2025 Mammography and Breast Imaging Market Outlook Report

IMV 2025 Mammography and Breast Imaging Market Outlook Report

Exhibits

A. Mammography Department Priorities & Outlook 12

1. Priorities to the Mission of Mammography Departments Over the Next Year, as of 2025 Survey 13
2. Mammography Department Priorities, 2022 to 2025 14
3. Hospitals vs. Non-Hospitals: Priorities to the Mission of Mammography Departments Over the Next Year,
as of 2025 Survey 15
4. Priorities to the Mission of Mammography Departments Over the Next Year, by Site Type,
as of 2025 Survey 17

B. Mammography Procedure Volume and Mix 17

1. Outlook for Mammography Procedures in 2025 compared to 2024, by Site Type 18
2. Outlook for Mammography Procedure Volume in 2025 compared to 2024, by Site Type 19
3. Outlook for Mammography Reimbursement per Patient in 2025 compared to 2024, by Site Type 19
4. Outlook for Mammography Net Income in 2025 compared to 2024, by Site Type 19
5. Outlook for Mammography Revenue in 2025 compared to 20245, by Site Type 19
6. Comparison of Mammography Outlook for Increased in Procedures, Reimbursement, Revenue,
and Net Income, by IMV Study Year, 2022 to 2025 20
7. Comparison of Mammography Outlook for Decreases in Procedures, Reimbursement, Revenue,
and Net Income, by IMV Study Year, 2022 to 2025 21
8. Distribution of Responding Mammography Sites and Total Procedures Performed in 2024, by Site Type,
as of 2025 Survey 22
9. Distribution of Responding Mammography Sites and Estimated Total Procedures for 2025, by Site Type,
as of 2025 Survey 23
10. Average Mammography Procedures per Site, 2021 vs. 2025 (Estimated), by Site Type 24
11. Average Mammography Procedures per Mammography Unit, 2021 to 2025 by Site Type 25
12. Percent of Sites Performing Diagnostic Mammography Procedures, and Mean Annual 2024 Diagnostic
Procedures per Site Performing, by Site Type 26
13. Distribution of Mammography Sites, by Total Procedures Performed in 2024, by Site Type 27
14. Distribution of Mammography Sites, by Estimated Total Procedures for 2025, by Site Type 27
15. Distribution of 2024 Mammography Procedures by Screening vs. Diagnostic, by Site Type 28
16. Distribution of 2024 Mammography Procedures, by 2D vs. 3D, by Site Type 29
17. Plans to Acquire Mammography Technology Over the Next Three Years, as of 2025 Survey 30
18. Whether DXA Bone Density Scans are Provided at the Facility, as of 2025 Survey 31
19. Percent of Mammography Patients Also Receiving a DXA Bone Density Scan, as of 2025 Survey 32
20. Percent of Mammography Patients Also Receiving a DXA Bone Density Scan, by Site Type,
as of 2025 Survey 32
21. Percent of Patients Receiving Both a Mammography and DXA Scan, Who Complete Both in the Same Visit,
as of 2025 Survey 33
22. Percent of Mammography Patients Also Receiving a DXA Bone Density Scan, by Site Type,
as of 2025 Survey 33
23. Whether Mammographic Breast Density (MBD) Analysis is Provided at the Facility, as of 2025 Survey 34
24. Percent of Mammography Patients Assessed for Mammographic Breast Density (MBD),
as of 2025 Survey 35
25. Percent of Mammography Patients Assessed for Mammographic Breast Density (MBD), by Site Type,
as of 2025 Survey 35
26. Modalities Used to Assess Mammographic Breast Density by Site Type, as of 2025 Survey 35
27. Whether Remote Scanning is Utilized for Mammography, as of 2025 Survey 36
28. Sites Using PACS vs. Stand-Alone Workstations to Read Mammographic Exams, by Site Type,
as of 2025 Survey 37
29. Percent of Mammography Exams Read Using PACS vs. Stand-Alone Workstations, by Site Type,
as of 2025 Survey 37

