Fiducial Markers Market
By Product;
Polymer-Based Markers, Metal-Based Markers, Pure Gold Markers and Liquid-Based MarkersBy Modality;
Photon Therapy, Proton Therapy, Tomotherapy and CyberknifeBy Disease Site;
Head & Neck, Breast, Lung, Abdomen, Prostate, Kidney and Cervix or Other Gynaecologic OrgansBy End User;
Hospitals, Cancer Research Institutes and Radiotherapy CentersBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa and Latin America - Report Timeline (2021 - 2031)Fiducial Markers Market Overview
Fiducial Markers Market (USD Million)
Fiducial Markers Market was valued at USD 122.80 million in the year 2024. The size of this market is expected to increase to USD 168.24 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 4.6%.
Fiducial Markers Market
*Market size in USD million
CAGR 4.6 %
| Study Period | 2025 - 2031 |
|---|---|
| Base Year | 2024 |
| CAGR (%) | 4.6 % |
| Market Size (2024) | USD 122.80 Million |
| Market Size (2031) | USD 168.24 Million |
| Market Concentration | High |
| Report Pages | 329 |
Major Players
- CIVCO Radiotherapy
- IZI Medical Products
- Naslund Medical AB
- Medtronic PLC
- QlRad Inc
- QFIX
- Boston Scientific Corp
- Nanovi A/S
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Fiducial Markers Market
Fragmented - Highly competitive market without dominant players
The Fiducial Markers Market is experiencing steady growth, largely due to their critical role in radiotherapy and image-guided treatments. Nearly 63% of applications are linked to oncology, where fiducials enable accurate tumor localization and improve treatment precision. Their widespread adoption highlights their importance in modern cancer therapy protocols.
Advances in Imaging and Materials
Rapid progress in biocompatible materials and imaging technology is reshaping the use of fiducial markers. Currently, around 48% of new designs ensure enhanced visibility across multiple imaging modalities, allowing clinicians to achieve higher levels of precision. These improvements are also driving the demand for safer and minimally invasive options.
Growing Shift Toward Minimally Invasive Approaches
The increasing preference for minimally invasive surgeries is fueling fiducial marker usage across multiple therapeutic areas. More than 55% of procedures using fiducials now fall under minimally invasive interventions, offering benefits such as reduced recovery time and improved patient comfort. This trend reflects their rising integration into oncology and interventional radiology practices.
Healthcare Infrastructure Driving Adoption
Expanding oncology care centers and specialized healthcare facilities are strengthening fiducial marker adoption. Studies suggest that nearly 42% of advanced cancer centers already incorporate fiducial marker placement as a standard practice. This broader accessibility is making fiducials a mainstream clinical tool across multiple care settings.
Positive Outlook for Market Growth
The future of the fiducial markers market remains promising, supported by growing cancer prevalence, rising demand for precision medicine, and ongoing innovation in marker designs. Industry partnerships and continued research are expected to further expand their application scope, creating new opportunities for long-term growth.
Fiducial Markers Market Recent Developments
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In January 2025, Boston Scientific Corporation completed the acquisition of a startup specializing in biodegradable fiducial markers to augment its oncology-intervention portfolio in the fiducial markers segment.
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In February 2025, IZI Medical Products, Inc. announced a strategic collaboration with major cancer-treatment centres to develop next-generation soft-tissue fiducial markers that offer enhanced imaging compatibility and ease of placement in lung and breast tumour applications.
Fiducial Markers Market Segment Analysis
In this report, the Fiducial Markers Market has been segmented by Product, Modality, Disease Site, End User and Geography.
Fiducial Markers Market, Segmentation by Product
The Product axis classifies offerings into discrete marker technologies — each designed to optimize image contrast, biocompatibility, and implantation workflow.
Manufacturers prioritize material science, implantation tooling, and regulatory clearance to address clinician preferences and hospital procurement cycles.
Strategic partnerships with device OEMs and oncology centers drive product innovation, sterile packaging improvements, and bundled procedural services.
