Intraoperative Imaging Market Analysis & Forecast: 2026-2033

Intraoperative Imaging Market Size and Forecast – 2026 to 2033

The Intraoperative Imaging Market is estimated to be valued at USD 4.78 Bn in 2026 and is expected to reach USD 6.89 Bn by 2033, exhibiting a compound annual growth rate (CAGR) of 7.2% from 2026 to 2033.

Key Takeaways

• By Device Type, Intraoperative Radiation Therapy hold the largest market share of 43.3% in 2026 owing to its rising global cancer incidence.
• By Application, Neurosurgery expected to hold largest market share of 41.1% in 2026 owing to its increasing prevalence of neurological disorders.
• By Technology, Intraoperative Ultrasonography acquired the prominent market share of 34.4% in 2026 owing to the rising adoption of minimally invasive surgical procedures.
• By End User, Hospitals & Clinics captures the largest market share of 44.4% in 2026 owing to the high volume of complex surgical procedures.
• By Region, North America dominates the overall market with an estimated share of 39.9% in 2026 owing to the high prevalence of chronic & surgical conditions.

Market Overview

Rising demand for real-time visualization in complex surgeries is driving the intraoperative imaging market across neurosurgery, orthopedics, oncology, and cardiovascular care. Advanced imaging technologies, the growth of minimally invasive procedures, hybrid operating rooms, and increased hospital investments are boosting adoption while improving precision, efficiency, and patient safety.

Current Events and Its Impact on the Intraoperative Imaging Market

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Segmental Insights 

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Intraoperative Imaging Market Insights, By Device Type: Intraoperative Radiation Therapy contribute the highest share of the market owing to its demand for minimally invasive and patient-centric treatments.

Intraoperative Radiation Therapy hold the largest market share of 43.30% in 2026. The need for precise, localized cancer treatment during surgery drives the intraoperative radiation therapy segment of the intraoperative imaging market. Clinicians use imaging guidance with immediate radiation delivery to directly target residual tumor tissue while protecting surrounding healthy structures. This method shortens overall treatment timelines, reduces the need for postoperative radiation sessions, and improves clinical workflow efficiency. Increasing focus on personalized oncology care, enhanced surgical outcomes, and closer integration of imaging with therapeutic systems continues to support adoption in advanced surgical environments. For instance, Zeiss Medical Technology has launched the INTRABEAM 600 in India, delivering intraoperative radiation therapy (IORT) as a minimally disruptive treatment for patients with early-stage breast  

Intraoperative Imaging Market Insights, By Application: Neurosurgery contribute the highest share of the market owing to its need for high precision and real-time visualization.

Neurosurgery expected to hold largest market share of 41.1% in 2026. The critical need for real-time, high-precision visualization during brain and spinal procedures drives the neurosurgery segment of the intraoperative imaging market. Surgeons rely on intraoperative imaging to accurately locate lesions, manage brain shift, and safeguard vital neural structures throughout operations. Increasing surgical volumes for neurological disorders, a growing preference for minimally invasive neurosurgical techniques, and wider use of advanced navigation systems boost adoption. Investments in hybrid operating rooms and efforts to minimize repeat surgeries further reinforce demand. For instance, in April 2025, Yashoda Hospitals, Secunderabad, opened India’s most advanced Center of Excellence for Robotic Neurosurgery and Neuro Endoscopy, coinciding with the 2-day “Skull Base Endoscopy” International Summit & Live Workshop 2025, attended by Telangana Health Secretary Dr. Christina Z. Chongthu.

Intraoperative Imaging Market Insights, By Technology: Intraoperative Ultrasonography contribute the highest share of the market owing to its real-time visualization & decision support.

Intraoperative Ultrasonography acquired the prominent market share of 34.4% in 2026. Demand for flexible, real-time imaging that integrates smoothly into surgical workflows drives the intraoperative ultrasonography segment of the intraoperative imaging market. Surgeons rely on intraoperative ultrasound to visualize soft tissues, evaluate blood flow, and guide instruments without exposing patients to ionizing radiation. Its portability, cost efficiency, and suitability for minimally invasive procedures encourage broader adoption. Expanding use in neurosurgery, oncology, and abdominal surgeries, along with continuous improvements in image quality and system design, further fuel demand. For instance, in June 2025, GE HealthCare introduced the bkActiv S series, its next-generation intraoperative ultrasound, expanding the bkPortfolio to provide imaging guidance for urology, colorectal, and pelvic floor procedures.

