Press release
Global MRI-Guided Neurosurgical Ablation Market Set to Reach USD 234.6 Million by 2035 Amid Growing Demand for Minimally Invasive Brain Procedures
The global MRI-guided neurosurgical ablation market is projected to grow from USD 172.89 million in 2025 to approximately USD 234.62 million by 2035, advancing at a CAGR of 3.1%. The surge is being driven by the escalating demand for minimally invasive neurosurgical procedures that deliver faster recovery, lower complication risks, and improved clinical outcomes.Market Overview
• Market Size (2025): USD 172.89 million
• Forecast Value (2035): USD 234.62 million
• CAGR (2025-2035): 3.1%
• Top-Growing Product Segment: MRI-guided laser therapy systems
• Leading End-User Segment: Hospitals (≈45% market share)
• Key Regions of Growth: North America, Western Europe, and East Asia
• Primary Market Drivers: Rise in neurological disorders, expanding insurance
coverage, and preference for precision-based, minimally invasive surgeries
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Precision Neurosurgery Gains Momentum
MRI-guided neurosurgical ablation enables surgeons to precisely target and ablate abnormal brain tissue while minimizing damage to healthy areas. The technology is increasingly being used to treat brain tumors, epilepsy, gliomas, and movement disorders, where traditional open surgery presents greater risks.
The growing prevalence of neurological conditions and the rapid improvement of MRI imaging-offering higher-resolution visualization and real-time thermal mapping-are accelerating adoption in hospitals and specialized centers. The ability to treat complex or deep-seated brain lesions through small incisions is transforming patient recovery timelines and long-term outcomes.
Technological Advancements Fuel Market Growth
Among product categories, MRI-guided laser therapy systems are forecast to grow at a CAGR of 7.4% (2025-2035). These systems are increasingly favored for their precise targeting, reduced recovery times, and effectiveness in treating hard-to-reach tumors. Meanwhile, MRI-guided focused ultrasound systems (MRgFUS) continue to hold steady market share as non-invasive alternatives for conditions such as essential tremor and radiation necrosis.
Future innovations are expected to integrate AI-driven surgical planning, robotic assistance, and real-time ablation control, enhancing accuracy and workflow efficiency. Hospitals are leading adopters, followed by cancer treatment centers and specialized neurology facilities that emphasize patient-centric, image-guided therapies.
Rising Demand for Minimally Invasive Procedures
Global healthcare is steadily shifting toward minimally invasive neurosurgery (MIS) due to its lower morbidity and shorter hospitalization times. Procedures such as laser interstitial thermal therapy (LITT), guided by real-time MRI imaging, exemplify this trend.
Clinical studies have shown that LITT can reduce seizure frequency by 60-70% in drug-resistant epilepsy patients, positioning MRI-guided ablation as a lifeline for individuals unresponsive to medication. The global increase in drug-resistant epilepsy-representing up to 40% of all epilepsy cases-continues to expand the addressable patient pool for these techniques.
Expanding Insurance Coverage Unlocks Adoption
Insurance reimbursement has been a key catalyst for the broader acceptance of MRI-guided ablation. In 2024, Anthem Blue Cross and Blue Shield and Tricare announced coverage for focused ultrasound pallidotomy and tremor ablation, benefitting nearly 9.5 million U.S. members.
Similarly, Aetna expanded its medical policy to include coverage for recurrent brain metastases and glioblastoma, enabling hospitals and patients to access high-value treatments at reduced out-of-pocket costs. This momentum in payer support is expected to significantly boost adoption across major healthcare systems through 2035.
Challenges: Cost and Infrastructure Constraints
Despite its benefits, MRI-guided ablation remains a high-capital-cost technology. The systems require MRI-compatible surgical suites and specialized hardware integrations, increasing acquisition and maintenance expenses. These costs limit penetration across smaller hospitals and developing markets.
Manufacturers are focusing on compact, modular system designs and shared-MRI models to improve affordability and accessibility, ensuring broader market reach over the next decade.
Regulatory Landscape Ensures Safety and Innovation
Regulatory agencies such as the U.S. FDA and European Medicines Agency (EMA) enforce stringent safety and performance standards for MRI-guided systems under frameworks like ISO 13485 and the EU Medical Device Regulation (MDR 2017/745). These evolving guidelines encourage continual product innovation while ensuring patient protection, driving credibility and clinical adoption worldwide.
Competitive Landscape
The market is moderately consolidated, led by Medtronic plc, Insightec, Monteris Medical Inc., and ClearPoint Neuro Inc.
• Medtronic remains dominant through its advanced MRI-compatible laser systems and global hospital partnerships.
• Insightec continues to expand its MRgFUS applications, supported by strong regulatory clearances and payer backing.
• Monteris Medical is advancing minimally invasive laser platforms targeting brain metastases and radiation necrosis.
• ClearPoint Neuro focuses on precision navigation and surgical software integration within MRI environments.
Collectively, these players control more than 65% of global market revenue, with ongoing investments in AI-guided therapy planning, reusable ablation tools, and real-time thermal feedback technologies.
Future Outlook (2025-2035)
From 2025 onward, the MRI-guided neurosurgical ablation industry will benefit from the convergence of AI-based diagnostics, real-time imaging, and robotic microsurgery.
As healthcare systems prioritize patient safety, cost efficiency, and minimally invasive precision, MRI-guided ablation is expected to evolve from a niche specialty into a mainstream standard for neurological care.
By 2035, enhanced imaging accuracy, expanding reimbursement frameworks, and growing awareness of brain health will ensure this market's steady rise-transforming neurosurgery into a safer, smarter, and more patient-focused discipline.
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