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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 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 18
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 30
20. 2.2.11 Medical Imaging Industry Forecasts 33
21. 2.3 Market Niches and Digitalization 35
22. 2.4 Digital Imaging Techniques 36
23. 2.4.1 Clinical Uses 36
24. 2.5 Current and New Digital Imaging Procedures 37
25. 2.6 The Digital Impact on Clinical Imaging Markets 39
26. 2.7 Trends in Digital Imaging 40
27. 2.8 Enhancing Computed Radiography 41
28. 2.9 Digital Radiography vs. Computed Radiography 41
29. 2.10 DR Products 42
30. 2.11 Vasodilator Perfusion Imaging 43
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 48
36. 3.2.1 Market Segmentation and Definitions 48
37. 3.2.2 Ultrasonography Is of Great Value in Other Obstetric Conditions such as: 54
38. 3.2.3 Overview 60
39. 3.2.4 Market Developments 61
40. 3.2.5 Market Drivers 62
41. 3.2.6 Market Restraints 62
42. 3.3 Ultrasound Market Forecasts 63
43. 3.3.1 Unit Shipment Forecasts 65
44. 3.3.2 Installed-Base Forecast 65
45. 3.3.3 Competitive Structure 65
46. 3.3.4 Market Analysis 66
47. 3.4 Cardiology Ultrasound Segment Forecasts 67
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 Company, Ltd. (Japan) 81
65. 3.9.4 B-K Medical 81
66. 3.9.5 CIVCO Medical Instruments 81
67. 3.9.6 Esaote SPA (Italy) 81
68. 3.9.7 Fischer Imaging 82
69. 3.9.8 GE Healthcare 82
70. 3.9.9 Hitachi Medical Systems America 83
71. 3.9.10 Medison Co., Ltd. 83
72. 3.9.11 MEDRAD, Inc. 84
73. 3.9.12 Mindray Co., Ltd. 84
74. 3.9.13 Philips Medical 84
75. 3.9.14 Sea Ridge Software 84
76. 3.9.15 Siemens Medical 85
77. 3.9.16 SonoSite, Inc. 85
78. 3.9.17 Sony Medical Products 85
79. 3.9.18 TeraRecon 85
80. 3.9.19 Toshiba America Medical Systems 85
81. 3.9.20 U-Systems 85
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 89
88. 4.1 Total 3D Imaging Market Trends 89
89. 4.1.1 Overview 89
90. 4.1.2 Market Drivers 90
91. 4.1.3 Market Restraints 90
92. 4.2 Total 3D Imaging Market Forecasts 90
93. 4.3 Three-Dimensional Ultrasound Imaging Market Forecasts 91
94. 4.4 Three-Dimensional Imaging Markets 91
95. 4.5.1 Echocardiography: The Largest Growth Area 94
96. 4.5.2 Real-Time Color Doppler System 95
97. 4.6 Manufacturers 96
99. 5. Business Trends in the Industry 98
100. 5.1 Sector Consolidation 98
101. 5.2 Medical Imaging Growth Trends 98
102. 5.3 Acquisition, License Agreements, Internal Development and Partnerships 98
103. 5.4 Mergers and Acquisitions 98
104. 5.4.1 Center for Diagnostic Imaging Signs With Medicalis 98
105. 5.4.2 HealthSouth Sells Diagnostic Division to The Gores Group 99
106. 5.4.3 AMICAS Acquires Technology Partners' Practice-Management Software 99
107. 5.4.4 MDS Nordion and Avid Radiopharmaceuticals Enter Collaboration 99
108. 5.4.5 NightHawk Radiology Holdings Acquires Teleradiology Diagnostic Service 99
109. 5.4.6 Onex Acquires Kodak's Health Group 99
110. 5.4.7 Successor to Kodak's Health Group To Be Called "Carestream Health" 100
111. 5.4.8 Siemens Acquires German HIS Company 100
112. 5.4.9 Siemens Medical Finalizes Acquisition of Bayer's Diagnostics Division 100
113. 5.4.10 More Mergers, Acquisitions and News 100
114. 5.5 Product Testing Depth in Medical-Imaging Testing 101
