Progress in CT Jim Green Senior Vice President & General Manager Philips CT
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Agenda What is CT New clinical applications CT market Why we win 4
What is CT? Rotate an X-ray source and detection system around the area of interest Transmitted X-rays are received by detection system Detection system converts X-Rays to digital data Computers reconstruct data into a two dimensional cross-sectional image Images are viewed by the doctor who diagnoses the patient 5
CT s early days 1970 s Single-slice head scanner Rotation time in minutes 10 images (slices) per study Simple head scan 10 images Total scan time: 1 hour 6
CT s come a long way! Today World s first 4cm large coverage CT Acquires up to 40 images per rotation Rotation time in 4/10ths of a second Sub-millimenter resolution True volume acquisition 3-Dimensional viewing Whole body scan 3,750 slices Scan time: 33 seconds 7
Agenda What is CT New clinical applications CT market Why we win 8
Top 5 Leading Causes of Death in US 1. Heart disease 700,142 29% 2. Cancer 553,768 23% 3. Cerebrovascular / Neuro (stroke, etc.) 4. Chronic lower respiratory (COPD, emphysema, etc.) 5. Accidents (auto crashes, etc.) 163,538 123,013 101,537 7% 5% 4% Total Number of Deaths: 2,416,425 Source: CDC, NCHS, National Vital Statistics System for 2001 9
CT Breakthroughs in Cardiac CT Coronary Angiogram In just seconds Still-frame 3-D picture Non-interventional Complete coronary view Functional Analysis Cost effective Coronary angiogram a a b b 10
CT Breakthroughs in Cardiac Stent patency Plaque characterization (in development) 11
Cardiac CT Dr. Charles Fitzgerald, Medical Director, Heart Care Clinic of Arkansas, Little Rock, AK, USA 12
CT Breakthroughs in Cancer Detection Fast detection of lung cancer 3 second lung scan Computer aided detection Easy / fast follow-up 13
CT Breakthroughs in Cancer Diagnosis Accurate, patient-friendly, Virtual Colonoscopy, in seconds.. 14
CT Breakthroughs in Neurologic Diagnosis Comprehensive Stroke Review w/ CT In minutes, not hours Non Contrast CT CT Angiography CT Perfusion/ stroke maps 15
CT Procedure Growth in U.S. Procedures in M 100 90 80 70 60 50 40 30 20 10 0 multi-slice 6.6% CAGR large coverage New Clinical Applications Cancer Detection Cardiac & Vascular Neuro Guided Proc. Spine Chest/Thorax Pelvic/ Abdominal 14.5% CAGR 14.0% CAGR 1993 1998 2003 2008 Sources: IMV and Philips internal estimates 16
Agenda What is CT New clinical applications CT market Why we win 17
Total CT Global Equipment Market History EUROS M 3000 Based on common currency (2003 FX rates) 6% CAGR 1990-2003 2500 2000 Multislice CT Introduction Multislice Large Coverage >16 slice 1500 1000 Spiral CT Single Slice 500 0 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 Sources: Philips internal estimates, NEMA, COCIR, JIRA 18
World Top 6 CT Markets by Size (2003) Euro M 1,400 1,200 1,232 1,000 800 600 400 200 316 214 101 97 66 0 U.S. Japan China France Germany Italy Sources: Philips internal estimates, NEMA, COCIR, JIRA 19
CT Global Orders Market and Philips Share Comments: 03 & 04 market decreases driven by currency China has excellent growth opportunity Strong incremental growth in Japan Strong in Europe due to technology orientation and Philips brand NA experienced initial integration issues but is now on track MARKET EUROS M 3,000 2,500 2,000 1,500 1,000 500 0 12.7% 14.2% 13.8% Fcst 16.5% 2001 2002 2003 2004 2005 2006 2007 Fcst 18.0% 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% PHILIPS SHARE % ---- Projected CAGR 4.1% 04-07 20
Agenda What is CT New clinical applications CT market Why we win 21
Why we win: Technology Leadership Royal Philips Research Technology leader in detection, with large area coverage Patented Tach technology, more complex than Pentium 22
Why we win: Advanced Applications 22-day-old child 4 cm 4 cm volume segment Snapshot 3D volume picture In less than 400msec Perfect for pediatrics Most dose efficient Technology enables the most advanced applications 23
Why we win: First to Market History of Firsts to Market 1980: Solid-state detector 1988: Continuous rotation slip ring CT 1991: Multi-slice CT (dual) 1992: MRC (liquid metal bearing) X-ray tube 2002: The First 16-slice CT Today First with 4cm large coverage CT (40 slice) Breakthrough applications: Neuro & Cardiac The clear leader in technology First to Market: FDA approved for sale and systems in clinical operation 24
Dr. Jonas Rydberg, Associate Professor, Department of Radiology, Indiana University, USA 25
Conclusions Backed by Royal Philips Research Technology drives our costs down, and enables breakthroughs First-to-market enables our premium pricing New geographical markets drive our marketshare Clinical breakthroughs and emerging market segments are driving our growth 26