Picture Archiving and Communication Systems (PACS): Market Research Report

Transcription

1 Picture Archiving and Communication Systems (PACS): Market Research Report Phone: Fax:

2 Picture Archiving and Communication Systems (PACS): Market Research Report Date: January 3, 2015 Pages: 453 Price: US$ 4, ID: PF93FE62FBCEN This report analyzes the worldwide markets for Picture Archiving and Communication Systems (PACS) in US$ Million by the following Product Segments: Hardware, Software, and Services. The analysis is also done by the following Product Types: Full Scale/Enterprise-Wide PACS, and Mini/Department-Wide PACS. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2014 through Also, a seven-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs. The report profiles 109 companies including many key and niche players such as - Agfa Healthcare NV Aspyra LLC BRIT Systems Inc. Carestream Health, Inc. Cerner Corporation Table of Content I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS Study Reliability and Reporting Limitations Disclaimers Data Interpretation & Reporting Level Quantitative Techniques & Analytics Product Definitions and Scope of Study Full Scale/Enterprise Wide PACS Mini/Department Wide PACS II. EXECUTIVE SUMMARY 1. INDUSTRY OVERVIEW A Prelude Factors Driving the Growth of the Worldwide PACS Market By Region United States: Holds the Largest Share European PACS Market - An Important Hub Asia-Pacific- A Potentially Lucrative Haven for PACS Services and Software Segments to Drive Market Growth Full Scale PACS to Outdo Mini PACS Picture Archiving and Communication Systems (PACS): Market Research Report 2

3 2. MARKET DRIVERS TRENDS, & ISSUES Government Support Aids Growth of PACS Solutions Ageing Population Drives PACS Market Growth Technological Advancements Fuel Demand for Replacement Systems Small Scale Healthcare Institutions to Sustain Growth in Developed Markets High Costs Impact PACS Purchases Radiology PACS Market Matures, Focus Shifts to Non-Radiology Departments Table 1. Penetration of Radiology PACS in the World Radiology Market for the Years 2011, 2013 & 2015 (includes corresponding Need for Radiology and Cardiology PACS Unification Prevails User Demand Favors Integrated RIS/PACS Solutions RIS/PACS Integration Challenges 3D CAPABILITIES REVOLUTIONIZE PACS Economic Crisis Accelerates Growth of Managed Service PACS Market Various Phases and Delivery Models of Managed Service for PACS Table 2. North American Radiology PACS Market by Type (2014): Percentage Breakdown of Sales/ Service Revenues for Conventional PACS, Hosted PACS, Offsite SaaS-based PACS, Onsite SaaS-based PACS, and Remote Managed PACS (includes corresponding PACS - Evolution, Issues and Innovations in Brief Web-Developed PACS - The New Frontier in Evolution Vendor Neutral Archiving Takes Over Storage Functionality of PACS The Versatility of VNAs VNA Addresses DICOM Issues with PACS Cloud-Based PACS - the Next Phase in the Evolution of PACS Benefits offered by Cloud-Based PACS Cloud Systems vs. Client-Server Systems Mobile PACS Overcomes Roadblocks and Gains Traction Benefits of Mobilizing PACS Third-party Middleware Offerings to Make Inroads into Enterprise PACS Market 3. COMPETITIVE LANDSCAPE Overview Table 3. Leading Vendors in the Global PACS Market (2014): Percentage Breakdown of Revenues for Agfa Healthcare, Fujifilm Medical Systems, GE Healthcare, McKesson Corp., Philips Healthcare, Siemens Healthcare, and Others (includes corresponding Brief Overview of Select PACS on the Market Centricity PACS (GE Healthcare) Impax PACS (Agfa) Picture Archiving and Communication Systems (PACS): Market Research Report 3

