USD 710.0 million
Report ID:
SQMIG35G2331 |
Region:
Global |
Published Date: July, 2025
Pages:
180
|Tables:
94
|Figures:
76
Global Endobronchial Ultrasound Biopsy Market size was valued at USD 710.0 million in 2023 and is poised to grow from USD 744.79 million in 2024 to USD 1092.04 million by 2032, growing at a CAGR of 4.9% during the forecast period (2025-2032).
The endobronchial ultrasound biopsy (EBUS) market is growing steadily from an emerging market after an increased global focus on the early diagnosis of lung cancer and a global shift towards less invasive techniques. Technological upgrades to EBUS scopes, needles, and ultrasound processors are making EBUS procedures significantly more precise, driving demand from hospitals and specialist clinics. Meanwhile, the global population is aging and at the same time an increase in respiratory disease (COPD, tuberculosis) is driving the need for EBUS diagnosis; allowing a better diagnosis of lung disease for advanced economies and entering emerging economies with a strong diagnosis basis like Japan, China, and India.
However, the drive for market growth is somewhat limited by the price of the equipment and procedures which limits EBUS adaptation in cost effective environments. Moreover, reimbursement policies globally, especially in low- to middle-income countries remain inconsistent, impeding EBUS implementation in this segment. Notably, there remains great interest from hospitals and ambulatory care centers globally, particularly with the development of clinical pathways showing good clinical outcomes and funding support.
How Artificial Intelligence is Changing the Endobronchial Ultrasound Biopsy Market?
Artificial Intelligence (AI) continues to reshape the endobronchial ultrasound biopsy market by facilitating accurate image interpretation, better planning of procedures, and providing real-time diagnostic support to clinicians performing EBUS-guided biopsies. The AI algorithms in EBUS platforms are capable of analyzing ultrasound data for lymph node characteristics and optimizing needle placement for ultrasound-guided diagnostics while simultaneously increasing diagnostic accuracy and efficiency by reducing procedure time. Implementing AI capabilities is also assisting bronchoscopists with real-time decision making for TBNA, which is expected to improve patient outcomes and minimize the variation in clinician performance. Overall, these AI developments are streamlined procedural workflows and enabling early-stage lung cancer diagnostics in resource-limited environments and less-resourced conditions.
In April 2024, Olympus Corporation is launching the EVIS X1 endoscopic system, which is designed with AI-enabled machine learning algorithms to identify lesions as well as eliminate the need for additional knowledge acquisition and support the clinician with real-time diagnostic assistance during EBUS-guided biopsy of lesions in the lung. The incorporation of pattern recognition identifies difficult access situations for lung nodules, while providing a visible indicator of correct biopsy accompaniment. Several clinical trials in Japan and Germany demonstrated a clear improvement in diagnostic yield while minimizing complications in patients with early-stage lung cancer. This technological advancement is significant from both an integrated AI enabled endoscopy standpoint and as a potential shift towards larger data-providing precision-guided minimally invasive diagnostics in pulmonology.
Market snapshot - 2025-2032
Global Market Size
USD 710.0 million
Largest Segment
Biopsy Needles
Fastest Growth
Spray Catheters
Growth Rate
4.9% CAGR
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Global Endobronchial Ultrasound Biopsy Market is segmented by Product, Procedure, End use and region. Based on Product, the market is segmented into EBUS Scopes, EBUS Needles, Ultrasound Processors & Imaging Systems and Accessories. Based on Procedure, the market is segmented into EBUS-Transbronchial Needle Aspiration (EBUS-TBNA) and EBUS-Guided Biopsy. Based on End use, the market is segmented into Hospitals, Ambulatory Surgical Centers (ASCs), Specialty Clinics and Others. Based on region, the market is segmented into North America, Europe, Asia Pacific, Latin America and Middle East & Africa.
Biopsy needles are the leading product type in the endobronchial ultrasound biopsy market because of their importance in TBNA, the most important operation performed by EBUS. Biopsy needles provide access to mediastinal and hilar lymph nodes, enabling clinicians to obtain tissue for histopathological and molecular testing for lung cancer and infection. Many new needle innovations, including echogenic tips, the ability to flex for angulated bronchoscopes (and therefore diagnostic and staging procedures), and ability to obtain better core samples further added to their strength as a component of EBUS-guided sampling. With the increased global incidence of lung cancer and the clinical need for less invasive diagnostic workflows, biopsy needles are at the forefront of EBUS-guided sampling, and as a result, continue to dominate the biopsy needle market.
Spray catheters are developing as the fastest growing product sub-segment, due to an increasing presence in diagnostic procedures that require airway preparation or direct drug delivery. As their role in pre-biopsy mucosal management, especially pre-biopsy mucosal management before diagnostic procedures related to infection and in airway visualization expands, they are becoming increasingly relevant. Innovations such as compact designs, compatibility with sophisticated bronchoscopes, and direct delivery bolster the growth of this sub-segment.
