Exact Imaging
Exact Imaging develops the ExactVu micro-ultrasound system, the world's first 29 MHz platform providing 70-micron resolution for real-time prostate imaging and targeted biopsy guidance, serving urology practices and academic medical centers worldwide.
- Company typePrivate
- Founded2013
- HeadquartersMarkham, Canada
- Headcount11–50
- GTM typeB2B
- OfferingHardware or Manufacturing
What Exact Imaging does
Exact Imaging Inc., a privately held Canadian medical device company founded in 2013 and headquartered in Markham, Ontario, develops and commercializes the ExactVu micro-ultrasound platform—the world's first system operating at 29 MHz, delivering 70-micron resolution (a roughly 300% improvement over conventional 9-12 MHz transrectal ultrasound) for real-time prostate imaging and targeted biopsy guidance. The platform is built around a proprietary high-resolution transducer family (EV29L for transrectal, EV5C for abdominal, EV9C for conventional transrectal use), complemented by the PRI-MUS evidence-based risk-identification protocol and the FusionVu application for micro-ultrasound/MRI fusion including a Cognitive Assist mode. The system supports both targeted and systematic biopsies in a single ~15-minute office procedure, and is positioned as a practical alternative to MRI-fusion biopsy workflows following non-inferiority results from the OPTIMUM randomized trial (802 patients, 20 centers, 8 countries) published in JAMA in November 2025.
The company sells the ExactVu console and transducer fleet primarily through direct field sales teams in North America and Europe (with a European headquarters in Belgium) and through exclusive specialty urology distributors—including AB Medica in Italy and MAC in Spain, plus additional partners covering Japan, South Korea, Taiwan, Brazil, and Mexico. Revenue is generated from hardware sales of systems and transducers, one-time software licenses for the FusionVu application, and recurring sales of sterile and reusable needle guides for transrectal and transperineal biopsy workflows. Exact Imaging has raised approximately CDN $37 million in cumulative financing across a 2015 FedDev Ontario repayable contribution, a CDN $21.5 million Series C in January 2017 (co-led by Lumira Capital and Vesalius Biocapital with PMV), a CDN $5.1 million round in March 2021 from BDC Capital and EDC, and a USD $10 million round in February 2026 led by founding investor iGan Partners. The company holds CE Mark, FDA 510(k), Health Canada, and ISO 13485 certifications, and has scaled to 11-50 employees serving urology practices and academic medical centers globally.
Exact Imaging firmographics
Firmographics- Name
- Exact Imaging
- Legal name
- Exact Imaging Inc.
- Website
- https://exactimaging.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Exact Imaging develops the ExactVu micro-ultrasound system, the world's first 29 MHz platform providing 70-micron resolution for real-time prostate imaging and targeted biopsy guidance, serving urology practices and academic medical centers worldwide.
- Ownership category
- akta.pro rank
Exact Imaging industry classification
Industry- Product category
- Urology Imaging Equipment
- NAICS
- Electromedical and Electrotherapeutic Apparatus Manufacturing (334510), Surgical and Medical Instrument Manufacturing (339112)
- SIC
- Surgical & Medical Instruments & Apparatus (3841), Electromedical & Electrotherapeutic Apparatus (3845)
- akta.pro primary industry
- Ultrasound & Echography Systems (HLAHABAD)
Keywords
Where Exact Imaging is headquartered
LocationHeadquarters
- HQ city
- Markham
- HQ country
- Canada
- HQ region
- North America
Offices3 records
Markets served
Exact Imaging business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Technology or R&D, Supply Chain, Marketing or Sales, Personnel, Operations
Revenue model
- ExactVu Micro-Ultrasound System Sales: Sale of the ExactVu micro-ultrasound system including hardware (console, transducers) and software licenses. The system supports both high-resolution and conventional transducers for various urological imaging procedures.
- Transducers and Accessories: Sales of specialized transducers including EV29L, EV5C, EV9C and needle guides for biopsy procedures.
- Software Licenses and Upgrades: Software platform licenses including FusionVu application and periodic software upgrades. Software is licensed per system installation.
Go-to-market motion2 records
Distribution channels5 records
Marketing channels6 records
Exact Imaging product offering
Product offeringCore offering
Exact Imaging develops and manufactures the ExactVu micro-ultrasound platform, the world's first 29 MHz micro-ultrasound system providing 70-micron resolution for real-time prostate imaging and targeted biopsy guidance. The company sells the ExactVu system with supporting transducers (EV29L, EV9C, EV5C), needle guides, and software applications including FusionVu micro-US/MRI fusion and the PRI-MUS evidence-based risk identification protocol.
Product overview
Exact Imaging offers the ExactVu micro-ultrasound platform as its core product, a high-resolution ultrasound system operating at 29 MHz with 70-micron resolution for prostate cancer detection and targeted biopsy guidance. The platform supports both high-resolution (29 MHz EV29L transducer) and conventional resolution (EV9C, EV5C transducers) imaging. Add-on modules include the FusionVu micro-US/MRI fusion application for combining MRI data with micro-ultrasound guidance, and the PRI-MUS evidence-based prostate risk identification protocol. Accessories include sterile and reusable needle guides for both transrectal and transperineal biopsy approaches. The system provides complete urological imaging workflow within a single platform.
Differentiator
Problem solved
Functional benefit
Quantifiable outcome
- 300% improvement in imaging resolution compared to conventional 9-12 MHz ultrasound (70 micron resolution vs ~200-300 micron)
- +3 more outcomes
Companies that use Exact Imaging
Customer profileNamed customers7 records
Segments2 records
Ideal customer profiles2 records
Exact Imaging technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature8 records
Exact Imaging partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered supporting, strategic and core.
