Radiology Oncology Surgical Robots Market Shares, Strategies, and Forecasts, Worldwide, 2016 to 2022

Published: Jan, 2016 | Pages: 557 | Publisher: WinterGreen Research
Industry: Surgical Equipment | Report Format: Electronic (PDF)

The global radiology oncology surgical robots market is emerging rapidly owing to several factors such as rising geriatric population and the advantages offered by new technology likely boost the overall industry. The number of new cases is majorly owing to slow aging population as both emerged and emergent countries have enormous geriatric populations. The overall market was valued at $4 billion in 2015 and is expected to cross over $7 billion over the forecast period. This is mainly owing to introduction of new instruments that direct cancer surgery through radiation and several next generation devices.

Radiology oncology surgical robots utilize incessant image guidance and mechanical mobility to eradicate tumors. Furthermore, this system chase oncology target during the treatment leaving healthy tissue which wouldn’t harm the body. A linear accelerator probably, light weight, robotic manipulator can distribute beam from thousands of non-coplanar. These treatments have stiff quantity of conformality, precipitous dose gradients and tremendous tumor coverage.

Radiosurgery and radiotherapy processes nowadays are majorly improved by highly advanced technological advancement. Increasing uses of radiosurgery and radiotherapy equipment arise as the units are capable to treat a wider series of cases. Furthermore, advances in software and hardware are causing industry for re-establishing an aging mounted base. Also, latest designs are proficient to deliver high standards of concern.

Augmentation in cancer cases coupled with rise in sophistication of latest treatment protocols have increased for additional automated products. Automation basically depends on integration of various devices into clinically practical systems. Also, integrated systems make treatments cost effective and rapid. Hospitals are adopting robotic surgical devices to enhance their outcome numbers. Furthermore, several universities in the world have organized research programs in robotics which will positively impact the overall radiology oncology surgical robots industry.

These surgeries assists in providing surgeon a better vision of surgical site and control over the surgical instruments .As a result, surgeons do not get exhausted while performing surgery as they do not have to stand continuously. Use of high doses of radiation specifically to remove the tumor, while separating the healthy tissue undamaged is compelling the overall industry. It clearly means that these radiations wouldn’t damage a person and are adequate to kill the cancer.

 Table of Contents

Radiology Oncology Surgical Robot Executive Summary 20
Radiology Oncology Surgical Robot Market Driving Forces	20
Surgical Radiology Robotics Market Driving Forces	23
Radiology Surgical Robot Key Procedures As Elements Of Strategy	27
Radiosurgery As Stereotactic Radiotherapy	28
Radiology Oncology Surgical Robots Market Share Analysis	29
Radiology Surgical Robots Market Forecasts	31

1. Radiology Surgical Robot Market Description and Market Dynamics		35
1.1  Radiotherapy, Radiation Therapy, Radiosurgery, And Brachytherapy Market Description		35
1.1.1	IMRT		36
1.1.2	VMAT		37
1.1.3	IGRT		37
1.1.4	SRS and SBRT		38
1.1.5	Brachytherapy		38
1.1.6	Proton Therapy		39
1.2  Current Radiation Therapy Limitations	40
1.3  Radiology Robotic Surgical Clinical Facilities and Clinical Diagnosis	42
1.3.1	Cancer Robotic Surgery Learning Curves	44
1.3.2	Robotic Radiological Surgery Equipment	44
1.3.3	Medicare and Medicaid Impact		46
1.3.4	Medical Robotic Surgery by Segment	46
1.3.5	Robotic Cancer Surgery		46
1.3.6	Cancer		47
1.4  Brain Tumors		48
1.4.1	Causes of Brain Tumor		49
1.4.2	Tumor Grading		49
1.4.3	Types of Treatment		50
1.4.4	Biopsies		51
1.4.5	U.S. Markets For Diagnostic Oncology-Related X-Ray-Based Imaging Products	51			
2D X-Ray Systems Market Driving Forces	53 