Cancer Diagnosis is dominating application segment in the endobronchial ultrasound biopsy market, as it serves a critical need for detection, staging and monitoring of lung cancers. EBUS-TBNA offers a less invasive and more accurate way to sample mediastinal lymph nodes compared to mediastinoscopy. Clinical guidelines recommend the use of EBUS for staging of non-small cell lung cancer (NSCLC). The growing incidence of lung cancer, aging populations, and increased use of early screening programs—especially in high-risk patient populations are drives of the demand in this segment. The segment also benefits from procedural reimbursement in developed markets, which helped make it the largest segment of the EBUS market.
Infection Diagnosis is the fastest-growing application segment, largely due to a global rise in tuberculosis, fungal infections and other respiratory diseases. In situations where imaging cannot provide a definitive diagnosis, EBUS provides a safe and effective method to obtain diagnostic samples. The growing focus on diagnostic accuracy in immunocompromised patients and suspected drug-resistance TB patients has also contributed to growth in procedures in this area. In addition, the increasing number of hospitals and diagnostic centers equipped with EBUS systems suggests that this application will continue to expand in the market.
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North America is the number one region for the global endobronchial ultrasound biopsy market due to many reasons, such as its highly developed healthcare infrastructure across the region, the quick uptake of advanced diagnostic technologies, and the rising prevalence of lung cancer. The favourable reimbursement policies and strong clinical research support for effective implementation of the procedure into practice has contributed to its successful introduction into routine practice. The collaboration of medical device companies with research hospitals has facilitated the design, implementation, and acceptance of AI-guided bronchoscopic systems and other advanced diagnostic systems.
The USA contributes the most and continues to also be the first in this region, which we anticipate will further grow in 2024, as they become familiarized with these procedures and the very high disease burden they have. For example, Boston Scientific entered the EBUS space earlier in 2024 with the launch of a new high-resolution ultrasound processor with AI-guided lymph node classification. This offer included a strategic effort to promote their EBUS product. This was supported by a simultaneous Launch across 94 U.S. hospitals identified by the National Cancer Institute for the advanced clinical use of the EBUS product. This indicates a dedicated effort towards technology adoption and standardization of lung cancer diagnostic practice.
Canada’s emerging EBUS market is driven by its centralized healthcare system and growing momentum around early cancer detection through non-invasive techniques. In 2025, Health Canada authorized a public-private plan to increase regional hospital access to EBUS systems throughout British Columbia and Ontario. The expansion is funded through the Canadian Partnership Against Cancer, with plans to pilot the EBUS project through their early diagnosis program. The intention of the initiative is to provide EBUS-TBNA services in underserved locations and provide timely cancer diagnoses. The funds are allowing for more equitable access to EBUS-TBNA services in remote, underserved regions as well as mitigating delays in the diagnostic process.
The Asia Pacific region has become the fastest-growing area of the endobronchial ultrasound biopsy market, due to the growing awareness of lung cancer; growing healthcare cost, and demand for non-invasive diagnostics. The effects of an aging population and the rising levels of respiratory diseases are putting an increasing amount of pressure on health systems to utilize accurate and cost-effective diagnostic procedures. An influx of local and international equipment manufacturers is expanding their presence in the market along with the availability of regional equipment, and the growing number of clinical training programs. Government awareness programs supporting early-stage oncology diagnostics and initiatives to support innovation and public-private R&D programs will support the future development and growth of the Asia-Pacific region for years to come.
Japan has adapted early to utilize endobronchial ultrasound biopsy technology and embraced the widespread use of minimally invasive procedures, and the void created by their large aging population. In 2024, Olympus started a national training program with the goal of assisting pulmonary medicine physicians accelerate their competencies with robotic-assisted EBUS biopsy procedures. The training program is part of a broader conceptual strategy to integrate AI-assisted imaging embedded with EBUS systems in community hospitals and academic hospitals in Japan, to improve the efficiencies of diagnosis.
South Korea has seized a significant opportunity for growth in endobronchial ultrasound biopsy implementation of its national cancer screening programs. In 2025, Seoul National University Hospital partnered with the domestic startup Lunit to provide image guidance using AI-based algorithms for lung cancer staging through EBUS bronchoscopy. The project produced targeted lymph node accuracy, 15% faster biopsy procedures for staged lung cancer patients and early validation of AI for future EBUS applications. South Korea is uniquely positioned to contribute significantly to EBUS technology development, and by leveraging existing digital infrastructure, financed innovation by the government and willingness among local industry.