C. Biopsy Modalities and Procedures 38

1. Whether Mammogram-Related Biopsies are Collected at the Facility, as of 2025 Survey 39
2. Types of Biopsy Procedures Performed, by Site Type as of 2025 Survey 39
3. Imaging Modalities Used for Image-Guided Biopsies, by Site Type, as of 2025 Survey 40
4. Percent of Image-Guided Biopsies by Modality, by Site Type, as of 2025 Survey 40
5. Methods Used for Image-Guided Needle Biopsies, by Site Type, as of 2025 Survey 41
6. Table Types Used for Image-Guided Needle Biopsies, by Site Type, as of 2025 Survey 42
7. Where Mammography-Related Biopsies are Performed, as of 2025 Survey 43
8. Types of Analysis Performed on Biopsy Samples, as of 2025 Survey 44
9. Whether Biopsy Sample Analysis is Performed On-Site, at an Off-Site Lab, or Both, as of 2025 Survey 44
10. Typical Turnaround Time for Biopsy Tissue Analysis, as of 2025 Survey 45

D. Installed Base of Mammography Systems 46

1. Distribution of Mammography Installed Units, by Year of Installation, as of 2025 Survey 47
2. Mammography Installed Base, by System Type, as of 2025 Survey 48
3. Distribution of Mammography Installed Base, by System Type, by Site Type, as of 2025 Survey 48
4. Hospital Departments Where Installed Mammography Units are Located, as of 2025 Survey 49
5. Whether the Mammography System was Originally Purchased New of Refurbished/Used, by 2D vs. 3D,
as of 2025 Survey 50
6. Whether the Mammography System was Originally Purchased New or Refurbished/Used, by Site Type,
as of 2025 Survey 51
7. Mammography Installed Base by Whether Purchased New or Refurbished/Used, by IMV Study Year,
2022 to 2025 52
8. Distribution of Sites, by Number of Mammography Units Installed, by Site Type, as of 2025 Survey 53
9. Distribution of Mammography Installed Base, by Year of Installation, by Site Type, as of 2025 Survey 54
10. Mammography Installed Base Share, as of 2025 Survey 55
11. Mammography Installed Base Share, by IMV Study Year, 2022 to 2025 55
12. Mammography Installed Base Share, by 2D vs. 3D, as of 2025 Survey 56
13. Mammography Installed Base Share , by System Type, as of 2025 Survey 57
14. Distribution of Sources for Primary Service Support of Mammography Systems, as of 2025 Survey 58
15. Distribution of Sources for Primary Service Support of Mammography Systems, by Site Type,
as of 2025 Survey 59
16. Primary Source of Mammography Service Support, by Whether the System was Originally Purchased New
or Refurbished/Used, as of 2025 Survey 60
17. Primary Service Support of Mammography Systems, by 2D vs. 3D, as of 2025 Survey 61
18. Distribution of Sources for Primary Service Support of Mammography Systems, by IMV Study Year,
2022 to 2025 62
19. Contractual Arrangements with Outside Mammography Service Providers, as of 2025 Survey 63
20. Type of Service Contractual Arrangements for Mammography Systems, by Site Type, as of 2025 Survey 63
21. Whether the Mammography System was Originally Purchased New of Refurbished/Used, by 2D vs. 3D,
as of 2025 Survey 64
22. Type of Service Contractual Arrangements with Mammography Service Providers, by Primary Source
of Service Support, as of 2025 Survey 65
23. Type of Service Contract Arrangement for Mammography Systems, by Year of Installation,
as of 2025 Survey 66
24. Contractual Arrangements with Outside Mammography Service Providers, by IMV Study Year,
2022 to 2025 67

