The United States (U.S.) market for IGS products comprises two categories: imaging systems that are used in conjunction with catheter-based and open surgical interventions and computer-assisted intraoperative surgical navigation systems. Imaging systems covered by the scope of this report include computed tomography, magnetic resonance imaging, nuclear medicine/molecular imaging, noninvasive and intravascular ultrasound, and X-ray systems.
The combined U.S. market for IGS products is projected to grow moderately during the forecast period covered by this report, reaching an estimated $1,700.9 million in the year 2016. Interventional and surgical imaging will be supported by growth in less invasive and interventional procedures and the increasing availability of sophisticated informatics-loaded imaging tools, as well as the use of image-guided procedures for previously untouched indications.
This new report from Medtech Insight includes analyses of competitors, products, sales, and opportunities in the U.S. market for IGS systems. Company profiles are provided for the leading suppliers of imaging equipment and surgical navigation systems to the U.S.
EXECUTIVE SUMMARY i. Image-Guided Surgery Applications a. Procedure Volumes, by Application i. Cardiovascular and Peripheral Vascular Transcatheter Interventions ii. Neurosurgical Interventions iii. Orthopedic Procedures iv. Otorhinolaryngologic Procedures v. Spine Surgery b. Procedure Volumes, by Modality ii. Imaging Systems a. Market Analysis iii. Surgical Navigation Systems a. Market Analysis iv. Combined Market Forecast v. Methodology Exhibit ES-1: Image-Guided Surgery, Procedure Volumes Forecast, by Application,2011-2016 Exhibit ES-2: Interventional/Surgical Imaging, Procedure Volumes Forecast, by Modality, 2011-2016 Exhibit ES-3: Imaging Systems, Market Forecast, 2011-2016 Exhibit ES-4: Surgical Navigation Systems, Market Forecast, 2011-2016 Exhibit ES-5: Image-Guided Surgery Products, Combined Market Forecast, 2011-2016 1. IMAGE-GUIDED SURGERY OVERVIEW 1.1 Technology 1.1.1 "Imageless" Image-Guided Surgery 1.1.2 Standard Image-Guided Surgery 1.1.3 Hybrid Image-Guided Surgery 1.1.4 Continuous Real-Time Image-Guided Surgery 1.2 Clinical Benefits 1.3 Adoption Issues and Trends 1.3.1 Reimbursement 1.3.2 Cost-Effectiveness Analysis Exhibit 1-1: Advantages and Disadvantages of Image-Guided/Computer-Assisted Surgery Techniques Exhibit 1-2: Selected Clinical Applications of Image-Guided/Computer-Assisted Surgery Techniques Exhibit 1-3: Considerations Influencing Adoption of Computer-Assisted Image-Guided Surgery by End-Users 2. IMAGE-GUIDED SURGERY APPLICATIONS 2.1 Cardiovascular Transcatheter Interventions 2.1.1 Angioplasty and Stenting 2.1.2 Catheter-Directed Thrombolysis 2.1.3 Cryoangioplasty 2.1.4 Device-Based Endovascular Embolization 2.1.5 Endovascular Repair of Aortic Aneurysms 220.127.116.11 Endovascular Repair of Abdominal Aortic Aneurysms 18.104.22.168 Endovascular Repair of Thoracic Aortic Aneurysms 2.1.6 Laser Atherectomy 2.1.7 Mechanical Atherectomy 2.1.8 Mechanical Thrombectomy 2.1.9 Management of Myocardial Disorders 22.214.171.124 Balloon Valvuloplasty 126.96.36.199 Septal Defect Repair 188.8.131.52.1 Percutaneous Patent Ductus Arteriosus Closure 184.108.40.206.2 Atrial Septal Defect Closure 220.127.116.11.3 Ventricular Septal Defect 18.104.22.168.4 Patent Foramen Ovale Repair 22.214.171.124 Percutaneous Valve Repair 2.1.10 Arrhythmia Ablation 2.1.11 Vena Cava Filter Placement 2.1.12 Procedure Volumes, Image-Guided Cardiovascular and Peripheral Vascular Transcatheter Interventions 2.2 Neurosurgery 2.2.1 Stereotaxy 126.96.36.199 Frame-Based Stereotactic Systems 188.8.131.52 Frameless Stereotactic Systems 184.108.40.206 Brain Shift Compensation 2.2.2 Common Image-Guided Neurosurgical Procedures 