The Endobronchial Ultrasound Biopsy Market in Europe is characterized by well-developed medical infrastructures, robust hospital-based clinical research networks, and earlier adoption of imaging related to clinical diagnostics. The regulatory environment to support high-performance diagnostic tools, as well as preferences for day-care procedures in pulmonary conditions are drivers. Furthermore, growing European Union support for lung cancer screening and early diagnosis are encouraging better conditions for EBUS systems in both public and private healthcare systems.
Germany has sustained its position as the front runner in the region for EBUS usage due to experienced hospitals, and a public health context with pulmonology playing the role as the leader of digital health innovation. In 2024, the German Cancer Research Centre participated in a co-development with ERBE Elektromedizin GmbH on a new advanced EBUS-TBNA with high-fidelity, real-time tissue density mapping capabilities. Clinical trials have been organized at key teaching hospitals, and it represents a major advancement to AI-enabled biopsy accuracy.
The United Kingdom is expediting its EBUS biopsy adoption through the National Health Services (NHS) driven lung health initiatives. In 2025, NHS England opened its Targeted Lung Health Checks (TLHC) initiative to allow for real-time access to EBUS services inside mobile diagnostic units. These units are intended to deploy into underserved areas and complement the UK Health System's broader overall approach to early-stage cancer interventions. Investment in clinician training and mobile diagnostic infrastructure are both fast-tracking access to market and throughput of procedures.
France too is establishing its EBUS market through national investments in minimally invasive diagnostics and the standardization of lung cancer care. In 2025, the French National Cancer Institute (Institut National Du Cancer or INCa) initiated a robot assisted EBUS biopsy navigation project in partnership with public hospitals in Lyon and Marseille, to decrease diagnostic variability across the regions. This project is part of France's overarching Plan Cancer 2021-2030 with the principle of early detection and equitable access to innovative and advanced diagnostic technologies. This plan is anticipated to improve regional coverage of EBUS and provide critical government assistance for clinical integration to market expansion.
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Rising Prevalence of Lung Cancer and Respiratory Disorders
Advancements in Diagnostic Imaging and Biopsy Guidance Technologies
High Cost of Equipment and Procedure Implementation
Variability in Reimbursement and Limited Procedure Standardization
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Established companies including Olympus Corporation, Boston Scientific, and FUJIFILM Holdings Corporation continue to make an impact on the global Endobronchial Ultrasound (EBUS) Biopsy Market through innovation and expansion. Olympus continues to exert a competitive advantage based on continuous improvements in their EBUS scopes and imaging systems that offer AI-assisted diagnostics targeted for each region, which provides improved accuracy for bronchoscopy and lung cancer staging. Similarly, Boston Scientific is increasing its competitive position by partnering with MedTech start-ups focusing on AI implementation, by enhancing their existing EBUS tools with next-generation image-guided navigation to improve tissue targeting and accuracy of the biopsy which play a vital role in early cancer diagnosis.
At the same time, FUJIFILM Holdings continues to execute upon its strategy through extensive clinician education and large rollout of global programs by advancing opportunities for clinicians with investment into live training workshops throughout Asia and Europe and planning for a launch in 2024 as part of a robotic navigation-enabled lung cancer diagnostic initiative which demonstrates the wider directional shift of the EBUS industry towards fully integrated, end-to-end, and AI-enabled diagnostic ecosystems. Not only do these leading companies shape product innovation, but rethinking how EBUS technologies are delivered, implemented and scaled within each healthcare environment.
SkyQuest’s ABIRAW (Advanced Business Intelligence, Research & Analysis Wing) is our Business Information Services team that Collects, Collates, Correlates, and Analyses the Data collected by means of Primary Exploratory Research backed by robust Secondary Desk research.
As per SkyQuest analysis, the endobronchial ultrasound biopsy market is driven by the ever-increasing global incidences of lung cancer and the demand in that region for early minimally invasive diagnostics. The biggest restraint to the market is the overall cost of EBUS equipment and procedures, which limits its adoption in a lower-income area. North America leads in this market because it has a robust reimbursement ecosystem for EBUS and historically embraced this technology early on. The hospital segment is the most common end-use segment because of the volume of procedures and accessibility to the equipment. A secondary market driver for this technology is the increase of imaging tools utilizing artificial intelligence, enhancing diagnostic accuracy and reducing operator variability, which is further supporting the global market.
