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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 TriMark 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.

The main objectives of this report are to:

• Identify viable technology drivers through a comprehensive look at various platform technologies for ultrasound markets.
• Obtain a complete understanding of the chief ultrasound markets' tests--predictive, screening, prognostic, diagnostic and monitoring--from their basic principles to their applications.
• Discover feasible market opportunities by identifying high-growth applications in different areas, with a focus on the biggest and expanding markets.
• Focus on global industry development through an in-depth analysis of the major world markets for ultrasonography, including forecasts for growth.
• Establish the essentials of the ultrasound market including definitions, processes and trends.

Market figures regarding the current value of the ultrasound market are taken from the most recently available data of the global medical products industry. This report covers the following categories of ultrasonography:

• Prenatal ultrasound.
• Cardiology-imaging ultrasound.
• Handheld ultrasound.
• Three-dimensional (3D) ultrasound.
• Four-dimensional (4D) ultrasound.

Analysis includes the use of charts and graphs measuring product growth and trends within the marketplace. In addition, a discussion of research into ultrasonography provides the reader with a deeper understanding of the possibilities for future treatment and avenues for possible R&D budgets. Company-specific information, including sales figures, product pipeline status and R&D trends, is provided throughout the report.

1. 1. Overview 6
2. 1.1 Statement of Report 6
3. 1.2 Scope of the Report 6
4. 1.3 Methodology 7
5. 1.4 Executive Summary 9
7. 2. Overview of the Medical Imaging Market 10
8. 2.1 Medical Imaging Industry Market Size 10
9. 2.2 Medical Imaging Industry Profile 12
10. 2.2.1 Healthcare Delivery System Profile 12
11. 2.2.2 Radiologists 14
12. 2.2.3 Radiologic Services 15
13. 2.2.4 Medical-Image Market Drivers and Restraints 17
14. 2.2.5 Medical Imaging Market Segments 19
15. 2.2.6 Contrast Media 21
16. 2.2.7 Picture Archiving and Communication Systems 23
17. 2.2.8 Picture Archiving and Communication Systems and Radiology Information Systems 23
18. 2.2.9 Medical Imaging Companies 26
19. 2.2.10 Significant Ultrasound Companies 29
20. 2.2.11 Medical Imaging Industry Forecasts 33
21. 2.3 Market Niches and Digitalization 34
22. 2.4 Digital Imaging Techniques 35
23. 2.4.1 Clinical Uses 35
24. 2.5 Current and New Digital Imaging Procedures 36
25. 2.6 The Digital Impact on Clinical Imaging Markets 39
26. 2.7 Trends in Digital Imaging 39
27. 2.8 Enhancing Computed Radiography 40
28. 2.9 Digital Radiography vs. Computed Radiography 41
29. 2.10 DR Products 41
30. 2.11 Vasodilator Perfusion Imaging 42
32. 3. Ultrasound Market 44
33. 3.1.1 Overview of Ultrasound Market Segments 44
34. 3.1.2 Increase in Application Areas Stirs Demand 44
35. 3.2 Ultrasound Market Trends 49
36. 3.2.1 Market Segmentation and Definitions 49
37. 3.2.2 Ultrasonography Is of Great Value in Other Obstetric Conditions such as: 54
