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Augmented Reality and Virtual Reality in Healthcare Industry (2013 - 2018)

Augmented Reality (AR) is theaugmentation of a real or physical world environment in a direct or indirectway using computer generated sensory input. Virtual Reality (VR) is thecomplete simulation of the physical environment virtually with immersion of theindividual in a scenario varying – non, semi and fully immersive. While highcosts of components, size of products limited the scope of the VR and ARdevices a few years back, both the markets are seeing resurgence due to twoprimary reasons – Reduction of component costs and improvement of gesturerecognition systems. This has led to a wave of consumer and industrialapplications with many startups and traditional companies trying to combineVR-AR into their product portfolios. Augmented reality apps are beingused in the healthcare industry for various applications like surgicalpre-operation assessment, medical simulation, minimally invasive surgery andrehabilitation. These applications and use cases are well documented andcommercialized. Similarly virtual reality is also being used in the healthcareindustry for applications like fully immersive 3D simulation experience fordoctors, nurses, as a diagnostics tool, in surgery, phobia treatments, PTSD,autism treatments and dentistry etc. The global market for augmented realityand virtual reality in the healthcare market is expected to grow from $280m in2013 to around $641m in 2018 according to IndustryARC. This report gives an in-depthsegmentation of the market by product types like spatial AR, Vision AR,semi-immersive VR, and fully-immersive VR. It is also segmented by end useverticals and key geographic regions like Americas, Europe and Asia-pacific.Cost analysis, pricing analysis and the overall competitive landscape of keyplayers are also analyzed in great detail in the report. Competitive landscape for each ofthe product types is highlighted and market players are profiled withattributes of company overview, financial overview, business strategies,product portfolio and recent developments. Market shares of the key players for2012 are provided. The prominent players profiled in this report are Laerdal,Simulaids, Hologic, WorldViz, Therasim and others. The report contains the mostdetailed and in-depth segmentation of the virtual and augmented reality marketspecifically in the healthcare industry.

Augmented Reality (AR) is theaugmentation of a real or physical world environment in a direct or indirectway using computer generated sensory input. Virtual Reality (VR) is thecomplete simulation of the physical environment virtually with immersion of theindividual in a scenario varying – non, semi and fully immersive. While highcosts of components, size of products limited the scope of the VR and ARdevices a few years back, both the markets are seeing resurgence due to twoprimary reasons – Reduction of component costs and improvement of gesturerecognition systems. This has led to a wave of consumer and industrialapplications with many startups and traditional companies trying to combineVR-AR into their product portfolios.
Augmented reality apps are beingused in the healthcare industry for various applications like surgicalpre-operation assessment, medical simulation, minimally invasive surgery andrehabilitation. These applications and use cases are well documented andcommercialized. Similarly virtual reality is also being used in the healthcareindustry for applications like fully immersive 3D simulation experience fordoctors, nurses, as a diagnostics tool, in surgery, phobia treatments, PTSD,autism treatments and dentistry etc. The global market for augmented realityand virtual reality in the healthcare market is expected to grow from $280m in2013 to around $641m in 2018 according to IndustryARC.

This report gives an in-depthsegmentation of the market by product types like spatial AR, Vision AR,semi-immersive VR, and fully-immersive VR. It is also segmented by end useverticals and key geographic regions like Americas, Europe and Asia-pacific.Cost analysis, pricing analysis and the overall competitive landscape of keyplayers are also analyzed in great detail in the report.

Competitive landscape for each ofthe product types is highlighted and market players are profiled withattributes of company overview, financial overview, business strategies,product portfolio and recent developments. Market shares of the key players for2012 are provided. The prominent players profiled in this report are Laerdal,Simulaids, Hologic, WorldViz, Therasim and others.

The report contains the mostdetailed and in-depth segmentation of the virtual and augmented reality marketspecifically in the healthcare industry.

