Intraoperative Imaging Market Size, Share & Industry Analysis, By Type (C-arms, O-arms, and Others), By Imaging (2-D and 3-D), By End User (Hospitals & ASCs and Specialty Clinics & Others), and Regional Forecasts, 2024-2032

The global intraoperative imaging market size was valued at USD 2.80 billion in 2023, and is projected to grow from USD 2.94 billion in 2024 to USD 4.61 billion by 2032, exhibiting a CAGR of 5.8% during the forecast period. North America dominated the global market with a share of 48.93% in 2023.

There is a major shift in minimally invasive procedures owing to various clinical and economic benefits, such as comparatively shorter recovery times, lower cost of treatment and care, and shorter operation time. Also, the increasing prevalence of chronic illnesses, including cardiovascular conditions, cancer, and diabetes, is creating a greater demand for the use of minimally invasive procedures. Intraoperative imaging systems play a crucial role in enabling minimally invasive procedures by providing real-time, high-resolution images of the surgical site during operation.

• For instance, in September 2021, Medtronic stated in their press release that more than 450,000 surgical procedures for spinal fusion are conducted in the U.S. every year to address spinal deformities and enhance stability. Additionally, approximately 200,000 lumbar fusion procedures are performed annually to manage various conditions such as spinal stenosis, fractured vertebrae, and degenerative disc disease, among others.


• According to the data published by the Centers for Disease Control and Prevention (CDC) in October 2022, around 805,000 individuals in the U.S. experience a heart attack annually. Of these cases, 605,000 represent first-time incidents, while 200,000 occur among people who have previously had a heart attack.

In addition, market players in the field of intraoperative imaging are continuously focusing toward creating novel and advanced devices in order to retain their position in the market and cater to the changing demands of healthcare professionals.

• According to the Centers for Disease Control and Prevention (CDC), in 2022, 16.2 million emergency department visits resulted in hospital admissions in the U.S. and 2.3 million emergency department visits resulted in admissions to critical care.


• In November 2021, FUJIFILM Corporation introduced a compact mobile c-arm Persona CS. This innovative device enhances image guidance during surgical procedures and emergency situations, providing an advanced and reliable solution for medical professionals.

Therefore, the increasing use of minimally invasive procedures and the emergence of new products are aiding the market growth over the forecast period

The impact of the COVID-19 pandemic on the market was negative during the forecast period. Additionally, many countries worldwide experienced challenges in accessing medical care and treatment due to the postponement of non-essential elective surgeries and medical procedures. Also, many healthcare settings, including hospitals, diverted their resources toward managing COVID-19, which resulted in a decreased demand for imaging equipment such as surgical c-arm, o-arm, and X-ray systems.

Increase in minimally invasive procedures and the rise in patient visits in the post-pandemic era led to a surge in demand for advanced imaging systems that can support and enhance the efficacy of healthcare procedures.

Intraoperative Imaging Market Trends

Technological Advancements in C-arms including Adoption of Flat Planner Detectors  

Over the years, there have been notable advancements in medical imaging technology. One such advancement is the evolution of c-arms, which are mobile X-ray machines used for intraoperative imaging during surgical procedures. Traditionally, c-arms used image intensifiers to produce images. However, with the introduction of digital Flat-Panel Detectors (FPDs), the quality and delivery of diagnostic imaging have significantly improved.

FPDs are solid-state detectors that convert X-rays into electrical signals that are then processed to produce high-quality digital images. Compared to image intensifiers, flat-panel detectors have a higher spatial resolution, which means they can produce more detailed images. Additionally, flat-panel detectors offer better contrast resolution, making it easier to distinguish between different structures in the body.

Additionally, due to the shift in preference toward flat-panel detectors, market players globally are focusing on introducing new advanced imaging systems with advanced technologies, which is expected to drive demand for these systems.

• In April 2021, Thales, a French company specialized in electrical system manufacturing, announced the launch of Pixium 3040, a high-end flat panel detector specifically designed for 2D and 3D imaging in cardiology, interventional radiology, and neuroradiology.


