Global Picture Archiving and Communication Systems (PACS) Industry

NEW YORK, Jan. 14, 2014 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

Global Picture Archiving and Communication Systems (PACS) Industry

http://www.reportlinker.com/p0552776/Global-Picture-Archiving-and-Communication-Systems-PACS-Industry.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Medical_Imaging

This report analyzes the worldwide markets for Picture Archiving and Communication Systems (PACS) in US$ Million by the following Product Segments:

Software,

Hardware,

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,

and Rest of World.

Annual estimates and forecasts are provided for the period 2009 through 2017. Also, a six-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based upon search engine sources in the public domain.

The report profiles 88 companies including many key and niche players such as -

Agfa HealthCare

Aspyra, Inc.

BRIT Systems Inc.

DR Systems Inc.

Carestream Health, Inc.

FUJIFILM Medical Systems USA Inc.

I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONSStudy Reliability and Reporting Limitations I-1Disclaimers I-2Data Interpretation & Reporting Level I-2Quantitative Techniques & Analytics I-3Product Definitions and Scope of Study I-3Full Scale/Enterprise Wide PACS I-3Mini/Department Wide PACS I-3II. EXECUTIVE SUMMARY

1. INDUSTRY OVERVIEW II-1

Digitized Healthcare - The Dawn of PACS II-1

Factors Driving the Growth of the Worldwide PACS Market II-2

Outlook II-2

By Region II-3

United States: Holds the Largest Share II-3

European PACS Market - An Important Hub II-3

Asia Pacific- A Potentially Lucrative Haven for PACS II-3

By Segment II-4

Services and Software Segments to Drive Market Growth II-4

By Product Type II-4

Full Scale PACS to Outdo Mini PACS II-4

2. MARKET DRIVERS TRENDS, & ISSUES II-5Government Support Aids Growth of PACS Solutions II-5Ageing Population Drives PACS Market Growth II-5Technological Advancements Fuel Demand for Replacement Systems II-6PACS Replacement and Increasing Adoption in Small ScaleHealthcare Institutions to Sustain Growth in DevelopedMarkets II-6Table 1: Comparison of PACS New Purchases Vs. ReplacementPurchases (2002 through 2010) (includes correspondingGraph/Chart) II-7High Costs Impact PACS Purchases II-7Radiology PACS Market Matures, Focus Shifts to Non-RadiologyDepartments II-8Table 2: Percentage Breakdown of Global Installed Base andRemnant Base of Radiology PACS: 2011, 2013 & 2015 (includescorresponding Graph/Chart) II-8Need for Radiology and Cardiology PACS Unification Prevails II-9User Demand Favors Integrated RIS/PACS Solutions II-9RIS/PACS Integration Challenges II-93D Capabilities Revolutionize PACS II-10Economic Crisis Accelerates Growth of Managed Service PACS Market II-11Various Phases and Delivery Models of Managed Service for PACS II-11Table 3: North American Radiology PACS Market by Type (2012):Percentage Breakdown of Sales/ Service Revenues forConventional PACS, Remote Managed PACS, Onsite SaaS-basedPACS, Hosted PACS and Offsite SaaS-based PACS (includescorresponding Graph/Chart) II-12Vendor Neutral Archiving Takes Over Storage Functionality of PACS II-12Cloud-Based PACS - the Next Phase in the Evolution of PACS II-12Benefits offered by Cloud-Based PACS II-13Cloud Systems vs. Client-Server Systems II-13Mobile PACS Overcomes Roadblocks and Gains Traction II-13Benefits of Mobilizing PACS II-14Third-party Middleware Offerings to Make Inroads intoEnterprise PACS Market II-14

3. COMPETITIVE LANDSCAPE II-16

Overview II-16

Table 4: Leading Vendors in the Global PACS Market (2013):