Polymer-Based Markers
Polymer-based markers offer radiopacity with flexible mechanical properties that ease implantation and minimize artifact.
They are positioned for applications needing reduced tissue reaction and for clinicians seeking easier deployment via needles or catheters.
Suppliers invest in polymer blends and surface treatments to balance visibility across CT, MR and ultrasound modalities.
Metal-Based Markers
Metal-based markers deliver high contrast on X-ray and CT imaging and are engineered for long-term positional stability.
These markers are widely adopted where permanent, easily visualized landmarks are required for image-guided interventions.
Innovations focus on corrosion resistance, low-profile designs, and compatibility with minimally invasive delivery systems.
Pure Gold Markers
Pure gold markers are valued for excellent biocompatibility and consistent radiographic signature, particularly in radiotherapy workflows.
Their established clinical history supports use in prostate and other anatomies where long-term marker visibility is critical.
Manufacturers optimize shape and surface finish to reduce migration risk while maintaining imaging fidelity.
Liquid-Based Markers
Liquid-based markers (injectable fiducials) provide conformal marking and can outline irregular volumes without a rigid implant.
They enable novel workflows for soft-tissue targets and can reduce the need for multiple discrete implants.
Product development emphasizes predictable polymerization, imaging contrast, and safe resorption or permanence profiles as required.
Fiducial Markers Market, Segmentation by Modality
The Modality axis groups usage by therapeutic and imaging platforms—aligning marker design with modality-specific visibility and compatibility requirements.
Clinical adoption depends on how well markers integrate into planning systems for each modality and on vendor support for image registration and QA.
Collaborations between marker developers and modality vendors (photon, proton, and robotic platforms) accelerate validated clinical workflows and training programs.
Photon Therapy
Photon therapy remains a major use-case for fiducial placement to enable precise target localization and to reduce setup margins.
Markers for photon workflows are optimized for CT/CBCT visualization and robust registration within treatment planning systems.
Vendors support integrated QA protocols and image-guidance bundles to streamline clinical adoption in conventional radiotherapy centers.
Proton Therapy
Proton therapy demands fiducials with predictable imaging signatures and minimal dose perturbation; therefore marker selection is critical.
Suppliers collaborate with proton centers to assess proton interaction profiles and to validate markers’ suitability for range verification and adaptive workflows.
Research partnerships aim to align marker properties with proton-specific planning and verification tools.
Tomotherapy
Tomotherapy integrates helical delivery with imaging, increasing the value of fiducials that are easily visualized on onboard imaging.
Markers used in tomotherapy workflows are assessed for imaging contrast on MV/CT and for compatibility with helical planning algorithms.
Manufacturers provide application guides and implantation training to ensure reproducible marker placement for daily imaging.
Cyberknife
Cyberknife and similar robotic radiosurgery platforms rely on fiducials for high-precision tracking in frameless treatments.
Markers for Cyberknife are engineered for minimal migration and strong stereoscopic visibility to enable sub-millimeter targeting.
Close vendor-clinic collaboration ensures markers integrate smoothly with motion management and tracking software.
Fiducial Markers Market, Segmentation by Disease Site
The Disease Site segmentation highlights anatomical demands—each site imposes unique implantation, migration and imaging constraints that influence marker choice.
Clinical teams select marker types and shapes based on tissue density, access route, and required longevity to support planning and adaptive treatment.
Manufacturers tailor product lines, delivery instruments, and clinical training to address site-specific best practices and outcome metrics.
Head & Neck
Head & neck applications require small, low-migration markers that are visible across CT and MRI while minimizing artifact near critical structures.
Precision placement and multidisciplinary coordination with ENT and radiology teams are essential to protect function and optimize targeting.
Suppliers provide miniaturized designs and MR-conditional options to meet combined-modality planning needs.
Breast
Breast fiducials support localization for lumpectomy cavity visualization and boost targeting, with a focus on cosmetic outcomes and minimal palpability.
Marker development emphasizes radiographic clarity on mammography/CT and compatibility with image-guided biopsy workflows.
