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The global c-arms market size was USD 1,708.1 million in 2019 and is projected to reach USD 2,453.3 million by 2027, exhibiting a CAGR of 4.6% during the forecast period.
A c-arm is an imaging scanner intensifier with radiographic abilities used largely for fluoroscopic intraoperative imaging during orthopaedic, surgical, and emergency care procedures. These devices provide high-resolution X-ray images in real time, therefore allowing the doctors to monitor progress and instantly make any corrections. There have been significant advantages in diagnostic imaging due to the development towards digital flat-panel detectors (FPDs) from the traditional X-ray image intensifier technology. For example, OEC Elite CFD mobile c-arms (GE Healthcare) are used in a several healthcare settings by surgeon and by interventionalist. The CMOS flat detector assists them to grasp more anatomy and provides remarkable image quality at lower dose, using unique software features such as Live Zoom. The enhanced positioning and ease of use are also contributing to increased efficiency by augmenting the clinical workflow.
Factors such as their custom-made imaging solutions for a varied variety of clinical applications and superior flexibility in choice of navigation system are responsible for the fastest growth of market in forecast period. Moreover, mobile devices have better manoeuvrability & precision and deliver instant hard copy of images, when required, Thus, expediting the c-arms market growth.
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Incorporation of the Artificial Intelligence in Radiology to Drive the Market Growth
Artificial Intelligence (AI) has been rapidly progressing in medicine, mainly in radiology. AI is also referred to as machine learning or deep learning. AI optimizes workflow, facilitates quantitative radiology, and assist in discovering genomic markers. Moreover, AI improves image acquisition with C-arms, MRI, CT, and PET/CT. By enhancing smaller amounts of data equivalent to larger data sets, AI accelerates imaging time, improved resolution, and enables dose reduction.
New technologies and advancements in image-recognition with deep learning algorithms has assisted to compete and even exceed humans in task-specific applications. Thus, factors such as identification of disease in early stage aiding to plan their treatment for long term needs. The AI technology can be used to examine medical imaging solutions to recognize most effective solution for severe abnormalities across the body.
Increasing Demand for Minimally Invasive Procedures is Driving Market
The advent and increasing popularity of minimally invasive surgeries stands as the key factor propelling the market growth procedures include minute cuts on the operating area which is a challenge for surgeons due to limited view to the internal body systems. These systems obtain real-time images that provide visual guidance to the surgeons. The usage of these devices has been extended to support spinal surgery, cardiac, urology, vascular surgery, and neurovascular applications. Minimally invasive procedure is used to treat pain, usually by injecting a nerve blocker, imbedding a drug delivery system or stimulating an element of the nervous system. Mobile systems enable guidance to the correct location in such procedures.
Besides this, orthopedic, pain management and other relative fields will continue to promote innovation and development in such applications. C-arms continue to be an important tool, particularly for image guidance to perform any open surgery.
Increasing Prevalence of Chronic Diseases Worldwide Anticipated to Propel the Market
The market is expected to grow significantly during the forecast period. The rising incidence and prevalence of chronic diseases is leading to an increase in demand surgical imaging solutions. According to the American Heart Association (AHA), an estimated 46.0% adults in the U.S. suffer from hypertension each year. Also according to the National Institutes of Health, an estimated 121.5 million people in the U.S. had cardiovascular disease in 2016. Besides this, the number of people in the developing countries with diabetes will increase by more than 2.5-fold, from 84 million in 1995 to 228 million in 2025. Accordingly, with the rising cases of chronic diseases, the demand for imaging systems such as c-arms is also increasing. The rise in the incidence of chronic diseases has led to an increase in demand for the imaging systems and is anticipated to add impetus to the market during the forecast period.
High Cost of Instruments to Hinder Market Growth
Mobile systems come with a high cost, which is above USD 200,000 due to its advanced features and functionalities. Advanced mobile units are coupled with generators up to 20kW that enables the penetration of dense anatomies. The most expensive ones are manufactured by GE Healthcare’s OEM 9900 Elite and Ziehm Imaging’s Vision RFD which come with large image displays to allow precise evaluation of images.
Apart from high cost of equipment, there are other direct expenses for printers and DICOM boxes which increases the total cost of ownership. Due to this, the usage of the equipment is extended beyond its average life. Furthermore, the current healthcare economic climate forces financial administrators to control the purchasing of medical imaging equipment due to its limited return-on-investment policies and versatility of procedures paramount in purchasing decisions. The factors mentioned above are likely to cause hindrance to the market in the forecast period.
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Mobile Segment Held Dominant and is Forecast to Continue Leading the Market through Forecast Period
Based on type, the market is segmented into fixed and mobile. The mobile segment holds the largest C-arms market share in 2019, and likely to see the fastest growth over the forecast period owing to their bespoke imaging solutions for a varied range of clinical applications and greater flexibility in choice of navigation system. Besides this, mobile imaging systems have better precision and maneuverability and offer immediate hard copy of images if required, which expedites the growth of the overall market. Moreover, they provide an ideal angle for high-quality images and permit easy movement & positioning (motorized axes), along with keeping the patient comfortable.
Mobile systems are further segmented into mini and full size c-arms. Several mini c-arms are precisely projected for extremity imaging and have a lower footprint as compared to their full-size counterparts, along with improved mobility. The presently available systems differ significantly in size and price, depending on the features available in the mini category. Producers differentiate their products on the basis of mobility, field of perspective and substitute imaging techniques. For example, the OrthoScan Inc. FD Pulse is the first mini c-arm equipped with pulsed fluoroscopy.