E. Mammography Purchase Plans 68

1. Purchase plans for Mammography Systems Over the Next Three Years, as of 2025 Survey 69
2. Percent of Sites Planning to Purchase Mammography Systems in the Next Three Years, by Site Type,
as of 2025 Survey 70
3. Plans for Replacement and Additional Mammography Systems, by Site Type, as of 2025 Survey 71
4. Type of Mammography Systems Planned for Purchase, as of 2025 Survey 72
5. Type of Mammography Systems Planned for Purchase, by Site Type, as of 2025 Survey 72
6. Type of Mammography Systems Planned for Purchase, by IMV Study Year, 2022 to 2025 73
7. Plans for New vs. Refurbished/Used Mammography Systems, by Site Type, as of 2025 Survey 74
8. Plans for New vs. Refurbished/Used Mammography Systems, by System Type, as of 2025 Survey 75
9. Plans for New vs. Refurbished/Used Mammography Systems, by IMV Study Year, 2022 to 2025 76
10. Mammography System Replacement Cycle, Based on 2025 Survey Response 77
11. Distribution of Mammography Budgets, by Budget Year, 2021 to 2027 78
12. Distribution of 2025 Mammography Equipment Budgets 79
13. Distribution of 2025 Mammography Budgets, by Site Type, as of 2025 Survey 79
14. Whether Planned Mammography Systems will be Part of a Multi-Modality Purchase, by Site Type,
as of 2025 Survey 80
15. Whether Mammography Purchases are Usually Part of a Larger Purchase for the Healthcare System,
or are Made Just for this Facility, by Site Type, as of 2025 Survey 81
16. Whether Decisions for Purchasing Mammography Systems are Usually Made at the Corporate HQ or at the Individual Facility Level, as of 2025 Survey 82
17. Whether Influence of Corporate HQ in Purchase Decisions for Mammography Systems is Increasing,
Staying the Same, or Decreasing in 2025, Compared to 2-3 Years ago, as of 2025 Survey 83
18. Percent Distribution of Sites Mentioning Manufacturers Considered for Next Mammography System
Purchase, as of 2025 Survey 84
19. Percent Distribution of Sites Mentioning Manufacturers Considered for Next Mammography System
Purchase, as of 2025 Survey 84
20. Preferred Mammography Manufacturer in Healthcare System/Organization, by Site Type,
as of 2025 Survey 85
21. Preferred Mammography Manufacturer in Healthcare System/Organization, by Site Location Type,
as of 2025 Survey 85
22. OEM Installed Base Preference for (Hologic, GE and Siemens) 86
23. Factors Affecting the Future Outlook for Mammography at Your Facility Over the Next Few Years,
as of 2025 Survey 87
24. Hospitals vs. Non-Hospitals: Factors Affecting the Future Outlook for Mammography at Your Facility
Over the Next Few Years, as of 2025 Survey 88
25. Factors Affecting the Future Outlook for Mammography, 2022 to 2025 89
26. Factors Affecting the Future Outlook for Mammography Over the Next Few Years, by Site Type,
as of 2025 Survey
27. Factors Affecting the Future Outlook for Mammography Over the Next Few Years, by Site Type,
as of 2025 Survey 90

F. Additional Breast Care Modalities 91

1. Other Imaging Modalities Used for Breast Imaging, as of 2025 Survey 92
2. Are Patients Able to Complete a Mammogram and Ultrasound in the Same Visit? 92
3. Distribution of 2024 Breast Imaging Procedures by Screening vs. Diagnostic, by Modality 93
4. Average 2024 Breast Imaging Procedures per Site, by Modality, as of 2025 Survey 94
5. Hospital Department Where Imaging Equipment Used for Breast Imaging is Located, by Modality
as of 2025 Survey 95
6. Distribution of 2024 Breast Imaging Procedures by Routine vs. High Risk, by Modality 96

