In 2004, the worldwide computer-aided diagnostic (CAD) imaging products market was valued at $15 billion; in the same year, the U.S. CAD imaging products market was estimated at $7 billion.  This market is evolving rapidly due to the emergence of new, computer-based applications that are poised to impact nearly every aspect of medical practice.  In radiology, new computer-based imaging systems can identify anatomic and pathologic structures, visualize these structures in three and four dimensions, and transmit images of the structures to other locations for professional review or filmless storage and archiving. 

This report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities in the U.S. computer-aided diagnostic imaging products market. 

Topics discussed in this report include computed tomography, diagnostic ultrasound, lung screening, magnetic resonance imaging, mammography, nuclear medicine imaging, picture archiving and communication systems, three-dimensional medical imaging, and X-ray imaging. 

TABLE OF CONTENTS & LIST OF EXHIBITS

EXECUTIVE SUMMARY

i.   General Issues in Computer-Aided Diagnostic Imaging

ii.   Diagnostic Imaging Systems Market

iii.  Computer-Aided Detection Products Market

iv.  The Three-Dimensional Workstation Products Market

v.  The Picture Archiving and Communications Systems Market

vi.  Market Forecast

Exhibit ES-1:  Diagnostic Imaging Systems, Market Forecast, 2004-2009

Exhibit ES-2:  Computer-Aided Detection Systems Used in Mammography, Market Forecast, 2000-2005

Exhibit ES-3:  Three-Dimensional Medical Imaging Workstations, Market Forecast, 2004-2009

Exhibit ES-4:  Computer-Aided Diagnostic Imaging Products, Combined Market Forecast, 2004-2009

1. GENERAL ISSUES IN COMPUTER-AIDED DIAGNOSTIC IMAGING

1.1 The Adoption of Computer Technology in Radiology

1.2 Radiology and Reimbursement

1.3 National Institute of Biomedical Imaging and Bioengineering

1.4 Expanding Markets for Computer-Aided Imaging

1.5 Diagnostic Imaging Procedure Volumes

Exhibit 1-1:    Microsoft Windows Central Processing Unit Speed, 1998, 2000, 2002, and 2004

Exhibit 1-2:    2003, Centers for Medicare & Medicaid Services:  Services, Charges, and Payments for Diagnostic Radiology Procedures

Exhibit 1-3:    Objectives of the National Institute of Biomedical Imaging and Bioengineering

Exhibit 1-4:    Two-, Three-, and Four-Dimensional Scanning in Radiology, 2005-2009