• In January 2020, Trivitron Healthcare launched Elite-Flat panel digital c-arm at the Arab Health conference in Dubai. This flat panel detector delivers images with a higher resolution, which assists in reviewing minute details of the operations and significantly improves the workflow of the procedures.           

Moreover, several market players are emphasizing on the development of innovative artificial intelligence (AI) technology-based scanners for integration with C-arms to provide real-time, intraoperative imaging at healthcare facilities.

• For instance, in October 2022, Body Vision Medical expanded AI Tomography, which produces intraoperative CT scans in coronal, sagittal, and axial planes, to GE's line of OEC C-arms.

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Intraoperative Imaging Market Growth Factors

Increasing Prevalence of Chronic Diseases and Introduction of Innovative Devices to Drive the Demand for C-arms

There has been a significant increase in the prevalence of chronic conditions globally. Sedentary lifestyles, smoking, and increased alcohol consumption are some of the leading factors contributing to the rise in chronic conditions such as cancer, cardiovascular disorders, and orthopedic conditions.

• For instance, as per the statistics published by the British Heart Foundation in August 2022, approximately 7.6 million people in the U.K. have circulatory or heart disease. Furthermore, 2.3 million people have Coronary Heart Disease (CHD), out of which 1.5 million are men and 830,000 are women.


• In January 2022, the American Society of Clinical Oncology (ASCO) estimated that around 25,050 people in the U.S. were diagnosed with brain and spinal cord tumors, with slightly more cases occurring in males (14,170) than in females (10,880).

This increasing patient population undergoing surgeries and technological advances by market players and healthcare systems globally have increased the number of minimally invasive surgical procedures performed each year. This led to the introduction of image-guided surgical systems and the integration of these systems with diagnostic imaging modalities such as computed tomography scanners, and c-arms, which enabled healthcare providers with real-time imaging of procedures for improved outcomes.

• In July 2022, at the European Congress of Radiology (ECR) in Vienna, Siemens Healthineers unveiled Mobilett Impact system. The system allows healthcare providers to perform the entire imaging workflow at the patient's bedside rather than having to transport the patient to a separate imaging department.

In addition, several companies are introducing advanced intraoperative imaging systems, which are integrated with AI algorithms to offer healthcare professionals the flexibility and control in c-arm operations.

• For instance, in September 2023, Koninklijke Philips N.V. introduced Zenition 30, a groundbreaking image-guided therapy that provides surgeons with increased flexibility, control, and personalization in C-arm operation and image acquisition, thereby decreasing reliance on technician assistance for a wide range of minimally invasive procedures.

Therefore, the increasing number of chronic diseases and new product launches for c-arm is augmenting the market growth during the projected period.

Growing Shift from Analog to Digital Radiography is Driving the Adoption of C-arms

There is a significant shift in healthcare facilities toward the adoption of digital radiography, which offers several advantages, such as high-quality images, reduced radiation exposure, easy access, and shortened procedure times. These factors are contributing to the increasing penetration of digital radiography systems in healthcare settings.

Due to the shift in preference toward digital radiography, market players are focusing on introducing new digital radiography systems, which is anticipated to surge the demand for these systems.

• In July 2022, FUJIFILM Healthcare Americas Corporation launched the FDR Cross, a hybrid c-arm and portable X-ray solution designed for use in hospitals and Ambulatory Surgery Centers (ASC). This hybrid c-arm combines portable fluoroscopic and radiographic imaging on a single platform, eliminating the need for additional imaging equipment during procedures.

Therefore, the growing shift from analog to digital radiography is driving the adoption of digital radiography c-arms in medical facilities due to their superior image quality, enhanced image processing, and lower radiation exposure.

RESTRAINING FACTORS

High Cost of Intraoperative Imaging Systems is Limiting the Adoption of the Product

Technology advances such as the integration of cutting-edge features and design enhancements in surgical c-arms are significantly increasing their overall cost. This is hindering their adoption by hospitals and specialty clinics. Intraoperative imaging is an important tool for surgeons, and access to sophisticated systems is essential in hospital settings. However, the high cost of these systems can be a barrier for hospitals with budget constraints, limiting their adoption. Fixed c-arms are more expensive than mobile c-arms, as they involve additional expenses such as installation fees and the installation of lead walls. The price range for full-sized c-arms falls between USD 1.0 million and USD 2.0 million.

