U.S. Enterprise Medical Image Archiving Market Evaluating Trends in Image Data Volumes, Enterprise PACS Archives,

and Vendor-neutral Archives

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October 2012

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Executive Summary—CEO’s Perspective

2 Ongoing consolidation of hospitals and imaging

centers accelerates IT consolidation of

distributed medical imaging enterprises.

3

Despite comparatively early adoption, the United

States remains slower than other global markets

to adopt enterprise archiving and cloud

computing.

4 Traditional PACS vendors and third-party IT

middleware vendors share the enterprise image

archiving market opportunity evenly.

5 Imaging informatics continue to evolve into more

of an IT play, as large IT vendors and healthcare

IT companies eye higher stakes.

1 Meaningful-use requirements promote an

enterprisewide IT approach but sponsor it

through stimulus funding only marginally.

Source: Frost & Sullivan analysis.

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Market Overview—Key Questions This Study Will Answer

Given the recent slowdown in the traditional radiology PACS business, how long will it take for

enterprise image and information management solutions to revive growth in the U.S. market?

What are the growth prospects for new-generation enterprise image archiving, image exchange, and

cloud-based and service-based solutions in the next few years?

Of the core PACS vendors, large IT vendors, and the smaller independent vendors, which market

participants are best succeeding in the enterprise imaging IT arena?

What kind of traction is the U.S. market expected to develop around the per-procedure purchasing

model, and the service- and cloud-based deployment models?

What is the role and importance of radiology in the current and future landscape of the enterprise

medical image and information management market?

What do the current competitive dynamics in the enterprise medical imaging IT field suggest with

regard to future mergers and acquisitions in the industry?

Source: Frost & Sullivan analysis.

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Medical Imaging IT Middleware Matrix

Source: Frost & Sullivan analysis.

Driver of

Adoption

Clinical

Benefits

IT Management

and Economic

Benefits

Industry Focus

Information and

Communications

Technologies (ICT)

Medical

Imaging

Technologies

Core Clinical

Imaging Informatics

Solutions

IT Pure-play

Solutions

Imaging IT

Applications

PACS and RIS

Workstation

Enterprise

viewer

Image data

lifecycle

management

Clinical data

mining

Operational

data mining

Image data

migration

Image-

enabled

EMR

Storage/server

virtualization

Service-oriented

architecture (SOA)

HIPAA/regulatory

requirements

Physician

communication

and collaboration

Longitudinal

patient data

integration

PACS/RIS

aggregation

or federation

Offsite data

center

management

Study sharing

through image

exchange

Cloud storage

Integrating the

healthcare enterprise

(IHE) road map

Multidepartmental

image

management

Automatic disaster

recovery, business

continuity

Cloud-based

imaging

applications Multisite

image

management

Systems

integration and

inter-operability

Enterprise Medical Image Archiving Market: Medical Imaging IT Middleware Matrix, U.S., 2011

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Key Industry Participants and Main Product Line

Participant Product Line

Acuo Technologies Universal Clinical Platform

Agfa HealthCare IMPAX Data Center

Carestream Health Vue Archive

DeJarnette Research Systems xDL

Dell, Inc. Dell Unified Clinical Archive

Fujifilm Medical Synapse VNA

GE Healthcare Centricity VNA

Laitek Semperdata

Mach 7 Technologies Keystone Archive

McKesson Provider Technologies Enterprise Image Repository

Merge Healthcare iConnect VNA

Philips Healthcare Intellispace PACS/VNA

Sectra Sectra Open Archive

Siemens Healthcare syngo.share

Teramedica Evercore

Source: Frost & Sullivan analysis.

Enterprise Medical Image Archiving Market: Key Industry Participants and Main Product Line

U.S., 2011

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Vendor-neutral Archive—Definition (continued)

* PIX: Patient Identifier Cross-referencing; PDQ: Patient Demographics Query; IHE: Integrating the Healthcare Enterprise; MPI: Master Patient Index.

Source: Frost & Sullivan analysis.

First-generation (1G) VNA

(2001–2008)

Second-generation (2G) VNA

(2006–2013)

Third-generation (3G) VNA

(2011–2018)

• Contract includes a significant data

migration component

• Solution provides a PACS-neutral

database

• Provides a basic enterprise viewer for

secondary viewing

• Replaces one or more disparate image

archive

• Is proven future-proof from subsequent

data migrations

• Can be interfaced with other key

imaging IT systems

• Includes primarily medical image

(DICOM) data

• Is mainly a single department

(radiology) solution

• May provide some level of

interdepartmental consolidation

• Relies on “DICOMization” to handle

non-DICOM image data

• Aggregates or federates more than one

PACS system

• Manages many non-DICOM objects

beyond DICOM images

• Extends to multimedia files and patient

management docs

• Uses dynamic DICOM tag morphing

and normalization

• Spans multiple departments using and

producing images

• Offers metadata-based information life

cycle management for movement and

retention

• Provides at least basic operational or

clinical data mining

• Facilitates image exchange between

disparate local PACS

• Facilitates disaster recovery and

business continuity

• Offers full multidepartmental,

multisite coverage

• Provides XDS-I-based image

exchange and multisite integration

• Fully compliant with IHE’s PIX and

PDQ MPI profiles*

• Encompasses all enterprise images

and related data

• Image-enables the electronic

medical record (EMR)

• Facilitates image exchange beyond

individual enterprises

• Acts to support a central

enterprisewide data repository

• Supports a virtualized storage and

application environment

• Offers advanced ILM and business

continuity capabilities

Vendor-neutral Archive Market: Product Segments, U.S., 2001–2018

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Contact Frost & Sullivan for Further Information

Britni Myers Executive

North America Corporate Communications

(210) 477-8481

Britni.myers@frost.com

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