38. 3.2.3 Overview 61
39. 3.2.4 Market Developments 62
40. 3.2.5 Market Drivers 63
41. 3.2.6 Market Restraints 63
42. 3.3 Ultrasound Market Forecasts 63
43. 3.3.1 Unit Shipment Forecasts 65
44. 3.3.2 Installed-Base Forecast 66
45. 3.3.3 Competitive Structure 66
46. 3.3.4 Market Analysis 66
47. 3.4 Cardiology Ultrasound Segment Forecasts 68
48. 3.4.1 Unit Shipment Forecasts 70
49. 3.4.2 Market Share Analysis 70
50. 3.5 OB/GYN Ultrasound Segment Forecasts 72
51. 3.6 Radiology Ultrasound Segment Forecasts 72
52. 3.7 Hand-Carried Ultrasound Segment Forecasts 73
53. 3.7.1 Market Share Analysis 74
54. 3.7.2 Portable Ultrasound Equipment Displays Rapid Growth 75
55. 3.8 Contrast Media 76
56. 3.8.1 Market Share Analysis 78
57. 3.8.2 Contrast-Enhanced Ultrasound (CEUS) and Microbubbles 78
58. 3.8.3 Targeting Microbubbles 79
59. 3.8.4 How Contrast-Enhanced Ultrasound (CEUS) Works 79
60. 3.8.5 Applications of Contrast-Enhanced Ultrasound 80
61. 3.9 Products 80
62. 3.9.1 The Acquisition Decision 80
63. 3.9.2 Ardent Sound 81
64. 3.9.3 ALOKA, Ltd. 81
65. 3.9.4 B-K Medical 81
66. 3.9.5 CIVCO Medical Solutions 81
67. 3.9.6 Esaote Group Company 81
68. 3.9.7 Fischer Medical Technologies 82
69. 3.9.8 GE Healthcare 82
70. 3.9.9 Hitachi Medical Systems America 84
71. 3.9.10 Medison Co., Ltd. 84
72. 3.9.11 MEDRAD 84
73. 3.9.12 Mindray Co., Ltd. 84
74. 3.9.13 Philips Medical 84
75. 3.9.14 Sea Ridge Software 85
76. 3.9.15 Siemens Medical 85
77. 3.9.16 SonoSite 85
78. 3.9.17 Sony Medical Products 85
79. 3.9.18 TeraRecon 85
80. 3.9.19 Toshiba America Medical Systems 86
81. 3.9.20 U-Systems 86
82. 3.9.21 Zonare Medical Systems 86
83. 3.10 Manufacturers 86
84. 3.11 New Transducer Technology 87
85. 3.12 Ultrasound Product Introductions to the Market 88
87. 4. Three- and Four-Dimensional Ultrasonography Markets 90
88. 4.1 Total 3D Imaging Market Trends 90
89. 4.1.1 Overview 90
90. 4.1.2 Market Drivers 91
91. 4.1.3 Market Restraints 91
92. 4.2 Total 3D Imaging Market Forecasts 92
93. 4.3 Three-Dimensional Ultrasound Imaging Market Forecasts 92
94. 4.4 Three-Dimensional Imaging Markets 92
95. 4.5.1 Echocardiography: The Largest Growth Area 95
96. 4.5.2 Real-Time Color Doppler System 96
97. 4.6 Manufacturers 97
99. 5. Business Trends in the Industry 99
100. 5.1 Sector Consolidation 99
101. 5.2 Medical Imaging Growth Trends 99
102. 5.3 Acquisition, License Agreements, Internal Development and Partnerships 99
103. 5.4 Mergers and Acquisitions 99
104. 5.4.1 Center for Diagnostic Imaging Signs With Medicalis 99
105. 5.4.2 HealthSouth Sells Diagnostic Division to The Gores Group 100
106. 5.4.3 AMICAS Acquires Technology Partners' Practice-Management Software 100
107. 5.4.4 MDS Nordion and Avid Radiopharmaceuticals Enter Collaboration 100
108. 5.4.5 NightHawk Radiology Holdings Acquired Teleradiology Diagnostic Service 100
109. 5.4.6 Onex Acquires Kodak's Health Group 100
110. 5.4.7 Successor to Kodak's Health Group To Be Called "Carestream Health" 101
111. 5.4.8 Siemens Acquires German HIS Company 101
112. 5.4.9 Siemens Medical Finalizes Acquisition of Bayer's Diagnostics Division 101
113. 5.5 Product Testing Depth in Medical-Imaging Testing 102
114. 5.6 Government Regulation 102
115. 5.6.1 U.S. Regulation 102
116. 5.6.2 U.K. Regulation 105