2. Radiology Oncology Surgical Robot Market Shares and Market Forecasts		55
2.1  Radiology Oncology Surgical Robot Market Driving Forces	55
2.1.1	Surgical Radiology Robotics Market Driving Forces	58
2.1.2	Radiology Surgical Robot Key Procedures As Elements Of Strategy	62
2.1.3	Radiosurgery Is Stereotactic Radiotherapy	63
2.2  Radiology Oncology Surgical Robots Market Share Analysis	64
2.2.1	Accuray	67
2.2.2	Accuray Clinical Studies	68
2.2.3	Accuray Goal	69
2.2.4	Accuray Revenue	71
2.2.5	Varian	75
2.2.6	Elekta	77
2.2.7	Brainlab	80
2.2.8	Radiology Surgical Robots Market Unit Analysis	81
2.3  Radiology Surgical Robots Market Forecasts	82
2.3.1	Advanced Surgical Robotic Radiation Therapy Systems	86
2.3.2	U.S. Markets For Diagnostic Oncology-Related X-Ray-Based Imaging	Products	87	
2.4  Cancer Incidence and Radiology Surgery Number of Procedures	88
2.5  Radiology Surgical Robots Regional Analysis	93
2.5.1	US Radiation Oncology Market	94
2.5.2	European Radiation Oncology Market	95
2.5.3	Asia Pacific Market Radiation Oncology Market	95
2.5.4	Accuray in China	96
2.5.5	Advantages of the Accuray Cyberknife treatment in China	99
2.5.6	GE Moves X-Ray Base to China to Tap Growth	100
2.5.7	Japanese Regulatory Approval for Accuray CyberKnife Robotic Full-body Radiosurgery System		101
2.5.8  Japan X-ray Systems Market	101
2.5.9  Philips Expands Global Reach Of X-Ray Solutions	101
2.5.10 Reimbursement Challenges	103

3. Radiology Surgical Robots Product Descriptions	105
3.1  Accuray CyberKnife M6 Series	105
3.1.1  Accuray CyberKnife M6 FIM System	111
3.1.2  Accuray CyberKnife® M6™ System	115
3.1.3  Accuray / CyberKnife VSI System	117
3.1.4  Accuray / TomoTherapy System	120
3.1.5	Accuray Clinical Studies	124
3.1.6  Accuray TomoTherapy® System Clinical Studies	126
3.1.7  Accuray CyberKnife® System Clinical Study	126
3.1.8  Accuray TomoTherapy System Clinical Study	126
3.1.9  Class A User Licenses for Accuray Products Awarded to 16 Hospitals in China	127	
3.1.10 Accuray “Open Systems” Software Benefits	128
3.2  Elekta	129
3.2.1  Elekta Gamma Knife® Surgery	132
3.3  Varian	137
3.3.1  Varian Image Guided Radiation Therapy, Cone-Beam CT (CBCT	140
3.3.2	Varian Trilogy	140
3.3.3  Varian Edge™ Radiosurgery Suite	142
3.3.4	Varian Oncology Systems	144
3.4  ViewRay	147

4. Radiology Surgical Robots Technology and Research151
4.1  Accuray Radiology to Treat Head Cancer And Spinal Cancer	151
4.1.1	Fiducial Markers Implantation	151
4.1.2  Molding Of A Plastic Body Cradle	151
4.1.3	Treatment Planning	152
4.1.4  Programming of the Accuray Cyberknife System	152
4.1.5	Treatment Procedure	152
4.1.6	Postoperative Supervision	153
4.2	Varian Medical TrueBeam® Systems Advanced Platform	153
4.2.1  Potential of High Definition Radiotherapy	154
4.3	C-Arm Surgical X-Rays	156
4.4	X-Ray Digital Workflow	157
4.5	Stereotactic Radiosurgery	160
4.5.1	Image-Guided Stereotactic Radiosurgery	160
4.5.2  Image-Guided Stereotactic Radiosurgery Safety	160
4.6	Siemens Ysio Max (Advances in X-Ray)	161
4.7	MD Anderson Gamma Knife Radiosurgery	162
4.7.1  MD Anderson Proton Therapy Center	163
4.8	Partners Healthcare Massachusetts General Hospital Radiation Cancer Treatment	164
4.8.1  Partners Healthcare / Dana Farber	164
4.8.2  Three-Dimensional Conformal Radiation Therapy (3D-CRT)	165
4.8.3  Image Guided Radiation Therapy (IGRT)	166
4.8.4  Intensity Modulated Radiation Therapy (IMRT)	166
4.8.5  RapidArc™ Volumetric Modulated Radiotherapy	166
4.8.6  Total Body Irradiation (TBI)	167
4.8.7  Accelerated Whole Breast Radiation Therapy	167
4.8.8	Stereotactic Radiosurgery (SRS)	167
4.8.9  High Dose Rate (HDR) Brachytherapy	168
4.8.10	Robotic Transrectal Ultrasound (TRUS) Guided Radiation Therapy  168
4.9  Memorial Sloan Kettering Radiation Cancer Treatment	169
4.9.1  Memorial Sloan Kettering IMRT & IGRT	169
4.9.2  Memorial Sloan Kettering Stereotactic Radiation Therapy	170
4.9.3  Memorial Sloan Kettering Whole-Brain Radiation Therapy Stereotactic Radiosurgery, SRS	171
4.10 U.S. Regulations	172
4.10.1	Foreign Regulations	173