Percentage Breakdown of Revenues for GE Healthcare, Philips

Healthcare, Fujifilm Medical Systems, Agfa Healthcare,

McKesson Corp., Siemens Healthcare, and Others (includes

corresponding Graph/Chart) II-16

4. PRODUCT OVERVIEW II-17PACS - A Landmark in the Field of Radiology II-17Evolution of PACS II-18DICOM Mantra II-18Fundamental Structure of PACS II-19Image Acquisition Devices II-20Host Computer II-20Image-Archiving Devices II-20Display Stations II-20Networks and Interface II-20Different Types of Networks II-20Networks also differ by the geographical area they serve like II-21A Working Model of PACS II-21PACS Software II-21Hardware II-22Services II-22HIS/RIS/PACS Integration- A Fundamental Aspect of PACSIntegration II-22Need for HIS/RIS Interface II-23X-Ray Storage and Retrieval - "Now a Stress Free Task" II-23PACS - A Cost Effective System II-24Infrastructural Prerequisites Needed to Effectively Support PACS II-24PACS Workflow Optimization - A Detailed Review of the Process II-25Synopsized Review of the Economic Advantages and Benefits ofOptimized Workflow II-26Economic Effects II-26Working procedure II-26Personnel II-26Ecological Aspects II-26Successful Implementation of PACS - "Playing by the Rules" II-261. Detailed Pre-Planning II-262. Parties to Decision Making II-273. Deciding Upon the Type of Network Infrastructure & RelatedTechnologies II-274. The Vital Choice Between Turnkey, In House and Best ofBreed PACS Solutions II-275. The Use of Protocols II-276. The Choice of Archiving Servers II-277. Choice of Monitors II-288. The All Important Issue of HIS/RIS/PACS Integration II-289. Understanding the Importance of VIEPR II-2810. Confronting Issues of Privacy and Security II-2811. ASP PACS II-2812. Perceptive Insight into the Correlation between PACS &Telemedicine II-28Benefits of PACS II-29Drawbacks of PACS II-29Role of PACS in Shaping an Integrated Image Management System II-30ASP-An Attractive Option to Handle Image Storage II-30PACS Assessment II-32For Integration II-32For Archive II-32For Workstation II-32PACS in the Future II-32Digital Archives: Electronic Storage of Digital Images II-33Digital PACS II-33Full PACS: A Filmless Diagnostic System II-33Image Distribution Network: Retrieves Images and Reports II-33Imaging Workstations: Instant Access to Medical Records II-34Mini PACS: Serving An Exclusive Facility II-34Printer Networks II-34Remote Archives II-34Internet - Playing a Major Role in PACS II-34PACS - A Viable Solution for Digital Mammography Images II-35

5. INDUSTRY SCENARIO II-36

Technology Infrastructure of Next Generation Healthcare

Delivery Systems II-36

Telemedicine Enters the Lexicon of Medical World II-37

Electronic Health Record System II-37

Dynamics of Imaging & Its Growing Relevance in the Hospital II-38

6. ANALYSIS OF PURCHASING PATTERNS II-40Dynamics of Purchasing Behavior - A Review II-40Pivotal Issues that Confront Open Systems II-40Manufacturers Exhibit Reluctance to Open Up Their Systems II-40Compliance with DICOM Standards II-41Inefficient System Integration among Vendors II-41Regulatory Shackles II-41Lack of Widespread Knowledge about the Extent of DICOMCompatibility II-41Purchasing Patterns that Drive Sales of PACS II-41Needs Assessment II-42DICOM Conformance Requirements II-42RFP Generation II-43Acceptance and Turnover Section II-43Vendor Responses II-44Steps for efficient evaluation of vendor responses: II-44Installation, Training and Turnover II-44

