Sunday 26 May 2013

The Ultrasound Market Outlook




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Ultrasound (also known as diagnostic sonography or ultrasonography) is used by physicians and technicians for primary diagnosis to obtain images of internal organs, muscle fibers, tendons, and vascular structures. While ultrasound is primarily used for diagnostic and interventional procedures, it is also used for therapeutic purposes, such as the treatment of kidney stones and other applications. In the medical imaging segment, equipment such as magnetic resonance imaging (MRI), computed tomography (CT), and digital radiography (DR) utilize ionizing radiation for image acquisition. However, ultrasound utilizes high-frequency sound waves in the band of 20kHz (kilohertz) to 200MHz (megahertz) for acquiring images of internal organs and tissues. Consequently, ultrasound causes no threat to patients, unlike other imaging modalities that employ X-rays of varying strength in order to acquire images.

Regulatory entities such as the Food and Drug Administration (FDA) have been imposing stringent regulations on imaging equipment manufacturers in order to lower the patient’s exposure to unwanted radiation. In other words, regulatory bodies have been recommending manufacturers to design systems that acquire the best resolution image at the lowest possible radiation. These bodies also recommend physicians to employ as few diagnostic screenings as possible. Depending on the complexity of the patient’s problem, physicians usually recommend radiological screening with more than one modality in order to make their diagnosis more accurate. For example, a primary care physician will recommend X-ray screening as primary diagnosis for a patient with a suspected bone fracture. However, depending on the complexity of the fracture, the case would be escalated to an orthopedic surgeon who would recommend an MRI screening as secondary diagnosis. As a result the patient is subjected to two radiation screenings. Depending on the recovery time, the patient is subjected to multiple follow-up sessions with the physician, where additional diagnostic screening will be required. Such scenarios in recent years have become the primary driver for ultrasound sales because of their ability to replace X-rays as primary diagnostic tool for specific cases.
However, it is very difficult to completely eliminate diagnostic screening with equipment that employs ionizing radiation, because each modality has its unique capability in enhancing effective diagnosis. However, for the purpose of secondary diagnosis, more and more physicians are recommending ultrasound diagnosis. The last five years have witnessed an increasing number of ultrasound diagnoses in hospitals and clinics owing to population increases and enhanced healthcare initiatives. Ultrasound screening is not limited to only diagnosis but rather it is also increasingly used for cancer detection and therapeutic purposes. Organ-specific ultrasound imaging for breast, thyroid, liver, abdomen, prostate, urological, and gynecological applications has emerged in the last few years, owing to unique transducer designs and enhanced visualization capabilities.
Apart from diagnostic applications, ultrasound is also employed for therapeutic purposes in medicine, as in the treatment of kidney stones (lithotripsy), thrombolysis, targeted drug delivery, and hemostasis. An emerging trend in the application of therapeutic ultrasound is high intensity focused ultrasound (HIFU) in which heat generated by high intensity acoustic waves is targeted to destroy pathological cells. While HIFU is currently used to treat atrial fibrillation (AF), uterine fibroids, and prostate cancer, it is also the subject of extensive research globally as both research universities and medical imaging companies are investing significantly in this segment owing to the non-hazardous advantage associated with ultrasound.

As a primary diagnostic tool, ultrasound is extensively employed in the women’s health segment for purposes such as obstetrics and gynecological screening and in the detection of breast cancer. Developments such as 3D and 4D imaging, elastography, and innovations in probe technologies have triggered ultrasound sales in the last five years for niche healthcare screenings. In the US and Europe, for example, there has been an increasing awareness of breast cancer screening programs, where medical imaging companies together with the government are promoting initiatives to highlight the benefits of early detection in breast cancer screenings. There has also been a tremendous growth in the number of prostate cancer diagnoses by ultrasound over the last five to seven years in these geographies. Such waves of change have prompted medical imaging companies to increase their research and development (R&D) investment in the ultrasound sector. As a result, the last five years have witnessed several innovations in the ultrasound segment, especially with the introduction of portable and even hand-held ultrasound.

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