4 INFINITT PACS (INFINITT Healthcare) Merge PACS (Merge Healthcare) Synapse PACS (FujiFilm) Syngo PACS (Siemens Healthcare) Unity-SC PAC (DR Systems) Vue PACS (Carestream Health) 4. PRODUCT OVERVIEW PACS - A Landmark in the Field of Radiology Evolution of PACS DICOM Mantra Fundamental Structure of PACS Image Acquisition Devices Host Computer Image-Archiving Devices Display Stations Networks and Interface Different Types of Networks Networks also differ by the geographical area they serve like A Working Model of PACS PACS Software Hardware Services HIS/RIS/PACS Integration- A Fundamental Aspect of PACS Integration Need for HIS/RIS Interface Parallel PACSII-27PACS - A Cost Effective System Infrastructural Prerequisites Needed to Effectively Support PACS PACS Workflow Optimization - A Detailed Review of the Process Synopsized Review of the Economic Advantages and Benefits of Optimized Workflow Economic Effects Working procedure Personnel Ecological Aspects Successful Implementation of PACS - Playing by the Rules Detailed Pre-Planning Parties to Decision Making Deciding Upon the Type of Network Infrastructure & Related Technologies The Vital Choice Between Turnkey, In House and Best of Breed PACS Solutions The Use of Protocols The Choice of Archiving Servers Choice of Monitors The All Important Issue of HIS/RIS/PACS Integration Understanding the Importance of VIEPR Confronting Issues of Privacy and Security ASP PACS Perceptive Insight into the Correlation between PACS & Telemedicine Benefits of PACS Drawbacks of PACS Role of PACS in Shaping an Integrated Image Management System ASP-An Attractive Option to Handle Image Storage PACS Assessment For Integration Picture Archiving and Communication Systems (PACS): Market Research Report 4

5 For Archive The system should enable.. For Workstation The system should.. PACS in the Future Digital Archives: Electronic Storage of Digital Images Digital PACS Full PACS: A Filmless Diagnostic System Image Distribution Network: Retrieves Images and Reports Imaging Workstations: Instant Access to Medical Records Mini PACS: Serving An Exclusive Facility Printer Networks Remote Archives Internet - Playing a Major Role in PACS PACS - A Viable Solution for Digital Mammography Images 5. INDUSTRY SCENARIO Technology Infrastructure of Next Generation Healthcare Delivery Systems Telemedicine Enters the Lexicon of Medical World Electronic Health Record System Dynamics of Imaging & Its Growing Relevance in the Hospital 6. ANALYSIS OF PURCHASING PATTERNS Dynamics of Purchasing Behavior - A Review Pivotal Issues that Confront Open Systems Manufacturers Exhibit Reluctance to Open Up Their Systems Compliance with DICOM Standards Inefficient System Integration among Vendors Regulatory Shackles Lack of Widespread Knowledge about the Extent of DICOM Compatibility Purchasing Patterns that Drive Sales of PACS Needs Assessment DICOM Conformance Requirements RFP Generation Acceptance and Turnover Section Vendor Responses Steps for efficient evaluation of vendor responses: Installation, Training and Turnover 7. PRODUCT INTRODUCTIONS/INNOVATIONS Viztek Adds New Features to Exa PACS Platform Heidelberg Engineering Launches Ophthalmic PACS Carestream to Launch New Capabilities for Vue PACS aycan and medq Launch Fully Integrated RIS/PACS solution Aspyra Releases PACS Version RamSoft Launches PowerServer RIS/PACS/PM Paxeramed Launches PaxeraDental PACS Viztek Launches Platform X Telemis Releases Version 4. 5 of Telemis-Medical PACS Software ClearCanvas Introduces Cleome PANANOMICS Develops Speed&Safe NDSsi Introduces DomeAccess Picture Archiving and Communication Systems (PACS): Market Research Report 5