115. 5.6 Government Regulation 102
116. 5.6.1 U.S. Regulation 102
117. 5.6.2 U.K. Regulation 104
118. 5.6.3 E.U. Regulation 105
119. 5.6.4 Japanese Regulation 107
120. 5.7 Increased Market Penetration 107
121. 5.8 Partnerships 108
123. 6. Company Profiles 109
124. 6.1 Agfa-Gevaert Corp. Heartlab 109
125. 6.3 Analogic Corp. 110
126. 6.4 Biosound Esaote 111
127. 6.5 Boston Scientific 111
128. 6.6 B-K Medical 112
129. 6.7 GE Healthcare 112
130. 6.8 Hitachi Medical Systems America, Inc. 114
131. 6.9 Hologic, Inc. 114
132. 6.10 Medison Co., Ltd. 117
133. 6.11 MEDRAD, Inc. (U.S.) 120
134. 6.12 Philips Medical Systems 120
135. 6.13 Siemens Medical Solutions 121
136. 6.14 SonoSite, Inc. (U.S.) 125
137. 6.15 Toshiba America Medical Systems 125
138. 6.16 Varian Medical Systems, Inc. 126
141. INDEX OF FIGURES
143. Figure 2.1: U.S. Annual Percent Increase in Imaging Market Size, 2003 to 2012 11
144. Figure 2.2: Worldwide Annual Percent Increase in Imaging Market Size, 2002 to 2011 11
145. Figure 2.3: Global Market Share of Contrast Media Markets 22
146. Figure 2.4: Global Market Share of Medical Imaging and Diagnostic Companies 27
147. Figure 3.1: Annual Increase in Worldwide Sales of Ultrasound Equipment, 2001 to 2010 64
148. Figure 3.2: Annual Increase U.S. Sales of Ultrasound Equipment, 2001 to 2010 65
149. Figure 3.3: Annual Increase in Worldwide Sales of Cardiology Ultrasound Equipment, 2001 to 2010 69
150. Figure 3.4: U.S. Annual Increase in Worldwide Sales of Cardiology Ultrasound Equipment, 2001 to 2010 70
151. Figure 3.5: Annual Increase in U.S. Sales of Handheld Ultrasound Equipment, 2001 to 2010 74
152. Figure 3.6: Annual Increase in Worldwide Sales of Ultrasound Contrast Agents, 2000 to 2010 78
155. LIST OF TABLES
157. Table 2.1: U.S. Medical Imaging Market Size, 2001 to 2012 10
158. Table 2.2: Global Medical Imaging Market Size, 2001 to 2012 11
159. Table 2.3: U.S. Healthcare Expenditures 12
160. Table 2.4: U.S. Health Expenditures as a Percentage of GDP, 1998 to 2010 12
161. Table 2.5: U.S. User Expenditures for Medical Imaging Equipment and Related Products 13
162. Table 2.6: Comparison of Spending on Health by Country 13
163. Table 2.7: Spending on Health by Country 13
164. Table 2.8: Millions of Americans Over 65 Years of Age, 2000 to 2050 13
165. Table 2.9: Percent Change in Volume of Examinations per Imaging Modality: 1996 to 2006 16
166. Table 2.10: Market Share of Contrast Media Markets 22
167. Table 2.11: Worldwide Market Share of Medical Imaging and Diagnostic Companies 27
168. Table 2.12: Worldwide Imaging Procedures, 2001 to 2012 34
169. Table 3.1: Ultrasonography Comparison: U.S. vs. Europe 48
170. Table 3.2: Worldwide Ultrasound Procedures, 2000 to 2010 63
171. Table 3.3: Worldwide Sales of Ultrasound Equipment, 2000 to 2010 63
172. Table 3.4: U.S. Sales of Ultrasound Equipment, 2000 to 2010 64
173. Table 3.5: Worldwide Cardiology Ultrasound Procedures 68
174. Table 3.6: Worldwide Sales of Cardiology Ultrasound Equipment, 2000 to 2010 68
175. Table 3.7: U.S. Sales of Cardiology Ultrasound Equipment, 2000 to 2010 69
176. Table 3.8: Worldwide Sales of Handheld Ultrasound Equipment, 2000 to 2012 73
177. Table 3.9: U.S. Sales of Handheld Ultrasound Equipment, 2000 to 2012 73
178. Table 3.10: Worldwide Sales of Ultrasound Contrast Agents, 1999 to 2010 78