Global Picture Archiving and Communication Systems (PACS) Industry

Aug 06, 2015, 16:05 ET from ReportBuyer

LONDON, Aug. 6, 2015 /PRNewswire/ -- 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 2020. 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

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I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

Study Reliability and Reporting Limitations I-1
Disclaimers I-2
Data Interpretation & Reporting Level I-2
Quantitative Techniques & Analytics I-3
Product Definitions and Scope of Study I-3
Full Scale/Enterprise Wide PACS I-3
Mini/Department Wide PACS I-3


II. EXECUTIVE SUMMARY

1. INDUSTRY OVERVIEW II-1
A Prelude II-1
Factors Driving the Growth of the Worldwide PACS Market II-2
Outlook II-3
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-4
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-6
Government Support Aids Growth of PACS Solutions II-6
Ageing Population Drives PACS Market Growth II-6
Technological Advancements Fuel Demand for Replacement Systems II-7
Small Scale Healthcare Institutions to Sustain Growth in
Developed Markets II-7
High Costs Impact PACS Purchases II-7
Radiology PACS Market Matures, Focus Shifts to Non-Radiology
Departments II-8
Table 1: Penetration of Radiology PACS in the World Radiology
Market for the Years 2011, 2013 & 2015 (includes
corresponding Graph/Chart) II-9
Need for Radiology and Cardiology PACS Unification Prevails II-9
User Demand Favors Integrated RIS/PACS Solutions II-10
RIS/PACS Integration Challenges II-10
3D Capabilities Revolutionize PACS II-10
Economic Crisis Accelerates Growth of Managed Service PACS Market II-11
Various Phases and Delivery Models of Managed Service for PACS II-12
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 Graph/Chart) II-12
PACS - Evolution, Issues and Innovations in Brief II-13
Web-Developed PACS - The New Frontier in Evolution II-13
Vendor Neutral Archiving Takes Over Storage Functionality of PACS II-14
The Versatility of VNAs II-14
VNA Addresses DICOM Issues with PACS II-15
Cloud-Based PACS - the Next Phase in the Evolution of PACS II-15
Benefits offered by Cloud-Based PACS II-15
Cloud Systems vs. Client-Server Systems II-16
Mobile PACS Overcomes Roadblocks and Gains Traction II-16
Benefits of Mobilizing PACS II-17
Third-party Middleware Offerings to Make Inroads into
Enterprise PACS Market II-17

3. COMPETITIVE LANDSCAPE II-18
Overview II-18
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 Graph/Chart) II-18
Brief Overview of Select PACS on the Market II-18
Centricity PACS (GE Healthcare) II-18
Impax PACS (Agfa) II-19
INFINITT PACS (INFINITT Healthcare) II-19
Merge PACS (Merge Healthcare) II-19
Synapse PACS (FujiFilm) II-20
Syngo PACS (Siemens Healthcare) II-20
Unity-SC PAC (DR Systems) II-20
Vue PACS (Carestream Health) II-20

