AI Crosses the Chasm

Despite plenty of challenges, Signify Research forecasts that the global imaging AI market will nearly quadruple by 2026, as AI “crosses the chasm” towards widespread adoption. Here’s how Signify sees that transition happening:

Market Growth – After generating global revenues of around $375M in 2020 and $400M and 2021, Signify expects the imaging AI market to maintain a massive 27.6% CAGR through 2026 when it reaches nearly $1.4B. 

Product-Led Growth – This growth will be partially driven by the availability of new and more-effective AI products, following:

  • An influx of new regulatory-approved solutions
  • Continued improvements to current products (e.g. adding triage to detection tools)
  • AI leaders expanding into new clinical segments
  • AI’s evolution from point solutions to comprehensive solutions/workflows
  • The continued adoption AI platforms/marketplaces

The Big Four – Imaging AI’s top four clinical segments (breast, cardiology, neurology, pulmonology) represented 87% of the AI market in 2021, and those segments will continue to dominate through 2026. 

VC Support – After investing $3.47B in AI startups between 2015 and 2021, Signify expects that VCs will remain a market growth driver, while their funding continues to shift toward later stage rounds. 

Remaining Barriers – AI still faces plenty of barriers, including limited reimbursements, insufficient economic/ROI evidence, stricter regulatory standards (especially in EU), and uncertain future prioritization from healthcare providers and imaging IT vendors. 

The Takeaway

2022 has been a tumultuous year for AI, bringing a number of notable achievements (increased adoption, improving products, new reimbursements, more clinical evidence, big funding rounds) that sometimes seemed to be overshadowed by AI’s challenges (difficult funding climate, market consolidation, slower adoption than previously hoped).  

However, Signify’s latest research suggests that 2022’s ups-and-downs might prove to be part of AI’s path towards mainstream adoption. And based on the steeper growth Signify forecasts for 2025-2026 (see chart above), the imaging AI market’s growth rate and overall value should become far greater after it finally “crosses the chasm.”

Imaging AI’s Big 2021

Signify Research’s latest imaging AI VC funding report revealed an unexpected surge in 2021, along with major funding shifts that might explain why many of us didn’t see it coming. Here’s some of Signify’s big takeaways and here’s where to get the full report.

AI’s Path to $3.47B – Imaging AI startups have raised $3.47B in venture funding since 2015, helped by a record-high $815M in 2021 after several years of falling investments (vs. 2020’s $592M, 2019’s $450M, 2018’s $790M).

Big Get Bigger – That $3.47B funding total came from over 200 companies and 290 deals, although the 25 highest-funded companies were responsible for 80% of all capital raised. VCs  increased their focus on established AI companies in 2021, resulting in record-high late-stage funding (~$723.5M), record-low Pre-Seed/Seed funding (~$7M), and a major increase in average deal size (~$33M vs. ~$12M in 2020). 

Made in China – If you’re surprised that 2021 was a record AI funding year, that’s probably because it targeted Chinese companies (~$260M vs. US’ ~$150M), continuing a recent trend (China’s AI VC share was 45% in 2020, 26% in 2019). We’re also seeing major funding go to South Korea and Australia’s top startups, adding to APAC AI vendors’ funding leadership.

Health VC Context – Although imaging AI’s $815M 2021 funding total seems big for a category that’s figuring out its path towards full adoption, the amount VC firms are investing in other areas of healthcare makes it seem pretty reasonable. Our two previous Digital Health Wire issues featured seven digital health startup funding rounds with a total value of $267M (and that’s from just one week).

The Takeaway

Signify correctly points out that imaging AI funding remains strong despite a list of headwinds (COVID, regulatory hurdles, lacking reimbursements), while showing more signs of AI market maturation (larger funding rounds to fewer players) and suggesting that consolidation is on the way. Those factors will likely continue in 2022. However, more innovation is surely on the way too and quite a few regional AI powerhouses still haven’t expanded globally, suggesting that the next steps in AI’s evolution won’t be as straightforward as some might think.

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