Market Dynamics Drivers Resistors of Ultrasound Market
Market Dynamics
Challenges
Profit margins affected by the proliferation of manufacturers
Low
cost manufacturers from Asian markets, such as Mindray and Sonoscape, have
resulted in an influx of many new entrants into this space. Products from these
markets also meet the strict safety regulations imposed by FDA and CE
certification and the companies are authorized to sell their equipment globally
at competitive rates that are 25–30% less than ultrasound equipment
manufactured by the Tier I companies such as GE, Philips and Siemens. In
addition to radiology equipment, these companies also have a significant
presence in portable and hand-held ultrasound systems. Other major participants
who deal in high-end or mid-range equipment are facing a huge threat from these
participants and are forced to lower their prices.
High demand for qualified ultrasound technicians
High
user dependency levels in diagnostic ultrasound procedures mandate the presence
of highly skilled technicians because globally there is a lack of established
standards for effective ultrasound operation. It takes an extended period of
time for an ultrasound technician to become sufficiently adept to exploit the
full potential of an instrument. Globally, the regulatory standards for
ultrasound image acquisition are underdeveloped in comparison with other
imaging modalities like CT and MRI. Factors such as the inability to obtain an
accurate acoustic window, and the advent of elastography and contrast-enhanced
ultrasound further necessitate the need for skilled technicians. The lack of
such skilled operators is likely to pose a serious challenge for the market
growth globally.
Falling prices despite introduction of new technology in ultrasound
Since
the 1990s, ultrasound equipment prices have fallen over 25% despite
technological advances. Although cutting-edge technological introduction such
as elastography, CEUS, and 3D/4D features justify increased prices, cost
concerns in hospitals coupled with fierce competition from the other market
participants have exacerbated the price sensitivity in this market, preventing
hospitals from purchasing high-priced equipment. It has become hard for
manufacturers to achieve a balance between R&D investments and
cost-cutting. Adding to this problem is the threat from other imaging
modalities and together these factors are forcing companies to focus more on
new product development that creates specific-function ultrasound equipment
that is unique in the market. The biggest challenge that is faced by the
companies is to strike an appropriate balance between technological advances
and price competitiveness to have the lead in the market.
Drivers
Rise in the number of private hospitals and diagnostic clinics
Demand
from private healthcare practitioners especially in the areas of OB/GYN as well
as in cardiology ultrasound has given a huge impetus to the market. There is
specific equipment being increasingly used in the detection of hepatic
fibrosis. Endoscopic ultrasound has been another area which has gained
significant acceptance among practitioners across the globe. Ultrasound demand,
especially for the mid-range and low-end ultrasound systems, is expected to be
very lucrative owing to easy affordability.
Advances in organ-specific imaging
Organ-specific
imaging gained popularity owing to the inherent risks associated with various
pathologies and also the possibility of an early detection of malignant
tissues, which could avert further complications. This has served as a major
boost to the ultrasound market. Advances in 3D/4D imaging and elastography,
coupled with developments in CEUS, have led to further strengthening in demand
for ultrasound equipment across the globe. Advances in high intensity focused
ultrasound, facilitating better diagnosis and treatment of breast cancer, are
expected to be a strong driver for the global ultrasound market.
Strict radiation guidelines imposed by regulatory authorities favor ultrasound sales
One
of the current priorities in imaging is to reduce radiation, a goal that is
amply facilitated by the use of ultrasound techniques. Organ-specific
ultrasound is widely used as a secondary evaluative technique after CT and MRI
scanning is done. Regulatory bodies that validate medical equipment are making
it obligatory to have strict safety standards on imaging equipment, especially
with modalities like CT and MRI, because of the dangers of ionizing radiation.
A few imaging procedures used in trauma and neurodegenerative disorders mandate
the use of CT and MRI techniques. However, ultrasound techniques are continuing
to evolve owing to the versatile technologies that are used in modern
ultrasound machines.
Ultrasound accessories for specific applications increase revenues
There
is an increasing demand for specialized ultrasound software that helps in better
interpretation of the acquired image. Such software is currently being offered
by conglomerates like Philips, GE, and Siemens. Manufacturers like SonoScape
are offering greater than 50 specialized probes for all their ultrasound
products. In addition to specialized probes being available to cater to
differences in patient physiology, silicon ultrasound transducers are also
available as options for use in transesophageal and transthoracic scans. All
these factors are leading to dedicated probe designs and ultrasound software
for post-processing images for enhanced analysis becoming crucial accessories
in the ultrasound market.
Advances in volumetric and elastography technology enhance ultrasound adoption rates
3D/4D
volumetric imaging features are facilitating sonologists to asses organs in
real time. Some of the branches that are receiving attention include
gynecology, abdominal, fetal, and urology ultrasound applications.
Technological advances have reduced diagnosis time, aiding faster analysis and
thereby resulting in productivity increases. Elastography images are clinically
proven to be more effective than B-Mode (i.e. conventional) imaging and
elastography is increasingly being used in the detection of cancer. The 3D
visualization and elastography capability of next-generation ultrasound will
drive the market globally.
Aging populations boost primary and secondary diagnostic ultrasound sales
The
aging population has been the concern of many healthcare experts across the
globe. The OECD estimates that approximately 15% of the global population is
over 65 years of age. The aging male population is associated with
prostrate-related disorders, which require prostate ultrasound and prostate
biopsies for diagnosis. The elderly population experience several cardiac
disorders and circulatory diseases across the globe. Combined with the need to
reduce ionizing radiation, the deployment of ultrasound techniques to detect
cardiac disorders has resulted in an increase of 18–25% in the number of
cardiology studies. Business Insights is of the view that demographic factors
are likely to result in a significant boost to the volume sales of ultrasound
equipment across the globe.
Resistors
Most modern ultrasound procedures lack reimbursement
Endoscopic
and urology-related ultrasound procedures and other organ-specific imaging
procedures employing ultrasound are still not favored for reimbursement in the
US and most European countries, thus making it a huge restraint in this market.
Although other standard ultrasound procedures involving organs still fit into
some form of fundamental reimbursement bracket, there is no reimbursement for
therapeutic ultrasound procedures anywhere globally. This has hampered the
growth of various clinical segments over the years and is expected to
contribute to the strengthening of other imaging modalities.
Lack of standardization of modern ultrasound features
The
lack of standards for terminologies in the display and other functions in the
ultrasound equipment market has been a significant limiting factor in the
growth of equipment featuring 3D/4D and elastography technology. Although the
diagnostic ultrasound market has been greatly boosted by 3D/4D and elastography
advances, the absence of a uniform standard in this market has led to vendors
using their own terminologies that normally cannot be generalized in the global
ultrasound market. Additionally, the prevailing guidelines for safe usage and
operation of instruments based on new technology are not uniform. Hospitals and
other general practitioners are hence skeptical about acquiring qualified staff
to operate this advanced equipment.
Refurbished ultrasound systems in emerging markets hinder new equipment sales
An
increase in the number of private practitioners in emerging markets such as
India, Brazil, and China has resulted in a very high demand for ultrasound
equipment. On the other hand, smaller budgets are increasingly seeing private
practitioners prefer refurbished ultrasound systems that possess all the
necessary features and come at a lower cost. Small hospitals in these regions
also have a strong demand for such equipment. This trend is expected to affect
market growth especially for the radiology and cardiology ultrasound segments
that are mostly concerned with primary diagnosis.