6 Heart IT Introduces WebPAX PACS and Universal Viewer Medical Insight Launches EasyViz s New Enterprise PACS and Imaging Features Intelerad Adds New Products to Nuage Range of Cloud-Enabled Solutions Shina Releases 3DI PACS Solution GE Receives FDA Approval for Xeleris Software Intermountain Develops Enterprise-Wide Vendor-Neutral Archive Digisonics Unveils Structured Reporting Solutions and Enterprise PACS TMSI Introduces Medical Imaging Software Range under TouchPACS Avreo Unveils interworks Version 7. 4 PACS for Preview Canon Marketing Set to Rollout Company s PRIMITUS PACS Medstreaming Introduces Web-Based Analytics Module for its Integrated Platform Merge Unveils New Version of Eye Care PACS Solutions Carestream Introduces New 3-D Lesion Management Tools on PACS Workstation Telemis Unveils Cloud Data Storage Service for PACS Novarad Launches NovaPACS Express ClearCanvas Launches Team Edition of Company s RIS/PACS Portfolio Kallo Launches Cost-effective PACS/RIS System Merge Healthcare Launches Merge OrthoPACS ScImage Launches Cloud-Enabled Back-Up Services for New PACS Installations Meddiff Unveils Enterprise InstaPACS 8. RECENT INDUSTRY ACTIVITY Cerner Acquires Siemens Health Services Carestream s PACS Obtains US Navy Certification Merge Inks Deal with Primordial Design for Upgrades to PACS System Merge Partners with Cisco to Expand PACS to Jordan Brit Systems Acquired by Imaging Advantage Ascendian to Team Up with PACSMan for Developing Advanced PACS Solution Sinai Health System Selects Merge for PACS Telemis Updates PACS in Ten Italian Sites MedBridge Healthcare Takes Over Precision Diagnostic Systems DMH International Takes Over TMSI NFL Inks Deal with INFINITT for On-Demand Access to Medical Images of Players Barts Health and Sectra Ink Contract for Vendor Neutral Archive and PACS RamSoft Joins Hands with DatumMedics for Distribution of Customizable Radiology IT Solutions DeepWell Archival Services and Keystone Medical Technologies Ink Partnership Agreement Novation Inks Agreement with Carestream Deepwell Archival Services Secures Contract with MRI of America VidiStar and GMI Enter into Partnership CCOC Announces Purchase of Digital Radiology Systems from Carestream Avreo Enters into Partnership with Spyglass Capital MDH Radiology Inks Contract with Sectra DeepWell Archival Services Inks Integration Partnership Agreement with DR Systems Agfa HealthCare Signs Agreement with Meander Medical Center Avreo Signs Partnership and Licensing Agreement with VidiStar Spire Healthcare Employs CARESTREAM Vue for Cloud Services BRIT Systems Selects HIPAA-Compliant Cloud Computing Platform of ClearDATA Networks Blekinge County Council Inks Contract with Sectra Sectra Inks Distribution Contract with Answer Medical Solutions Sectra Receives Contract from Whittington Health NHS Trust for Medical Imaging IT Systems Sectra Inks Contract with Region Skane NHS Scotland Inks Agreement with Carestream Health for Mammography PACS Sectra Receives Contract from SWASH Trust Consortium INFINITT Healthcare and Telecomunicacion y Equipos Sign Distribution Agreement Picture Archiving and Communication Systems (PACS): Market Research Report 6