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<strong>Industry</strong>ARC<br />

<strong>Augmented</strong> <strong>Reality</strong> <strong>and</strong> <strong>Virtual</strong> <strong>Reality</strong> <strong>in</strong> <strong>Healthcare</strong><br />

<strong>Industry</strong> (<strong>2013</strong> - <strong>2018</strong>)<br />

Surgical, Rehabilitation, M<strong>in</strong>imally Invasive Surgery, Simulation Applications<br />

Analysis)<br />

<strong>Industry</strong>ARC | 1


Table of Contents<br />

1. Global VR-AR Systems – Market Overview<br />

2. Executive Summary<br />

3. Global VR-AR Systems – Market L<strong>and</strong>scape<br />

3.1. Market Share Analysis<br />

3.2. Comparative Analysis<br />

3.2.1. Product Benchmark<strong>in</strong>g<br />

3.2.2. End user profil<strong>in</strong>g<br />

3.2.3. Patent Analysis<br />

3.2.4. Top 5 F<strong>in</strong>ancials Analysis<br />

4. Global VR-AR Systems– Market Forces<br />

4.1. Market Drivers<br />

4.2. Market Constra<strong>in</strong>ts<br />

4.3. Market Challenges<br />

4.4. Attractiveness of the VR-AR Systems <strong>Industry</strong><br />

4.4.1. Power of Suppliers<br />

4.4.2. Power of Customers<br />

4.4.3. Threat of New entrants<br />

4.4.4. Threat of Substitution<br />

4.4.5. Degree of Competition<br />

5. Global VR-AR <strong>in</strong> <strong>Healthcare</strong> Systems – Strategic Analysis<br />

5.1. Value Cha<strong>in</strong> Analysis<br />

5.2. Pric<strong>in</strong>g Analysis<br />

5.3. Opportunities Analysis<br />

5.4. Product/Market Life Cycle Analysis<br />

<strong>Industry</strong>ARC | 2


5.5. Suppliers <strong>and</strong> Distributors<br />

6. Global <strong>Virtual</strong> <strong>and</strong> <strong>Augmented</strong> <strong>Reality</strong> <strong>in</strong> <strong>Healthcare</strong> Market – Product Types Analysis<br />

6.1. Introduction<br />

6.2. <strong>Augmented</strong> <strong>Reality</strong><br />

6.2.1. Spatial AR<br />

6.2.2. Vision based AR<br />

6.2.3. Wearable AR<br />

6.3. <strong>Virtual</strong> <strong>Reality</strong><br />

6.3.1. Non-Immersive VR<br />

6.3.2. Semi-Immersive VR<br />

6.3.3. Fully-Immersive VR<br />

7. Global <strong>Virtual</strong> <strong>and</strong> <strong>Augmented</strong> <strong>Reality</strong> <strong>in</strong> <strong>Healthcare</strong> Market –End Use Verticals Analysis<br />

7.1. <strong>Augmented</strong> <strong>Reality</strong><br />

7.1.1. Surgical Applications<br />

7.1.1.1. Robotic Surgery<br />

7.1.1.2. Surgical Pre-Operative Assessment<br />

7.1.2. Rehabilitation<br />

7.1.3. M<strong>in</strong>imally Invasive Surgery<br />

7.1.4. Simulation<br />

7.1.4.1. Tra<strong>in</strong><strong>in</strong>g<br />

7.1.4.2. Cont<strong>in</strong>u<strong>in</strong>g Medical Education (CME)<br />

7.1.5. Others<br />

7.2. <strong>Virtual</strong> <strong>Reality</strong><br />

7.2.1. Fully Immersive 3D Operation Room Simulations<br />

7.2.2. Diagnostics<br />

<strong>Industry</strong>ARC | 3


7.2.3. Phobia Treatment<br />

7.2.4. PTSD Treatment<br />

7.2.5. Dentistry<br />

7.2.6. <strong>Virtual</strong> Colonoscopy<br />

7.2.7. <strong>Virtual</strong> <strong>Reality</strong> Exposure Therapy (VRET)<br />

7.2.8. Others<br />

8. Global <strong>Virtual</strong> <strong>and</strong> <strong>Augmented</strong> <strong>Reality</strong> <strong>in</strong> <strong>Healthcare</strong> Market –Geographic Analysis<br />