5. Radiology Surgical Robots Company Descriptions	175
5.1	Accuray	175
5.1.1  Accuray Revenue for Second Quarter of Fiscal Year 2015	176
5.1.2  Accuray Revenue Three Months Ended September 30, 2015	177
5.1.3	Accuray Revenue	183
5.1.4  Accuray Non-Invasively Delivers High Doses Of Radiation To Tumors With Extreme Accuracy And Intense Precision	186
5.1.5	Accuray Products	187
5.1.6	Accuray CyberKnife System	187
5.1.7	Accuray Strategy	189
5.1.8	Accuray International Presence	192
5.1.9	Accuray Competition	193
5.1.10 New Data Validates CyberKnife SBRT for Prostate Cancer Treatment 195	
5.1.11	Accuray Recall in 2013	196
5.2	Best Theratronics, Ltd	197
5.3	Brainlab AG	200
5.3.1	Brainlab AG Revenue	202
5.3.2	Brainlab	203
5.4	Elekta	204
5.4.1  Elekta Gamma Radio Surgery System	205
5.4.2  Elekta - Interim report May – October 2015/16	206
5.4.3  Elekta Transformation program on track	207
5.5	Mitsubishi Heavy Industries	210
5.5.1  Mitsubishi Heavy Industries Vero Sterotactic Body Radiotherapy	210
5.6	Varian Medical Systems	212
5.6.1  Varian Oncology Systems Business Segment	212
5.6.2	Varian Revenue	213
5.7	ViewRay	216
5.8	Accuray Locations	220
5.9	2D X-ray Equipment Leading Vendors	546