Intraoperative Imaging Market Insights, By End User: Hospitals & Clinics contribute the highest share of the market owing to its investment capability and healthcare infrastructure.

Hospitals & Clinics captures the largest market share of 44.4% in 2026. Hospitals and clinics drive the intraoperative imaging market as they actively adopt technologies that support complex surgical care and strengthen clinical decision-making. High procedure volumes in neurology, orthopedics, oncology, and trauma increase reliance on real-time imaging during surgery. By using intraoperative imaging, facilities improve surgical accuracy, limit complications, and streamline operating room workflows. Strong investment capabilities, expansion of advanced surgical infrastructure, and a continued focus on better patient outcomes and safety further promote adoption across hospitals and specialty clinics. For instance, in January 2026, Perimeter Medical Imaging AI, Inc. partnered with Intermountain Health to deploy its S-Series OCT advanced imaging technology for tissue visualization in the operating rooms at LDS Hospital in Salt Lake City and American Fork Hospital in Utah.

Regional Insights 

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North America Intraoperative Imaging Market Trends

North America dominates the overall market with an estimated share of 39.90% in 2026. In North America, hospitals and surgical centers actively adopt advanced intraoperative imaging systems, supported by robust healthcare infrastructure and high surgical volumes. Providers increasingly integrate AI-enhanced imaging, hybrid operating rooms, and real-time navigation tools, expanding use across neurosurgery, orthopedics, and cardiovascular procedures. The United States drives regional demand through ongoing investments in imaging modernization, favorable reimbursement frameworks, and strong collaboration between medical device manufacturers and clinical institutions. For instance, KUBTEC launched the MOZART iQ 3D Margin Management System, using amorphous selenium and 3D intraoperative tomosynthesis X-ray technology to give breast surgeons a clear view of surgical margins in the OR.

Asia Pacific Intraoperative Imaging Market Trends

In the Asia Pacific, hospitals and surgical centers actively adopt intraoperative imaging as healthcare systems expand surgical capacity and modernize operating rooms with real-time visualization tools. Providers in China, India, Japan, and South Korea increasingly use mobile C-arms, intraoperative CT, and other imaging systems to guide complex procedures and minimally invasive techniques. Ongoing investments in healthcare infrastructure, growing surgical volumes, and a focus on enhancing clinical precision and patient safety continue to drive wider adoption of intraoperative imaging throughout the region. For instance, in June 2025, Kauvery Hospital has introduced Chennai’s first O-Arm Surgical System with navigation, offering AI-powered 2D and 3D imaging for real-time guidance in complex brain, spine, and orthopedic surgeries.

United States Intraoperative Imaging Market Trends

In the United States, hospitals and surgical centers are actively adopting advanced intraoperative imaging technologies to enhance surgical precision and improve clinical outcomes. Providers increasingly use intraoperative CT, MRI, ultrasound, and mobile C‑arms to achieve real-time visualization during complex procedures such as neurosurgery, orthopedics, and cardiovascular operations. Rising demand for minimally invasive techniques, a growing aging population, and ongoing investments in hybrid operating rooms and AI-enabled imaging solutions continue to drive market expansion. For instance, in August 2025, Samsung India, with its subsidiary NeuroLogica, has launched a new mobile CT scanner portfolio to enhance patient-centric imaging and strengthen hospital infrastructure across urban and regional centers.

India Intraoperative Imaging Market Trends

In India, hospitals and surgical centers are actively modernizing operations by adopting advanced intraoperative imaging systems such as mobile C‑arms, intraoperative CT, and ultrasound to enhance procedural accuracy and patient safety. Healthcare facilities are expanding infrastructure, particularly in urban and tier‑2 cities, supported by government initiatives to strengthen surgical capabilities. Increasing awareness of image-guided surgeries, higher surgical volumes for complex cases, and rising investments in minimally invasive techniques continue to drive wider adoption of intraoperative imaging across the country.