8.1. Introduction<br />

8.2. Americas<br />

8.2.1. North America<br />

8.2.2. Brazil<br />

8.2.3. Argent<strong>in</strong>a<br />

8.2.4. Mexico<br />

8.3. Europe<br />

8.3.1. UK<br />

8.3.2. France<br />

8.3.3. Germany<br />

8.4. APAC<br />

8.4.1. Ch<strong>in</strong>a<br />

8.4.2. South Korea<br />

8.4.3. Japan<br />

8.4.4. Australia<br />

8.5. ROW<br />

<strong>Industry</strong>ARC | 4


9. Market Entropy<br />

9.1. New Product Launches<br />

9.2. M&As, Collaborations, JVs <strong>and</strong> Partnerships<br />

10. Investment Opportunities – Analysis by Target companies/customers, Capital Investments,<br />

ROI, Payback Period <strong>and</strong> Source of Funds.<br />

11. Company Reports (Overview, F<strong>in</strong>ancials, SWOT Analysis, Developments, Product<br />

Portfolio)<br />

11.1. Hologic Inc.<br />

11.2. Artificial Life Inc.<br />

11.3. Aruba Networks<br />

11.4. CAE <strong>Healthcare</strong><br />

11.5. Eon <strong>Reality</strong><br />

11.6. Foursquare<br />

11.7. Simulab Corp<br />

11.8. SimulaidsInc<br />

11.9. Gowalla<br />

11.10. Laerdal<br />

11.11. Laster Technologies<br />

11.12. Layar B.V<br />

11.13. VirtaMed<br />

11.14. Immersion Corp<br />

11.15. Oculus VR Inc<br />

11.16. Onstar LLC<br />

11.17. Qualcomm<br />

11.18. Samsung<br />

11.19. Therasim<br />

<strong>Industry</strong>ARC | 5


11.20. Total Immersion Inc<br />

11.21. Vuzix Corp<br />

11.22. WorldViz LLC<br />

12. Appendix<br />

12.1. Abbreviations<br />

12.2. Sources<br />

12.3. Research Methodology<br />

12.4. Bibliography<br />

12.5. Compilation of Expert Insights<br />

12.6. Disclaimer<br />

<strong>Industry</strong>ARC | 6


REPORT SCOPE<br />

The global augmented reality <strong>and</strong> virtual reality market has been segmented <strong>in</strong>to different<br />

product types like spatial AR, vision based AR, wearable AR with respect to <strong>Augmented</strong> <strong>Reality</strong><br />

(AR) <strong>and</strong> non-immersive VR, semi-immersive VR, fully-immersive VR <strong>in</strong> the report. The market<br />

has also been segmented by the end use verticals like surgical applications, rehabilitation,<br />

m<strong>in</strong>imally <strong>in</strong>vasive surgery, simulation <strong>in</strong> the augmented reality segment of the overall market.<br />

Similarly, virtual reality <strong>in</strong> healthcare has been segmented <strong>and</strong> analyzed by diagnostics, phobia<br />

treatment, PTSD treatment, Dentistry, virtual colonoscopy, VRET.<br />

The overall market is also presented from the perspective of different geographic regions <strong>and</strong> the<br />

key countries for this <strong>in</strong>dustry. This report gives an <strong>in</strong>-depth segmentation of the market by<br />

product types like spatial AR, Vision AR, semi-immersive VR, <strong>and</strong> fully-immersive VR. It is also<br />

segmented by end use verticals <strong>and</strong> key geographic regions like Americas, Europe <strong>and</strong> Asiapacific.<br />

Cost analysis, pric<strong>in</strong>g analysis <strong>and</strong> the overall competitive l<strong>and</strong>scape of key players are<br />

also analyzed <strong>in</strong> great detail <strong>in</strong> the report.<br />

Competitive l<strong>and</strong>scape for each of the product types is highlighted <strong>and</strong> market players are<br />

profiled with attributes of company overview, f<strong>in</strong>ancial overview, bus<strong>in</strong>ess strategies, product<br />

portfolio <strong>and</strong> recent developments. Market shares of the key players for 2012 are provided. The<br />

prom<strong>in</strong>ent players profiled <strong>in</strong> this report are Laerdal, Simulaids, Hologic, WorldViz, Therasim<br />

<strong>and</strong> others.<br />

The report conta<strong>in</strong>s the most detailed <strong>and</strong> <strong>in</strong>-depth segmentation of the virtual <strong>and</strong> augmented<br />

reality market specifically <strong>in</strong> the healthcare <strong>in</strong>dustry.<br />

STAKEHOLDERS<br />

The follow<strong>in</strong>g are the key stakeholders <strong>in</strong> the augmented <strong>and</strong> virtual reality <strong>in</strong> healthcare market.<br />

