Global Picture Archiving and Communication Systems (PACS) Industry

LONDON, July 17, 2014 /PRNewswire/ -- Reportbuyer.com has added a new market research report:

Global Picture Archiving and Communication Systems (PACS) Industry

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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 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
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-5
Government Support Aids Growth of PACS Solutions II-5
Ageing Population Drives PACS Market Growth II-5
Technological Advancements Fuel Demand for Replacement Systems II-6
PACS Replacement and Increasing Adoption in Small Scale
Healthcare Institutions to Sustain Growth in Developed
Markets II-6
Table 1: Comparison of PACS New Purchases Vs. Replacement
Purchases (2002 through 2010) (includes corresponding
Graph/Chart) II-7
High Costs Impact PACS Purchases II-7
Radiology PACS Market Matures, Focus Shifts to Non-Radiology
Departments II-8
Table 2: Percentage Breakdown of Global Installed Base and
Remnant Base of Radiology PACS: 2011, 2013 & 2015 (includes
corresponding Graph/Chart) II-8
Need for Radiology and Cardiology PACS Unification Prevails II-9
User Demand Favors Integrated RIS/PACS Solutions II-9
RIS/PACS Integration Challenges II-9
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-11
Table 3: North American Radiology PACS Market by Type (2012):
Percentage Breakdown of Sales/ Service Revenues for
Conventional PACS, Remote Managed PACS, Onsite SaaS-based
PACS, Hosted PACS and Offsite SaaS-based PACS (includes
corresponding Graph/Chart) II-12
Vendor Neutral Archiving Takes Over Storage Functionality of PACS II-12
Cloud-Based PACS - the Next Phase in the Evolution of PACS II-12
Benefits offered by Cloud-Based PACS II-13
Cloud Systems vs. Client-Server Systems II-13
Mobile PACS Overcomes Roadblocks and Gains Traction II-13
Benefits of Mobilizing PACS II-14
Third-party Middleware Offerings to Make Inroads into
Enterprise 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-17
PACS - A Landmark in the Field of Radiology II-17
Evolution of PACS II-18
DICOM Mantra II-18
Fundamental Structure of PACS II-19
Image Acquisition Devices II-20
Host Computer II-20
Image-Archiving Devices II-20
Display Stations II-20
Networks and Interface II-20
Different Types of Networks II-20
Networks also differ by the geographical area they serve like II-21
A Working Model of PACS II-21
PACS Software II-21
Hardware II-22
Services II-22
HIS/RIS/PACS Integration- A Fundamental Aspect of PACS
Integration II-22
Need for HIS/RIS Interface II-23
X-Ray Storage and Retrieval - "Now a Stress Free Task" II-23
PACS - A Cost Effective System II-24
Infrastructural Prerequisites Needed to Effectively Support PACS II-24
PACS Workflow Optimization - A Detailed Review of the Process II-25
Synopsized Review of the Economic Advantages and Benefits of
Optimized Workflow II-26
Economic Effects II-26
Working procedure II-26
Personnel II-26
Ecological Aspects II-26
Successful Implementation of PACS - "Playing by the Rules" II-26
1. Detailed Pre-Planning II-26
2. Parties to Decision Making II-27
3. Deciding Upon the Type of Network Infrastructure & Related
Technologies II-27
4. The Vital Choice Between Turnkey, In House and Best of
Breed PACS Solutions II-27
5. The Use of Protocols II-27
6. The Choice of Archiving Servers II-27
7. Choice of Monitors II-28
8. The All Important Issue of HIS/RIS/PACS Integration II-28
9. Understanding the Importance of VIEPR II-28
10. Confronting Issues of Privacy and Security II-28
11. ASP PACS II-28
12. Perceptive Insight into the Correlation between PACS &
Telemedicine II-28
Benefits of PACS II-29
Drawbacks of PACS II-29
Role of PACS in Shaping an Integrated Image Management System II-30
ASP-An Attractive Option to Handle Image Storage II-30
PACS Assessment II-32
For Integration II-32
For Archive II-32
For Workstation II-32
PACS in the Future II-32
Digital Archives: Electronic Storage of Digital Images II-33
Digital PACS II-33
Full PACS: A Filmless Diagnostic System II-33
Image Distribution Network: Retrieves Images and Reports II-33
Imaging Workstations: Instant Access to Medical Records II-34
Mini PACS: Serving An Exclusive Facility II-34
Printer Networks II-34
Remote Archives II-34
Internet - Playing a Major Role in PACS II-34
PACS - 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-40
Dynamics of Purchasing Behavior - A Review II-40
Pivotal Issues that Confront Open Systems II-40
Manufacturers Exhibit Reluctance to Open Up Their Systems II-40
Compliance with DICOM Standards II-41
Inefficient System Integration among Vendors II-41
Regulatory Shackles II-41
Lack of Widespread Knowledge about the Extent of DICOM
Compatibility II-41