7 Royal Philips Electronics Joins Forces with Nuvodia to Market Philips PACS 7 MEDICAL SYSTEMS TAKES OVER MANAGER SYSTEMS Canon Takes Over Delft DI DeJarnette Signs Agreement with DeepWell Archival Services Acuo Technologies Receives Contract from Defense Logistics Agency for VNA Solution Sectra Inks Agreement with Healthcare Providers for Hosted Community PACS in Washington Nuance Communications Inks Reseller Agreement with Intelerad Medical Systems INFINITT Healthcare Receives Contract from CHOSUN University Hospital INFINITT Healthcare Secures Contract from Seoul National University Hospital Hitachi Data Systems to Name Pixcelldata as Technology Alliance Partner GE Healthcare Signs Agreement with Core Sound Imaging to Distribute Studycast Sisoft Integrates Fovia's HDVR in to its PACS Offerings Sectra Signs a Contract with 4 Medical Care Providers to Supply PACS Shrewsbury and Telford Extends Agreement with Agfa HealthCare Texas Regional Medical Center Deploys VNA and Cloud Storage Solution of Iron Mountain Omaha Imaging Selects Avreo RIS/PACS Sectra and Merge Healthcare Ink Agreement JMI Equity Invests in Capsule Technologie Sectra Inks a Deal with Matakina Sectra and MRS Enter into Agreement Sectra Inks a Distribution Agreement with MagView Sectra Enters Into a Distribution Agreement with PenRad Capital X-Ray Inks an Agreement with CoActiv Medical Connect Imaging Enters into an Agreement with Tech-Time 9. FOCUS ON SELECT PLAYERS Agfa Healthcare NV (Belgium) Aspyra LLC (US) BRIT Systems Inc. (US) Carestream Health, Inc. (US) Cerner Corporation (US) DR Systems Inc. (US) Fujifilm Medical Systems U. S. A., Inc. (US) GE Healthcare (UK) INFINITT Healthcare Co., Ltd. (South Korea) Intelerad Medical Systems, Inc. (Canada) McKesson Corporation (US) Merge Healthcare, Inc. (US) Philips Healthcare (The Netherlands) Rogan-delft B. V. (The Netherlands) Sectra AB (Sweden) Siemens Healthcare (Germany) 10. GLOBAL MARKET PERSPECTIVE Table 4. World Recent Past, Current & Future Analysis for PACS by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2014 through 2020 (includes corresponding Table 5. World Historic Review for PACS by Geographic Region - US, Canada, Japan, Europe, Picture Archiving and Communication Systems (PACS): Market Research Report 7

8 Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2007 through 2013 (includes corresponding Table 6. World 14-Year Perspective for PACS by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2007, 2015 and 2020 (includes corresponding Market by Segment Table 7. World Recent Past, Current & Future Analysis for PACS Hardware by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2014 through 2020 (includes corresponding Table 8. World Historic Review for PACS Hardware by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2007 through 2013 (includes corresponding Table 9. World 14-Year Perspective for PACS Hardware by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2007, 2015 and 2020 (includes corresponding Table 10. World Recent Past, Current & Future Analysis for PACS Software by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2014 through 2020 (includes corresponding Table 11. World Historic Review for PACS Software by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2007 through 2013 (includes corresponding Table 12. World 14-Year Perspective for PACS Software by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2007, 2015 and 2020 (includes corresponding Table 13. World Recent Past, Current & Future Analysis for PACS Services by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2014 through 2020 (includes corresponding Table 14. World Historic Review for PACS Services by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2007 through 2013 (includes corresponding Table 15. World 14-Year Perspective for PACS Services by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2007, 2015 and 2020 (includes corresponding Market by Product Type Table 16. World Recent Past, Current & Future Analysis for Full Scale/Enterprise-Wide PACS by Picture Archiving and Communication Systems (PACS): Market Research Report 8

9 Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2014 through 2020 (includes corresponding Table 17. World Historic Review for Full Scale/ Enterprise-Wide PACS by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2007 through 2013 (includes corresponding Table 18. World 14-Year Perspective for Full Scale/Enterprise-Wide PACS by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2007, 2015 and 2020 (includes corresponding Table 19. World Recent Past, Current & Future Analysis for Mini/Department-Wide PACS by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2014 through 2020 (includes corresponding Table 20. World Historic Review for Mini/ Department-Wide PACS by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2007 through 2013 (includes corresponding Table 21. World 14-Year Perspective for Mini/ Department-Wide PACS by Geographic Region - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2007, 2015 and 2020 (includes corresponding III. MARKET 1. THE UNITED STATES Major Market Drivers Bottlenecks in the PACS Market Trends & Issues Challenges and Opportunities Abound in US RIS/PACS Industry Additional Functionality Drives Demand for PACS Replacement Slowing Demand for Radiology PACS Alters Vendor Dynamics PACS Vendors Keen to Woo Small Hospitals and Outpatient Facilities Managing Affordability and Functionality - Key to Tapping Community Hospitals PACS Market A Technology Driven Market VNAs or PACS-based Archiving- The Present State in the US Cloud-Based Medical Imaging Market to Surge Ahead Table 22. US Cloud-Based Medical Imaging Market by Service Segment (2013 & 2018): Percentage Breakdown of Service Revenues for Cloud Storage, Archiving & Disaster Recovery, Cloud-based Data Sharing & Communication Service, and Cloud PACS (includes corresponding Player Composition in the US PACS Market An Insight into the HIPAA Act of 1996 Picture Archiving and Communication Systems (PACS): Market Research Report 9