220.127.116.11 Central Nervous System Tumor Resection 18.104.22.168 Cerebrospinal Fluid Shunting and Drainage for Hydrocephalus 22.214.171.124 Aneurysm/Arteriovenous Malformation Repair and Surgical Clipping 126.96.36.199 Epilepsy Surgery 188.8.131.52 Deep Brain Stimulation for Parkinson's Disease 2.2.3 Procedure Volumes, Image-Guided Neurosurgery 2.3 Otorhinolaryngologic Surgery 2.3.1 Image-Guided Functional Endoscopic Sinus Surgery 2.3.2 Procedure Volumes, Image-Guided Otorhinolaryngologic Surgery 2.4 Orthopedic Surgery 2.4.1 Total Joint Arthroplasty 184.108.40.206 Hip Replacement 220.127.116.11 Knee Replacement 18.104.22.168.1 Unicompartmental Knee Replacement 22.214.171.124 Computer-Assisted Surgical Navigation in Total Joint Surgery 126.96.36.199 Computer-Assisted High Tibial Osteotomy 2.4.2 Image-Guided Surgery Tools for Complex Fracture Repair 2.4.3 Procedure Volumes, Computer-Assisted Surgical Navigation in Orthopedic Surgery 2.5 Spine Surgery 2.5.1 Discectomy 2.5.2 Laminectomy and Laminotomy 2.5.3 Spinal Fusion 2.5.4 Procedure Volumes, Computer-Assisted Surgical Navigation in Spine Surgery Exhibit 2-1: Characteristics of Cardiovascular and Peripheral Vascular Catheter-Based Therapeutics Exhibit 2-2: Cardiovascular and Peripheral Vascular Transcatheter Therapeutics, Procedure Volumes Forecast, 2011-2016 Exhibit 2-3: Comparison of Frame-Based and Frameless Neurosurgical Stereotactic Systems Exhibit 2-4: Characteristics of Image-Guided Neurosurgery Exhibit 2-5: Image-Guided Neurosurgical Interventions, Procedure Volumes Forecast, 2011-2016 Exhibit 2-6: Characteristics of Image-Guided Otorhinolaryngologic Surgery Exhibit 2-7: Image-Guided Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2011-2016 Exhibit 2-8: Characteristics of Image-Guided Orthopedic Surgery Exhibit 2-9: Image-Guided Orthopedic Surgery, Procedure Volumes Forecast, 2011-2016 Exhibit 2-10: Characteristics of Image-Guided Spine Surgery Exhibit 2-11: Image-Guided Spine Surgery, Procedure Volumes Forecast, 2011-2016 3. MEDICAL IMAGING MODALITIES 3.1 X-Ray Imaging 3.1.1 Conventional X-Ray Imaging 188.8.131.52 Digital X-Ray 184.108.40.206.1 Computed Radiography 220.127.116.11.2 Direct Digital Radiography 18.104.22.168 Fluoroscopy 22.214.171.124 Cardiac X-Ray Imaging Applications 126.96.36.199 Surgical X-Ray Imaging Applications 188.8.131.52 Procedure Volumes 3.2 Computed Tomography 3.2.1 Spiral Computed Tomography 3.2.2 Multislice Computed Tomography 184.108.40.206 Dual-Source Multislice Computed Tomography 3.2.3 Computed Tomography Angiography 3.2.4 Perfusion Computed Tomography 3.2.5 Interventional and Surgical Computed Tomography Applications 3.2.6 Procedure Volumes 3.3 Magnetic Resonance Imaging 3.3.1 Magnetic Resonance Angiography 220.127.116.11 Contrast-Enhanced Magnetic Resonance Angiography 18.104.22.168 Phase-Contrast Magnetic Resonance Angiography 22.214.171.124 Time-of-Flight Magnetic Resonance Angiography 3.3.2 Functional Magnetic Resonance Imaging 3.3.3 Proton Magnetic Resonance Spectroscopy 3.3.4 Interventional and Surgical Magnetic Resonance Imaging Applications 3.3.5 Procedure Volumes 3.4 Nuclear Medicine/Molecular Imaging 3.4.1 Gamma Camera Imaging 3.4.2 Positron Emission Tomography 3.4.3 Fusion Techniques 3.4.4 Radioimmunoscintigraphy 3.4.5 Interventional and Surgical Nuclear Medicine/ Molecular Imaging Applications 3.4.6 Procedure Volumes 3.5 Ultrasound Imaging 3.5.1 Echocardiography 3.5.2 Tissue Harmonic Imaging 3.5.3 Doppler Imaging 3.5.4 Duplex Ultrasound 3.5.5 Three-Dimensional and Four-Dimensional Ultrasound 3.5.6 Contrast-Enhanced Ultrasound 3.5.7 Intravascular Ultrasound 3.5.8 Interventional and Surgical Ultrasound Imaging Applications 3.5.9 Procedure Volumes 3.6 Combined Procedure Volumes Forecast Exhibit 3-1: Selected Interventional and Surgical Conventional