• As per an article published by Outpatient Surgery Magazine in January 2020, the Fluoroscan InSight FD medical device, manufactured by Hologic Inc., ranges from USD 65,000 to USD 85,000. Furthermore, the base unit of the Smart-C mini c-arm, manufactured by Turner Imaging Systems, is priced at USD 75,000.

The long-term maintenance and high operating costs of imaging systems contribute significantly to their overall expenses, making it difficult for Low and Middle-Income Countries (LMICs) to implement them in their hospitals. This is attributed to limited budgets, lack of funding, and insufficient training in operating and maintaining the systems.

Furthermore, there are several factors contributing to the higher cost of intraoperative imaging systems, including the cost of delivery and installation, acquisition cost, cost of spare parts, operating costs, energy usage, maintenance, and repair.

These are some of the factors that hinders the market growth during the forecast period.

Intraoperative Imaging Market Segmentation Analysis

By Type Analysis

Launch of Cutting-Edge Devices and Rising Prevalence of Cardiovascular Diseases Aided in C-arm Segment Growth

By type, the market is divided into c-arms, o-arms, and others. The c-arms segment held the largest market share in 2023. Factors contributing to the growth are rise in prevalence of coronary heart diseases globally and the increasing adoption of these devices by healthcare providers in operating rooms for emergency procedures.

• In 2020, the Centers for Disease Control and Prevention (CDC) reported that the prevalence of coronary heart disease in adults in the U.S. increased by 4.6% in relation to the overall population.

Furthermore, the growth of the segment is mainly attributed to the efforts of various players to introduce technologically advanced imaging devices and incorporate new features into their current imaging device product portfolio to improve patient care.

• For instance, in July 2022, Fujifilm Europe announced the launch of FDR CROSS, a new Hybrid c-arm and portable X-ray machine. This platform provides advanced fluoroscopic and radiographic imaging powered by the FDR D-EVO III digital flat panel detector and offers high-quality and real-time fluoroscopic images during surgery, providing a more efficient workflow.

On the other hand, the o-arms segment is anticipated to grow at a significant rate. The growth of the segment is credited to the excellent image quality delivered by the o-arm coupled with faster 3D reconstruction time, is attributable to the adoption of this system in heavily funded hospitals or surgery centers, and is expected to contribute to the intraoperative imaging market growth.

• In October 2021, the Indian Spinal Injuries Center (ISIC) hospital announced that the facility became the first in the country to integrate the 3D imaging system O-Arm with MAZOR X Stealth Edition for spinal, orthopedic, and neurological conditions.

In addition, some healthcare centers are claiming that treatment with o-arm surgical imaging enables the patients to recover at a faster rate. This is one of the factors responsible for the segmental growth.

• For instance, as per data published by Emory Healthcare in March 2021, the surgical team of Emory Orthopaedics & Spine Center found that treatment with o-arm minimizes blood loss, reduces postoperative pain, and boosts the recovery time.

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By Imaging Analysis

Rising Approvals of New 3-D Intraoperative Imaging Devices by Regulatory Agencies to Augment Segment Growth

By imaging, the market is divided into 2-D and 3-D.

The 3-D segment accounted for the highest intraoperative imaging market share in 2023. The segment's growth is primarily attributed to the rising demand for 3-D imaging capabilities in imaging systems, such as c-arms and o-arms, among leading countries, which is expected to contribute to the growth of this market segment.

C-arm systems with 3D capabilities are primarily used in spinal and orthopedic surgeries, leading to a higher demand for them in high-end hospitals in Germany, China, and the U.S.

• In March 2021, the U.S. Food and Drug Administration (FDA) granted GE Healthcare 510(k) clearance for OEC 3D, a surgical imaging system that can produce 3D images during spine and orthopedic procedures.