10 Key Issues Addressed By the HIPAA Act of 1996 Product Launches Strategic Corporate Developments Key Players Table 23. US Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 24. US Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 25. US 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 26. US Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Table 27. US Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 28. US 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 2. CANADA Telemedicine in Canada - A Synopsis A Long Road Ahead Market Drivers Reimbursement & Licensing - A Weighty Issue Foreign Competition in the Canadian Telemedicine Industry Business Challenges A Fragmented and Passive Market Low Investments in R&D and Inadequate Infrastructure Lack of Integration within the Healthcare System Need for Education and Training Conclusion Medical Imaging Market in Canada - An Outline Product Launches Intelerad Medical Systems, Inc. - A Key Canada-Based Player Picture Archiving and Communication Systems (PACS): Market Research Report 10

11 Table 29. Canadian Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 30. Canadian Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 31. Canadian 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 32. Canadian Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Table 33. Canadian Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 34. Canadian 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 3. JAPAN Competitive Structure Table 35. Leading Vendors in the Japanese Market for PACS (2014) - Percentage Share Breakdown of Revenues for Fujifilm Medical, GE Healthcare, INFINITT and Others (includes corresponding Telemedicine Projects in Japan US - The Leading Exporter to Japan Product Launch Table 36. Japanese Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 37. Japanese Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 38. Japanese 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Picture Archiving and Communication Systems (PACS): Market Research Report 11

12 Table 39. Japanese Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Table 40. Japanese Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 41. Japanese 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 4. EUROPE By Region Market Overview Table 42. PACS Market in Select Member Countries of European Union (2013): Percentage Breakdown of Installed PACS for Stand-alone PACS and Regional-National PACS (includes corresponding Europe - A Needs Driven Market Competitive Structure Trends & Issues Managed PACS and VNA Services to Gain Significance Market Displays Mixed Results amid Sovereign Debt Crisis Enterprise-wide and Community-wide Integration of PACS on the Rise Demand for Third Party Healthcare IT Service Providers Rises Eastern Europe PACS Trails Western European Market European Radiology PACS Installation Continues to Rise despite Maturity Innovation and Managed Service Vendor Models - The Recipe for Success Cardiac PACS Vendors Face an Uphill Task Penetration of PACS Increases in Europe Table 43. European PACS Market by Department Analyzed by Percentage Breakdown of Annual Revenues: 2014 (includes corresponding Increasing Rate of Cardiovascular Diseases Boosts Demand for Cardio PACS RIS/PACS Integration Gains Fame Telemedicine in Europe - A Synopsized Review Bubbling With Life? Key trends that underpin telemedicine in Europe Table 44. European Recent Past, Current & Future Analysis for PACS by Geographic Region - France, Germany, Italy, UK, Spain, Russia and Rest of Europe Markets Independently Analyzed with Annual Picture Archiving and Communication Systems (PACS): Market Research Report 12

13 Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 45. European Historic Review for PACS by Geographic Region - France, Germany, Italy, UK, Spain, Russia and Rest of Europe Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 46. European 14-Year Perspective for PACS by Geographic Region - Percentage Breakdown of Revenues for France, Germany, Italy, UK, Spain, Russia and Rest of Europe Markets for Years 2007, 2015 and 2020 (includes corresponding Table 47. European Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 48. European Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 49. European 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 50. European Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 51. European Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 52. European 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 4A. FRANCE Market Overview Table 53. French Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 54. French Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 55. French 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Picture Archiving and Communication Systems (PACS): Market Research Report 13

14 Table 56. French Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 57. French Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 58. French 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 4B. GERMANY Market Overview Siemens Healthcare - A Major PACS Player Table 59. German Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 60. German Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 61. German 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 62. German Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 63. German Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 64. German 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 4C. ITALY Market Overview Picture Archiving and Communication Systems (PACS): Market Research Report 14

