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Endobronchial Ultrasound Biopsy Market Size and Forecast 2025–2033

Minimally Invasive Diagnostics Driving the Future of Pulmonary Care

By Marthan SirPublished 2 months ago 5 min read

The Endobronchial Ultrasound (EBUS) Biopsy Market is witnessing steady global growth as minimally invasive diagnostics become vital for managing cancers and respiratory diseases. According to estimates, the market will expand from US$ 820 million in 2024 to US$ 1,275.36 million by 2033, registering a CAGR of 5.03% during 2025–2033. Rising cases of lung cancer, advancements in real-time ultrasound-guided imaging, an aging global population, and growing medical infrastructure fuel this momentum.

Today, EBUS-guided biopsies have become indispensable for diagnosing and staging lung cancer—particularly non-small cell lung cancer (NSCLC)—as well as for evaluating mediastinal lymphadenopathy, tuberculosis, sarcoidosis, and a range of pulmonary infections. Their ability to provide tissue samples from hard-to-reach lesions without the risks of surgical biopsy is redefining pulmonology worldwide.

This report provides a comprehensive editorial breakdown of the global market based on product, application, end use, regional outlooks, and key industry players, along with recent technological advancements shaping the future of EBUS.

Market Overview: Endobronchial Ultrasound Biopsy (EBUS)

The global EBUS biopsy market is expanding rapidly as healthcare systems shift toward minimally invasive diagnostic pathways. Traditional surgical biopsy methods—such as mediastinoscopy—carry higher risks, require longer recovery, and often increase cost burdens for hospitals and patients. EBUS, in contrast, combines ultrasound imaging with bronchoscopy, enabling clinicians to visualize structures around the bronchi and guide needle biopsies with precision.

This technique is especially valuable for diagnosing and staging lung cancer, which remains one of the leading causes of cancer deaths worldwide. With rising exposure to air pollution, smoking, occupational hazards, and environmental toxins, the need for quicker, safer, and more accurate diagnostic tools is more pressing than ever.

Key companies—such as Olympus Corporation, Boston Scientific, Cook Medical, Medtronic, FUJIFILM, GE Healthcare, and Philips—are enhancing imaging resolution, developing finer and more flexible needles, and integrating AI-based software to improve the accuracy of real-time tissue sampling. As a result, hospitals, specialty centers, and ambulatory surgical centers are increasingly embracing EBUS for its diagnostic accuracy and patient-friendly approach.

Demographic changes also play a substantial role. The WHO predicts that the global population aged 60+ will rise from 1.1 billion in 2021 to 1.4 billion by 2030, heightening the burden of chronic respiratory diseases and cancers—conditions for which EBUS-guided diagnosis is crucial.

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Key Market Growth Drivers

1. Rising Incidence of Lung Cancer

Lung cancer, particularly NSCLC, accounts for significant morbidity and mortality worldwide. As diagnosis and staging must be accurate for optimal treatment planning, the demand for EBUS is rising dramatically.

In the United States alone, the American Cancer Society anticipates 226,650 new lung cancer cases in 2025—110,680 among men and 115,970 among women. Deaths are projected to reach 124,730, making early diagnosis essential.

EBUS stands out for its ability to:

Access mediastinal lymph nodes without surgery

Provide real-time imaging for guided tissue sampling

Enable staging and tissue characterization in a single procedure

Reduce patient risk and recovery time

As cancer incidence rises globally, EBUS-guided biopsy is becoming a core diagnostic tool across oncology pathways.

2. Growing Preference for Minimally Invasive Procedures

Healthcare systems worldwide are prioritizing low-risk diagnostic approaches. EBUS offers multiple benefits over surgical biopsy:

Reduced complications

Shorter procedure time

Same-day discharge in many cases

Decreased cost of patient management

Improved recovery and comfort

For both physicians and patients, EBUS has become the preferred first-line diagnostic tool for lung lesions and lymph node evaluation. This demand will continue to rise as hospitals emphasize patient safety, clinical efficiency, and diagnostic precision.

3. Rising Adoption in Emerging Markets

Emerging economies—including India, China, Brazil, Indonesia, and parts of the Middle East—are witnessing rapid adoption of EBUS technology due to:

Upgrading hospital infrastructure

Higher investment in cancer screening programs

Awareness of minimally invasive diagnostics

Expansion of multispecialty hospitals

Increased number of pulmonologists and trained respiratory specialists

Government-led initiatives and private sector investment are enabling faster integration of advanced imaging systems and EBUS platforms, especially in Asia-Pacific and the Gulf region.