The 2-D segment is anticipated to register a comparatively higher CAGR owing to its widespread adoption in emerging countries. Small and mid-sized hospitals often have budget constraints, leading to a preference for 2D imaging systems. This preference is also contributing to the growth of this market segment.

• In February 2019, Koninklijke Philips N.V. launched the Zenition mobile c-arm platform, a product designed to improve operating room performance and workflow efficiency. This mobile c-arm delivers 2D live image guidance for surgeons during a wide range of surgeries, including orthopedic, vascular, and trauma surgeries.

By End User Analysis

Surge in Minimally Invasive Surgical Procedures to Drive the Growth of Hospitals & Ambulatory Surgical Centers

By end-user, the market is classified into hospitals & ASCs and specialty clinics & others.

The hospitals & ASCs segment held the largest market share in 2023. The segmental growth was attributed to the increase in the number of hospitals & ambulatory surgical centers across developed and developing countries, which is expected to increase the adoption of c-arms & o-arms in the long run. Furthermore, the growing number of surgeries for the spine, trauma, and orthopedics, among others, is driving the demand for c-arm systems in hospitals and specialty clinics, which is contributing to the growth of this market segment.

• In December 2021, Sidilega Hospital in Africa purchased the GE OEC One CFD, a new advanced mobile c-arm. This technology enhanced the capabilities of the hospital's radiographer’s devices and enabled healthcare professionals to provide higher quality care and meet the demands of their patients.

The specialty clinics & others segment is projected to grow at a significant CAGR during the estimated period. The flexibility and mobility of c-arms that enable intraoperative imaging professionals to provide essential services in clinic settings are contributing to the growth of this segment. The adoption of flat panels and CMOS (Complementary Metal Oxide Semiconductor) detectors has also allowed clinics, including orthopedic clinics to upgrade to digital systems, further driving the growth of the clinics segment.

REGIONAL INSIGHTS

Based on region, the market is segmented into Asia Pacific, Europe, Latin America, North America, and the Middle East & Africa.

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The market size in North America was valued at USD 1.37 billion in 2023. During the study period, the region is expected to continue its dominance. The adoption of advanced intraoperative imaging systems, such as mini and mobile c-arms, by hospitals and clinicians in North America has contributed to the strong position of the region in the market. Additionally, the growth in the region is primarily attributed to the increasing collaborations between key market players and technology-based companies. Such collaborations introduce more advanced imaging systems into the market.

• For example, in April 2021, Ziehm Imaging GmbH, and Carestream Health, entered into a partnership agreement with the aim to distribute Ziehm Vision RFD c-arm in the U.S. and Canada.

Europe held the subsequent place in terms of market share and revenue. The region held a considerable share due to the key players’ increasing manufacturing and supplying products across the region to meet the demand in healthcare facilities. Similarly, receiving approvals from the regulatory bodies for the marketing and distribution of their products in the region will further boost the region’s market growth.

• In June 2021, Turner Imaging Systems received the CE Mark for its Smart-C Mini C-Arm portable fluoroscopy X-ray imaging device. This CE mark approval of the Smart-C, the highly portable mini C-arm, to be distributed throughout the EU countries as well as Germany.

During the forecast period, Asia Pacific is anticipated to witness the highest CAGR. The demand for c-arms is growing in this region due to the expansion of healthcare infrastructure and the increasing number of orthopedic and cardiovascular surgeries that require intraoperative picturing devices.

• For instance, according to the statistics published by the BioMed Central Ltd., in January 2022, it is estimated that around 400,000 total hip arthroplasty (THA) procedures are performed in China each year.

On the other side, the Latin America market is expected to grow at a significant CAGR during the forecast period. The growth in the region is attributed to the increasing prevalence of cardiovascular diseases, which resulted in higher demand for c-arm products. The Middle East & Africa region is anticipated to grow at a moderate CAGR due to factors such as the development of healthcare infrastructure, strong economic growth, and increased medical tourism, creating demand for imaging devices during the projected period. Furthermore, some of the market players are showcasing intraoperative imaging systems at the health convection programs to enhance their usability and improve patient care.