G. Trending Topics in Breast Imaging 97

1. Priority Ranking for using Artificial Intelligence and Machine Learning Tools in Mammography
Departments, as of 2025 Survey 98
2. #1/#2 Priority Ranking for Using Artificial Intelligence and Machine Learning Tools in Mammography Departments, as of 2025 Survey 99
3. Current Uses of AI, as of 2025 Survey 100
4. Does your Facility Personalize Breast Care Depending on Age, Breast Density, Size, Medical History,
Risk? 101
5. How Does the Imaging Protocol Change for High-Risk Patients?, as of 2025 Survey 101
6. Current Use of Contrast Enhanced Mammography, as of 2025 Survey 102
7. Reasons for Not Using Contrast Enhanced Mammography, as of 2025 Survey 102
8. Use of Mobile Mammography Services, as of 2025 Survey 103
9. Sites Using Mobile Mammography, for Screening vs. Diagnostic Scans, as of 2025 Survey 103
10. Does Your Mobile Mammography Unit Have the Ability to Image with Other Modalities Besides X-Ray Mammography, as of 2025 Survey 104
11. Use of Mobile Mammography for Biopsies, as of 2025 Survey 104
12. Where the Mobile Mammography System is Used, as of 2025 Survey
13. Where the Mobile Mammography System is Used, as of 2025 Survey 105
14. Types of Imaging Equipment Available Through Mobile Mammography Service, as of 2025 Survey 105
15. Hours/Days per Week Mobile Mammography Service is Used, as of 2025 Survey 106
16. Equipment Types Used for Dense Breast Screening, as of 2025 Survey 107
17. Expected Change in Number of Breast Imaging Exams for Patients with Dense Breasts,
Over the Next 2-3 Years, by Site Type, as of 2025 Survey 108
18. Do You Anticipate an Increase in Using the Following Modalities for Dense Breast Screening in the
Future in Your Facility?, 2025 Survey 109
19. Do You Anticipate an Increase in Using the Following Modalities for Dense Breast Screening in the Future
In Your Facility?, by Site Type, 2025 Survey 110
20. How Familiar are You with the Use of Contrast Enhanced Mammography (CEM) for Breast Screening 111
21. Does your facility have plans to move from using MRI to CEM/CESM for breast screening and
Diagnostics 112
22. CEM/CESM as Alternative to Other Imaging Modalities, as of 2025 Survey 112
23. What do you think are some of the reasons that CEM/CESM has not been widely adopted for
For breast screening? 113
24. 2024 Impact of AI on Mammography Department – Summary of Open-Ended Responses 114
25. Anticipated 2025 Impact of AI on Mammography Department – Summary of Open-Ended Responses 115
26. 2025 Product Suggestions for Mammography Systems – Summary of Open-Ended Responses 116

H. Demographics & Site Operations Characteristics 117

1. Hospital vs. Non-Hospital Mix of Mammography Locations, as of 2025 Survey 118
2. Number of Non-Hospital Mammography Locations Owned by Affiliated Organizations, 2025 Survey 118
3. Sites Using Fixed vs. Mobile Mammography Systems, as of 2025 Survey 118
4. Hospital Sites by Facility Ownership, 2025 Survey 119
5. Non-Hospital by Facility Ownership, 2025 Survey 119
6. Physician Practices by Specialty, 2025 Survey 119
7. Percent of Mammography Sites with Specified Staff Types, by Site Type, as of 2025 Survey 120
8. Mean Number of Employees per Mammography Site Having that Type, by Site Type, as of 2025 Survey 120
9. Number of MR Technologists Involved with Mammography Procedures, as of 2025 Survey 121
10. Percent of Procedures Using Outside Reading Services, On-Site Physicians, vs. Off-Site Physicians to Read
Mammography Scans, by Site Type, as of 2025 Survey 122
11. Percent of Sites Using Outside Reading Services, On-Site Physicians, vs. Off-Site Physicians to Read Mammography Scans, by Site Type, as of 2025 Survey 123
12. Hours per Weekday Mammography Department Open, by Site Type, as of 2025 Survey 124
13. Hours per Weekend Mammography Department Open, by Site Type as of 2025 Survey 124
14. Information Sources Used During Decision Process for Purchasing Mammography Equipment, as of 2025
Survey 125
15. Interest in In-Person vs. Virtual Options, for Information Sources when Making a Purchase Decision,
as of 2025 Survey 126
16. Whether Facility Experiences Staffing Challenges Related to Mammography, as of 2025 Survey 127
17. Types of Staffing Challenges Experienced by Mammography Departments, as of 2025 Survey 127
18. Mean Number of Employees per Mammography Site Having that Type, by Site Type,
as of 2025 Survey 128
19. Whether Mammography Department is at Optimal Staffing Levels, as of 2025 Survey 129
20. Level of Staffing Challenges in Mammography Department, by Site Type, as of 2025 Survey 129
21. Financial Health of Mammography Department in Recent Years, as of 2025 Survey 130
22. Financial Health of Mammography Department in 2025, by Site Type 130
23. Experience with Patients Self-Booking Imaging Exams, as of 2025 Survey 131
24. Experience with Patients Self-Booking Imaging Exams, by Site Type, as of 2025 Survey 131
25. 2025 Mammography Department Staffing Challenges – Summary of Open-Ended Responses 132
26. 2025 Anticipated Financial Health of Mammography Department – Summary of Open-Ended Responses 133

I. Methodology 134
J. Appendix 142
K. About IMV 156