Integration with oncoplastic protocols and surgical navigation enhances multidisciplinary use.
Lung
Lung targets present challenges from respiratory motion and percutaneous access; markers must resist migration and be trackable on limited-contrast imaging.
Techniques combine bronchoscopic or percutaneous delivery with marker designs that anchor in parenchyma without causing undue tissue trauma.
Vendor training and procedure bundles reduce complication rates and improve target reproducibility.
Abdomen
Abdominal sites (liver, pancreas) require markers visible on CT/MR with minimal artifact and low migration in soft-tissue environments.
Product strategies include anchored geometries and bioinert coatings to maintain position over multi-week treatment courses.
Clinical evidence and case-series help define optimal placement windows and imaging protocols for abdominal targets.
Prostate
Prostate marking is a high-volume application where marker stability and CT/MR visibility are central to both conventional and stereotactic regimens.
Gold markers and soft-tissue-compatible designs are common, supported by standardized implantation workflows and active surveillance compatibility.
Manufacturers often bundle marker kits with insertion needles and clinical support to simplify adoption in urology and radiation oncology clinics.
Kidney
Kidney fiducial use is growing for ablative and stereotactic interventions requiring precise localization in a mobile organ.
Markers must balance anchor stability with minimal interference to renal function and imaging.
Development efforts focus on low-profile designs and image contrast across CT and ultrasound for intra-procedural guidance.
Cervix or Other Gynaecologic Organs
Cervix and gynecologic markers support brachytherapy planning and external-beam boost strategies, demanding MR/CT compatibility and tolerance in mucosal tissues.
Implantation techniques and marker geometries are adapted to preserve fertility options and minimize procedural morbidity.
Collaboration with gynecologic-oncology teams informs device labeling and clinical best-practice documentation.
Fiducial Markers Market, Segmentation by End User
The End User segmentation identifies primary buyers—hospitals, cancer research institutes, and dedicated radiotherapy centers—each demanding tailored support, service levels, and procurement terms.
Large hospital systems prioritize vendor reliability, bundled procedural kits, and training programs, while specialized centers emphasize protocol optimization and high-throughput supply consistency.
Research institutes drive innovation through clinical trials and product validation, accelerating regulatory acceptance and evidence generation.
Hospitals
Hospitals procure fiducials for multidisciplinary oncology services and require vendor support for inventory, clinician training, and sterile provisioning.
Hospital adoption emphasizes cost-per-procedure value, single-vendor consolidation, and integration with surgical and radiology workflows.
Long-term service contracts and on-site education strengthen hospital-vendor partnerships.
Cancer Research Institutes
Cancer research institutes evaluate next-generation marker technologies, contributing evidence on safety, visibility, and motion-management advantages.
These centers often partner on investigator-led studies and early-adoption pilots, informing clinical guidelines and reimbursement narratives.
Collaboration accelerates iteration cycles and supports peer-reviewed outcome publications.
Radiotherapy Centers
Radiotherapy centers demand high volumes of markers with predictable imaging performance and minimal workflow disruption.
They require logistics that align with treatment schedules, robust QA protocols, and device compatibility with onboard imaging and tracking systems.
Vendors offer turnkey solutions—kits, training, and software integration—to reduce time-to-adopt and support adaptive radiotherapy pathways.
Fiducial Markers Market, Segmentation by Geography
In this report, the Fiducial Markers Market has been segmented by Geography into five regions: North America, Europe, Asia Pacific, Middle East and Africa and Latin America.
Regions and Countries Analyzed in this Report
North America
North America leads adoption driven by expansive radiotherapy infrastructure, robust clinical research activity, and early uptake of modality-integrated marker solutions.
Hospitals and dedicated cancer centers prioritize validated marker systems that integrate with advanced image-guidance and tracking platforms.
Regional demand is reinforced by reimbursement pathways and a strong emphasis on outcome transparency and procedural bundles.
