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Progress in CT
Jim GreenSenior Vice President &General Manager Philips CT
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2Medical Systems
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3Medical Systems
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4Medical Systems
Agenda
• What is CT
• New clinical applications
• CT market
• Why we win
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5Medical Systems
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
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6Medical Systems
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
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7Medical Systems
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
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8Medical Systems
Agenda
• What is CT
• New clinical applications
• CT market
• Why we win
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9Medical Systems
Top 5 Leading Causes of Death in US
1. Heart disease
2. Cancer
3. Cerebrovascular / Neuro (stroke, etc.)
4. Chronic lower respiratory(COPD, emphysema, etc.)
5. Accidents(auto crashes, etc.)
700,142
553,768
163,538
123,013
101,537
Source: CDC, NCHS, National Vital Statistics System for 2001
29%
23%
7%
5%
4%
Total Number of Deaths: 2,416,425
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10Medical Systems
a
a b
b
Coronary angiogram
CT Breakthroughs in Cardiac
CT Coronary Angiogram• In just seconds• Still-frame 3-D picture• Non-interventional• Complete coronary view• Functional Analysis• Cost effective
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11Medical Systems
Plaque characterization (in development)
Stent patency
CT Breakthroughs in Cardiac
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12Medical Systems
Dr. Charles Fitzgerald, Medical Director, Heart Care Clinic of Arkansas, Little Rock, AK, USA
Cardiac CT
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CT Breakthroughs in Cancer DetectionFast detection of lung cancer
• 3 second lung scan• Computer aided detection• Easy / fast follow-up
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14Medical Systems
CT Breakthroughs in Cancer DiagnosisAccurate, patient-friendly, Virtual Colonoscopy, in seconds..
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15Medical Systems
Non Contrast CT CT Perfusion/stroke maps
CT Angiography
CT Breakthroughs in NeurologicDiagnosisComprehensive Stroke Review w/ CT “In minutes, not hours”
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16Medical Systems
0102030405060708090
100
1993 1998 2003 2008
Neuro
Guided Proc.Spine
Chest/Thorax
Pelvic/ Abdominal
Cardiac & Vascular
6.6% CAGR6.6% CAGR
CancerDetection
14.5% CAGR14.5% CAGR 14.0% CAGR14.0% CAGR
Pro
cedu
res
in M
Sources: IMV and Philips internal estimates
New Clinical Applications
multi-slice large coverage
CT Procedure Growth in U.S.
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17Medical Systems
Agenda
• What is CT
• New clinical applications
• CT market
• Why we win
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18Medical Systems
0
500
1000
1500
2000
2500
3000
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06
Based on common currency (2003 FX rates)EUROS M
Multislice CTIntroduction
Spiral CT Single Slice
Multislice Large
Coverage>16 slice
6% CAGR 1990-2003
Total CT Global Equipment Market History
Sources: Philips internal estimates, NEMA, COCIR, JIRA
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19Medical Systems
€ 1,232
€ 316€ 214
€ 101 € 97 € 66
€ 0
€ 200
€ 400
€ 600
€ 800
€ 1,000
€ 1,200
€ 1,400
U.S. Japan China France Germany Italy
Euro M
World Top 6 CT Markets by Size (2003)
Sources: Philips internal estimates, NEMA, COCIR, JIRA
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20Medical Systems
Fcst
Fcst
12.7%
13.8%14.2%
16.5%
0
500
1,000
1,500
2,000
2,500
3,000
2001 2002 2003 2004 2005 2006 2007
MAR
KET
EUR
OS
M
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
PH
ILIP
S S
HAR
E %
----
CT Global Orders Market and Philips ShareComments:• ‘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
Projected CAGR 4.1% ’04-’07
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21Medical Systems
Agenda
• What is CT
• New clinical applications
• CT market
• Why we win
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22Medical Systems
• Royal Philips Research• Technology leader in detection, with large area coverage• Patented Tach technology, more complex than Pentium
Why we win: Technology Leadership
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23Medical Systems
• Snapshot 3D volume picture• In less than 400msec• Perfect for pediatrics• Most dose efficient
4 cm
4 cm volume segment
22-day-old child
Why we win: Advanced Applications
Technology enables the most advanced applications
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24Medical Systems
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
First to Market: FDA approved for sale and systems in clinical operation
Today • First with 4cm large coverage
CT (40 slice)• Breakthrough applications:
Neuro & Cardiac• The clear leader in technology
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25Medical Systems
Dr. Jonas Rydberg, Associate Professor, Department of Radiology, Indiana University, USA
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26Medical Systems
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
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