4. PRODUCT OVERVIEW II-21
PACS - A Landmark in the Field of Radiology II-21
Evolution of PACS II-22
DICOM Mantra II-22
Fundamental Structure of PACS II-23
Image Acquisition Devices II-24
Host Computer II-24
Image-Archiving Devices II-24
Display Stations II-24
Networks and Interface II-24
Different Types of Networks II-24
Networks also differ by the geographical area they serve like II-25
A Working Model of PACS II-25
PACS Software II-25
Hardware II-26
Services II-26
HIS/RIS/PACS Integration- A Fundamental Aspect of PACS
Integration II-26
Need for HIS/RIS Interface II-27
Parallel PACS II-27 PACS - A Cost Effective System II-28
Infrastructural Prerequisites Needed to Effectively Support PACS II-28
PACS Workflow Optimization - A Detailed Review of the Process II-28
Synopsized Review of the Economic Advantages and Benefits of
Optimized Workflow II-29
Economic Effects II-29
Working procedure II-29
Personnel II-30
Ecological Aspects II-30
Successful Implementation of PACS - "Playing by the Rules" II-30
Detailed Pre-Planning II-30
Parties to Decision Making II-30
Deciding Upon the Type of Network Infrastructure & Related
Technologies II-30
The Vital Choice Between Turnkey, In House and Best of Breed
PACS Solutions II-31
The Use of Protocols II-31
The Choice of Archiving Servers II-31
Choice of Monitors II-31
The All Important Issue of HIS/RIS/PACS Integration II-32
Understanding the Importance of VIEPR II-32
Confronting Issues of Privacy and Security II-32
ASP PACS II-32
Perceptive Insight into the Correlation between PACS &
Telemedicine II-32
Benefits of PACS II-32
Drawbacks of PACS II-33
Role of PACS in Shaping an Integrated Image Management System II-34
ASP-An Attractive Option to Handle Image Storage II-34
PACS Assessment II-35
For Integration II-35
For Archive II-36
The system should enable.. II-36
For Workstation II-36
The system should.. II-36
PACS in the Future II-36
Digital Archives: Electronic Storage of Digital Images II-36
Digital PACS II-37
Full PACS: A Filmless Diagnostic System II-37
Image Distribution Network: Retrieves Images and Reports II-37
Imaging Workstations: Instant Access to Medical Records II-37
Mini PACS: Serving An Exclusive Facility II-37
Printer Networks II-37
Remote Archives II-38
Internet - Playing a Major Role in PACS II-38
PACS - A Viable Solution for Digital Mammography Images II-38

5. INDUSTRY SCENARIO II-39
Technology Infrastructure of Next Generation Healthcare
Delivery Systems II-39
Telemedicine Enters the Lexicon of Medical World II-40
Electronic Health Record System II-41
Dynamics of Imaging & Its Growing Relevance in the Hospital II-41

6. ANALYSIS OF PURCHASING PATTERNS II-43
Dynamics of Purchasing Behavior - A Review II-43
Pivotal Issues that Confront Open Systems II-43
Manufacturers Exhibit Reluctance to Open Up Their Systems II-43
Compliance with DICOM Standards II-44
Inefficient System Integration among Vendors II-44
Regulatory Shackles II-44
Lack of Widespread Knowledge about the Extent of DICOM
Compatibility II-44
Purchasing Patterns that Drive Sales of PACS II-44
Needs Assessment II-45
DICOM Conformance Requirements II-45
RFP Generation II-46
Acceptance and Turnover Section II-46
Vendor Responses II-46
Steps for efficient evaluation of vendor responses: II-46
Installation, Training and Turnover II-47

7. PRODUCT INTRODUCTIONS/INNOVATIONS II-48
Viztek Adds New Features to Exa PACS Platform II-48
Heidelberg Engineering Launches Ophthalmic PACS II-48
Carestream to Launch New Capabilities for Vue PACS II-48
aycan and medQ Launch Fully Integrated RIS/PACS solution II-48
Aspyra Releases PACS Version 6.9.1 II-48
RamSoft Launches PowerServer RIS/PACS/PM II-48
Paxeramed Launches PaxeraDental PACS II-49
Viztek Launches Platform X II-49
Telemis Releases Version 4.5 of Telemis-Medical PACS Software II-49
ClearCanvas Introduces Cleome II-49
PANANOMICS Develops Speed&Safe II-49
NDSsi Introduces DomeAccess II-49
Heart IT Introduces WebPAX PACS and Universal Viewer 8 II-49
Medical Insight Launches EasyViz's New Enterprise PACS and
Imaging Features II-50
Intelerad Adds New Products to Nuage Range of Cloud-Enabled
Solutions II-50
Shina Releases 3DI PACS Solution II-50
GE Receives FDA Approval for Xeleris Software II-50
Intermountain Develops Enterprise-Wide Vendor-Neutral Archive II-50
Digisonics Unveils Structured Reporting Solutions and
Enterprise PACS II-50
TMSI Introduces Medical Imaging Software Range under TouchPACS II-50
Avreo Unveils interWORKS Version 7.4 PACS for Preview II-50
Canon Marketing Set to Rollout Company's PRIMITUS PACS II-51
Medstreaming Introduces Web-Based Analytics Module for its
Integrated Platform II-51
Merge Unveils New Version of Eye Care PACS Solutions II-51
Carestream Introduces New 3-D Lesion Management Tools on PACS
Workstation II-51
Telemis Unveils Cloud Data Storage Service for PACS II-51
Novarad Launches NovaPACS Express II-51
ClearCanvas Launches Team Edition of Company's RIS/PACS Portfolio II-51
Kallo Launches Cost-effective PACS/RIS System II-51
Merge Healthcare Launches Merge OrthoPACS II-52
ScImage Launches Cloud-Enabled Back-Up Services for New PACS
Installations II-52
Meddiff Unveils Enterprise InstaPACS II-52