Exhibit 1-5:    Large-Scale Screening Applications for Computer-Aided Detection

Exhibit 1-6:    2004, Diagnostic Imaging Procedure Volumes

2. THE DIAGNOSTIC IMAGING SYSTEMS MARKET

2.1 Computed Tomography

2.1.1 Computed Tomography Angiography

2.1.2 Electron Beam Computed Tomography

2.1.3 Multislice Computed Tomography

2.1.4 Spiral Computed Tomography

2.1.5 Products

2.1.6 Market Forecast

2.1.7 Competitive Analysis

2.2 Magnetic Resonance Imaging

2.2.1 Magnetic Resonance Angiography

2.2.1.1 Contrast-Enhanced Magnetic Resonance Angiography

2.2.1.2 Phase-Contrast Magnetic Resonance Angiography

2.2.1.3 Time-of-Flight Magnetic Resonance Angiography

2.2.2 Proton Magnetic Resonance Spectroscopy

2.2.3 Functional Magnetic Resonance Imaging

2.2.4 Products

2.2.5 Market Forecast

2.2.6 Competitive Analysis

2.3 Nuclear Medicine Imaging

2.3.1 Cardiac Radionuclide Scanning

2.3.2 Fusion Imaging Systems

2.3.3 Products

2.3.4 Market Forecast

2.3.5 Competitive Analysis

2.4 Diagnostic Ultrasound

2.4.1 Echocardiography

2.4.2 Doppler Imaging

2.4.3 Intravascular Ultrasound Imaging

2.4.4 Transcranial Doppler Imaging

2.4.5 Contrast-Enhanced Ultrasound

2.4.6 Three-Dimensional Ultrasound

2.4.7 Products

2.4.8 Market Forecast

2.4.9 Competitive Analysis

2.5 Conventional X-Ray-Based Imaging

2.5.1 Products

2.5.2 Computed Radiography and Digital Radiography Systems

2.5.3 Market Forecast

2.5.4 Competitive Analysis

Exhibit 2-1:    2005, Selected Computed Tomography Systems

Exhibit 2-2:    Computed Tomography Systems, Market Forecast, 2005-2009

Exhibit 2-3:    2004, Computed Tomography Systems Market, Share by Supplier

Exhibit 2-4:    2005, Selected Magnetic Resonance Imaging Systems

Exhibit 2-5:    Magnetic Resonance Imaging Systems, Market Forecast, 2005-2009

Exhibit 2-6:    2004, Magnetic Resonance Imaging Systems Market, Share by Supplier

Exhibit 2-7:    2005, Selected Single Positron Emission Computed Tomography Scanners

Exhibit 2-8:    2005, Selected Positron Emission Tomography Systems

Exhibit 2-9:    2005, Selected Hybrid Computed Tomography/Nuclear Medicine Systems

Exhibit 2-10:  Nuclear Medicine Imaging Systems, Market Forecast, 2005-2009

Exhibit 2-11:  2004, Nuclear Medicine Imaging Systems Market, Share by Supplier

Exhibit 2-12:  2005, Selected Diagnostic Ultrasound Systems

Exhibit 2-13:  Diagnostic Ultrasound Systems, Market Forecast, 2005-2009

Exhibit 2-14:  2004, Diagnostic Ultrasound Systems Market, Share by Supplier

Exhibit 2-15:  2005, Selected Conventional X-Ray-Based Imaging Systems

Exhibit 2-16:  2005, Selected Computed Radiography Systems

Exhibit 2-17:  2005, Selected Digital X-Ray Systems

Exhibit 2-18:  Conventional X-Ray-Based Imaging Systems, Market Forecast, 2005-2009

Exhibit 2-19:  2004, Conventional X-Ray-Based Imaging Systems Market, Share by Supplier

3. COMPUTER-AIDED DETECTION PRODUCTS MARKET

3.1 Computer-Aided Detection in Mammography

3.1.1 Traditional Screening Methods

3.1.2 Emerging Technologies

3.2 Computer-Aided Detection in Lung Screening

3.2.1 Deus Technologies/Riverain Medical

3.2.2 iCAD

3.2.3 Philips Medical Systems/Royal Philips Electronics

3.2.4 R2 Technology

3.2.5 Scanis

3.3 Market Analysis

Exhibit 3-1:    2005, Computer-Aided Detection in Resolving Diagnostic Challenges in Selected Areas of Radiology

Exhibit 3-2:    Costs Associated with Breast Cancer Diagnosis and Treatment

Exhibit 3-3:    Workflow of a Typical Computer-Aided Detection System

Exhibit 3-4:    Breast Malignancy Classification, Computer-Aided Detection Technology versus Radiologists

Exhibit 3-5:    2005, Selected Current and Emerging Computer-Aided Detection Systems

Exhibit 3-6:    Computer-Aided Mammography Systems, Market Forecast, 2004-2009

Exhibit 3-7:    2004, Computer-Aided Mammography Systems Market, Share by Supplier

4. THREE-DIMENSIONAL MEDICAL IMAGING WORKSTATIONS MARKET

4.1 Overview

4.2 Technology

4.3 Products

4.4 Market Analysis

4.5 Competitive Analysis

Exhibit 4-1:    Three-Dimensional Scanning in Radiology, 2004-2009

Exhibit 4-2:    Selected Applications in Three-Dimensional Medical Imaging

Exhibit 4-3:    2005, Selected Three-Dimensional Medical Imaging Products

Exhibit 4-4:    Three-Dimensional Medical Imaging Workstations, Market Forecast, 2004-2009

Exhibit 4-5:    2004, Three-Dimensional Medical Imaging Workstations Market, Share by Supplier

