Nuclear imaging for cardiac diseases helps in accurately diagnosing the
disease and blood flow blockages. Gamma cameras and positron emission
tomography (PET) scanners are the key imaging devices used for cardiac
procedures. Though nuclear imaging in cardiology faces competition from other
methods, the impact is relatively limited. Demand for diagnostic medical
imaging equipment is mainly driven by the number of diagnostic procedures. The
application of PET' s clinical use, its combined use with other imaging
equipment and the current shift to PET/CT imaging and SPECT/CT imaging are the
important factors driving the dramatic rise in procedural volumes. This
TriMark Publications study discusses key products in nuclear cardiology and
examines the trends that are stimulating this market. This market research
report includes a survey of all major companies actively engaged in marketing,
manufacturing or developing nuclear cardiological instrumentation, with each
company discussed in depth. The primarily focus on three major segments of the
nuclear cardiology market: 1) devices, 2) PACS (picture archiving and
communications systems) and RIS (radiology information systems) and 3)
radiopharmaceuticals. This examination discusses products, trends, new
developments and compensation issues that are currently affecting or are
likely to affect the nuclear cardiology market soon. Detailed tables and
charts with sales forecasts and market share data are also included.
Table of Contents
Table of Contents
1. Overview 14
1.2 Scope
1.3 Methodology
1.4 Executive Summary
2. Overview of Cardiovascular Diseases (CVD)
2.1 Heart Diseases in Men
2.2 Heart Diseases in Women
2.3 Prevalence of Cardiovascular Diseases in the U.S.
2.3.1 Prevalence of CVD in Ethnic Groups: U.S.
2.3.2 Global CVD Mortality
2.3.3 Economic Cost of CVD in the U.S.
2.3.4 CVD Mortality in Europe
2.4 CVD Mortality in China
2.5 CVD Prevalence and Mortality in India
2.6 Aneurysm
2.6.1 Detection of Aneurysm
2.7 Angina
2.7.1 Prevalence of Angina
2.8 Atherosclerosis
2.8.1 Imaging of Atherosclerosis
2.9 Cerebrovascular Accident (Stroke)
2.9.1 Embolic Stroke
2.9.2 Cerebral Hemorrhage
2.9.3 Subarachnoid Hemorrhage
2.9.4 Imaging Devices Used for Detecting Stroke
2.10 Congestive Heart Failure
2.10.1 Imaging Modalities Used for the Detection of Congestive Heart Failure
2.11 Coronary Artery Disease (CAD)
2.11.1 Imaging of CAD
2.12 Nuclear Imaging for Heart Diseases
2.12.1 Technological Advances in Nuclear Cardiology
2.12.1.1 Development of New Pharmacologic Stress Agents and Protocols
2.12.1.2 Development of New Tracers
2.12.1.3 New Computer Algorithms and Tools
2.12.1.3 New Gamma Camera Technology
2.12.1.4 Hybrid Systems and Image Fusion
2.13 Trends in Cardiac Imaging
3. Popular Modalities Used in Nuclear Cardiology
3.1 SPECT/CT
3.1.1 General Architecture of SPECT/CT
3.1.2 Myocardial Perfusion Imaging: CT Based Attenuation Correction
3.1.4 SPECT/CT for Cardiac Disease Detection: An Economic Conundrum
3.1.4.1 SPECT/CT from the Physician' s Point of View
3.1.4.2 Cost Effectiveness vs. Cost and Reimbursement
3.1.4.3 Factors to Drive Sales and Utilization of SPECT/CT
3.1.4.4 Newer SPECT Cameras
3.1.4.5 New Ultrafast Camera Designs
3.1.4.6 Basic Design of a Gamma Camera
3.2 Positron Emission Tomography (PET)
3.2.1 Basic Design of a PET System
3.2.2 Application of PET in Cardiology
3.2.3 PET and Heart Disease Diagnosis
3.2.4 PET and Heart Disease Staging
3.2.5 Reimbursement Cuts for Cardiac PET in 2011
3.2.6 Growth of PET in Cardiology
3.2.6.1 PET/CT Hybridization
3.2.6.2 Cost Considerations in PET Scanners
3.2.7 PET/CT in Cardiology
3.2.7.1 Positron Emitting Tracers
3.3.1 The Resting Electrocardiogram (ECG)
3.3.2 The Exercise Stress Test (Treadmill Stress Test, TMT)
3.3.3 Echocardiography
3.3.4 Magnetic Resonance Imaging (MRI)
3.3.5 Multi-slice Computed Tomography (MSCT)