‣ Sensor Manufacturers<br />

‣ Product OEMs<br />

‣ Contract manufacturer<br />

‣ Service providers<br />

‣ Distributors<br />

‣ Component suppliers<br />

‣ Hospitals <strong>and</strong> Cl<strong>in</strong>ics<br />

‣ Research Organizations<br />

‣ Tra<strong>in</strong><strong>in</strong>g Institutions<br />

‣ Medical Simulation Providers<br />

<strong>Industry</strong>ARC | 7


‣ System <strong>in</strong>tegrators<br />

‣ Device Ma<strong>in</strong>tenance companies<br />

‣ Eng<strong>in</strong>eer<strong>in</strong>g <strong>and</strong> Design<strong>in</strong>g companies<br />

<strong>Industry</strong>ARC | 8


$Million<br />

2. EXECUTIVE SUMMARY<br />

<strong>Augmented</strong> <strong>Reality</strong> (AR) is the augmentation of a real or physical world environment <strong>in</strong> a direct<br />

or <strong>in</strong>direct way us<strong>in</strong>g computer generated sensory <strong>in</strong>put. <strong>Virtual</strong> <strong>Reality</strong> (VR) is the complete<br />

simulation of the physical environment virtually with immersion of the <strong>in</strong>dividual <strong>in</strong> a scenario<br />

vary<strong>in</strong>g – non, semi <strong>and</strong> fully immersive. While high costs of components, size of products<br />

limited the scope of the VR <strong>and</strong> AR devices a few years back, both the markets are see<strong>in</strong>g<br />

resurgence due to two primary reasons – Reduction of component costs <strong>and</strong> improvement of<br />

gesture recognition systems.This has led to a wave of consumer <strong>and</strong> <strong>in</strong>dustrial applications with<br />

many startups <strong>and</strong> traditional companies try<strong>in</strong>g to comb<strong>in</strong>e VR-AR <strong>in</strong>to their product portfolios.<br />

<strong>Augmented</strong> reality apps are be<strong>in</strong>g used <strong>in</strong> the healthcare <strong>in</strong>dustry for various applications like<br />

surgical pre-operation assessment, medical simulation, m<strong>in</strong>imally <strong>in</strong>vasive surgery <strong>and</strong><br />

rehabilitation. These applications <strong>and</strong> use cases are well documented <strong>and</strong> commercialized.<br />

Similarly virtual reality is also be<strong>in</strong>g used <strong>in</strong> the healthcare <strong>in</strong>dustry for applications like fully<br />

immersive 3D simulation experience for doctors, nurses, as a diagnostics tool, <strong>in</strong> surgery, phobia<br />

treatments, PTSD, autism treatments <strong>and</strong> dentistry etc. The global market for augmented reality<br />

<strong>and</strong> virtual reality <strong>in</strong> the healthcare market is expected to grow from $280m <strong>in</strong> <strong>2013</strong> to around<br />

$641m <strong>in</strong> <strong>2018</strong> accord<strong>in</strong>g to <strong>Industry</strong>ARC.<br />

SAMPLE GRAPH: GLOBAL AUGMENTED AND VIRTUAL REALITY IN<br />

HEALTHCARE MARKET, <strong>2013</strong> – <strong>2018</strong> ($M)<br />

700<br />

600<br />

500<br />

400<br />

300<br />

200<br />

100<br />

0<br />

<strong>2013</strong> 2014 2015 2016 2017 <strong>2018</strong><br />

Source: <strong>Industry</strong>ARC Analysis, Expert Insights<br />

Google glass <strong>and</strong> the Oculus Rift VR are the most popular AR based products currently <strong>in</strong> the<br />

market. Both of which have tremendous application potential <strong>in</strong> the healthcare <strong>in</strong>dustry.Hologic<br />

<strong>in</strong> collaboration with VirtaMed recently launched a virtual reality simulator for the Myosure<br />

<strong>Industry</strong>ARC | 9


procedure, an <strong>in</strong>cision less system for removal of <strong>in</strong>trauter<strong>in</strong>e tissue. WorldVizalso launched a<br />

product with full scale immersive 3D virtual patient room simulation.<br />

These augmented reality based apps <strong>and</strong> devices that are be<strong>in</strong>g announced by many startups as<br />

well as established companies currently, is giv<strong>in</strong>g a huge boost to this market. Target audience<br />

for this <strong>in</strong>dustry <strong>in</strong>cludes tra<strong>in</strong><strong>in</strong>g for medical students, nurses <strong>and</strong> refresher courses for doctors.<br />

