Developments in Image-Guided Therapy, Forecast to 2020

A Prime Area for Multi-Modality Convergence Forming the Next Growth Segment in Medical Imaging

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Medical imaging and informatics research service from the Transformational Health practice highlights the evolving trends and innovations in Image-Guided Therapy (IGT). As the fields of interventional imaging, minimally-invasive interventions, and image-guided surgery (IGS) continue to mature, the next step forward in the development of advanced treatment procedures is combining image guidance modalities with therapeutic modalities in real time.

The emergence of IGT as a growing set of niche procedures is expected to push forward a number of clinical specialties, starting with oncology where it will boost the under-developed field of interventional oncology and in neurology where it will tackle some of the most under-served neurological conditions. Ultrasound shines in the IGT field, both as a guidance or as a treatment modality (focused, high-intensity ultrasound: FUS, HIFU), but virtually every other diagnostic imaging and treatment modality is finding its place in the IGT landscape that is shaping out.

For example, as part of the spectrum of emerging IGT procedures is integrated MR-LINAC, which builds further than the current gold standard of image-guided-radiotherapy (IGRT) by providing real-time magnetic resonance image guidance, in a single gantry. This allows for a radiation where the region of interest can be segmented more precisely, the dose delivered and targeted more finely, and the risks of patient movement addressed more effectively.

This research sheds light on the IGT technology advances, growth opportunity landscape, and market considerations that are aiding and hampering adoption in the marketplace. Philips Healthcare is clearly capitalising on IGT as a core pillar of its growth strategy in imaging, operating high-profile partnerships, acquisitions, and product launches in this area, and the competitive dynamics are heating up substantially.

Key Questions this Study will Answer
•     What are the latest developments in image-guided therapy (IGT) industry? What does the role of advanced imaging look like in present-day interventional and therapeutic applications?
•     How are the multi-modality integration, image fusion, and real-time image guidance technologies shaping up next-generation IGT solutions?
•     What are the new products and solutions launched in the IGT industry? What does the future for IGT look like? What is the future market potential?
•     What are the key market trends? What are the key drivers and restraints impacting the growth opportunities in the global IGT market?
•     What are the top IGT applications gaining significance in the industry? Which are the applications clinically established? What are the applications in exploratory phase?
•     Who are the major market participants? What are their major product offerings?
•     How can the competitive landscape be characterised? Which vendors are dominating the market currently?

Table of Contents

Executive SummaryImage-Guided Therapy (IGT) as the Intersection of Diagnostic Imaging and Therapeutic ModalitiesDevelopments in Multi-Modality Integration and Image FusionDevelopments in Multi-Modality Integration and Image Fusion (continued)Definition and Study ScopeKey Integrations of Imaging and Interventional or Therapeutic ModalitiesOverview of Top 11 Key Image-Guided Therapy ApplicationsSummary of Top 11 Key Image-Guided Therapy ApplicationsKey Companies to Watch Key Companies to Watch in the IGT SegmentEvolving Trends Around Image-Guided TherapyKey New Developments in Image-Guided TherapyOther Notable Developments in Image-Guided TherapyKey Competitive Developments in Image-Guided Therapy Image-Guided Therapy—Future Proposals and SolutionsBackground—Image-Guided Therapy in Context of Cross Modality ConvergenceImage-Guided Therapy as a Cross-Modality ConvergenceTop Two Technology Trends for Image-Guided TherapyTop Two Key Enabling Technologies for IGT ProceduresOverview of Clinical Applications—Application Focus 1: OncologyGrowing Focus on Image-Guided InterventionsRecent Developments in Interventional OncologyState of the Art in Cancer Treatment Organ-Specific Image-Guided Radiotherapy and RadiosurgeryNext-Generation Image Guidance in Radiotherapy Evolution of Radiation TherapyRole of Imaging in Radiation TherapyRadiation Therapy—OverviewImage Guidance Techniques for Radiation TherapyKey Applications of Image-Guided Radiation Therapy Image-Guided Brachytherapy (IGBT)—OverviewIntraoperative Brachytherapy ProceduresCase Study—Elekta’s Image-Guided Brachytherapy Applicator IGRT—Computed Tomography (CT) with LINACApplication Focus 2—NeurologyImage-Guided Therapy—Neurology InterventionsCenter of Excellence for Neurology IGTCutting-edge Procedures Performed at NCIGT-AMIGOImage Guidance Modality Focus 1—Magnetic Resonance ImagingIGRT—Technology RoadmapLinear Accelerator (LINAC)High-Field MR-LINAC SystemCase Study 1—Elekta-Philips MR-LINAC for Oncology Case Study 1—Elekta-Philips MR-LINAC for Oncology (continued)Elekta-Philips High-Field MR-LINAC Installation Sites Members of International Elekta MR-LINAC ConsortiumCase Study 2—ViewRay: MRIdian MR-LINAC Radiotherapy SystemMR-LINAC Radiotherapy System—Most Promising Clinical Application Areas Example 2—MR Guided High-Intensity Focused Ultrasound (MRgFUS)State of Research and Regulatory Approval by IndicationsCase Study—InSightec-MR-Guided Focused Ultrasound Image Guidance Modality Focus 2—UltrasoundUltrasound Guided Focused Ultrasound (USgFUS)Ultrasound Guided Interventional ProceduresUltrasound Applications in Image-Guidance Interventions Liver Cancer—Embolisation Guidance SystemImage Guidance Modality Focus 3—Interventional X-RayNext-Generation Interventional X-Ray Suites Philips Healthcare Introduces Azurion IGT Platform Case Study—Philips Healthcare: Azurion IGT PlatformCase Study—Philips Healthcare: Azurion IGT Platform (continued)X-Ray Guided Intra-Vascular Ultrasound (IVUS) ProcedureImage Guidance of IGRT using Cone-Beam CT Image Guidance Modality Focus 4—PETCase Study—RefleXion Medical: PET Guided Radiation TherapyGrowth Opportunities—Image-Guided Therapy Growth Opportunity—Image-Guided Therapy5 Major Growth Opportunity—Image-Guided TherapyCompetitive LandscapeImage-Guided Therapy—Total Industry ParticipantsImage-Guided Therapy—Key Segment Participants Mergers/Acquisition and Strategic Partnerships to WatchThe Last WordThe Last Word—3 Big PredictionsLegal DisclaimerThe Frost & Sullivan StoryThe Frost & Sullivan StoryValue Proposition—Future of Your Company & CareerGlobal PerspectiveIndustry Convergence360º Research PerspectiveImplementation ExcellenceOur Blue Ocean Strategy





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