X-Ray Imaging Applications Exhibit 3-2: X-Ray Imaging, Procedure Volumes Forecast, 2011-2016 Exhibit 3-3: Selected Interventional and Surgical Computed Tomography Applications Exhibit 3-4: Computed Tomography, Procedure Volumes Forecast, 2011-2016 Exhibit 3-5: Selected Interventional and Surgical Magnetic Resonance Imaging Applications Exhibit 3-6: Magnetic Resonance Imaging, Procedure Volumes Forecast, 2011-2016 Exhibit 3-7: Selected Interventional and Surgical Nuclear Medicine Imaging Applications Exhibit 3-8: Nuclear Medicine/Molecular Imaging, Procedure Volumes Forecast, 2011-2016 Exhibit 3-9: Selected Interventional and Surgical Ultrasound Imaging Applications Exhibit 3-10: Ultrasound Imaging, Procedure Volumes Forecast, 2011-2016 Exhibit 3-11: Interventional and Surgical Imaging, Combined Procedure Volumes Forecast, 2011-2016 4. MEDICAL IMAGING SYSTEMS MARKET 4.1 Conventional X-Ray Imaging Systems 4.1.1 Products 4.1.2 Market Forecast 4.1.3 Competitive Analysis 4.2. Computed Tomography Systems 4.2.1 Products 4.2.2 Market Forecast 4.2.3 Competitive Analysis 4.3 Magnetic Resonance Imaging Systems 4.3.1 Products 4.3.2 Market Forecast 4.3.3 Competitive Analysis 4.4 Nuclear Medicine/Molecular Imaging Systems 4.4.1 Products 4.4.2 Market Forecast 4.4.3 Competitive Analysis 4.5 Ultrasound Imaging Systems 4.5.1 Products 4.5.2 Market Forecast 4.5.3 Competitive Analysis 4.6 Imaging Systems, Combined Market Analysis Exhibit 4-1: 2012, Selected Cardiac and Surgical X-Ray Systems Exhibit 4-2: X-Ray Imaging Systems, Market Forecast, 2011-2016 Exhibit 4-3: 2011, X-Ray Imaging Systems Market, Share by Supplier Exhibit 4-4: 2012, Selected Computed Tomography Systems Exhibit 4-5: Computed Tomography Systems, Market Forecast, 2011-2016 Exhibit 4-6: 2011, Computed Tomography Systems Market, Share by Supplier Exhibit 4-7: 2012, Selected Magnetic Resonance Imaging Systems Exhibit 4-8: Magnetic Resonance Imaging Systems, Market Forecast, 2011-2016 Exhibit 4-9: 2011, Magnetic Resonance Imaging Systems Market, Share by Supplier Exhibit 4-10: 2012, Selected Nuclear Medicine/Molecular Imaging Systems Exhibit 4-11: Nuclear Medicine/Molecular Imaging Systems, Market Forecast, 2011-2016 Exhibit 4-12: 2011, Nuclear Medicine/Molecular Imaging Systems Market, Share by Supplier Exhibit 4-13: 2012, Selected Noninvasive Ultrasound Systems Exhibit 4-14: 2012, Selected Intravascular Ultrasound Systems Exhibit 4-15: Ultrasound Systems, Market Forecast, 2011-2016 Exhibit 4-16: 2011, Noninvasive Ultrasound Imaging Systems Market, Share by Supplier Exhibit 4-17: 2011, Intravascular Ultrasound Imaging Systems Market, Share by Supplier Exhibit 4-18: Imaging Systems, Combined Market Forecast, 2011-2016 5. SURGICAL NAVIGATION SYSTEMS MARKET 5.1 Intraoperative Navigation Overview 5.1.1 Registration Methods and Techniques 5.1.2 Intraoperative Tracking Devices 5.1.3 Interfaces 5.1.4 Image-Guided Surgical Instruments 5.1.5 Supporting Data Management Infrastructure 5.2 Surgical Navigation Systems 5.2.1 Products 5.2.2 Market Analysis 5.2.3 Competitive Analysis 5.3 Robotic Surgery Exhibit 5-1: Advantages and Disadvantages of Extrinsic and Intrinsic Image/Anatomy Registration Techniques Exhibit 5-2: Characteristics of Selected Intraoperative Tracking Systems Exhibit 5-3: 2012, Selected Surgical Navigation Systems Exhibit 5-4: Surgical Navigation Systems, Market Forecast, 2011-2016 Exhibit 5-5: 2011, Surgical Navigation Systems Market, Share by Supplier Exhibit 5-6: Advantages and Disadvantages of Robotic Surgery Exhibit 5-7: Selected Robotic Surgery Applications Exhibit 5-8: 2012, Selected Robotic Surgical Systems 6. COMPANY PROFILES 6.1 Boston Scientific Corporation 6.2 Brainlab AG 6.3 General Electric Company 6.4 Medtronic, Inc 6.5 Royal Philips Electronics NV 6.6 Siemens AG APPENDIX: COMPANY LISTING