8. RECENT INDUSTRY ACTIVITY II-53
Cerner Acquires Siemens Health Services II-53
Carestream's PACS Obtains US Navy Certification II-53
Merge Inks Deal with Primordial Design for Upgrades to PACS
System II-53
Merge Partners with Cisco to Expand PACS to Jordan II-53
Brit Systems Acquired by Imaging Advantage II-53
Ascendian to Team Up with PACSMan for Developing Advanced PACS
Solution II-53
Sinai Health System Selects Merge for PACS II-54
Telemis Updates PACS in Ten Italian Sites II-54
MedBridge Healthcare Takes Over Precision Diagnostic Systems II-54
DMH International Takes Over TMSI II-54
NFL Inks Deal with INFINITT for On-Demand Access to Medical
Images of Players II-54
Barts Health and Sectra Ink Contract for Vendor Neutral
Archive and PACS II-54
RamSoft Joins Hands with DatumMedics for Distribution of
Customizable Radiology IT Solutions II-54
DeepWell Archival Services and Keystone Medical Technologies
Ink Partnership Agreement II-55
Novation Inks Agreement with Carestream II-55
Deepwell Archival Services Secures Contract with MRI of America II-55
VidiStar and GMI Enter into Partnership II-55
CCOC Announces Purchase of Digital Radiology Systems from
Carestream II-55
Avreo Enters into Partnership with Spyglass Capital II-55
MDH Radiology Inks Contract with Sectra II-55
DeepWell Archival Services Inks Integration Partnership
Agreement with DR Systems II-56
Agfa HealthCare Signs Agreement with Meander Medical Center II-56
Avreo Signs Partnership and Licensing Agreement with VidiStar II-56
Spire Healthcare Employs CARESTREAM Vue for Cloud Services II-56
BRIT Systems Selects HIPAA-Compliant Cloud Computing Platform
of ClearDATA Networks II-56
Blekinge County Council Inks Contract with Sectra II-56
Sectra Inks Distribution Contract with Answer Medical Solutions II-56
Sectra Receives Contract from Whittington Health NHS Trust for
Medical Imaging IT Systems II-56
Sectra Inks Contract with Region Skåne II-57
NHS Scotland Inks Agreement with Carestream Health for
Mammography PACS II-57
Sectra Receives Contract from SWASH Trust Consortium II-57
INFINITT Healthcare and Telecomunicacion y Equipos Sign
Distribution Agreement II-57
Royal Philips Electronics Joins Forces with Nuvodia to Market
Philips PACS II-57
7 Medical Systems Takes Over Manager Systems II-57
Canon Takes Over Delft DI II-57
DeJarnette Signs Agreement with DeepWell Archival Services II-58
Acuo Technologies Receives Contract from Defense Logistics
Agency for VNA Solution II-58
Sectra Inks Agreement with Healthcare Providers for Hosted
Community PACS in Washington II-58
Nuance Communications Inks Reseller Agreement with Intelerad
Medical Systems II-58
INFINITT Healthcare Receives Contract from CHOSUN University
Hospital II-58
INFINITT Healthcare Secures Contract from Seoul National
University Hospital II-58
Hitachi Data Systems to Name Pixcelldata as Technology
Alliance Partner II-58
GE Healthcare Signs Agreement with Core Sound Imaging to
Distribute Studycast II-59
Sisoft Integrates Fovia's HDVR in to its PACS Offerings II-59
Sectra Signs a Contract with 4 Medical Care Providers to
Supply PACS II-59
Shrewsbury and Telford Extends Agreement with Agfa HealthCare II-59
Texas Regional Medical Center Deploys VNA and Cloud Storage
Solution of Iron Mountain II-59
Omaha Imaging Selects Avreo RIS/PACS II-59
Sectra and Merge Healthcare Ink Agreement II-59
JMI Equity Invests in Capsule Technologie II-60
Sectra Inks a Deal with Matakina II-60
Sectra and MRS Enter into Agreement II-60
Sectra Inks a Distribution Agreement with MagView II-60
Sectra Enters Into a Distribution Agreement with PenRad II-60
Capital X-Ray Inks an Agreement with CoActiv Medical II-60
Connect Imaging Enters into an Agreement with Tech-Time II-60

