1.1 Presentation and definition of the medical imaging market

Medical imaging includes all techniques, based on different physical phenomena (magnetic resonance, ultrasound wave reflection, radioactivity, X-ray absorption, etc.), which allow us to image the inside of the human body. Medical imaging is mainly used to establish diagnoses, but it can also be used during treatment, particularly surgery.

The world market for medical imaging is growing by about 5% per year. North America and Europe are the two regions with the largest market share. Moreover, the market is highly concentrated in the hands of a few players, since only 4 companies (GE Healthcare, Siemens, Philips and Toshiba) hold more than 75% of the market.

The French market has been stable over the last decade. Although there are no French medical imaging giants, many French SMEs and start-ups, such as Echosens, are active in the market.although there are no French medical imaging giants, many French SMEs and start-ups, such as Echosens, Acteon, EOS Imaging, Guerbet and Pixyl, are doing well at all levels of the value chain as well as internationally. In addition, GE Healthcare, the world leader in medical imaging, has a strong presence in France.

The market is strongly impacted by innovation, particularly in the software sector, with the development of Big Data and artificial intelligence. Many players are investing in this segment, including digital giants such as Alphabet (Google), through its subsidiary Deepmind.

The trend on the market is also towards technical innovation on the devices, with machines that are more and more powerful and offer new functionalities.

1.2 Global market

In ****, the global medical imaging market was valued at $**.** billion. One year later, in ****, the global market size is estimated to be $**.** billion, an increase of *.*% from the previous year. The market is expected to continue to grow at a CAGR of *.*% until it reaches $**.** billion in ****.

Evolution of the Global ...

1.3 Trade balance

France's trade balance in medical imaging equipment is in deficit. This negative balance, of -**.* million euros in ****, decreased sharply in **** (***) before widening again, reaching a deficit of almost *** million euros in ****.

Exports and imports of medical imaging equipment France, **** - ****, in millions of euros Source: ****

The following graph shows exports ...

1.4 The French market

The activity of manufacturing medical imaging equipment is listed under the NAF **.**Z nomenclature code: "Manufacture of medical irradiation equipment, electromedical and electrotherapeutic equipment"

This code includes:

the manufacture of irradiation equipment and tubes (***): x-ray machines and machines using alpha, beta or gamma radiation manufacture of computer tomographs manufacture of positron ...

2.1 Overview of the French hospital sector

In France, there are *,*** health care institutions providing diagnosis, monitoring and treatment of patients, with a capacity of ***,*** full hospitalization beds and **,*** partial hospitalization places. These establishments differ in their legal status, size and missions. These facilities can be of three types of legal status: public, private non-profit and private for-profit. ...

2.2 Imaging equipment in health care institutions

Imaging equipment is a major component for health care institutions. Technical progress and the cost of new, more efficient equipment have led to a concentration and sharing of equipment. Thus, the number of scanners is *.* scanners per ***,*** inhabitants. However, there is a significant geographical disparity since this ratio varies from *.* in ...

2.3 Focus on MRI demand

Between **** and ****, the number of MRIs installed in France increased more than fourfold, from *** devices in **** to *** in ****, an increase of ***% in ** years.

evolution of the number of MRI equipment France, **** - ****, in number of MRI units installed Source: ****

Thus, the number of MRI scanners per million inhabitants has continued to ...

2.4 Socio-demographic factors

The oldest people are the most likely to benefit from health devices and therefore from medical imaging devices. It is therefore interesting to look at the current and future demographics of the French population.

The following graph shows the number of people by age category and the corresponding proportion in ****. We ...

3.1 Value Chain

Below is a simplified value chain of the medical imaging industry:

Source: ****

The medical imaging equipment manufacturing market in France is held by a handful of international players (***). For example, in ****, General Electric controlled **% of the medical imaging equipment supply market. Indeed, with very high research & development costs, as well as ...

3.2 French actors

Although France does not have any medical imaging giants, many French players are doing well in the market, at all levels of the value chain presented in the previous section. The following table presents some of these French companies:

Thus, the French ecosystem is essentially composed of SMEs. We can also ...

3.3 The emergence of new distribution and operating models

There are many models for distributing and operating medical imaging devices. According to a study conducted by Transverse and the strategy consulting firm Frost & Sullivan, two business models stand out:[***]

MES (***) model: this model is based on the sale of equipment, followed by multiple services related to it, such as management, ...

4.1 Diversity of medical imaging equipment

There are many technological modalities of medical imaging, for multiple applications, the main ones are listed in the following table:

Source: ****

Below is a (***) list of the main types of medical imaging equipment:

Conventional and digital radiography Radioscopy / fluoroscopy CT scan / Computed tomography / Scanography

MRI (***) Functional MRI

Positron emission tomography ...

4.2 Pricing of medical imaging equipment and procedures

Equipment prices

Prices for medical imaging equipment can vary greatly depending on the brand, the features and modifications made to the equipment, as well as the modifications made to the equipment, as well as the needs of the needs of the customer. However, the SNITEM provides a price range for high-end ...

4.3 Supply trends

The world of medical imaging is undergoing great changes with the improvement of equipment technology and the development of artificial intelligence.

Technological innovations by modality

Numerous technical advances have been made in each modality, notably in the finesse of the equipment, which produces increasingly precise images, more quickly and in a ...

5.1 Regulations for manufacturers and healthcare professionals

International Data Management Standard (***)

DICOM is an international standard governing the communication and management of medical imaging and related information. It provides a framework for the format of images, allowing them to be exchanged without loss of data. This standard applies to almost all medical imaging devices and was created in ...

5.2 Future regulations

In the near future, especially with the growing presence of AI in this sector (***), medical imaging could also be governed by :

ePrivacy Regulation, a European Union project aimed at strengthening citizens' online privacy by "governing all electronic communications on publicly available services and networks originating from individuals within the European Union" ...