Purchasing Patterns that Drive Sales of PACS II-41
Needs Assessment II-42
DICOM Conformance Requirements II-42
RFP Generation II-43
Acceptance and Turnover Section II-43
Vendor Responses II-44
Steps for efficient evaluation of vendor responses: II-44
Installation, 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-69
Lexmark International Takes Over PACSGEAR II-69
MedBridge Healthcare Takes Over Precision Diagnostic Systems II-69
DMH International Takes Over TMSI II-69
NFL Inks Agreement with INFINITT for On-Demand Access to
Medical Images of Players II-69
Barts Health and Sectra Ink Contract for Vendor Neutral
Archive and PACS II-70
RamSoft Announces Partnership with DatumMedics for
Distribution of Customizable Radiology IT Solutions II-70
DeepWell Archival Services and Keystone Medical Technologies
Ink Partnership Agreement II-70
Novation Inks Agreement with Carestream II-71
Deepwell Archival Services Secures Contract with MRI of America II-71
VidiStar and GMI Enter into Partnership II-71
CCOC Announces Purchase of Digital Radiology Systems from
Carestream II-72
Avreo Enters into Partnership with Spyglass Capital II-72
MDH Radiology Inks Contract with Sectra II-72
DeepWell Archival Services Inks Integration Partnership
Agreement with DR Systems II-73
Agfa HealthCare Signs Agreement with Meander Medical Center II-73
Avreo Signs Partnership and Licensing Agreement with VidiStar II-73
Spire Healthcare Employs CARESTREAM Vue for Cloud Services II-73
Sorna Signs Agreement with RADinfo SYSTEMS II-74
BRIT Systems Selects HIPAA-Compliant Cloud Computing Platform
of ClearDATA Networks II-74
Blekinge County Council Inks Contract with Sectra II-74
Sectra Inks Distribution Contract with Answer Medical Solutions II-74
Sectra Receives Contract from Whittington Health NHS Trust for
Medical Imaging IT Systems II-75
Sectra Inks Contract with Region Skåne II-75
NHS Scotland Inks Agreement with Carestream Health for
Mammography PACS II-75
Sectra Receives Contract from SWASH Trust Consortium II-76
INFINITT Healthcare and Telecomunicacion y Equipos Sign
Distribution Agreement II-76
Royal Philips Electronics Joins Forces with Nuvodia to Market
Philips PACS II-76
7 Medical Systems Takes Over Manager Systems II-77
3DISC Imaging Takes Over CoreWare II-77
Canon Takes Over Delft DI II-78
Mindray Medical International Inks Agreement to Acquire
Controlling Stake in Greenlander II-78
DeJarnette Research Systems Signs Integration Partnership
Agreement with DeepWell Archival Services II-78
Acuo Technologies Receives Contract from Defense Logistics
Agency for VNA Solution II-79
Västerbotten County Council Employ SyMRI Software Integrated
with Sectra PACS II-79
Sectra Inks Agreement with Healthcare Providers for Hosted
Community PACS in Washington II-79
Nashville General Hospital Selects Integrated Radiology IT
Solutions of Sectra II-79
Nuance Communications Inks Reseller Agreement with Intelerad
Medical Systems II-80
INFINITT Healthcare Receives Contract from CHOSUN University
Hospital II-80
INFINITT Healthcare Secures Contract from Seoul National
University Hospital II-80
Hitachi Data Systems to Name Pixcelldata as Technology
Alliance Partner II-81
GE Healthcare Signs an Agreement with Core Sound Imaging to
Distribute Studycast II-81
Sisoft Teams Up with Fovia to Market HDVR Solution II-81
Sectra Signs a Contract with 4 Medical Care Providers to
Supply PACS II-82
Shrewsbury and Telford Extends Agreement with Agfa HealthCare II-82
Texas Regional Medical Center Deploys VNA and Cloud Storage
Solution of Iron Mountain II-82
Omaha Imaging Selects Avreo RIS/PACS II-83
Sectra and Merge Healthcare Ink Agreement II-83
JMI Equity Invests in Capsule Technologie II-84
Sectra Inks a Deal with Matakina II-84
Sectra and MRS Enter into Agreement II-84
Sectra Inks a Distribution Agreement with MagView II-85
Sectra Enters Into a Distribution Agreement with PenRad II-85
Capital X-Ray Inks an Agreement with CoActiv Medical II-85
Connect Imaging Enters into an Agreement with Tech-Time II-86
Telemis Snaps Up Micromedica II-86
Orion Health to Acquire Hospital Information System Assets of
Microsoft II-86
RadNet and Pioneers Memorial Sign Series of Agreements II-87
PACSHealth Signs Agreement with Mach 7 Technologies II-87
Microsoft Collaborates with Royal Philips Electronics II-87
INFINITT Healthcare Signs Three-year Contract Extension with NUTH II-87
Sectra and University Hospitals Enter into Agreement for
Medical Imaging Research II-88
Sectra Secures Contracts for Radiology IT Solutions from Gelre
Ziekenhuizen Hospital II-88
Carestream Health Wins Order for CARESTREAM Vue Cloud Services
from Algemeen Stedelijk Ziekenhuis Hospital II-88
Sectra Obtains Contracts for Radiology IT Solutions from St.
