 Products 80
3.9.1 The Acquisition Decision 80
3.9.2 Ardent Sound 81
3.9.3 Aloka Company, Ltd. (Japan) 81
3.9.4 B-K Medical 81
3.9.5 CIVCO Medical Instruments 81
3.9.6 Esaote SPA (Italy) 81
3.9.7 Fischer Imaging 82
3.9.8 GE Healthcare 82
3.9.9 Hitachi Medical Systems America 83
3.9.10 Medison Co., Ltd. 83
3.9.11 MEDRAD, Inc. 84
3.9.12 Mindray Co., Ltd. 84
3.9.13 Philips Medical 84
3.9.14 Sea Ridge Software 84
3.9.15 Siemens Medical 85
3.9.16 SonoSite, Inc. 85
3.9.17 Sony Medical Products 85
3.9.18 TeraRecon 85
3.9.19 Toshiba America Medical Systems 85
3.9.20 U-Systems 85
3.9.21 Zonare Medical Systems 86
3.10 Manufacturers 86
3.11 New Transducer Technology 87
3.12 Ultrasound Product Introductions to the Market 88

4. Three- and Four-Dimensional Ultrasonography Markets 89
4.1 Total 3D Imaging Market Trends 89
4.1.1 Overview 89
4.1.2 Market Drivers 90
4.1.3 Market Restraints 90
4.2 Total 3D Imaging Market Forecasts 90
4.3 Three-Dimensional Ultrasound Imaging Market Forecasts 91
4.4 Three-Dimensional Imaging Markets 91
4.5.1 Echocardiography: The Largest Growth Area 94
4.5.2 Real-Time Color Doppler System 95
4.6 Manufacturers 96

5. Business Trends in the Industry 98
5.1 Sector Consolidation 98
5.2 Medical Imaging Growth Trends 98
5.3 Acquisition, License Agreements, Internal Development and Partnerships 98
5.4 Mergers and Acquisitions 98
5.4.1 Center for Diagnostic Imaging Signs With Medicalis 98
5.4.2 HealthSouth Sells Diagnostic Division to The Gores Group 99
5.4.3 AMICAS Acquires Technology Partners Practice-Management Software 99
5.4.4 MDS Nordion and Avid Radiopharmaceuticals Enter Collaboration 99
5.4.5 NightHawk Radiology Holdings Acquires Teleradiology Diagnostic Service 99
5.4.6 Onex Acquires Kodaks Health Group 99
5.4.7 Successor to Kodaks Health Group To Be Called Carestream Health 100
5.4.8 Siemens Acquires German HIS Company 100
5.4.9 Siemens Medical Finalizes Acquisition of Bayers Diagnostics Division 100
5.4.10 More Mergers, Acquisitions and News 100
5.5 Product Testing Depth in Medical-Imaging Testing 101
5.6 Government Regulation 102
5.6.1 U.S. Regulation 102
5.6.2 U.K. Regulation 104
5.6.3 E.U. Regulation 105
5.6.4 Japanese Regulation 107
5.7 Increased Market Penetration 107
5.8 Partnerships 108

6. Company Profiles 109
6.1 Agfa-Gevaert Corp. Heartlab 109
6.3 Analogic Corp. 110
6.4 Biosound Esaote 111
6.5 Boston Scientific 111
6.6 B-K Medical 112
6.7 GE Healthcare 112
6.8 Hitachi Medical Systems America, Inc. 114
6.9 Hologic, Inc. 114
6.10 Medison Co., Ltd. 117
6.11 MEDRAD, Inc. (U.S.) 120
6.12 Philips Medical Systems 120
6.13 Siemens Medical Solutions 121
6.14 SonoSite, Inc. (U.S.) 125
6.15 Toshiba America Medical Systems 125
6.16 Varian Medical Systems, Inc. 126

INDEX OF FIGURES

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

LIST OF TABLES

Table 2.1: U.S. Medical Imaging Market Size, 2001 to 2012 10
Table 2.2: Global Medical Imaging Market Size, 2001 to 2012 11
Table 2.3: U.S. Healthcare Expenditures 12
Table 2.4: U.S. Health Expenditures as a Percentage of GDP, 1998 to 2010 12
Table 2.5: U.S. User Expenditures for Medical Imaging Equipment and Related Products 13
Table 2.6: Comparison of Spending on Health by Country 13
Table 2.7: Spending on Health by Country 13
Table 2.8: Millions of Americans Over 65 Years of Age, 2000 to 2050 13
Table 2.9: Percent Change in Volume of Examinations per Imaging Modality: 1996 to 2006 16
Table 2.10: Market Share of Contrast Media Markets 22
Table 2.11: Worldwide Market Share of Medical Imaging and Diagnostic Companies 27
Table 2.12: Worldwide Imaging Procedures, 2001 to 2012 34
Table 3.1: Ultrasonography Comparison: U.S. vs. Europe 48
Table 3.2: Worldwide Ultrasound Procedures, 2000 to 2010 63
Table 3.3: Worldwide Sales of Ultrasound Equipment, 2000 to 2010 63
Table 3.4: U.S. Sales of Ultrasound Equipment, 2000 to 2010 64
Table 3.5: Worldwide Cardiology Ultrasound Procedures 68
Table 3.6: Worldwide Sales of Cardiology Ultrasound Equipment, 2000 to 2010 68
Table 3.7: U.S. Sales of Cardiology Ultrasound Equipment, 2000 to 2010 69
Table 3.8: Worldwide Sales of Handheld Ultrasound Equipment, 2000 to 2012 73
Table 3.9: U.S. Sales of Handheld Ultrasound Equipment, 2000 to 2012 73
Table 3.10: Worldwide Sales of Ultrasound Contrast Agents, 1999 to 2010 78

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