Europe
Europe emphasizes regulatory compliance, MR-conditional product development, and multidisciplinary adoption across oncology networks.
Market growth is supported by collaborative trial networks and standardization initiatives that align marker usage with national cancer-program requirements.
Vendors concentrate on CE-mark portfolios, clinical training, and regional distribution partnerships to scale uptake.
Asia Pacific
Asia Pacific is a fast-expanding market due to increasing investment in radiotherapy centers, rising cancer incidence, and growing medical device procurement.
Local manufacturing partnerships and regional training programs help accelerate adoption of fiducial marker systems tailored to high-volume clinical workflows.
Market entrants often focus on cost-competitive designs with strong imaging performance to win share in emerging treatment hubs.
Middle East & Africa
Middle East & Africa present selective pockets of high-end demand—particularly in healthcare hubs—where investment in advanced radiotherapy and proton-capable centers is increasing.
Adoption is often project-driven, with emphasis on supplier reliability, installation support, and clinician training to ensure program success.
Strategic distributor relationships and tailored service offerings are essential to address regional procurement and regulatory nuances.
Latin America
Latin America demonstrates steady growth as clinics modernize radiotherapy suites and prioritize improved localization techniques for stereotactic and adaptive protocols.
Regional networks and center-of-excellence programs support evidence generation and clinician training to expand fiducial use.
Vendors with localized supply chains and clinical support offerings gain traction by addressing service continuity and cost-effectiveness.
Fiducial Markers Market Forces
This report provides an in depth analysis of various factors that impact the dynamics of Fiducial Markers Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Comprehensive Market Impact Matrix
This matrix outlines how core market forces Drivers, Restraints and Opportunities affect key business dimensions including Growth, Competition, Customer Behavior, Regulation and Innovation.
| Market Forces ↓ / Impact Areas → | Market Growth Rate | Competitive Landscape | Customer Behavior | Regulatory Influence | Innovation Potential |
|---|---|---|---|---|---|
| Drivers | High impact (e.g., tech adoption, rising demand) | Encourages new entrants and fosters expansion | Increases usage and enhances demand elasticity | Often aligns with progressive policy trends | Fuels R&D initiatives and product development |
| Restraints | Slows growth (e.g., high costs, supply chain issues) | Raises entry barriers and may drive market consolidation | Deters consumption due to friction or low awareness | Introduces compliance hurdles and regulatory risks | Limits innovation appetite and risk tolerance |
| Opportunities | Unlocks new segments or untapped geographies | Creates white space for innovation and M&A | Opens new use cases and shifts consumer preferences | Policy shifts may offer strategic advantages | Sparks disruptive innovation and strategic alliances |
Drivers, Restraints and Opportunity Analysis
Drivers
- Increasing Prevalence of Cancer
- Advancements in Medical Imaging Technologies
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Increasing Adoption of Image-Guided Radiation Therapy (IGRT): The increasing adoption of image-guided radiation therapy (IGRT) techniques in cancer treatment has sparked a notable surge in demand for fiducial markers. IGRT represents a pivotal advancement as it enables real-time monitoring of tumor position and movement throughout the course of treatment, thereby ensuring the accurate delivery of radiation doses. Fiducial markers play a crucial role in this process by serving as reference points for precise image registration and alignment. Through the utilization of fiducial markers, healthcare providers are empowered to effectively track tumor motion and make necessary adjustments to treatment parameters, thereby optimizing treatment outcomes for patients undergoing radiation therapy.
This burgeoning demand for fiducial markers is intricately linked with the broader adoption of IGRT, which has revolutionized the landscape of cancer treatment. By facilitating real-time monitoring, IGRT offers enhanced precision and accuracy in radiation therapy delivery, minimizing the risk of radiation exposure to healthy tissues while effectively targeting malignant tumors. Fiducial markers, acting as guiding beacons within the body, enable clinicians to navigate this intricate process with unprecedented precision, ensuring that therapeutic interventions are precisely targeted and tailored to each patient's unique anatomical considerations.