15 Strategic Corporate Development Table 65. Italian Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 66. Italian Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 67. Italian 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 68. Italian Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 69. Italian Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 70. Italian 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 4D. THE UNITED KINGDOM Market Overview Health and Social Care Act to Impact PACS Purchase and Implementation Modalities Implications of HSCA on Trust PACS Purchase and Implementation National PACS Contract Expiry Dates by Region HSCA Opens Up Market for New Entrants Information lifecycle management - An Emerging Concern for Healthcare Institutions Strategic Corporate Developments Ge Healthcare - A Key Player Table 71. UK Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 72. UK Historic Review for PACS by Segment - Hardware, Software and Services Markets Picture Archiving and Communication Systems (PACS): Market Research Report 15

16 (includes corresponding Table 73. UK 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 74. UK Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Table 75. UK Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 76. UK 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 4E. SPAIN Table 77. Spanish Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 78. Spanish Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 79. Spanish 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 80. Spanish Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 81. Spanish Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 82. Spanish 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 4F. RUSSIA Picture Archiving and Communication Systems (PACS): Market Research Report 16

17 Table 83. Russian Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 84. Russian Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 85. Russian 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 86. Russian Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 87. Russian Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 88. Russian 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 4G. REST OF EUROPE Market Overview of Scandinavian Countries Product Launches Strategic Corporate Developments Key Players Table 89. Rest of Europe Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 90. Rest of Europe Historic Review for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 91. Rest of Europe 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Hardware, Software and Services Markets for Years 2007, 2015 and 2020 (includes Picture Archiving and Communication Systems (PACS): Market Research Report 17

18 corresponding Table 92. Rest of Europe Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 93. Rest of Europe Historic Review for PACS by Product Type - Full Scale/ Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 94. Rest of Europe 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 5. ASIA-PACIFIC By Region Trends & Issues Demand for More Efficiency in Cardiology Workflow Drives Cardiology PACS Market Drivers Flourishing Medical Tourism Paradigm Shift in Personal Wellness Corporate Wellness Programs Promising Mammography Sector Table 95. Asia-Pacific Recent Past, Current & Future Analysis for PACS by Geographic Region - China, India, and Rest of Asia-Pacific Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 96. Asia-Pacific Historic Review for PACS by Geographic Region - China, India, and Rest of Asia-Pacific Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 97. Asia-Pacific 14-Year Perspective for PACS by Geographic Region - Percentage Breakdown of Revenues for China, India, and Rest of Asia-Pacific Markets for Years 2007, 2015 and 2020 (includes corresponding Table 98. Asia-Pacific Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 99. Asia-Pacific Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 100. Asia-Pacific 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Picture Archiving and Communication Systems (PACS): Market Research Report 18

19 Table 101. Asia-Pacific Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 102. Asia-Pacific Historic Review for PACS by Product Type - Full Scale/ Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 103. Asia-Pacific 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 5A. CHINA Market Overview Major Trends Chinese PACS Market Remains Nascent Despite Higher Government Funding Weak IT Infrastructure Chokes Growth of Cloud PACS and Mobile PACS Market Market Fragmentation Blocks Road to PACS Standardization Competitive Landscape Table 104. Leading Players in Chinese PACS Market (2013): Percentage Breakdown of Value Sales for Beijing Tianjian Source Technology Co. Ltd, Neusoft Medical Systems Co. Ltd, Xi'an Huahai Medical Info-Tech Co. Ltd, and Others (includes corresponding Table 105. Chinese Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 106. Chinese Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 107. Chinese 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 108. Chinese Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 109. Chinese Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Picture Archiving and Communication Systems (PACS): Market Research Report 19

20 Table 110. Chinese 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 5B. INDIA Medical Digitization Trend in Healthcare Sector Buoys Demand for RIS/PACS PACS Remains Largely Radiology-Centric SaaS and Cloud Based Models - Key to Increasing Penetration of PACS and RIS Product Launch Table 111. Indian Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 112. Indian Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 113. Indian 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 114. Indian Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 115. Indian Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 116. Indian 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 5C. REST OF ASIA-PACIFIC Trends & Issues Malaysian Medical Imaging Market Scenario Robust Government Support Steers Southeast Asian Market Private and Small Hospitals Drive PACS Adoption in South Korea Australian PACS Market Reveals High Growth Prospect Product Launch Strategic Corporate Developments Picture Archiving and Communication Systems (PACS): Market Research Report 20