Market Challenges

1. High Cost of Equipment

A full EBUS system—including processors, ultrasound scopes, and compatible needles—requires significant capital investment. Smaller hospitals and clinics may struggle with:

High purchase cost

Expensive accessories and needles

Recurring maintenance

Software upgrades

Training requirements

This can limit adoption, particularly in resource-constrained settings.

2. Limited Number of Trained Personnel

EBUS requires specialized skills not only to operate the equipment but also to interpret complex imaging data. In many countries, especially in rural areas or developing markets, there is a shortage of trained pulmonologists, anesthesiologists, and technicians. The success of EBUS heavily depends on operator expertise, making training a critical gap that must be addressed globally.

Regional Market Insights

United States

The U.S. market is one of the largest and fastest growing, supported by:

High prevalence of lung cancer

Favorable reimbursement policies

Strong technological innovation

High adoption of minimally invasive diagnostics

With an advanced healthcare infrastructure and widespread availability of skilled pulmonologists, the U.S. dominates global EBUS usage and continues to expand as lung cancer cases rise.

United Kingdom

The UK market is expanding steadily due to increasing demand for lung disease diagnostics and NHS-backed adoption of minimally invasive procedures. However, challenges include:

High equipment costs

Shortage of highly trained EBUS specialists

Inconsistent regional adoption

Despite this, the UK continues to integrate EBUS technologies into major cancer diagnostic centers and teaching hospitals.

India

India shows strong growth potential, driven by:

Rising lung cancer and respiratory disease cases

Rapid hospital development

Government efforts to modernize diagnostic capabilities

Increased awareness among clinicians

However, affordability challenges and the need for skilled operators continue to limit uniform adoption across the country.

Saudi Arabia

Saudi Arabia is expanding its EBUS capabilities as part of its Vision 2030 healthcare transformation. The country is investing heavily in modern diagnostic platforms, advanced imaging systems, and high-end specialty hospitals.

Growth is driven by:

Rising respiratory disorders

Strong public healthcare spending

Increasing focus on early-stage diagnosis

Yet, training and cost barriers remain concerns in smaller healthcare facilities.

Recent Industry Developments

October 2024:

GE Healthcare expanded manufacturing of imaging equipment—including MRI and ultrasound systems—at its Wisconsin facility to meet global demand for advanced medical technologies.

September 2024:

FUJIFILM Healthcare Europe GmbH introduced compatibility of the ARIETTA 750 FF ENDO system with various bronchoscope models, offering sharper visualization through features like Carving Imaging and eFocusing.

October 2023:

Praxis received FDA clearance for its EndoCore EBUS-TBNA biopsy system, enhancing precision in tissue sampling during endobronchial procedures.

These developments highlight a strong push toward innovation, improved imaging resolution, and enhanced biopsy accuracy.

Market Segmentation

By Product

EBUS Scopes

EBUS Needles

Ultrasound Processors & Imaging Systems

Accessories

By Application

Cancer Diagnostics

Infection Diagnostics

Others

By End Use

Hospitals

Ambulatory Surgical Centers (ASCs)

Specialty Clinics

By Region/Country

North America: United States, Canada

Europe: France, Germany, Italy, Spain, UK, Belgium, Netherlands, Turkey

Asia Pacific: China, Japan, India, Australia, South Korea, Thailand, Malaysia, Indonesia, New Zealand

Latin America: Brazil, Mexico, Argentina

Middle East & Africa: South Africa, Saudi Arabia, UAE

Company Profiles (5 Key Viewpoints)

GE Healthcare

Siemens Healthcare

Koninklijke Philips N.V.

Boston Scientific Corporation

Olympus Corporation

Cook Group Incorporated

FUJIFILM Holdings Corporation

Medi-Globe Technologies GmbH

Each includes:

Overview

Key Persons

Recent Developments & Strategies

Revenue Analysis

Company Outlook

Final Thoughts

As the global burden of lung cancer and respiratory diseases continues to grow, Endobronchial Ultrasound Biopsy is cementing its position as a cornerstone of modern pulmonary diagnostics. Its minimally invasive nature, high diagnostic accuracy, and compatibility with advanced imaging platforms make it one of the most valuable tools in contemporary clinical practice.

The next decade will likely witness breakthroughs in AI-aided imaging, robotics-assisted bronchoscopy, disposable bronchoscopes, and next-generation biopsy tools. While challenges such as high equipment costs and limited trained providers persist, expanding healthcare investment—especially in emerging markets—will play a pivotal role in driving worldwide adoption.

With steady growth ahead, the EBUS biopsy market represents one of the most promising segments of the diagnostic imaging and minimally invasive procedures landscape.

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About the Creator

Marthan Sir

Educator with 30+ years of teaching experience | Passionate about sharing knowledge, life lessons & insights | Writing to inspire, inform, and empower readers.

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