5. PICTURE ARCHIVING AND COMMUNICATIONS SYSTEMS MARKET

5.1 Workstations

5.1.1 Types

5.1.1.1 Analysis

5.1.1.2 Diagnostic

5.1.1.3 Review

5.1.2 Usability-Related Issues

5.1.3 Operating Systems

5.1.4 Architecture

5.1.5 Graphical User Interfaces

5.1.6 Monitors

5.1.7 Voice Recognition Technology

5.2 Networks

5.2.1 Types of Digital and Communications Networks

5.2.1.1 Asynchronous Transfer Mode

5.2.1.2 Ethernet Networks

5.2.1.3 Fiber-Distributed Data Interface Networks

5.2.2 Speed of Image Transfer

5.2.3 Image Archiving and Storage

5.2.3.1 Redundant Array of Independent Disks

5.3 Picture Archiving and Communications Systems and Teleradiology

5.3.1 System Integration

5.3.2 Workflow and Productivity

5.3.2.1 Cost Savings

5.4 Picture Archiving and Communications Systems Components

5.4.1 System-Wide Servers Versus Mini-System Networks

5.5 Picture Archiving and Communications Systems Providers

Exhibit 5-1:    A Typical Picture Archiving and Communications Systems Network

Exhibit 5-2:    Types of Picture Archiving and Communications Systems Workstations

Exhibit 5-3:    2005, Selected Features of Analysis Picture Archiving and Communications Systems Workstations

Exhibit 5-4:    2005, Selected Image Management Features of Diagnostic Picture Archiving and Communications Systems Workstations

Exhibit 5-5:    2005, Selected Image Processing Features of Diagnostic Picture Archiving and Communications Systems Workstations

Exhibit 5-6:    2005, Selected Navigational Features of Diagnostic Picture Archiving and Communications Systems Workstations

Exhibit 5-7:    2005, Selected Features of Review Picture Archiving and Communications Systems Workstations

Exhibit 5-8:    Increase in Windows-Based Workstations Used for Image Analysis in Radiology, 1990-2010

Exhibit 5-9:    Schematic of Picture Archiving and Communications Systems Workstation Components

Exhibit 5-10:  2005, Characteristics of Communications Systems Supporting Picture Archiving and Communications Systems and Teleradiology Networks

Exhibit 5-11:  2005, Image Dataset Sizes for Selected Diagnostic Imaging Modalities

Exhibit 5-12:  2005, Examples of Image Dataset Transmission Rates within the Components of Picture Archiving and Communications Systems

Exhibit 5-13:  2005, Characteristics of Digital Image Storage Media

Exhibit 5-14:  2005, Organization and Workflow within a Typical Picture Archiving and Communications Systems Network

Exhibit 5-15:  2005, Patient Examination Sequencing in a Well-Integrated Picture Archiving and Communications Systems Environment

Exhibit 5-16:  2005, Integration of Picture Archiving and Communications Systems into the Healthcare Enterprise

Exhibit 5-17:  2005, Benefits Associated with Optimal Picture Archiving and Communications Systems Implementation

Exhibit 5-18:  2005, Annual Cost Savings Due to Installation of Picture Archiving and Communications Systems

Exhibit 5-19:  2005, Acquisition, Installation, and Maintenance Costs Associated with a Typical Picture Archiving and Communications Systems Installation

Exhibit 5-20:  2005, Functions of the Controller and Archive, Database Management System, and Imaging Workstations in Picture Archiving and Communications Systems

Exhibit 5-21:  2005, Comparison of Conventional Picture Archiving and Communications Systems and Mini-Picture Archiving and Communications Systems Networks

Exhibit 5-22:  Companies Presenting Picture Archiving and Communications Systems at the 2004 Radiological Society of North America Meeting

6. COMPANY PROFILES

6.1   AccuImage Diagnostics/Merge eFilm, Inc.

6.2   Agfa Corporation/Agfa-Gevaert Group

6.3   Eastman Kodak Company

6.4   Fischer Imaging Corporation

6.5   FONAR Corporation

6.6   FUJIFILM Medical Systems USA, Inc./Fuji Photo Film Company LTD

6.7   GE Healthcare, Inc./General Electric Company

6.8   Hitachi Medical Systems America, Inc./Hitachi LTD

6.9   iCAD, Inc

6.10 Philips Medical Systems, Inc./Royal Philips Electronics NV

6.11 R2 Technology, Inc.

6.12 Shimadzu Medical Systems, Inc./Shimadzu Corporation

6.13 Siemens Medical Solutions, Inc./Siemens AG

6.14 Toshiba America Medical Systems/Toshiba Corporation

6.15 Vital Images, Inc.

APPENDIX:  COMPANY LISTING

Copyright 2005, Medtech Insight, LLC