117. 5.6.3 E.U. Regulation 106
118. 5.6.4 Japanese Regulation 107
119. 5.7 Increased Market Penetration 108
120. 5.8 Partnerships 108
122. 6. Company Profiles 109
123. 6.1 Agfa-Gevaert Corp. Heartlab 109
124. 6.3 Analogic Corp. 110
125. 6.4 Biosound Esaote 111
126. 6.5 Boston Scientific 111
127. 6.6 B-K Medical 112
128. 6.7 GE Healthcare 112
129. 6.8 Hitachi Medical Systems America, Inc. 114
130. 6.9 Hologic, Inc. 114
131. 6.10 Medison Co., Ltd. 117
132. 6.11 MEDRAD, Inc. (U.S.) 119
133. 6.12 Philips Medical Systems 119
134. 6.13 Siemens Medical Solutions 120
135. 6.14 SonoSite, Inc. (U.S.) 123
136. 6.15 Toshiba America Medical Systems 123
137. 6.16 Varian Medical Systems, Inc. 124
140. INDEX OF FIGURES
142. Figure 2.1: U.S. Annual Percent Increase in Imaging Market Size, 2003 to 2012 11
143. Figure 2.2: Worldwide Annual Percent Increase in Imaging Market Size, 2002 to 2011 11
144. Figure 2.3: Global Market Share of Contrast Media Markets 22
145. Figure 2.4: Global Market Share of Medical Imaging and Diagnostic Companies 27
146. Figure 3.1: Annual Increase in Worldwide Sales of Ultrasound Equipment, 2001 to 2010 64
147. Figure 3.2: Annual Increase U.S. Sales of Ultrasound Equipment, 2001 to 2010 65
148. Figure 3.3: Annual Increase in Worldwide Sales of Cardiology Ultrasound Equipment, 2001 to 2010 69
149. Figure 3.4: U.S. Annual Increase in Worldwide Sales of Cardiology Ultrasound Equipment, 2001 to 2010 70
150. Figure 3.5: Annual Increase in U.S. Sales of Handheld Ultrasound Equipment, 2001 to 2010 74
151. Figure 3.6: Annual Increase in Worldwide Sales of Ultrasound Contrast Agents, 2000 to 2010 78
154. LIST OF TABLES
156. Table 2.1: U.S. Medical Imaging Market Size, 2001 to 2012 10
157. Table 2.2: Global Medical Imaging Market Size, 2001 to 2012 11
158. Table 2.3: U.S. Healthcare Expenditures 12
159. Table 2.4: U.S. Health Expenditures as a Percentage of GDP, 1998 to 2010 12
160. Table 2.5: U.S. User Expenditures for Medical Imaging Equipment and Related Products 13
161. Table 2.6: Comparison of Spending on Health by Country 13
162. Table 2.7: Spending on Health by Country 13
163. Table 2.8: Millions of Americans Over 65 Years of Age, 2000 to 2050 13
164. Table 2.9: Percent Change in Volume of Examinations per Imaging Modality: 1996 to 2006 16
165. Table 2.10: Market Share of Contrast Media Markets 22
166. Table 2.11: Worldwide Market Share of Medical Imaging and Diagnostic Companies 26
167. Table 2.12: Worldwide Imaging Procedures, 2001 to 2012 33
168. Table 3.1: Ultrasonography Comparison: U.S. vs. Europe 49
169. Table 3.2: Worldwide Ultrasound Procedures, 2000 to 2010 64
170. Table 3.3: Worldwide Sales of Ultrasound Equipment, 2000 to 2010 64
171. Table 3.4: U.S. Sales of Ultrasound Equipment, 2000 to 2010 65
172. Table 3.5: Worldwide Cardiology Ultrasound Procedures 68
173. Table 3.6: Worldwide Sales of Cardiology Ultrasound Equipment, 2000 to 2010 69
174. Table 3.7: U.S. Sales of Cardiology Ultrasound Equipment, 2000 to 2010 69
175. Table 3.8: Worldwide Sales of Handheld Ultrasound Equipment, 2000 to 2012 73
176. Table 3.9: U.S. Sales of Handheld Ultrasound Equipment, 2000 to 2012 74
177. Table 3.10: Worldwide Sales of Ultrasound Contrast Agents, 1999 to 2010 78