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X-ray and Endoscopy Medical Imaging Applications & Technology Trends

This publication has been discontinued on June 21, 2014.

How CCD, CMOS and a-Si are Reshaping the Medical Imaging Industry

Yole Développement is pleased to release this overview report of all the solid-state image sensor technologies currently commercialized in endoscopy and X-ray imaging. Included in this report is market forecasts till 2017 with in-depth analysis of each product category is provided, along with a description of the main active players, recent technological evolutions and future trends.


The solid-state medical image sensor market is driven by two major applications: X-ray imaging and endoscopy.

Global Medical Imaging Sensor Market
(in Munits)

Medical image sensor shipments will increase from 1.8M units to 4.2M units in 2017, fueled by growing sales of disposable endoscopes and camera pills. These emerging products will find broad adoption in clinical practices owing to incentives being provided in Europe and the US to reduce nosocomial infections.

From a revenue stand point, medical image sensor market will grow at a significant 9% CAGR in the 2012-2017 period, and is expected to reach $112M in 2017. X-ray image sensors account for 93% of total medical image sensors market revenue due to the ultra expensive price of X-ray sensors.

In this report, you will find details on the market evolution in revenue, volume and wafer shipments.


The medical image sensor market is characterized by a straight duality between X-ray imaging and endoscopy applications on price and volume. X-ray imaging is a very high-end market with a multitude of players, while endoscopy market is a high volume and low price point market with a limited number of players.

Medical image sensors products positioning

Seven segments are identified and need to be considered separately because they implicate different supply chains, drivers, and technical specifications. In this report, each of these segments is described with market drivers & technology trends.

X-ray and endoscopy markets are in evolving quickly, and are the source of numerous innovations at both equipment and application levels. Emerging products like disposable endoscopes, camera pills and CMOS X-ray flat panels are poised to drive the growth of medical image sensors in both volume and revenue, and help new players to enter the market.


Three technologies are currently used in medical imaging: CCD, CMOS and amorphous silicon (a-Si).

CMOS X-ray flat panels positioning

CMOS image sensors are a decade old technology, but a second wave of innovation has recently taken place and CMOS image sensors will quickly gain market shares in both endoscopy and X-ray markets at the expense of CCD sensors and a-Si flat panels.

CCD technology will continue to dominate historical endoscopy markets i.e. flexible and rigid endoscopy, growing at a moderate rate of 6%.

X-ray imaging and amorphous silicon detectors will stay the mainstream technology for very large static X-ray imaging thanks to their cost effectiveness.

A new X-ray technology mixing CMOS circuits and advanced packaging technologies is currently under development by all major players of X-ray imaging such as Philips or Siemens. That technology, namely Single Photon Counting is expected by 2017 and is the next milestone of X-ray medical diagnostic.

In this report, you will find detailed markets forecasts by product & technology, along with application & technology trends.


That technology shift in endoscopy and X-ray imaging represents a major opportunity for new entrants to take positions in the medical imaging market in niche, but nevertheless fast growing, applications. Numerous companies have entered the endoscopy market by offering innovative disposable endoscope or cameras pills, similarly to CMOS X-ray flat panel detector vendors.

Currently some historical players like Karl Storz or Hoya in endoscopy, or Trixell and General Electric in X-ray, have stood back. But what will they do as these growing markets will reach critical size? Some acquisitions have already occurred, and are ideal for big players to quickly complement their product portfolio and keep offering leading edge products with low technological risk.

This report includes the key companies to watch and their positional strength in the supply chain.



  • CMOS, CCD & a-Si foundries, packaging houses, sensors vendors
    • Assess the TAM - total accessible market of your company's related products in endoscopy and X-ray imaging.
    • Identify technology trends, challenges and precise requirements for the different market applications.
  • Medical equipment manufacturers
    • Understand the X-ray and endoscopy manufacturing supply and value chain.
    • Assess the positioning of your product in these dynamic market.


  • Technologies balance of forces for each medical device
  • Endoscopy and X-ray equipment: market drivers & forecasts in revenue and in volume
  • Medical image sensors: market drivers & forecasts in revenue, volume and wafers
  • Detailed supply chain and value chain analysis


AGFA, Alcon, Austria Microsystems, Awaiba, BioVision Technologies LLC, Caeleste, Canon, Carestream Health, Circon, Cyber Medical, Dongbu Hitek, e2v, EndoOptiks, Escalon, FiberTech, Fujifilm, Fujinon, General Electrics, GI View, Giotto, Given Imaging, GMM, Hamamatsu, Hitachi, Hologic, Hoya Life Sciences, Imix, IntroMedic, Intuitive Surgical, Invendo Medical, ISDI, Italray, Jinshan Group, Karl Storz, Konica Minolta, Medigus, Micro-Imaging Solutions, Olympus, ON Semiconductor (Cypress), OSAT, VT & Aptina, Palodex, Panasonic, Perkin Elmer (Dexela), Philips, Primax, Pyxalis, RF Systems labs, Richard Wolf, Samsung, Shimadzu, Siemens, Sony, STMicro, Stryker, Swissray, Teledyne DALSA, Toshiba,TowerJazz, Trixell, Truesense Imaging, TSMC, Varian, Vatech Humanray, Villa, VIM'S, X-Fab, Ziehm Imaging......


Paul Danini is the market & technology analyst in charge of the imaging technologies studies at Yole Développement. He holds a master of engineering in instrumental physics, and a master degree in Technology and Innovation Management from Grenoble Business School.

Benjamin Roussel is a Market Analyst at Yole Développement in Microfluidic & Medical Technologies fields. He holds a pharmacy diploma from the University Claude Bernard Lyon, complemented by a master degree in Technology and Innovation Management from EMLyon Business School.

Table of Contents

Executive Summary


  • Definitions, objectives & scope of the report

Medical Sensor technologies overview

  • CCD image sensors
  • CMOS image sensors
  • Amorphous silicon flat panels
  • Technologies comparison

Medical image sensors market overview

  • Global imaging market
    • Forecasts in revenue/volume
  • Endoscopy market
    • Split by technology (CCD & CMOS)
    • Forecasts in revenue/volume/wafer shipments
  • X-ray imaging market
    • Split by technology (CCD, CMOS and a-Si)
    • Forecasts in revenue/volume/wafer shipments
  • CCD medical image sensors market
    • Forecasts by product category
  • CMOS medical image sensors market
    • Forecasts split by product category
  • a-Si flat panel sensors market
    • Forecasts split by product category

Market segmentation

  • Market drivers by segment
  • Technology positionning

Product categories description

  • Focus on endoscopy applications
    • Rigid endoscopes
    • Flexible endoscopes
    • Camera pills
    • Disposable endoscopes
  • Focus on X-ray imaging applications
    • Dental market
      • Split by application
        • Intraoral imaging
        • Panoramic imaging
        • 3D CBCT
    • Medical imaging market
      • Split by application
        • Intraoral imaging
        • Panoramic imaging
        • 3D CBCT

Medical image sensors supply chain

  • Rigid endoscopes
  • Flexible endoscopes
  • Camera pills
  • Disposable endoscopes
  • X-ray intraoral detectors
  • X-ray flat panel detectors

Medical image sensors challenges

Conclusions & Perspectives

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