9. FOCUS ON SELECT PLAYERS II-61
Agfa Healthcare NV (Belgium) II-61
Aspyra LLC (US) II-61
BRIT Systems Inc. (US) II-62
Carestream Health, Inc. (US) II-62
Cerner Corporation (US) II-63
DR Systems Inc. (US) II-63
Fujifilm Medical Systems U.S.A., Inc. (US) II-64
GE Healthcare (UK) II-65
INFINITT Healthcare Co., Ltd. (South Korea) II-66
Intelerad Medical Systems, Inc. (Canada) II-66
McKesson Corporation (US) II-67
Merge Healthcare, Inc. (US) II-67
Philips Healthcare (The Netherlands) II-68
Rogan-delft B.V. (The Netherlands) II-69
Sectra AB (Sweden) II-69
Siemens Healthcare (Germany) II-70

10. GLOBAL MARKET PERSPECTIVE II-71
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
Graph/Chart) II-71

Table 5: 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$ Million for Years 2007
through 2013 (includes corresponding Graph/Chart) II-72

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 Graph/Chart) II-73
Market by Segment II-74
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 Graph/Chart) II-74

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 Graph/Chart) II-75

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 Graph/Chart) II-76

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 Graph/Chart) II-77

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
Graph/Chart) II-78

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 Graph/Chart) II-79

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 Graph/Chart) II-80

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
Graph/Chart) II-81

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 Graph/Chart) II-82
Market by Product Type II-83
Table 16: World Recent Past, Current & Future Analysis 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 2014 through
2020 (includes corresponding Graph/Chart) II-83

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 Graph/Chart) II-84

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 Graph/Chart) II-85

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 Graph/Chart) II-86

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
Graph/Chart) II-87

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 Graph/Chart) II-88


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
Challenges and Opportunities Abound in US RIS/PACS Industry III-2
Additional Functionality Drives Demand for PACS Replacement III-2
Slowing Demand for Radiology PACS Alters Vendor Dynamics III-3
PACS Vendors Keen to Woo Small Hospitals and Outpatient
Facilities III-3
Managing Affordability and Functionality - Key to Tapping
Community Hospitals PACS Market III-3
A Technology Driven Market III-4
VNAs or PACS-based Archiving- The Present State in the US III-4
Cloud-Based Medical Imaging Market to Surge Ahead III-4
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 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-6
Product Launches III-7
Strategic Corporate Developments III-10
Key Players III-15
B.Market Analytics III-20
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
Graph/Chart) III-20