The role of fiducial markers as reference points in IGRT underscores their indispensable significance in contemporary oncological practice. As healthcare providers strive to deliver increasingly personalized and targeted treatments, the demand for fiducial markers is expected to continue its upward trajectory. Moreover, ongoing advancements in imaging technologies and treatment modalities are anticipated to further bolster the adoption of IGRT techniques, thereby driving sustained growth in the market for fiducial markers. In essence, the integration of fiducial markers into IGRT represents a cornerstone in the quest for more effective and precise cancer therapies, offering renewed hope to patients and clinicians alike in the fight against cancer.
Restraints
- High Cost of Fiducial Marker Placement Procedures
- Limited Accessibility to Advanced Radiation Therapy Facilities
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Concerns Regarding Radiation Exposure: Concerns regarding radiation exposure during imaging procedures for fiducial marker placement are prevalent among both patients and healthcare providers. The necessity for accurate tumor localization conflicts with the desire to minimize radiation exposure, posing a significant challenge in fiducial marker placement procedures. Balancing the need for precise localization with patient safety is paramount, as excessive radiation exposure can lead to potential health risks. These concerns surrounding radiation exposure have the potential to impact patient acceptance and adoption of fiducial marker placement procedures, as patients may hesitate to undergo imaging scans due to fears of radiation-related side effects.
Minimizing radiation exposure while maintaining accuracy in tumor localization is a complex task that requires careful consideration of imaging protocols and techniques. Healthcare providers must employ strategies to optimize imaging procedures to reduce radiation doses while still obtaining clear and reliable images for fiducial marker placement. This may involve using low-dose imaging techniques, limiting the number of imaging scans performed, or utilizing alternative imaging modalities that offer comparable localization accuracy with lower radiation exposure.
Advancements in imaging technology and radiation therapy techniques may offer solutions to mitigate concerns about radiation exposure during fiducial marker placement procedures. Continuous innovations in imaging modalities, such as improved CT and MRI technologies, allow for higher resolution images with reduced radiation doses. The development of image-guided radiation therapy (IGRT) techniques enables real-time monitoring of tumor position and movement, minimizing the need for repeat imaging scans and reducing overall radiation exposure during treatment.
Opportunities
- Technological Innovations in Fiducial Marker Design
- Expansion of Cancer Treatment Facilities in Emerging Markets
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Rising Emphasis on Precision Medicine: The increasing focus on precision medicine within cancer treatment strategies presents a significant opportunity for the integration of fiducial markers into personalized treatment plans. By tailoring treatment approaches to the unique characteristics of individual patients and the biology of their tumors, healthcare providers can enhance treatment efficacy and improve patient outcomes. Fiducial markers play a crucial role in this personalized approach by facilitating accurate tumor localization and targeting during radiation therapy, thereby maximizing treatment effectiveness while minimizing damage to surrounding healthy tissues.
As healthcare providers strive to deliver more precise and targeted treatments, there is a growing demand for fiducial markers and image-guided radiation therapy techniques. These technologies enable real-time monitoring of tumor position and movement, allowing for adjustments to treatment parameters to ensure optimal therapeutic outcomes. By incorporating fiducial markers into personalized treatment plans, healthcare providers can optimize radiation therapy delivery, leading to improved tumor control and reduced risk of treatment-related complications.
The integration of fiducial markers into personalized treatment plans aligns with broader trends in cancer care, which prioritize individualized approaches that take into account patient-specific factors and tumor characteristics. With advancements in medical imaging technologies and radiation therapy techniques, fiducial markers offer a valuable tool for enhancing treatment precision and customization, ultimately driving the demand for these technologies within the oncology field.
Fiducial Markers Market Competitive Landscape Analysis
Fiducial Markers Market is witnessing significant growth due to increasing demand for accurate and reliable imaging in cancer treatment and diagnostic procedures. The market is being driven by advancements in medical imaging and radiotherapy technologies. Strategic partnerships and collaborations among healthcare providers are crucial to enhancing product offerings and expanding market share.