List of Tables and Figures

Table ES-1		23
Innovative Radiology Surgical Robot Features	23
Table ES-2		24
Surgical Robotics Market Driving Forces		24
Table ES-3		25
Radiology Surgical Robot Market Positioning	25
Table ES-4		26
Accuray CyberKnife M6 Series Systems Adoption Trends	26
Table ES-5		28
Radiological Surgical Robot Medical Sub-Specialties	28
Figure ES-6	30
Radiology Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2015 30
Figure ES-7	34
Radiology Surgical Robot Systems Forecasts, Dollars, Worldwide, 2015-2021	34
Table 1-1	40
Current Radiation Therapy Process and Limitations	40
Table 1-2	43
Advanced Clinical Decision Support	43
Table 1-3	45
Radiological Surgical Robots Benefits	45
Figure 1-4	47
X-ray Diagnosing and Tracking Cancer	47
Table 1-5	48
Factors That May Increase The Risk Of Complications With Radiology Cancer	
Surgery	48
Table 1-6	53
X-Ray Equipment Market Driving Forces	53
Table 2-1	58
Innovative Radiology Surgical Robot Features	58
Table 2-2	59
Surgical Robotics Market Driving Forces	59
Table 2-3	60
Radiology Surgical Robot Market Positioning	60
Table 2-4	61
Accuray CyberKnife M6 Series Systems Adoption Trends	61
Table 2-5	63
Radiological Surgical Robot Medical Sub-Specialties	63
Figure 2-6		65
Radiology Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2015 65
Table 2-7		66
Radiology Surgical Linear Accelerator Market Shares, Dollars, Worldwide, 2015 66
Figure 2-8		70
Accuray Patient Station		70
Table 2-9		71
Accuray CyberKnife Features		71
Table 2-10		72
Accuray Regional Revenue Shifts		72
Table 2-11		77
Elekta Gamma Knife Benefits		77
Table 2-12		78
Elekta Gamma Knife® Positioning		78
Table 2-13		79
Elekta Gamma Knife Perfexion Treatment Benefits	79
Table 2-14		80
Elekta Gamma Knife Features		80
Table 2-15		81
Radiology Surgical Linear Accelerator, Market Shares, Units and Dollars,	
Worldwide, 2015		81
Figure 2-16		85
Radiology Surgical Robot Systems Forecasts, Dollars, Worldwide, 2016-2022  85
Table 2-17		86
Radiology Surgical Robot Market Segment Forecasts, Dollars and Units,		
Worldwide, 2016-2022		86
Table 2-18		89
New Cancer Cases in US, 2015, 1,658 Thousand	89
Figure 2-19		90
Cancer Incidence and Mortality, Worldwide	90
Table 2-20		91
Accuray Surgical Robotic Advantages		91
Figure 2-21		93
Radiology Surgical Robots Regional Analysis	93
Table 2-22		94
Radiology Surgical Robots Market Segments	94
Table 2-23		96
Accuray Regional Revenue Shifts		96
Table 2-24		98
Accuray Cyberknife Radiosurgery System Treats The Following Diseases In China:
98			
Table 2-25		99
Advantages of the Cyberknife Treatment in China	99
Table 3-1		105
Accuray CyberKnife M6 Series Benefits:		105
Table 3-2		106
Accuray CyberKnife M6 Series Functions		106
Table 3-3		107
Accuray CyberKnife M6 Series Uses		107
Table 3-4		108
Accuray CyberKnife M6 Series Features		108
Table 3-5		109
Accuray CyberKnife M6 Patient Comfort Features	109
Figure 3-6		110
Accuray Radiology Surgical Robot		110
Figure 3-7		111
Accuray CyberKnife M6 FIM System		111
Table 3-8		112
Accuray CyberKnife M6 FIM System Features	112
Figure 3-9		113
Accuray CyberKnife M6 FM System		113
Table 3-10		114
Accuray CyberKnife M6 FM System Design Features	114
Figure 3-11		115
Accuray CyberKnife M6 FI System		115
Figure 3-12		117
Accuray / CyberKnife VSI System		117
Table 3-13		118
Accuray CyberKnife VSI™ Radiosurgery System Functions	118
Table 3-14		119
Accuray CyberKnife VSI™ Radiosurgery System Treatment Options	119
Figure 3-15	120
Accuray TomoTherapy® System	120
Table 3-16	121
Accuray TomoTherapy System Benefits	121
Table 3-17	123
Accuray Cancer Conditions Treated via Surgical Robot	123
Table 3-18	128
Accuray Open Systems Software Benefits	128
Table 3-19	129
Accuray Open Systems Software Challenges	129
Figure 3-20	130
Human Brain with Cancer Tumors	130
Figure 3-21	131
Elekta Lexsell Gamma Knife® PERFEXIONTM System	131
Table 3-22	134
Conditions for Elekta Gamma Knife® Efficacy	134
Table 3-23	135
Advantages of Elekta Gamma Knife®	135
Figure 3-24	136
Elekta Market Leading Solutions Portfolio	136
Figure 3-25	137
Varian Radiosurgery System	137
Figure 3-26	139
Varian Radiation Surgery Capabilities	139
Figure 3-27	141
Varian Trilogy	141
Table 3-28		145
Varian Oncology Product Set		145
Table 3-28 (Continued)		146
Varian Oncology Product Set		146
Figure 3-29		147
ViewRay On-Table Dose Prediction And Re-Optimization	147
Figure 3-30		149
ViewRay MRIdian® System		149
Table 3-31		150
ViewRay MRIdian® System Functions		150
Figure 4-1		157
X-Ray Digital Workflow		157
Figure 4-2		158
Digital X-Ray Equ9pm3n35 Part of Paperless Workflow in Hospital	158
Figure 4-3		159
Departmental Picture Archiving And Communication System PACS: Clinical
Productivity		159
Table 4-4		162
Elekta Gamma Knife Surgery Targets		162
Accuray Regional Revenue Shifts		176
Table 5-1		190
Accuray Strategy		190
Table 5-2		191
Accuray Key Elements Of Strategy		191
Table 5-3		198
Best Theratronics, Ltd Radiation Therapy - Gammabeam™ 500 Total Body
Irradiator Features		198
Figure 5-4		199
Best Theratronics, Ltd Radiation Therapy - Gammabeam™ 500 Total Body	
Irradiator	199
Figure 5-5	200
Brainlab Collaborative Workspace	200
Figure 5-6	201
Brainlab AG Worldwide Presence, Headquarters in Germany	201
Figure 5-7	205
Elekta Gamma Radio Surgery System	205
Figure 5-8	211
Mitsubishi Heavy Industries Vero RadioTherapy	211
Table 5-9	218
ViewRay Early Adopters:	218