3.3.6 Contrast Coronary Angiography (CA) and Intravascular Ultrasound
(IVUS)
4. Nuclear Medicine
4.1 Diagnostic Radiopharmaceuticals
4.2 Suppliers of Radioisotopes
4.3 Isotopes Used in Medicine
4.4 Cyclotron Radioisotopes
4.5 Radiopharmaceuticals in PET Imaging
4.6 Radiopharmaceuticals for Clinical Cardiac PET Imaging
4.6.1 Nitrogen-13 Ammonia
4.6.2 Rubidium-82
4.6.3 Oxygen-15 Water
4.6.4 Fluorine-18 Fluorodeoxyglucose
4.7 Generator Produced PET Radiopharmaceuticals
4.8 Radiopharmaceuticals in SPECT
5. Picture Archiving and Communication Systems (PACS) in Cardiology
5.1 Trends in Cardiology PACS
5.1.1 Remote Reading of PACS
5.1.2 Double-Digit Growth in CardioPACS
6. Advances in Nuclear Cardiology
6.1 Myocardial Function
6.2 Myocardial Perfusion
6.3 Gated Myocardial Perfusion SPECT
6.4 Advances in Software for Gated SPECT
6.5 Gated Myocardial Perfusion SPECT in the Era of Multi-Detector CT
6.6 PET and Imaging of Myocardial Metabolism
6.7 Imaging Myocardial Innervation
6.8 Radionuclide Imaging of Atherosclerotic Lesions
6.9 Stem Cell Imaging
6.10 Gene Therapy
7. Current Status of Nuclear Cardiology
7.1 Current Status of Nuclear Cardiology in Asia
7.2 Current Status of Nuclear Cardiology in Europe
7.2.1 European Cardiovascular Disease Statistics
7.3 Current Status of Nuclear Cardiology in Latin America
7.4 Current Status of Nuclear Cardiology in North America
8. Nuclear Cardiology: Market Analysis
8.1 Global Utilization of Nuclear Cardiology
8.1.1 Future of Global Nuclear Cardiology Utilization
8.1.2 Utilization of Nuclear Cardiology Procedures in Developed
Countries
8.1.3 Utilization of Nuclear Cardiology Procedures in Latin America
8.1.4 Utilization of Nuclear Cardiology Procedures in Asia/Oceania
8.1.5 Utilization of Nuclear Cardiology in Africa
8.2 Utilization of Nuclear Cardiology vs. Mortality Rate
8.3 Cost Effectiveness in Nuclear Cardiology
8.4 Epidemiology of Cardiovascular Diseases in Developing Countries
8.5 Global Opportunities for Nuclear Cardiology Products
8.6 Global Market for SPECT/PET
8.7 SPECT/PET Technology
8.8 Competition in Nuclear Cardiology Market
8.9 Global Market for SPECT
8.10 Product Comparisons of Gamma Cameras
8.10.1 Mobile Gamma Cameras
8.10.2 SPECT Cameras
8.10.3 Purchase Considerations for SPECT Cameras
8.10.4 Cost Containment
8.11 Need for Dedicated PET Devices for Cardiac Imaging
8.12 Market for PET Imaging Systems
8.12.1 Growth Rate for PET Cameras
8.12.2 The Decline of SPECT
8.12.3 PET-Only vs. PET/CT
8.12.4 The Different Paths of SPECT/CT and PET/CT
8.13 U.S. Market for PET
8.14 PET Market in Europe
8.14.1 European Market for Nuclear Imaging Equipment
8.14.2 Nuclear Imaging Market Leaders in Europe
8.14.3 European Market for PET/CT
8.14.4 European Market for SPECT/CT
8.14.5 Nuclear Imaging System Market in Germany
8.14.6 Nuclear Imaging System Market in France
8.14.7 Nuclear Imaging System Market in the U.K.
8.14.8 Nuclear Imaging System Market in Italy
8.15 PET Services in Europe
8.15.1 PET Services in England
8.16 SPECT vs. PET in Nuclear Cardiology
8.16.1 Future of SPECT and PET
8.17 Hybrid Economics
8.17.1 Hybrid Optimization
8.17.2 Image Quality
8.17.3 Rapid Growth of Radio Tracers
8.18 U.S. Market for SPECT and PET Radiopharmaceuticals
8.19 U.S. Reimbursement for Nuclear Cardiology Procedures
8.20 FDG Utilization in Europe
8.21 Future of Radiopharmaceutical Tracers
8.22 Global Market for Mo-99/Tc-99m
8.22.1 Global Demand for Mo-99 by Geography
8.23 Impact of Technetium Shortage on Cardiology Procedures
8.23.1 Global Impact
8.23.2 Popular Uses of Technetium-99M
8.24 FDA-Approved Radiopharmaceuticals
8.25 Cardiology Picture Archiving and Communication Systems (Cardiology
PACS)
8.25.1 Growth of Cardiology PACS
8.25.2 Global Market for Cardiology PACS
8.25.3 U.S. Market for Cardiology PACS
8.26 General Medical Picture Archiving and Communication Systems (PACS)