• For instance, in February 2019, Trivitron Healthcare presented its novel innovations Elite and Felicia, a flat panel digital C-arm and digital mammography system, at the Arab Health Convention conducted in Dubai.

List of Key Companies in Intraoperative Imaging Market

Continuous Efforts of Key Companies in the Launch of Advanced Systems to Drive Market Growth

The market is primarily dominated by manufacturers such as GE Healthcare, Siemens Healthcare GmbH, and Koninklijke Philips N.V. The emergence of modern technologies, such as digitalization, has prompted manufacturers to introduce advanced imaging systems that provide surgeons with better image resolution during surgical procedures. These innovations and the integration of digital aspects into the systems are likely to drive demand for these products and contribute to the growth of the market.

• In January 2022, Koninklijke Philips N.V. integrated cloud-based artificial intelligence (AI) and 3D mapping into its Mobile c-arm System Series Zenition. As a result, physicians using this system now have access to advanced 3D image guidance capabilities through the Image-Guided Therapy Mobile c-arm System – Zenition.

Similarly, other eminent companies in the market, including Medtronic, Ziehm Imaging GmbH, and Shimadzu Corporation are constantly focused on key developments, such as the expansion of their distribution channel, in the global market through strategic collaborations. Such initiatives by prominent companies are expected to propel the market globally and register growth by 2032.

• In November 2021, GE Healthcare collaborated with Abu Dhabi International Medical Services Company (ADI) and established an advanced showroom in Dubai focusing on advanced surgery equipment. The showroom has a mobile c-arm advanced surgical imaging system that delivers high-quality images across surgical settings.

Thus, such persistent efforts in the manufacturing of medical devices by numerous market companies and increasing focus on the expansion of their distribution channel globally through strategic collaborations in order to solidify their position in emerging nations will further drive the market.

LIST OF KEY COMPANIES PROFILED:

• Siemens Healthcare GmbH (Germany)


• Medtronic (Ireland)


• Brainlab AG (Germany)         


• Ziehm Imaging GmbH (Germany)


• Shimadzu Corporation (Japan)


• Koninklijke Philips N.V. (Netherlands)


• GE Healthcare (General Electric Company) (U.S.)

KEY INDUSTRY DEVELOPMENTS:

• November 2022 - Ziehm Imaging GmbH unveiled a new Indium Gallium Zinc Oxide (IGZO) flat-panel detector for intraoperative picturing at the Radiological Society of North America (RSNA) conference. This technology offers superior image quality and helps medical professionals maintain low levels of radiation exposure for patients.


• July 2022 - At the European Congress of Radiology (ECR) in Vienna, Siemens Healthineers unveiled Mobilett Impact, its latest mobile X-ray system. The Mobilett Impact system allows healthcare providers to perform the entire imaging workflow at the patient's bedside rather than having to transport the patient to a separate imaging department.


• April 2022 - SPARSH Hospital collaborated with Sita Bhateja Trust to introduce the advanced o-arm surgical imaging system and StealthStation S8 surgical navigation system. This technology improves the accuracy and visualization of brain and spine surgery.


• November 2021 - Ziehm Imaging GmbH presented its new mobile CathLab with a 30 kW generator at the Radiological Society of North America (RSNA) conference in Chicago. The new CathLab is a fully motorized c-arm, and it is used in challenging cardiology procedures and the cost-effective treatment of coronary indications.


• September 2021 - Perlove Medical, a company based in China, launched the Huitong, an integrated flat-panel detector c-arm. This system has been well received by hospitals in China due to its ability to produce high-quality images during orthopedic procedures.

REPORT COVERAGE

An Infographic Representation of Intraoperative Imaging Market

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The global intraoperative imaging market research report provides a detailed market analysis and focuses on crucial aspects such as leading players, product types, and major indications of the product. Additionally, it offers insights into market trends, and key industry developments such as mergers, partnerships, & acquisitions. In addition to the factors mentioned above, the report includes the factors that have contributed to the market's growth in recent years with a regional analysis of different segments.

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