Local vendors in emerging markets are spearheading making entry-level systems more accessible and affordable. Innvolution Imaging, an Indian interventional X-ray vendor, has played a significant role in this effort. As a result, it is now the second-largest Cath lab supplier in India and has helped bring Cath lab access to two-thirds of Indian districts, a significant increase from less than one-third a decade ago.

Developed markets continue to prioritise high-end systems with advanced features to enable more complex interventions to be performed. Large multinational vendors have transformed their business strategies from focusing solely on transactional sales and technology-based marketing to becoming Imaging Service Line providers to secure long-term managed service deals. They are increasingly offering integrated and comprehensive imaging solutions that include AI, navigation, reporting, workflow, and strategic partnerships. Long-term partnerships between vendors and providers, along with multimodality deals, will significantly improve both operational and clinical efficiency as well as create more centralised procurement.


In the mid to long term, the interventional X-ray market in developed markets is expected to see gradual adoption of cutting-edge technology and more advanced features. An era of augmented reality, surgical robotics, and increased penetration of AI for features beyond dose optimisation and image quality enhancement is on the horizon. In the upcoming years, it is expected that academic institutions and top-tier hospitals in North America will be the early adopters of such technologies. As the cost-benefit analysis of such advanced features becomes more apparent, it is expected that non-academic facilities will also deploy these technologies in the mid to long term. The use of augmented reality to provide peer support during interventional procedures is projected to gain the most traction in outpatient facilities that lack access to a network of experienced physicians.

About the author: Bhvita Jani joined Signify Research in 2020 as part of the Medical Imaging Team focusing on the X-ray market. Prior to joining, she brings with her 4 years’ experience covering X-ray, MRI and CT research at IHS Markit. She received her bachelor’s degree with combined honors in Biology and Psychology from Aston University. Signify Research provides healthtech market intelligence that blends insights collected from in-depth interviews with technology vendors and healthcare professionals with sales data reported to us by leading vendors to provide a complete and balanced view of the market trends.

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