7. PRODUCT INTRODUCTIONS II-45

Viztek Launches Platform X II-45

Telemis Releases Version 4.5 of Telemis-Medical PACS Software II-45

Canon Marketing Set to Rollout Company's PRIMITUS PACS II-45

ClearCanvas Introduces Cleome II-46

PANANOMICS Launches Speed&Safe II-46

NDSsi Introduces DomeAccess II-47

Heart IT Introduces WebPAX PACS and Universal Viewer 8 II-47

Medical Insight Showcases EasyViz's New Enterprise PACS and

Imaging Features II-48

Intelerad Adds New Products to Nuage Range of Cloud-Enabled

Solutions II-48

Shina Releases 3DI PACS Solution II-49

GE Receives FDA Approval for Xeleris Software II-49

Intermountain Develops Enterprise-Wide Vendor-Neutral Archive II-50

Digisonics Unveils Structured Reporting Solutions and

Enterprise PACS II-50

Viztek Offers Viewing Capabilities for DBT Imaging in Opal-

Mammo Software II-50

Carestream Launches New Chiropractic Measurement Tools II-51

TMSI Introduces Medical Imaging Software Range under TouchPACS II-51

Avreo Unveils interWORKS Version 7.4 for Preview II-52

Medstreaming Introduces Web-Based Analytics Module for its

All-in-One EMR/PACS/Practice Management Platform II-52

GE Integrates PACS and 3D II-52

Merge Unveils New Eye Care PACS Solutions II-53

Carestream Develops PACS Workstation with 3-D Lesion

Management Tools II-53

Telemis Unveils Cloud Data Storage Service for PACS II-54

Novarad Launches NovaPACS Express II-54

ClearCanvas Launches Team Edition of Company's RIS/PACS Portfolio II-54

Agfa Healthcare Unveils Newest Edition of IMPAX for Nuclear

Medicine II-55

Kallo Launches Cost-effective PACS/RIS System II-55

Merge Healthcare Launches Merge OrthoPACS II-55

ScImage Launches Cloud-Enabled Back-Up Services for New PACS

Installations II-56

Meddiff Unveils Enterprise InstaPACS II-56

Viztek Introduces New Features of Opal-RAD PACS II-56

MN Systems Launches Freedom PACS II-57

ScImage Unveils PicomCloud II-58

Image Technology Laboratories Launches Plug 'n PACS II-58

Intelerad Launches IntelePACS 4.4 II-58

Intelerad Medical Systems Introduces InteleSuite II-59

CoActive Medical Unveils CoActive EXAM-Jacket II-59

Agfa Healthcare Rolls Out Integrated Impax PACS/Digital

Pathology System II-60

Telemis Introduces MACS II-60

Medweb Upgrades Cloud PACS II-61

Philips Unveils New Edition of IntelliSpace PACS II-61

PACSgear Releases New Version of GearView QC for PACS II-62

Freeland Unveils New AccessPoint Subscription SaaS Cardiology

PACS II-62

Medstreaming Launches New Integrated Cardiovascular PACS and EMR II-62

Philips Debuts Modular Enterprise PACS R2.3 MDC Solution II-63

INFINITT Launches New Mobile PACS II-64

Medima Upgrades PacsScanner II-64

Viztek Launches Opal-Forwarder Feature for PACS II-64

Digisonics Unveils New Version of DigiView Software II-65

New Mexico Software Unveils PACS Application on IPad II-65

McKesson Unveils New Version of HMI II-66

Fujifilm Medical Systems Announces Introduction of Synapse®

PACS 4.0 Application II-66

Carestream Introduces Vue for Radiology with RIS+PACS+ Reporting II-67

INFINITT North America Unveils New Multi-site Integration

Platform II-67

BRIT Systems Unveils Version 3.7.2 for BRIT Vision PACS

Workstation II-67

Novarad Launches NovaCardio II-68

8. RECENT INDUSTRY ACTIVITY II-69Lexmark International Takes Over PACSGEAR II-69MedBridge Healthcare Takes Over Precision Diagnostic Systems II-69DMH International Takes Over TMSI II-69NFL Inks Agreement with INFINITT for On-Demand Access toMedical Images of Players II-69Barts Health and Sectra Ink Contract for Vendor NeutralArchive and PACS II-70RamSoft Announces Partnership with DatumMedics forDistribution of Customizable Radiology IT Solutions II-70DeepWell Archival Services and Keystone Medical TechnologiesInk Partnership Agreement II-70Novation Inks Agreement with Carestream II-71Deepwell Archival Services Secures Contract with MRI of America II-71VidiStar and GMI Enter into Partnership II-71CCOC Announces Purchase of Digital Radiology Systems fromCarestream II-72Avreo Enters into Partnership with Spyglass Capital II-72MDH Radiology Inks Contract with Sectra II-72DeepWell Archival Services Inks Integration PartnershipAgreement with DR Systems II-73Agfa HealthCare Signs Agreement with Meander Medical Center II-73Avreo Signs Partnership and Licensing Agreement with VidiStar II-73Spire Healthcare Employs CARESTREAM Vue for Cloud Services II-73Sorna Signs Agreement with RADinfo SYSTEMS II-74BRIT Systems Selects HIPAA-Compliant Cloud Computing Platformof ClearDATA Networks II-74Blekinge County Council Inks Contract with Sectra II-74Sectra Inks Distribution Contract with Answer Medical Solutions II-74Sectra Receives Contract from Whittington Health