<strong>Industry</strong>ARC | 10


4. GLOBAL AR AND VR IN HEALTHCARE MARKET FORCES<br />

4.1 MARKET DRIVERS<br />

4.1.1 High Dem<strong>and</strong> for Cardiovascular Surgical Applications <strong>and</strong> Other Invasive Surgery<br />

Replacements<br />

The ever-<strong>in</strong>creas<strong>in</strong>g dem<strong>and</strong> for m<strong>in</strong>imally <strong>in</strong>vasive surgery, <strong>in</strong>clud<strong>in</strong>g cardiovascular procedures<br />

like percutaneous coronary <strong>and</strong> peripheral procedures, has been driv<strong>in</strong>g the use of m<strong>in</strong>imally<br />

<strong>in</strong>vasive surgical technologies. For <strong>in</strong>stance, <strong>in</strong> cardiothoracic treatment, patients highly prefer<br />

the m<strong>in</strong>imally <strong>in</strong>vasive form of angioplasty, <strong>in</strong>stead of opt<strong>in</strong>g for the regular highly <strong>in</strong>vasive bypass<br />

surgery.Less <strong>in</strong>fection, quicker recovery time <strong>and</strong> shorter hospital stays have led to a<br />

dramatic shift of patients <strong>and</strong> physicians worldwide towards m<strong>in</strong>imal form of surgery <strong>in</strong> varied<br />

applications such as cardiothoracic, orthopedic, gynecologic, gastro<strong>in</strong>test<strong>in</strong>al, <strong>and</strong> other surgeries.<br />

In addition, the cost-effectiveness of treatments <strong>in</strong>volv<strong>in</strong>g m<strong>in</strong>imally <strong>in</strong>vasive medical devices<br />

will accelerate adoption of this technology by surgeons.<br />

In laparoscopic surgery, surgeons may face certa<strong>in</strong> challenges such as loss of depth perception,<br />

the fulcrum effect, <strong>and</strong> the use of unfamiliar <strong>in</strong>struments. In such scenarios, mistakes or medical<br />

error may compromise with patient safety. Therefore, augmented <strong>and</strong> virtual reality <strong>in</strong> healthcare<br />

plays a vital role <strong>in</strong> order to help surgeons acquire skills required for such surgeries, thereby<br />

reduc<strong>in</strong>g medical errors.<br />

Cont<strong>in</strong>u<strong>in</strong>g advances <strong>in</strong> surgical technology <strong>and</strong> <strong>in</strong>creased adoption of m<strong>in</strong>imally-<strong>in</strong>vasive surgery<br />

for various procedures drives the market for simulation through use of virtual <strong>and</strong> augmented<br />

reality solutions.<br />

<strong>Industry</strong>ARC | 11


RESEARCH METHODOLOGY<br />

The quantitative <strong>and</strong> qualitative data collected for the augmented <strong>and</strong> virtual reality <strong>in</strong> healthcare<br />

market report is from a comb<strong>in</strong>ation of secondary <strong>and</strong> primary sources. Research <strong>in</strong>terviews<br />

were conducted with senior executives <strong>and</strong>/or managers of lead<strong>in</strong>g solution providers. These<br />

Key Op<strong>in</strong>ion Leaders (KOLs) were then provided a questionnaire to gather quantitative <strong>and</strong><br />

qualitative <strong>in</strong>puts on their operations, performance, strategies <strong>and</strong> views on the overall market,<br />

<strong>in</strong>clud<strong>in</strong>g key developments <strong>and</strong> technology trends. Data from <strong>in</strong>terviews is consolidated,<br />

checked for consistency <strong>and</strong> accuracy, <strong>and</strong> the f<strong>in</strong>al market numbers are aga<strong>in</strong> validated by<br />

experts. The global market was split by product types <strong>and</strong> geography based on different factors<br />

like primary <strong>and</strong> secondary sources, underst<strong>and</strong><strong>in</strong>g of the number of companies operat<strong>in</strong>g <strong>in</strong><br />

each segment <strong>and</strong> also KOL <strong>in</strong>sights.<br />

We have used various secondary sources such as directories, articles, white papers, newsletters,<br />

annual reports <strong>and</strong> paid databases such as OneSource, Hoovers <strong>and</strong> Factiva to identify <strong>and</strong><br />

collect <strong>in</strong>formation for extensive technical <strong>and</strong> commercial study of the augmented <strong>and</strong> virtual<br />

reality <strong>in</strong> healthcare market. The follow<strong>in</strong>g secondary sources were also used <strong>in</strong> the production of<br />

report <strong>and</strong> <strong>in</strong> triangulation of data po<strong>in</strong>ts.<br />