On the other hand, high competition in the fixed and mobile segment has led to an upsurge in investments for research and development activities. This further convinced manufacturers to launch new product and adopt innovative and advanced technologies.
Cardiology Segment to Lead Backed by Rising Number of Cardiac Surgeries
Based on application, the c-arms market is segmented into orthopedics and trauma, cardiology, neurology, gastroenterology, oncology, and others. Among them, the cardiology held the largest share in 2019. Growth in this segment is propelled by factors such as maneuverability of these devices for capturing accurate images from multiple positions, operability, good image quality, flexibility, and efficiency.
The orthopedics and trauma segment is expected to witness the highest growth during the forecast period. Foremost factors such as faster workflow, higher resolution, and greater maneuverability are likely to increase growth of this segment. For example, Siemens Healthineers products such as cios Alpha, cios Fusion, and cios Select have prominently contributed and set standards in a number of orthopedic surgeries. Consequently, an upsurge in orthopedic surgeries is estimated to aid in expansion of the market.
Image Intensifier Segment to Account for Largest Market Share in 2019
Based on detector, the market is segmented into image intensifiers and flat panel detectors. Among these, the image intensifiers segment accounted for the dominant share in 2019 owing to the massive installed base globally. In addition to this, the image intensifier devices are cheaper than FPD c-arms and hence are the preferred choice for several end users. Besides this, maintenance costs and services required for these equipment’s are much cheaper, which has made them a better choice.
On the other hand, Flat panel detectors offer various advantages over conventional image intensifiers. These including high quality image acquisition, reduced radiation exposure (by 90%) as compared to analog and CR-based systems, and easy image interpretation.
Increasing occurrence of interventional procedures to Aid Hospitals Segment Growth
Based on end user, the market is segmented into hospitals, diagnostic centers, clinics and others. With growing occurrence of interventional procedures, the demand for medical imaging is increasing. Therefore, the need for a mobile system and the flexibility it offers is growing as an important tool for hospitals. Furthermore, the growing demand for new shipment of these systems by healthcare facilities in emerging countries is impelling the market growth
On the other hand, the diagnostic centers segment is projected to grow at the highest CAGR during the forecast period. This is attributable to the flexibility and mobility of these devices that allows medical imaging professionals to provide essential services in ambulatory surgical centers.
North America C-arms Market Size, 2019 (USD Million)
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High Adoption Rate of Advanced Technology to Facilitate Growth in North America
North America dominated the market with largest revenue earned in 2019. The region generated a revenue of USD 837.0 million in 2019. The supremacy of this region can be credited to the presence of well-established healthcare infrastructure, surging adoption of advanced technology, and the existence of large target population. Also, growing incidence of chronic diseases is provocatively impelling the demand for these systems.
On the other hand, Asia Pacific is expected to witness the fastest growth during the forecast period. Presence of well-established hospitals, diagnostic centers and a large target customer pool is projected to boost the regional market. Furthermore, growing awareness amongst the population and booming medical tourism in the region are some additional factors expected to drive the Asia Pacific market.
Robust Portfolio and Strong Brand Presence of Major Players Have Resulted in a Consolidated Market in 2019
The market is dominated by 3 major players, which includes GE Electric Company, Siemens AG Healthineers, and Koninklijke Philips N.V., together accounting for over 80% of market share in the U.S. market in 2019.
In December 2018, GE Healthcare announced the commercial release of OEC Touch for OEC Elite CFD features a new control panel located right on the C-arm. The new control panel, OEC Touch, is intended to eradicate the need to move to a separate workstation and decrease disruption during surgery. Other players in the market are continuously engaged in development of novel diagnostic technology and strengthening their distribution channel across the globe to establish their footprints in emerging regions. Some of the top companies operating in this industry are GE Healthcare, Toshiba Medical Systems, Shimadzu Corporation Siemens AG, Philips Healthcare, Hologic Corporation, Ziehm Imaging OrthoScan, Inc. Hitachi Medical Systems and Eurocolumbus s.r.l., and others.
An Infographic Representation of C-arms Market
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The report provides a detailed analysis of the market size & growth rate and focuses on key aspects such as leading companies, product types, and leading modalities types. Besides this, the research report offers insights into the market, current market trends, product launches, and highlights key industry developments. In addition to the aforementioned factors, the report encompasses a detailed competitive landscape and several factors that have contributed to the growth of the market over recent years.
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Value (USD million)
By End User
Fortune Business Insights predicts that the global market size will reach USD 2,453.3 million by 2027.
In 2019, the market value stood at a value of USD 1,708.1 million.
Growing at a CAGR of 4.6%, the market will exhibit significant growth during the forecast peri-od (2020-2027).
The mobile segment is expected to be the leading segment of the market during the forecast period.
Growing demand for minimally invasive procedures, technological advancements, and increas-ing shift of trend from fixed to mobile devices are some of the factors driving the growth of the market.
GE Electric Company, Siemens AG Healthineers, and Koninklijke Philips N.V., are some of the top players in the global market.
North America dominated the market in 2019.
Acquisitions, partnerships, novel product launches, and geographic expansion are the key strategies adopted by market players.
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