Table 24: US 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 Graph/Chart) III-21

Table 25: US 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 Graph/Chart) III-22

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-23

Table 27: 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 2007 through 2013 (includes
corresponding Graph/Chart) III-24

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 Graph/Chart) III-25

2. CANADA III-26
A.Market Analysis III-26
Outlook III-26
By Segment III-26
By Product Type III-26
Telemedicine in Canada - A Synopsis III-26
A Long Road Ahead III-26
Market Drivers III-27
Reimbursement & Licensing - A Weighty Issue III-27
Foreign Competition in the Canadian Telemedicine Industry III-27
Business Challenges III-28
A Fragmented and Passive Market III-28
Low Investments in R&D and Inadequate Infrastructure III-28
Lack of Integration within the Healthcare System III-28
Need for Education and Training III-28
Conclusion III-28
Medical Imaging Market in Canada - An Outline III-29
Product Launches III-29
Intelerad Medical Systems, Inc. - A Key Canada-Based Player III-29
B.Market Analytics III-30
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 Graph/Chart) III-30

Table 30: Canadian 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 Graph/Chart) III-31

Table 31: Canadian 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 Graph/Chart) III-32

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-33

Table 33: 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 2007 through 2013
(includes corresponding Graph/Chart) III-34

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 Graph/Chart) III-35

3. JAPAN III-36
A.Market Analysis III-36
Outlook III-36
By Segment III-36
By Product Type III-36
Competitive Structure III-36
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 Graph/Chart) III-36
Telemedicine Projects in Japan III-37
US - The Leading Exporter to Japan III-37
Product Launch III-37
B.Market Analytics III-38
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 Graph/Chart) III-38

Table 37: Japanese 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 Graph/Chart) III-39

Table 38: Japanese 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 Graph/Chart) III-40

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-41

Table 40: 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 2007 through 2013
(includes corresponding Graph/Chart) III-42

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 Graph/Chart) III-43

4. EUROPE III-44
A.Market Analysis III-44
Outlook III-44
By Region III-44
By Segment III-44
By Product Type III-44
Market Overview III-44
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 Graph/Chart) III-45
Europe - "A Needs Driven Market" III-46
Competitive Structure III-46
Trends & Issues III-46
Managed PACS and VNA Services to Gain Significance III-46
Market Displays Mixed Results amid Sovereign Debt Crisis III-47
Enterprise-wide and Community-wide Integration of PACS on
the Rise III-47
Demand for Third Party Healthcare IT Service Providers Rises III-48
Eastern Europe PACS Trails Western European Market III-48
European Radiology PACS Installation Continues to Rise
despite Maturity III-48
Innovation and Managed Service Vendor Models - The Recipe
for Success III-49
Cardiac PACS Vendors Face an Uphill Task III-50
Penetration of PACS Increases in Europe III-50
Table 43: European PACS Market by Department Analyzed by
Percentage Breakdown of Annual Revenues: 2014 (includes
corresponding Graph/Chart) III-50
Increasing Rate of Cardiovascular Diseases Boosts Demand
for Cardio PACS III-51
RIS/PACS Integration Gains Fame III-51
Telemedicine in Europe - A Synopsized Review III-51
Bubbling With Life? III-51
Key trends that underpin telemedicine in Europe III-52
B.Market Analytics III-53
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 Revenue Figures in US$ Thousand for
Years 2014 through 2020 (includes corresponding Graph/Chart) III-53

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 Graph/Chart) III-54

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 Graph/Chart) III-55

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 Graph/Chart) III-56

Table 48: European 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 Graph/Chart) III-57

Table 49: European 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 Graph/Chart) III-58

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 Annual Revenue Figures in US$ Thousand for
Years 2014 through 2020 (includes corresponding Graph/Chart) III-59