Elisabeth Hospital and Elkerliek Ziekenhuis II-89
Sectra and Electromek Diagnostic Systems Extend PACS/RIS
Distribution Partnership II-89
Sectra Inks Distribution Agreement with McBrothers II-89
Carestream Health Enters into Marketing Contract with PenRad
Technologies II-89
Sectra Obtains Order for Sectra PACS from Zuwe Hofpoort
Ziekenhuis II-90
Carestream Health Wins Order for Cloud-Based Radiology
Services from Winthrop-University Hospital II-90
Brit Systems Chooses High Definition Volume Rendering®
Technology of Fovia Medical II-91
CoActiv Medical Enters into Distribution Partnership with
Biomedical Equipment II-91
DeepWell Archival Services Signs Agreement with Telepaxx
Medical Archiving II-92
McKesson 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-102
Market by Region II-102
Table 5: 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$ Thousand for Years 2010 through 2018 (includes
corresponding 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 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-104
Market by Segment II-105
Table 8: 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$ 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 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-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 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-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 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 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 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-113
Market by Product Type II-114
Table 17: 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$ Thousand for Years 2010 through
2018 (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 - 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-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- 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-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 with
Annual Revenue Figures in US$ Thousand for Years 2004
through 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 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 2010
through 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 Full
Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS
Markets for Years 2004, 2013 and 2018 (includes
corresponding 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 Independently
Analyzed with Annual Revenue Figures in US$ Thousand for
Years 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 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 2010
through 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 Product
Type - Percentage Breakdown of Revenues for Full Scale/
Enterprise-Wide PACS and Mini/Department- Wide PACS Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/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 Independently
Analyzed with Annual Revenue Figures in US$ Thousand for
Years 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 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 2010
through 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 Product
Type - Percentage Breakdown of Revenues for Full
Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS
Markets for Years 2004, 2013 and 2018 (includes
corresponding 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 by
Geographic Region (2012): Percentage Breakdown of Number
of Remaining Sites without PACS for France, Germany,
Italy, UK & Ireland, Spain & Portugal, and Rest of Europe
(includes corresponding Graph/Chart) III-75
Innovation and Managed Service Vendor Models - The Recipe
for Success III-75
Cardiac PACS Vendors Face an Uphill Task III-76
Table 46: Western European PACS Market by Product Type
(2012): Percentage Breakdown of Revenues for Radiology
PACS, Cardiology PACS, Orthopedics PACS, and Others
(includes corresponding Graph/Chart) III-76
Penetration of PACS Increases in Europe III-77
Table 47: European PACS Market by Department Analyzed by
Percentage Breakdown of Annual Revenues: 2013 (includes
corresponding Graph/Chart) III-77
Rising Rate of Cardiovascular Diseases Boosts Demand for
Cardio PACS III-77
RIS/PACS Integration Gains Fame III-78
Telemedicine in Europe - A Synopsized Review III-78
Bubbling With Life? III-78
Key trends that underpin telemedicine in Europe III-79
B.Market Analytics III-80
Table 48: 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 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 by
Geographic Region - Percentage Breakdown of Revenues for
France, Germany, Italy, UK, Spain, Russia and Rest of Europe
Markets for Years 2004, 2013 and 2018 (includes
corresponding 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 Independently
Analyzed with Annual Revenue Figures in US$ Thousand for
Years 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 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 2010
through 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 Product
Type - Percentage Breakdown of Revenues for Full
Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS
Markets for Years 2004, 2013 and 2018 (includes
corresponding 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 Independently
Analyzed with Annual Revenue Figures in US$ Thousand for
Years 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 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 2010
through 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 Product
Type - Percentage Breakdown of Revenues for Full
Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS
Markets for Years 2004, 2013 and 2018 (includes
corresponding 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 Independently
Analyzed with Annual Revenue Figures in US$ Thousand for
Years 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 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 2010
through 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 Product
Type - Percentage Breakdown of Revenues for Full
Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS
Markets for Years 2004, 2013 and 2018 (includes
corresponding 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 Independently
Analyzed with Annual Revenue Figures in US$ Thousand for
Years 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 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 2010
through 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 Product
Type - Percentage Breakdown of Revenues for Full Scale/
Enterprise-Wide PACS and Mini/Department- Wide PACS Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/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 with
Annual Revenue Figures in US$ Thousand for Years 2004
through 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 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 2010
through 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 Full
Scale/Enterprise-Wide PACS and Mini/Department-Wide PACS
Markets for Years 2004, 2013 and 2018 (includes
corresponding 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 Independently
Analyzed with Annual Revenue Figures in US$ Thousand for
Years 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 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 2010
through 2018 (inc


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