• Fluoroscopy remains a very small market in Latin America, with the high price point proving a significant barrier for entry to this market. Brazil is the largest adopter of fluoroscopy in the region, with most other Latin American countries seeing minimal sales.

Western Europe
• High-end product continues to dominate the general radiography market in Western Europe, with 68% of revenue for fixed room product coming from the high end in 2021. Floor-mounted systems sell more in unit terms in Western Europe, but with a lower ASP, revenue from ceiling mounted solutions accounts for a higher proportion of the market.
• Most Western Europe markets have limited demand for fluoroscopy, with France being the key exception. Almost 30% of all revenue in Western Europe comes from this country. France is also unique in that many healthcare providers prefer to use dedicated fluoroscopy systems, rather than multipurpose, which is generally utilised in the rest of Western Europe.
Eastern Europe, Middle East and Africa (EEMEA)
• Parts of EEMEA remain very cost sensitive, with Africa and less developed countries in the Middle East seeing high adoption rates of computed radiography, analog and retrofit. For many, digital solutions are too costly, especially with the added infrastructure costs to enable PACS and other healthcare IT solutions on top of the imaging systems. Servicing imaging equipment can also be a barrier to adoption, with few engineers available locally to quickly fix broken systems.
• Fluoroscopy remains very small for most of EEMEA. The areas that have stronger installed bases are in French-speaking north Africa, where demand follows France. In parts of the Middle East, such as in Saudi Arabia, some trends follow the U.S., as some radiographers were trained in the States, and therefore follow classical fluoroscopy installation practices.

Asia Pacific
• Asia Pacific remains cost sensitive in many parts of the region, with 57% of fixed-room revenue coming from the low-end segments. In countries like India, high levels of analog and computed radiography remain significant. In China, CT imaging is increasingly preferred over high-end digital radiography.
• Japan remains essential to the long-term growth of the fluoroscopy markets, with 45% of all unit sales in the region coming from this country alone. Elsewhere, demand is minimal, with costs proving prohibitive to adoption.

Competitive landscape
A return to a more conventional vendor landscape was evident in 2021, with global brands such as Siemens Healthineers, GE HealthCare and Philips regaining market share temporarily lost during the pandemic, when demand outstripped the available supply. With these vendors able to fulfill demand, smaller local vendors dropped share.

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