NHS Trust forMedical Imaging IT Systems II-75Sectra Inks Contract with Region Skåne II-75NHS Scotland Inks Agreement with Carestream Health forMammography PACS II-75Sectra Receives Contract from SWASH Trust Consortium II-76INFINITT Healthcare and Telecomunicacion y Equipos SignDistribution Agreement II-76Royal Philips Electronics Joins Forces with Nuvodia to MarketPhilips PACS II-767 Medical Systems Takes Over Manager Systems II-773DISC Imaging Takes Over CoreWare II-77Canon Takes Over Delft DI II-78Mindray Medical International Inks Agreement to AcquireControlling Stake in Greenlander II-78DeJarnette Research Systems Signs Integration PartnershipAgreement with DeepWell Archival Services II-78Acuo Technologies Receives Contract from Defense LogisticsAgency for VNA Solution II-79Västerbotten County Council Employ SyMRI Software Integratedwith Sectra PACS II-79Sectra Inks Agreement with Healthcare Providers for HostedCommunity PACS in Washington II-79Nashville General Hospital Selects Integrated Radiology ITSolutions of Sectra II-79Nuance Communications Inks Reseller Agreement with InteleradMedical Systems II-80INFINITT Healthcare Receives Contract from CHOSUN UniversityHospital II-80INFINITT Healthcare Secures Contract from Seoul NationalUniversity Hospital II-80Hitachi Data Systems to Name Pixcelldata as TechnologyAlliance Partner II-81GE Healthcare Signs an Agreement with Core Sound Imaging toDistribute Studycast II-81Sisoft Teams Up with Fovia to Market HDVR Solution II-81Sectra Signs a Contract with 4 Medical Care Providers toSupply PACS II-82Shrewsbury and Telford Extends Agreement with Agfa HealthCare II-82Texas Regional Medical Center Deploys VNA and Cloud StorageSolution of Iron Mountain II-82Omaha Imaging Selects Avreo RIS/PACS II-83Sectra and Merge Healthcare Ink Agreement II-83JMI Equity Invests in Capsule Technologie II-84Sectra Inks a Deal with Matakina II-84Sectra and MRS Enter into Agreement II-84Sectra Inks a Distribution Agreement with MagView II-85Sectra Enters Into a Distribution Agreement with PenRad II-85Capital X-Ray Inks an Agreement with CoActiv Medical II-85Connect Imaging Enters into an Agreement with Tech-Time II-86Telemis Snaps Up Micromedica II-86Orion Health to Acquire Hospital Information System Assets ofMicrosoft II-86RadNet and Pioneers Memorial Sign Series of Agreements II-87PACSHealth Signs Agreement with Mach 7 Technologies II-87Microsoft Collaborates with Royal Philips Electronics II-87INFINITT Healthcare Signs Three-year Contract Extension with NUTH II-87Sectra and University Hospitals Enter into Agreement forMedical Imaging Research II-88Sectra Secures Contracts for Radiology IT Solutions from GelreZiekenhuizen Hospital II-88Carestream Health Wins Order for CARESTREAM Vue Cloud Servicesfrom Algemeen Stedelijk Ziekenhuis Hospital II-88Sectra Obtains Contracts for Radiology IT Solutions from St.Elisabeth Hospital and Elkerliek Ziekenhuis II-89Sectra and Electromek Diagnostic Systems Extend PACS/RISDistribution Partnership II-89Sectra Inks Distribution Agreement with McBrothers II-89Carestream Health Enters into Marketing Contract with PenRadTechnologies II-89Sectra Obtains Order for Sectra PACS from Zuwe HofpoortZiekenhuis II-90Carestream Health Wins Order for Cloud-Based RadiologyServices from Winthrop-University Hospital II-90Brit Systems Chooses High Definition Volume Rendering®Technology of Fovia Medical II-91CoActiv Medical Enters into Distribution Partnership withBiomedical Equipment II-91DeepWell Archival Services Signs Agreement with TelepaxxMedical Archiving II-92McKesson Deploys Horizon PACS and RIS in Ireland II-92

9. FOCUS ON SELECT PLAYERS II-93

Agfa Healthcare NV (Belgium) II-93

Aspyra LLC (US) II-93

BRIT Systems Inc. (US) II-94

Carestream Health, Inc. (US) II-94

Cerner Corporation (US) II-95

DR Systems Inc. (US) II-95

Fujifilm Medical Systems U.S.A., Inc. (US) II-96

GE Healthcare (UK) II-97

INFINITT Healthcare Co., Ltd (South Korea) II-97

Intelerad Medical Systems, Inc. (Canada) II-98

McKesson Corporation (US) II-99

Merge Healthcare, Inc. (US) II-99

Philips Healthcare (The Netherlands) II-100

Rogan-delft B.V. (The Netherlands) II-100

Sectra AB (Sweden) II-101

Siemens Healthcare (Germany) II-101

10. GLOBAL MARKET PERSPECTIVE II-102Market by Region II-102Table 5: World Recent Past, Current & Future Analysis forPACS by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific (excluding Japan), Latin America and Rest ofWorld Markets Independently Analyzed with Annual RevenueFigures in US$ Thousand for Years 2010 through 2018 (includescorresponding Graph/Chart) II-102

Table 6: World Historic Review 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$ Thousand for

