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Tuesday 29 April 2014

What is the scope for future innovations in ultrasound?

What is the scope for future innovations in ultrasound?

The ever increasing regulations regarding radiation from medical equipment will trigger a series of innovations in the ultrasound segment. This will not be limited to only diagnosis but instead will apply also to therapeutic applications. Easier affordability (in comparison with other high-end diagnostic equipment) is another driver for ultrasound adoption. Medical imaging companies all over the world are focused on developing new ultrasound modules for specific purposes, with the objective of creating a niche market for themselves in an already competitive and saturated market. This is particularly noticeable in the therapeutic segment. Venture capital funded companies and medical research universities are investigating mew methods to determine the efficacy of therapeutic ultrasound on specific organs to treat pathologies.
Business Insights discovered that many innovations in the ultrasound segment come from the small companies. An important point to note here is that innovations are not just restricted to developing a whole new ultrasound instrument. Certain Chinese companies are specifically involved in developing innovative probes that allow better diagnosis of a particular organ. For example, new ultrasound probes have been developed for acquiring better images from obese patients and infants. With green initiatives in mind, ultrasound companies are also designing machines that consume less power.
It is Business Insight’s opinion that large ultrasound companies such as GE, Philips, and Siemens are limited in new product innovation as opposed to small companies. This is because the smaller, venture capital backed firms are associated with medical research organizations and universities where research assistants are involved in gathering extensive data related to ultrasound research. Some of the venture capital funded companies are founded by electrical/biomedical professors from highly ranked research universities. Another prominent trend that Business Insights noted is that the turnaround time from research to new product development to marketing from small ultrasound companies is at least twice as fast in comparison with large companies (at least partially resulting from simpler decision-making processes and diminished internal bureaucracy). Business Insights recommends that it is in the best interest of the large ultrasound companies to acquire small companies. There are two benefits associated with this recommendation. First, the small companies, being backed by venture capital firms with an agenda to see faster return on investments, would have facilitated the accelerated progress of the product through the approval process (by virtue of more streamlined and responsive interactions with the regulators) to attain faster market launch. Secondly, large companies will further benefit from the already established strategic partnerships of the small companies with research organizations and medical universities that could prove useful in product upgrades and innovations to accessories.

Will ultrasound advances make other imaging equipment obsolete?

A simple answer to the above question is no. It is a fact that regulatory authorities are imposing strict rules with regard to reducing the amount of radiation exposed to patients from modalities such as CT and MRI, but that does not imply that such machines will become obsolete in the distant future. While the regulations have no doubt triggered ultrasound innovations, other imaging modalities have inherent characteristics that are crucial in the diagnosis of specific pathologies. According to Business Insight’s analysis, ultrasound will remain a major imaging modality for primary diagnosis, offering physicians more credible data in terms of quality and targeted organ quantification, and it will supplement the image diagnosis acquired from other modalities. In other words, all imaging modalities have their unique characteristics with respect to spatial and temporal resolutions, and effective pathology-specific analysis from various machines will contribute to an overall effective diagnosis by reducing the number of false-positive results.

Will the demand for ultrasound technicians rise?

According to Business Insight’s analysis, over the next decade there will be a major shortage of qualified ultrasound technicians. Unlike other imaging modalities, where image acquisition is completely automated, ultrasound requires human intervention since the probe has to be manually operated. Despite companies offering basic training to physicians and technicians, the acquisition of a qualitative image for the most part depends upon the operator’s talent, experience, and understanding of the human anatomy. This, combined with the fact that there are no standards that govern ultrasound operation, only adds to the challenge of qualified technicians’ availability. The advent of 3D/4D and elastography features has increased the complexity of ultrasound, especially in cancer diagnosis, and triggered the need for more qualified ultrasound operators. Companies that develop such ultrasound machines with advanced features should also promote initiatives that will create awareness of the qualified technician requirement over the next decade. The more advanced an ultrasound becomes, the greater will be the demand for qualified operators. The availability of qualified ultrasound technicians is relatively better in India and China owing to a large number of candidates who graduate with a college degree and the fact that the majority of people in these nations are below the age group of 30 and 40 years respectively. The same cannot be said about the economies of US, Europe, and Japan, where qualified ultrasound operators are scarce.