End-user Feedback and Unmet Needs in the Intraoperative Imaging Market

• Demand for Real-Time, High-Resolution Imaging: Surgeons emphasize the need for imaging systems that provide clear, high-resolution real-time visuals during procedures. Current systems sometimes lack sufficient clarity or frame rates for delicate operations, prompting demand for improved imaging quality that enhances precision, reduces intraoperative errors, and supports complex surgeries like neurosurgery and minimally invasive procedures.
• Integration with Surgical Navigation and Workflow: End-users report challenges in seamlessly integrating imaging systems with surgical navigation platforms. Inefficient interfaces or fragmented systems can disrupt workflow, increase surgery time, and complicate data interpretation. There’s a need for fully interoperable solutions that combine imaging, navigation, and intraoperative guidance to streamline procedures and improve clinical efficiency.
• Portability and Space Optimization: Operating rooms often face space constraints, making bulky imaging equipment challenging to use. Surgeons and OR staff request compact, mobile imaging solutions that can be easily maneuvered without obstructing the surgical team, especially in hybrid ORs or smaller facilities, ensuring both convenience and optimal access during complex procedures.

Intraoperative Imaging Market Trend

Rise of Minimally Invasive and Precision Surgeries

The market is increasingly driven by the growing adoption of minimally invasive procedures that demand high-precision imaging. Surgeons rely on intraoperative imaging to navigate complex anatomy with minimal tissue disruption, enhancing surgical accuracy and patient recovery. As hospitals prioritize less invasive interventions across neurosurgery, orthopedics, oncology, and cardiovascular procedures, real-time imaging becomes essential for reducing complications, guiding instruments, and confirming outcomes during operations, reinforcing its critical role in modern surgical workflows.

Integration of Hybrid Operating Rooms

Healthcare facilities are investing in hybrid operating rooms equipped with intraoperative imaging systems, combining surgical and diagnostic technologies in a single environment. This integration allows real-time visualization during complex procedures, improving decision-making and operational efficiency. Hospitals use hybrid ORs to perform advanced surgeries such as neurosurgical tumor resections, cardiovascular interventions, and orthopedic implantations, enabling simultaneous imaging, monitoring, and navigation, which enhances procedural accuracy, reduces revision surgeries, and increases overall patient safety.

Intraoperative Imaging Market Opportunity

Expansion of Hybrid Operating Rooms

Hybrid operating rooms integrating imaging, navigation, and surgical systems offer a substantial growth opportunity. Facilities can perform complex procedures with real-time visualization, improving precision and workflow efficiency. Providers can capitalize on the demand for multifunctional ORs in advanced hospitals and specialty centers, particularly for neurosurgical tumor resections, cardiovascular interventions, and orthopedic implant placements. As hospitals invest in modern surgical infrastructure, intraoperative imaging adoption rises, enabling better patient outcomes and reinforcing the role of advanced imaging technologies in high-end surgical care.

Market Report Scope 

Intraoperative Imaging Market News

• In March 2024, Siemens Healthineers developed the Ciartic Move3, an automated, self-driving C-arm for intraoperative imaging, featuring omnidirectional wheels for precise movement and accurate positioning in tight spaces.

Analyst Opinion (Expert Opinion)

• The intraoperative imaging market is transitioning from a supplementary surgical tool to a core component of procedure execution, particularly in high‑precision disciplines such as neurosurgery and orthopedics. Real‑world usage data shows that over half of hospitals globally now rely on advanced intraoperative imaging systems to guide critical decisions intraoperatively, reflecting a substantive departure from traditional reliance on pre‑operative scans alone.
• In North America, where hybrid operating room installations exceed 50% penetration in leading centres, imaging is no longer a siloed modality but an integrated workflow pillar supporting real‑time navigation, reduction of reoperations, and procedural verification. These installations correlate with documented improvements in surgical precision and workflow efficiency — metrics increasingly used by hospital administrators to justify capital expenditure.
• The market’s momentum is further reinforced by the proliferation of AI‑enabled platforms, which have expanded by more than 40% in clinical use. Early evidence from leading centres indicates that AI‑assisted segmentation and automated intraoperative guidance reduce verification time and cognitive load on surgeons, suggesting a meaningful shift in how imaging data informs intraoperative judgment.
• However, this evolution is not purely technology‑led. Adoption is being shaped by surgical quality metrics and reimbursement realities. Data indicates that nearly half of orthopedic and trauma procedures in developed markets now employ 3D mobile C‑arms, underscoring the preference for imaging tools that demonstrably reduce complication and revision rates.