Years 2004 through 2009 (includes corresponding Graph/Chart) II-103

Table 7: World 15-Year Perspective for PACS by GeographicRegion - Percentage Breakdown of Revenues for US, Canada,Japan, Europe, Asia-Pacific (excluding Japan), Latin Americaand Rest of World Markets for Years 2004, 2013 & 2018(includes corresponding Graph/Chart) II-104Market by Segment II-105Table 8: World Recent Past, Current & Future Analysis forPACS Hardware by Geographic Region - US, Canada, Japan,Europe, Asia-Pacific (excluding Japan), Latin America andRest of World Markets Independently Analyzed with AnnualRevenue Figures in US$ Thousand for Years 2010 through 2018(includes corresponding Graph/Chart) II-105

Table 9: 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$

Thousand for Years 2004 through 2009 (includes corresponding

Graph/Chart) II-106

Table 10: World 15-Year Perspective for PACS Hardware byGeographic Region - Percentage Breakdown of Revenues for US,Canada, Japan, Europe, Asia-Pacific (excluding Japan), LatinAmerica and Rest of World Markets for Years 2004, 2013 & 2018(includes corresponding Graph/Chart) II-107

Table 11: 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$ Thousand for Years 2010 through 2018

(includes corresponding Graph/Chart) II-108

Table 12: World Historic Review for PACS Software byGeographic Region - US, Canada, Japan, Europe, Asia-Pacific(excluding Japan), Latin America and Rest of World MarketsIndependently Analyzed with Annual Revenue Figures in US$Thousand for Years 2004 through 2009 (includes correspondingGraph/Chart) II-109

Table 13: World 15-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 2004, 2013 & 2018

(includes corresponding Graph/Chart) II-110

Table 14: World Recent Past, Current & Future Analysis forPACS Services by Geographic Region - US, Canada, Japan,Europe, Asia-Pacific (excluding Japan), Latin America andRest of World Markets Independently Analyzed with AnnualRevenue Figures in US$ Thousand for Years 2010 through 2018(includes corresponding Graph/Chart) II-111

Table 15: 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$

Thousand for Years 2004 through 2009 (includes corresponding

Graph/Chart) II-112

Table 16: World 15-Year Perspective for PACS Services byGeographic Region - Percentage Breakdown of Revenues for US,Canada, Japan, Europe, Asia-Pacific (excluding Japan), LatinAmerica and Rest of World Markets for Years 2004, 2013 & 2018(includes corresponding Graph/Chart) II-113Market by Product Type II-114Table 17: World Recent Past, Current & Future Analysis forFull Scale/Enterprise-Wide PACS by Geographic Region - US,Canada, Japan, Europe, Asia-Pacific (excluding Japan), LatinAmerica and Rest of World Markets Independently Analyzed withAnnual Revenue Figures in US$ Thousand for Years 2010 through2018 (includes corresponding Graph/Chart) II-114

Table 18: 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$ Thousand for Years 2004 through 2009

(includes corresponding Graph/Chart) II-115

Table 19: World 15-Year Perspective for Full Scale/Enterprise-Wide PACS by Geographic Region - PercentageBreakdown of Revenues for US, Canada, Japan, Europe,Asia-Pacific (excluding Japan), Latin America and Rest ofWorld Markets for Years 2004, 2013 & 2018 (includescorresponding Graph/Chart) II-116

Table 20: 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$ Thousand for Years 2010 through 2018

(includes corresponding Graph/Chart) II-117

Table 21: World Historic Review for Mini/Department- WidePACS by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific (excluding Japan), Latin America and Rest ofWorld Markets Independently Analyzed with Annual RevenueFigures in US$ Thousand for Years 2004 through 2009 (includescorresponding Graph/Chart) II-118

Table 22: World 15-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

2004, 2013 & 2018 (includes corresponding Graph/Chart) II-119

III. MARKET

1. THE UNITED STATES III-1

A.Market Analysis III-1

Outlook III-1

By Segment III-1

By Product Type III-1

Major Market Drivers III-1

Bottlenecks in the PACS Market III-2

Trends & Issues III-2

US PACS Market Stages Slow But Steady Recovery from Recession III-2

Challenges and Opportunities Abound in US RIS/PACS Industry III-3

Falling Demand for Radiology PACS Alters Vendor Dynamics III-3

PACS Vendors Keen to Woo Small Hospitals and Outpatient

Facilities III-4

Managing Affordability and Functionality - Key to Tapping

Community Hospitals PACS Market III-4

A Technology Driven Market III-4

US Cloud-Based Medical Imaging Market to Surge Ahead III-5

Table 23: 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 Graph/Chart) III-5