Table 51: 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 2007 through 2013
(includes corresponding Graph/Chart) III-60

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 Graph/Chart) III-61

4a. FRANCE III-62
A.Market Analysis III-62
Market Overview III-62
Outlook III-62
By Segment III-62
By Product Type III-62
B.Market Analytics III-63
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
Graph/Chart) III-63

Table 54: French 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 Graph/Chart) III-64

Table 55: French 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 Graph/Chart) III-65

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-66

Table 57: 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 2007 through 2013
(includes corresponding Graph/Chart) III-67

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 Graph/Chart) III-68

4b. GERMANY III-69
A.Market Analysis III-69
Market Overview III-69
Outlook III-69
By Segment III-69
By Product Type III-69
Siemens Healthcare - A Major PACS Player III-70
B.Market Analytics III-71
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
Graph/Chart) III-71

Table 60: German 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 Graph/Chart) III-72

Table 61: German 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 Graph/Chart) III-73

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-74

Table 63: 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 2007 through 2013
(includes corresponding Graph/Chart) III-75

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 Graph/Chart) III-76

4c. ITALY III-77
A.Market Analysis III-77
Market Overview III-77
Outlook III-77
By Segment III-77
By Product Type III-77
Strategic Corporate Development III-78
B.Market Analytics III-78
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
Graph/Chart) III-78

Table 66: Italian 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 Graph/Chart) III-79

Table 67: Italian 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 Graph/Chart) III-80

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-81

Table 69: 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 2007 through 2013
(includes corresponding Graph/Chart) III-82

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 Graph/Chart) III-83

4d. THE UNITED KINGDOM III-84
A.Market Analysis III-84
Market Overview III-84
Outlook III-84
By Segment III-84
By Product Type III-84
Health and Social Care Act to Impact PACS Purchase and
Implementation Modalities III-85
Implications of HSCA on Trust PACS Purchase and Implementation III-85
National PACS Contract Expiry Dates by Region III-85
HSCA Opens Up Market for New Entrants III-86
Information lifecycle management - An Emerging Concern for
Healthcare Institutions III-86
Strategic Corporate Developments III-87
Ge Healthcare - A Key Player III-87
B.Market Analytics III-89
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
Graph/Chart) III-89

Table 72: UK 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 Graph/Chart) III-90

Table 73: UK 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 Graph/Chart) III-91

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-92

Table 75: 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 2007 through 2013 (includes
corresponding Graph/Chart) III-93

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 Graph/Chart) III-94

4e. SPAIN III-95
A.Market Analysis III-95
Outlook III-95
By Segment III-95
By Product Type III-95
B.Market Analytics III-96
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
Graph/Chart) III-96

Table 78: Spanish 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 Graph/Chart) III-97

Table 79: Spanish 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 Graph/Chart) III-98

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-99

Table 81: Spanish 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 Graph/Chart) III-100

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 Graph/Chart) III-101

4f. RUSSIA III-102
A.Market Analysis III-102
Outlook III-102
By Segment III-102
By Product Type III-102
B.Market Analytics III-103
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
Graph/Chart) III-103

Table 84: Russian 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 Graph/Chart) III-104

Table 85: Russian 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 Graph/Chart) III-105

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 Annual Revenue Figures in US$ Thousand for Years 2014
through 2020 (includes corresponding Graph/Chart) III-106

Table 87: Russian 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 Graph/Chart) III-107

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 Graph/Chart) III-108

4g. REST OF EUROPE III-109
A.Market Analysis III-109
Outlook III-109
By Segment III-109
By Product Type III-109
Market Overview of Scandinavian Countries III-109
Product Launches III-110
Strategic Corporate Developments III-110
Key Players III-111
B.Market Analytics III-114
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 Graph/Chart) III-114

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 Graph/Chart) III-115

Table 91: Rest of Europe 14-Year Perspective for PACS by
Segment - Percentage Breakdown of Revenues for Hardware,

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