Market Structure and Concentration
The Fiducial Markers Market is characterized by moderate concentration, with key players dominating the landscape. Market concentration is increasing as a result of mergers and acquisitions, enabling companies to expand their product portfolios. Smaller firms are focusing on niche segments and innovative solutions to stay competitive in the market.
Brand and Channel Strategies
Leading players in the Fiducial Markers Market are focusing on strengthening their brand presence through targeted marketing and customer education. Companies are adopting channel strategies that include collaborations with hospitals and diagnostic centers to enhance product accessibility. Expanding distribution networks is critical to meet growing global demand.
Innovation Drivers and Technological Advancements
Technological advancements are playing a pivotal role in the growth of the Fiducial Markers Market. Ongoing innovation in materials, such as biodegradable markers, and the integration of AI in treatment planning are enhancing the precision of imaging and therapy. New developments are also improving marker placement and patient comfort.
Regional Momentum and Expansion
The demand for Fiducial Markers is growing rapidly in both developed and emerging markets. Companies are expanding their regional presence through strategic collaborations and partnerships with local healthcare providers. The increasing adoption of advanced cancer treatment technologies in emerging markets is driving regional expansion.
Future Outlook
The future outlook for the Fiducial Markers Market remains strong, with continuous advancements in imaging technologies and radiotherapy. Ongoing innovation in marker design and integration with radiation therapy systems is expected to drive market growth. As the demand for precise cancer treatments increases, the market is poised for sustained growth and expansion.
Key players in Fiducial Markers Market include.
- CIVCO Radiotherapy
- IZI Medical Products
- Medtronic
- Naslund Medical AB
- Boston Scientific Corporation
- IBA Dosimetry
- Nanovi A/S
- Eckert & Ziegler BEBIG
- QFIX
- RaySearch Laboratories AB
- GeoStar Corporation
- Becton, Dickinson and Company
- 4D Imaging
- R. Bard Inc.
- AccuTarget
In this report, the profile of each market player provides following information:
- Market Share Analysis
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Follow this format in all the markets
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Product
- Market Snapshot, By Modality
- Market Snapshot, By Disease Site
- Market Snapshot, By End-User
- Market Snapshot, By Region
- Fiducial Markers Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Increasing Prevalence of Cancer
- Advancements in Medical Imaging Technologies
- Increasing Adoption of Image-Guided Radiation Therapy (IGRT)
- Restraints
- High Cost of Fiducial Marker Placement Procedures
- Limited Accessibility to Advanced Radiation Therapy Facilities
- Concerns Regarding Radiation Exposure
- Opportunities
- Technological Innovations in Fiducial Marker Design
- Expansion of Cancer Treatment Facilities in Emerging Markets
- Rising Emphasis on Precision Medicine
- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Fiducial Markers Market, By Product, 2021 - 2031 (USD Million)
- Polymer Based Markers
- Metal Based Markers
- Pure Gold Markers
- Liquid Based Markers
- Fiducial Markers Market, By Modality, 2021 - 2031 (USD Million)
- Photon Therapy
- Proton Therapy
- Tomotherapy
- Cyberknife
- Fiducial Markers Market, By Disease Site, 2021 - 2031 (USD Million)
- Head & Neck
- Breast
- Lung
- Abdomen
- Prostate
- Kidney
- Cervix
- Fiducial Markers Market, By End-User, 2021 - 2031 (USD Million)
- Hospitals
- Cancer Research Institutes
- Radiotherapy Centers
- Fiducial Markers Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Fiducial Markers Market, By Product, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- CIVCO Radiotherapy
- IZI Medical Products
- Medtronic
- Naslund Medical AB
- Boston Scientific Corporation
- IBA Dosimetry
- Nanovi A/S
- Eckert & Ziegler BEBIG
- QFIX
- RaySearch Laboratories AB
- GeoStar Corporation
- Becton, Dickinson and Company
- 4D Imaging
- R. Bard Inc.
- AccuTarget
- Company Profiles
- Analyst Views
- Future Outlook of the Market