Player Composition in the US PACS Market III-6

An Insight into the HIPAA Act of 1996 III-6

Key Issues Addressed By the HIPAA Act of 1996 III-7

Product Launches III-7

Strategic Corporate Developments III-24

Key Players III-39

B.Market Analytics III-44

Table 24: 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 2010 through 2018 (includes corresponding

Graph/Chart) III-44

Table 25: US Historic Review for PACS by Segment - Hardware,Software and Services Markets Independently Analyzed withAnnual Revenue Figures in US$ Thousand for Years 2004through 2009 (includes corresponding Graph/Chart) III-45

Table 26: US 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-46

Table 27: US Recent Past, Current & Future Analysis for PACSby Product Type - Full Scale/ Enterprise-Wide PACS andMini/Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (includes corresponding Graph/Chart) III-47

Table 28: US 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 2004 through 2009 (includes

corresponding Graph/Chart) III-48

Table 29: US 15-Year Perspective for PACS by Product Type -Percentage Breakdown of Revenues for FullScale/Enterprise-Wide PACS and Mini/Department-Wide PACSMarkets for Years 2004, 2013 and 2018 (includescorresponding Graph/Chart) III-49

2. CANADA III-50

A.Market Analysis III-50

Outlook III-50

By Segment III-50

By Product Type III-50

Telemedicine in Canada - A Synopsis III-50

A Long Road Ahead III-50

Market Drivers III-51

Reimbursement & Licensing - A Weighty Issue III-51

Foreign Competition in the Canadian Telemedicine Industry III-51

Business Challenges III-52

A Fragmented and Passive Market III-52

Low Investments in R&D and Inadequate Infrastructure III-52

Lack of Integration within the Healthcare System III-52

Need for Education and Training III-52

Conclusion III-52

Medical Imaging Market in Canada - An Outline III-53

Product Launches III-53

Key Player III-55

B.Market Analytics III-56

Table 30: 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 2010 through 2018 (includes

corresponding Graph/Chart) III-56

Table 31: Canadian Historic Review for PACS by Segment -Hardware, Software and Services Markets IndependentlyAnalyzed with Annual Revenue Figures in US$ Thousand forYears 2004 through 2009 (includes corresponding Graph/Chart) III-57

Table 32: Canadian 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-58

Table 33: Canadian Recent Past, Current & Future Analysisfor PACS by Product Type - Full Scale/ Enterprise-Wide PACSand Mini/Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (includes corresponding Graph/Chart) III-59

Table 34: Canadian 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 2004 through 2009

(includes corresponding Graph/Chart) III-60

Table 35: Canadian 15-Year Perspective for PACS by ProductType - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department- Wide PACS Marketsfor Years 2004, 2013 and 2018 (includes correspondingGraph/Chart) III-61

3. JAPAN III-62

A.Market Analysis III-62

Outlook III-62

By Segment III-62

By Product Type III-62

Competitive Structure III-62

Table 36: Leading Vendors in the Japanese Market for PACS

(2008 & 2010) - Percentage Share Breakdown of Revenues by

Company for GE Healthcare, Fujifilm Medical, INFINITT and

Others (includes corresponding Graph/Chart) III-63

Telemedicine Projects in Japan III-63

US - The Leading Exporter to Japan III-63

Product Launch III-64

B.Market Analytics III-64

Table 37: 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 2010 through 2018 (includes

corresponding Graph/Chart) III-64

Table 38: Japanese Historic Review for PACS by Segment -Hardware, Software and Services Markets IndependentlyAnalyzed with Annual Revenue Figures in US$ Thousand forYears 2004 through 2009 (includes corresponding Graph/Chart) III-65

Table 39: Japanese 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-66

Table 40: Japanese Recent Past, Current & Future Analysisfor PACS by Product Type - Full Scale/ Enterprise-Wide PACSand Mini/Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (includes corresponding Graph/Chart) III-67

Table 41: Japanese 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 2004 through 2009

(includes corresponding Graph/Chart) III-68

Table 42: Japanese 15-Year Perspective for PACS by ProductType - Percentage Breakdown of Revenues for FullScale/Enterprise-Wide PACS and Mini/Department-Wide PACSMarkets for Years 2004, 2013 and 2018 (includescorresponding Graph/Chart) III-69