21 Infinitt Healthcare Co., Ltd. - A Key South Korea-Based Pacs Player Table 117. Rest of Asia-Pacific Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 118. Rest of Asia-Pacific Historic Review for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 119. Rest of Asia-Pacific 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Hardware, Software and Services Markets for Years 2007, 2015 and 2020 (includes corresponding Table 120. Rest of Asia-Pacific Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Table 121. Rest of Asia-Pacific Historic Review for PACS by Product Type - Full Scale/ Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 122. Rest of Asia-Pacific 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 6. LATIN AMERICA By Region Latin American PACS Market Reaches for the Skies Table 123. Latin American Recent Past, Current & Future Analysis for PACS by Geographic Region - Brazil, and Rest of Latin America Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 124. Latin American Historic Review for PACS by Geographic Region - Brazil, and Rest of Latin America Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 125. Latin American 14-Year Perspective for PACS by Geographic Region - Percentage Breakdown of Revenues for Brazil, and Rest of Latin America Markets for Years 2007, 2015 and 2020 (includes corresponding Table 126. Latin American Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Picture Archiving and Communication Systems (PACS): Market Research Report 21

22 Table 127. Latin American Historic Review for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 128. Latin American 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Hardware, Software and Services Markets for Years 2007, 2015 and 2020 (includes corresponding Table 129. Latin American Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 130. Latin American Historic Review for PACS by Product Type - Full Scale/ Enterprise-Wide PACS and Mini/Department-Wide PACS markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 131. Latin American 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 6A. BRAZIL Strategic Corporate Development Table 132. Brazilian Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 133. Brazilian Historic Review for PACS by Segment - Hardware, Software and Services Markets (includes corresponding Table 134. Brazilian 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Table 135. Brazilian Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets Independently Analyzed with Table 136. Brazilian Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 137. Brazilian 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding Picture Archiving and Communication Systems (PACS): Market Research Report 22

23 6B. REST OF LATIN AMERICA Strategic Corporate Developments Table 138. Rest of Latin America Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 139. Rest of Latin America Historic Review for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 140. Rest of Latin America 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Hardware, Software and Services Markets for Years 2007, 2015 and 2020 (includes corresponding Table 141. Rest of Latin America Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Table 142. Rest of Latin America Historic Review for PACS by Product Type - Full Scale/ Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Table 143. Rest of Latin America 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/ Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding 7. REST OF WORLD PACS Vendors Keenly Eye Middle East Market Product Launch Strategic Corporate Devlopment Table 144. Rest of World Recent Past, Current & Future Analysis for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2014 through 2020 (includes corresponding Table 145. Rest of World Historic Review for PACS by Segment - Hardware, Software and Services Markets Independently Analyzed with Annual Revenue Figures in US$ Thousand for Years 2007 through 2013 (includes corresponding Picture Archiving and Communication Systems (PACS): Market Research Report 23

24 Table 146. Rest of World 14-Year Perspective for PACS by Segment - Percentage Breakdown of Revenues for Hardware, Software and Services Markets for Years 2007, 2015 and 2020 (includes corresponding Table 147. Rest of World Recent Past, Current & Future Analysis for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets Independently Analyzed with Table 148. Rest of World Historic Review for PACS by Product Type - Full Scale/Enterprise-Wide PACS and Thousand for Years 2007 through 2013 (includes corresponding Table 149. Rest of World 14-Year Perspective for PACS by Product Type - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS Markets for Years 2007, 2015 and 2020 (includes corresponding III-189 IV. COMPETITIVE LANDSCAPE Total Companies Profiled: 109 (including Divisions/Subsidiaries - 117) The United States (68) Canada (4) Japan (6) Europe (22) Germany (6) The United Kingdom (5) Italy (1) Rest of Europe (10) Asia-Pacific (Excluding Japan) (15) Middle East (1) Africa (1) Picture Archiving and Communication Systems (PACS): Market Research Report 24

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