Report Metric | Details |
---|---|
Market size value in 2023 | USD 710.0 million |
Market size value in 2032 | USD 1092.04 million |
Growth Rate | 4.9% |
Base year | 2024 |
Forecast period | 2025-2032 |
Forecast Unit (Value) | USD Million |
Segments covered |
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Regions covered | North America (US, Canada), Europe (Germany, France, United Kingdom, Italy, Spain, Rest of Europe), Asia Pacific (China, India, Japan, Rest of Asia-Pacific), Latin America (Brazil, Rest of Latin America), Middle East & Africa (South Africa, GCC Countries, Rest of MEA) |
Companies covered |
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Table Of Content
Executive Summary
Market overview
Parent Market Analysis
Market overview
Market size
KEY MARKET INSIGHTS
COVID IMPACT
MARKET DYNAMICS & OUTLOOK
Market Size by Region
KEY COMPANY PROFILES
Methodology
For the Endobronchial Ultrasound Biopsy Market, our research methodology involved a mixture of primary and secondary data sources. Key steps involved in the research process are listed below:
1. Information Procurement: This stage involved the procurement of Market data or related information via primary and secondary sources. The various secondary sources used included various company websites, annual reports, trade databases, and paid databases such as Hoover's, Bloomberg Business, Factiva, and Avention. Our team did 45 primary interactions Globally which included several stakeholders such as manufacturers, customers, key opinion leaders, etc. Overall, information procurement was one of the most extensive stages in our research process.
2. Information Analysis: This step involved triangulation of data through bottom-up and top-down approaches to estimate and validate the total size and future estimate of the Endobronchial Ultrasound Biopsy Market.
3. Report Formulation: The final step entailed the placement of data points in appropriate Market spaces in an attempt to deduce viable conclusions.
4. Validation & Publishing: Validation is the most important step in the process. Validation & re-validation via an intricately designed process helped us finalize data points to be used for final calculations. The final Market estimates and forecasts were then aligned and sent to our panel of industry experts for validation of data. Once the validation was done the report was sent to our Quality Assurance team to ensure adherence to style guides, consistency & design.
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Global Endobronchial Ultrasound Biopsy Market size was valued at USD 700 Million in 2023 poised to grow from USD 740 Million in 2024 to USD 1090 Million by 2032, growing at a CAGR of 5.00% in the forecast period (2025-2032).
Established companies including Olympus Corporation, Boston Scientific, and FUJIFILM Holdings Corporation continue to make an impact on the global Endobronchial Ultrasound (EBUS) Biopsy Market through innovation and expansion. Olympus continues to exert a competitive advantage based on continuous improvements in their EBUS scopes and imaging systems that offer AI-assisted diagnostics targeted for each region, which provides improved accuracy for bronchoscopy and lung cancer staging. Similarly, Boston Scientific is increasing its competitive position by partnering with MedTech start-ups focusing on AI implementation, by enhancing their existing EBUS tools with next-generation image-guided navigation to improve tissue targeting and accuracy of the biopsy which play a vital role in early cancer diagnosis. 'Olympus Corporation (Japan)', 'Boston Scientific Corporation (United States)', 'FUJIFILM Holdings Corporation (Japan)', 'Medtronic plc (Ireland)', 'Ambu A/S (Denmark)', 'Pentax Medical (Japan)', 'Cook Medical LLC (United States)', 'Veran Medical Technologies (United States)', 'Hunan Vathin Medical Instrument Co. Ltd. (China)', 'Broncus Medical, Inc. (United States)', 'Karl Storz SE & Co. KG (Germany)', 'Richard Wolf GmbH (Germany)', 'Smiths Medical (United States)', 'Teleflex Incorporated (United States)', 'Stryker Corporation (United States)', 'NovaScope Biotech (India)', 'Vektor Medical, Inc. (United States)', 'Sonoscape Medical Corp. (China)', 'Ace Medical Devices Pvt. Ltd. (India)', 'Boston Imaging Core Lab (United States)'
Rising global incidence of lung cancer and other pulmonary diseases are currently the primary motivators of the Endobronchial Ultrasound (EBUS) Biopsy Market. EBUS procedures are a minimally invasive way to access mediastinal and hilar lymph nodes to stage and diagnose lung malignancies. In an increasingly health-conscious world, countries around the world have been developing an awareness of the importance of at minimum, late-stage detection and there is an increasing use of lung cancer screening programs internationally across both advanced and emerging healthcare economies developing. As healthcare systems evolve, there is a push for alternatives to surgical pathology and flexible bronchoscopy, which has raised the profile of EBUS-TBNA, and added to increased levels of clinical demand putting immediate procurement pressures on hospitals and building numbers of procedural volume across respiratory and oncology practices.
Integration of AI in EBUS Imaging and Navigation: The growing use of AI-assisted imaging and diagnostic navigation is a significant trend in the EBUS market. AI algorithms are being utilized more and more to facilitate the identification of lymph nodes, automate the identification of lesions and increase biopsy accuracy and quality. As a result, the amount of variability between operators is decreased and diagnostic accuracy is increased, especially in the diagnosis of early-stage lung cancer. Healthcare organizations using EBUS platforms that integrate AI are realizing shorter procedure times, improved outcomes, as well as improved efficiency. This is clearly an important area of technological and clinical advancement.
What Key Factors are Supporting North America's Leading Position in the Endobronchial Ultrasound Biopsy Market?
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