4. EUROPE III-70

A.Market Analysis III-70

Outlook III-70

By Region III-70

By Segment III-70

By Product Type III-70

Market Overview III-70

Table 43: PACS Market in Select Member Countries of

European Union (2013): Percentage Breakdown of Installed

PACS for Standalone PACS and Regional-National PACS

(includes corresponding Graph/Chart) III-71

Europe - "A Needs Driven Market" III-72

Competitive Structure III-72

Trends & Issues III-72

Market Displays Mixed Results amid Sovereign Debt Crisis III-72

Enterprise-wide and Community-wide Integration of PACS on

the Rise III-73

Demand for Third Party Healthcare IT Service Providers Rises III-73

Eastern Europe PACS Trails Western European Market III-74

European Radiology PACS Installation Continues to Rise

despite Maturity III-74

Table 44: European Radiology PACS Market by Geographic

Region (2012): Percentage Breakdown of Installed Base for

France, Germany, Italy, UK & Ireland, Spain & Portugal,

Poland, and Rest of Europe (includes corresponding

Graph/Chart) III-75

Table 45: European Radiology PACS Market Potential byGeographic Region (2012): Percentage Breakdown of Numberof Remaining Sites without PACS for France, Germany,Italy, UK & Ireland, Spain & Portugal, and Rest of Europe(includes corresponding Graph/Chart) III-75Innovation and Managed Service Vendor Models - The Recipefor Success III-75Cardiac PACS Vendors Face an Uphill Task III-76Table 46: Western European PACS Market by Product Type(2012): Percentage Breakdown of Revenues for RadiologyPACS, Cardiology PACS, Orthopedics PACS, and Others(includes corresponding Graph/Chart) III-76Penetration of PACS Increases in Europe III-77Table 47: European PACS Market by Department Analyzed byPercentage Breakdown of Annual Revenues: 2013 (includescorresponding Graph/Chart) III-77Rising Rate of Cardiovascular Diseases Boosts Demand forCardio PACS III-77RIS/PACS Integration Gains Fame III-78Telemedicine in Europe - A Synopsized Review III-78Bubbling With Life? III-78Key trends that underpin telemedicine in Europe III-79B.Market Analytics III-80Table 48: European Recent Past, Current & Future Analysisfor PACS by Geographic Region - France, Germany, Italy, UK,Spain, Russia and Rest of Europe Markets IndependentlyAnalyzed with Annual Revenue Figures in US$ Thousand forYears 2010 through 2018 (includes corresponding Graph/Chart) III-80

Table 49: 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 2004 through 2009

(includes corresponding Graph/Chart) III-81

Table 50: European 15-Year Perspective for PACS byGeographic Region - Percentage Breakdown of Revenues forFrance, Germany, Italy, UK, Spain, Russia and Rest of EuropeMarkets for Years 2004, 2013 and 2018 (includescorresponding Graph/Chart) III-82

Table 51: 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 2010 through 2018 (includes

corresponding Graph/Chart) III-83

Table 52: European Historic Review for PACS by Segment -Hardware, Software and Services Markets IndependentlyAnalyzed with Annual Revenue Figures in US$ Thousand forYears 2004 through 2009 (includes corresponding Graph/Chart) III-84

Table 53: European 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-85

Table 54: European Recent Past, Current & Future Analysisfor PACS by Product Type - Full Scale/ Enterprise-Wide PACSand Mini/Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (includes corresponding Graph/Chart) III-86

Table 55: European 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 2004 through 2009

(includes corresponding Graph/Chart) III-87

Table 56: European 15-Year Perspective for PACS by ProductType - Percentage Breakdown of Revenues for FullScale/Enterprise-Wide PACS and Mini/Department-Wide PACSMarkets for Years 2004, 2013 and 2018 (includescorresponding Graph/Chart) III-88

4a. FRANCE III-89

A.Market Analysis III-89

Market Overview III-89

Outlook III-89

By Segment III-89

By Product Type III-89

B.Market Analytics III-90

Table 57: 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 2010 through 2018 (includes corresponding

Graph/Chart) III-90

Table 58: French Historic Review for PACS by Segment -Hardware, Software and Services Markets IndependentlyAnalyzed with Annual Revenue Figures in US$ Thousand forYears 2004 through 2009 (includes corresponding Graph/Chart) III-91

Table 59: French 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-92

Table 60: French Recent Past, Current & Future Analysis forPACS by Product Type - Full Scale/ Enterprise-Wide PACS andMini/Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (includes corresponding Graph/Chart) III-93

Table 61: French 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 2004 through 2009

(includes corresponding Graph/Chart) III-94

Table 62: French 15-Year Perspective for PACS by ProductType - Percentage Breakdown of Revenues for FullScale/Enterprise-Wide PACS and Mini/Department-Wide PACSMarkets for Years 2004, 2013 and 2018 (includescorresponding Graph/Chart) III-95

4b. GERMANY III-96

A.Market Analysis III-96

Market Overview III-96

Outlook III-96

By Segment III-96

By Product Type III-96

Key Player III-97

B.Market Analytics III-98

Table 63: 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 2010 through 2018 (includes corresponding