Market Segmentation

• By Device Type
  • Intraoperative X-Ray
  • Intraoperative MRI
  • Intraoperative CT
  • Intraoperative Ultrasound
  • Intraoperative Radiation Therapy
  • Intraoperative Optical Imaging (Probes/Devices)
• By Application
  • Neurosurgery
  • Orthopaedic Surgery
  • Spine Surgery
  • Cardiovascular
  • Gastro
  • Others
• By Technology
  • Intraoperative Ultrasonography
  • Intraoperative Fluorescence Imaging
  • Intraoperative Augmented Reality
  • Intraoperative Optical Coherence Tomography
  • Ex Vivo MRI
• By End User
  • Hospitals & Clinics
  • Ambulatory Surgical Centers
• By Regional Insights
  • North America
    • U.S.
    • Canada
  • Latin America
    • Brazil
    • Argentina
    • Mexico
    • Rest of Latin America
  • Europe
    • Germany
    • U.K.
    • Spain
    • France
    • Italy
    • Russia
    • Rest of Europe
  • Asia Pacific
    • China
    • India
    • Japan
    • Australia
    • South Korea
    • ASEAN
    • Rest of Asia Pacific
  • Middle East
    • GCC Countries
    • Israel
    • Rest of Middle East
  • Africa
    • South Africa
    • North Africa
    • Central Africa
• Key Players Insights
  • Siemens Healthcare Private Limited
  • Medtronic
  • General Electric
  • IMRIS
  • SAMSUNG
  • Ziehm Imaging GmbH
  • Brainlab AG
  • Carl Zeiss Meditec AG
  • Koninklijke Philips N.V.
  • Stryker
  • FUJIFILM Holdings Corporation
  • Shenzhen Anke High-tech Co.
  • ESAOTE SPA
  • Allengers
  • Analogic Corporation
  • Shimadzu Corporation
  • Activ Surgical

Sources

Primary Research interviews

• Surgeons (Neurosurgeons, Orthopedic surgeons, ENT surgeons)
• Radiologists and Imaging Specialists
• Hospital Procurement Managers
• Biomedical Engineers and Clinical Technologists
• Operating Room Managers

Databases

• PubMed
• ClinicalTrials.gov
• FDA Device Databases (e.g., 510(k), PMA)
• WHO Global Health Observatory
• NIH Research Portfolio

Magazines

• Radiology Today
• Medical Imaging Magazine
• OR Manager
• Health Imaging
• Imaging Technology News

Journals

• Journal of Medical Imaging
• European Radiology
• Neurosurgery
• Journal of Surgical Research
• IEEE Transactions on Medical Imaging

Newspapers

• The New York Times – Health Section
• The Guardian – Healthcare Section
• The Washington Post – Health & Science
• Financial Times – Healthcare & Technology
• The Times of India – Health & Science

Associations

• Radiological Society of North America (RSNA)
• American College of Surgeons (ACS)
• Society of NeuroInterventional Surgery (SNIS)
• European Society of Radiology (ESR)
• International Society for Optical Engineering (SPIE) Medical Imaging

Public Domain sources

• WHO Publications and Reports
• National Institutes of Health (NIH) Reports
• U.S. Centers for Medicare & Medicaid Services (CMS) Data
• European Medicines Agency (EMA) Public Reports
• Government Health Ministry Publications

Proprietary Elements

• CMI Data Analytics Tool
• Proprietary CMI Existing Repository of information for last 8 years