European Association for <strong>Virtual</strong> <strong>Reality</strong> <strong>and</strong> <strong>Augmented</strong> <strong>Reality</strong> (EuroVR)<br />

AR Consortium<br />

American Psychological Association<br />

<strong>Virtual</strong> <strong>Reality</strong> Medical Institute<br />

The Society for Simulation <strong>in</strong> <strong>Healthcare</strong> (SSH)<br />

Society <strong>in</strong> Europe for Simulation Applied to Medic<strong>in</strong>e (SESAM)<br />

Academic Pediatric Association<br />

The key players <strong>in</strong> the market <strong>and</strong> its value cha<strong>in</strong> were identified through secondary research <strong>and</strong><br />

their market op<strong>in</strong>ions were also gathered <strong>in</strong> a similar way through telephonic <strong>in</strong>terviews <strong>and</strong><br />

questionnaires. We have also studied the annual reports of these top market players. Interviews<br />

with key op<strong>in</strong>ion leaders such as directors, managers, market<strong>in</strong>g personnel were used extensively<br />

<strong>in</strong> underst<strong>and</strong><strong>in</strong>g the need <strong>and</strong> emergence of the market.<br />

<strong>Industry</strong>ARC | 12


THE ARC ADVANTAGE<br />

An analytical model lies at the core of our process, ensur<strong>in</strong>g logical consistency<br />

throughout our research. We complement the model with secondary data <strong>and</strong><br />

<strong>in</strong>terviews with <strong>in</strong>dustry experts to reflect the latest trends. With our f<strong>in</strong>al expert<br />

validation, we provide you with only the most accurate <strong>and</strong> actionable <strong>in</strong>telligence.<br />

THE ARC PROCESS<br />

Analytical<br />

Method<br />

Base Method<br />

Consolidation<br />

Method<br />

Delphi<br />

Verification<br />

1. Granular<br />

breakdown of<br />

drivers <strong>in</strong>to<br />

factors<br />

2. Validate all<br />

factors <strong>in</strong> terms<br />

of their present<br />

impact on the<br />

market<br />

3. Assign weights<br />

to these factors <strong>in</strong><br />

terms of their<br />

relevance <strong>and</strong><br />

impact on the<br />

market<br />

1. Get a topdown<br />

estimate of<br />

the market<br />

2. Follow it up<br />

with a bottom-up<br />

estimate of the<br />

market<br />

3. Check<br />

forconsistency<br />

<strong>and</strong> new growth<br />

factors that are<br />

relevant over the<br />

next 10 Years<br />

1. Granular<br />

breakdown of<br />

drivers <strong>in</strong>to<br />

factors<br />

2. Validate all<br />

factors <strong>in</strong> terms<br />

of their present<br />

impact on the<br />

market.<br />

3. Assign weights<br />

to these factors <strong>in</strong><br />

terms of their<br />

relevance <strong>and</strong><br />

impact on the<br />

market.<br />

1. Verify the<br />

f<strong>in</strong>d<strong>in</strong>gs of the<br />

model with<br />

experts from<br />

across the value<br />

cha<strong>in</strong><br />

2. Verify the<br />

f<strong>in</strong>d<strong>in</strong>gs with<br />

players across<br />

small <strong>and</strong> large<br />

enterprises<br />

3. Tweak the<br />

model <strong>and</strong> add<br />

new factors<br />

4. Build the<br />

Analytical Model<br />

4. Build the Base<br />

model<br />

4. Build the<br />

Consolidated<br />

Model<br />

4. F<strong>in</strong>alize the<br />

ARC Model<br />

ANALYTICAL MODEL BASE MODEL CONSOLIDATED MODEL ARC MODEL<br />

<strong>Industry</strong>ARC | 13


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