Graph/Chart) III-98

Table 64: German Historic Review for PACS by Segment -Hardware, Software and Services Markets IndependentlyAnalyzed with Annual Revenue Figures in US$ Thousand forYears 2004 through 2009 (includes corresponding Graph/Chart) III-99

Table 65: German 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-100

Table 66: German Recent Past, Current & Future Analysis forPACS by Product Type - Full Scale/Enterprise-Wide PACS andMini/ Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (includes corresponding Graph/Chart) III-101

Table 67: German 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 2004 through 2009

(includes corresponding Graph/Chart) III-102

Table 68: German 15-Year Perspective for PACS by ProductType - Percentage Breakdown of Revenues for FullScale/Enterprise-Wide PACS and Mini/Department-Wide PACSMarkets for Years 2004, 2013 and 2018 (includescorresponding Graph/Chart) III-103

4c. ITALY III-104

A.Market Analysis III-104

Market Overview III-104

Outlook III-104

By Segment III-104

By Product Type III-104

Strategic Corporate Development III-105

B.Market Analytics III-106

Table 69: 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 2010 through 2018 (includes corresponding

Graph/Chart) III-106

Table 70: Italian Historic Review for PACS by Segment -Hardware, Software and Services Markets IndependentlyAnalyzed with Annual Revenue Figures in US$ Thousand forYears 2004 through 2009 (includes corresponding Graph/Chart) III-107

Table 71: Italian 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-108

Table 72: Italian Recent Past, Current & Future Analysis forPACS by Product Type - Full Scale/Enterprise-Wide PACS andMini/ Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (includes corresponding Graph/Chart) III-109

Table 73: Italian 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 2004 through 2009

(includes corresponding Graph/Chart) III-110

Table 74: Italian 15-Year Perspective for PACS by ProductType - Percentage Breakdown of Revenues for Full Scale/Enterprise-Wide PACS and Mini/Department- Wide PACS Marketsfor Years 2004, 2013 and 2018 (includes correspondingGraph/Chart) III-111

4d. THE UNITED KINGDOM III-112

A.Market Analysis III-112

Market Overview III-112

Outlook III-112

By Segment III-112

By Product Type III-112

Health and Social Care Act to Impact PACS Purchase and

Implementation Modalities III-113

Implications of HSCA on Trust PACS Purchase and Implementation III-113

National PACS Contract Expiry Dates by Region III-113

HSCA Opens Up Market for New Entrants III-114

Information lifecycle management - An Emerging Concern for

Healthcare Institutions III-114

Strategic Corporate Developments III-115

Key Player III-117

B.Market Analytics III-118

Table 75: 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 2010 through 2018 (includes corresponding

Graph/Chart) III-118

Table 76: UK Historic Review for PACS by Segment - Hardware,Software and Services Markets Independently Analyzed withAnnual Revenue Figures in US$ Thousand for Years 2004through 2009 (includes corresponding Graph/Chart) III-119

Table 77: UK 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-120

Table 78: UK Recent Past, Current & Future Analysis for PACSby Product Type - Full Scale/ Enterprise-Wide PACS andMini/Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (includes corresponding Graph/Chart) III-121

Table 79: UK 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 2004 through 2009 (includes

corresponding Graph/Chart) III-122

Table 80: UK 15-Year Perspective for PACS by Product Type -Percentage Breakdown of Revenues for FullScale/Enterprise-Wide PACS and Mini/Department-Wide PACSMarkets for Years 2004, 2013 and 2018 (includescorresponding Graph/Chart) III-123

4e. SPAIN III-124

A.Market Analysis III-124

Outlook III-124

By Segment III-124

By Product Type III-124

B.Market Analytics III-125

Table 81: 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 2010 through 2018 (includes corresponding

Graph/Chart) III-125

Table 82: Spanish Historic Review for PACS by Segment -Hardware, Software and Services Markets IndependentlyAnalyzed with Annual Revenue Figures in US$ Thousand forYears 2004 through 2009 (includes corresponding Graph/Chart) III-126

Table 83: Spanish 15-Year Perspective for PACS by Segment -

Percentage Breakdown of Revenues for Hardware, Software and

Services Markets for Years 2004, 2013 and 2018 (includes

corresponding Graph/Chart) III-127

Table 84: Spanish Recent Past, Current & Future Analysis forPACS by Product Type - Full Scale/ Enterprise-Wide PACS andMini/Department-Wide PACS Markets Independently Analyzedwith Annual Revenue Figures in US$ Thousand for Years 2010through 2018 (inc

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