- UroGPOsupportingUroGPO Imaging Partner providing micro-ultrasound based targeting solution for prostate biopsies to their network of urology practices.
- CLS (Localized Therapeutics)strategicSigned Memorandum of Understanding for commercial collaboration on Image Guided Focused Laser Ablation of disease in prostate. Combined micro-ultrasound imaging with laser ablation therapy.
- AB MedicacoreExclusive regional distributor for ExactVu product line in Italy. Founded in 1984, AB Medica develops and distributes innovative medical products in robotics, minimally invasive surgery, and other fields. Team trained and motivated to demonstrate and support the technology across Italy.
- Medicina Analitica Consumibles MAC S.A.coreExclusive distributor in Spain since 2017. MAC commenced activity in 1988 and is a leading distributor for urological products in Spain with offices in Madrid and Sondika and technical and clinical experts covering all facets of urology.
- Riverside ResearchcoreStrategic partnership to apply Riverside Research's patented, quantitative tissue-characterization algorithms to the ExactVu micro-ultrasound platform. Goal is to develop new capabilities in detecting and characterizing prostate cancer in real-time. Riverside Research is a not-for-profit scientific-research company.
Scale indicators8 records
Recent moves8 records
Expansion highlights6 records
Exact Imaging competitors and assessment
Company assessmentBroad incumbents
- Hologic: Women's health-focused imaging and diagnostics company with some urological/ultrasound adjacency. Competes more loosely in overlapping procedural imaging workflows rather than dedicated prostate biopsy.
- Siemens Healthineers: Global imaging and ultrasound vendor with urological ultrasound and MRI-fusion solutions. Competes in urology imaging as part of a multi-modality portfolio rather than a focused micro-ultrasound niche.
- Mindray: Global medical device vendor with a growing ultrasound portfolio including general and specialty transducers used in urology. Competes on price and broad reach rather than micro-ultrasound resolution.
- Philips: Global imaging and ultrasound incumbent offering urological ultrasound and MRI-fusion biopsy solutions (e.g., Philips Invivo DynaCAD/Ultrasound fusion). Competes via broad capital bundling and large installed base rather than specialized micro-ultrasound resolution.
- Canon Medical Systems: Ultrasound and imaging incumbent with prostate and general urological imaging products. Overlaps with ExactVu's target market but offers micro-ultrasound only as part of a wider imaging catalog.
- GE HealthCare: Global ultrasound and imaging vendor that owns BK Medical, a specialist in urological/surgical ultrasound. Provides overlapping prostate biopsy and urological imaging capabilities through a much broader product portfolio.
- Hitachi (Fujifilm Healthcare): Provides ultrasound systems including specialty urological transducers for prostate imaging. Competes in the same modality category with a broader imaging portfolio.
Others
- Stryker: Diversified medical device company with urological surgical and imaging-adjacent products. Relevant as an adjacent medical device peer and potential strategic acquirer in the urology space rather than a direct product competitor.
Direct peers
- Koelis: French-headquartered developer of MRI/TRUS fusion prostate biopsy systems (Koelis Trinity, Oncology Fusion Suite). Direct competitor to ExactVu in targeted prostate biopsy with overlapping urology customer base and similar clinical value proposition.
- Focal Healthcare: Canadian developer of the Fusion Bx MRI-TRUS fusion system for targeted prostate biopsies. Direct competitor in prostate imaging and biopsy guidance with overlapping North American urology channel and clinical positioning.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Exact Imaging social profiles
Digital presenceExact Imaging compliance and trust
Trust signalCompliance5 records
Exact Imaging financial estimates
Financial estimateRevenue estimate
Valuation estimate
Exact Imaging leadership team
Management profileNumber of profiles
Profiles6 records
Exact Imaging funding detail
Funding detailFunding overview
Funding rounds9 records
Investors11 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Exact Imaging M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Exact Imaging
What does Exact Imaging do?
Exact Imaging develops and manufactures the ExactVu micro-ultrasound platform, the world's first 29 MHz micro-ultrasound system providing 70-micron resolution for real-time prostate imaging and targeted biopsy guidance. The company sells the ExactVu system with supporting transducers (EV29L, EV9C, EV5C), needle guides, and software applications including FusionVu micro-US/MRI fusion and the PRI-MUS evidence-based risk identification protocol.
Is Exact Imaging a public or private company?
Exact Imaging is a private company. It is classified as venture growth investor backed and is currently operating.
When was Exact Imaging founded?
Exact Imaging was founded in 2013. It employs 11 to 50 people.
Where is Exact Imaging based?
Exact Imaging is headquartered in Markham, Canada, in the North America region.
How does Exact Imaging make money?
Three revenue lines are on record. ExactVu Micro-Ultrasound System Sales are the primary driver. The others are transducers and Accessories and software Licenses and Upgrades.
Who are Exact Imaging's main competitors?
Broad incumbents on record are Hologic, Siemens Healthineers, Mindray, Philips, Canon Medical Systems, GE HealthCare and Hitachi (Fujifilm Healthcare). Stryker is listed as an others. Direct peers are Koelis and Focal Healthcare.
Does Exact Imaging have an API?
No public API is recorded for Exact Imaging.
What industry is Exact Imaging in?
Exact Imaging's product category is Urology Imaging Equipment. Its primary akta.pro industry code is HLAHABAD, Ultrasound & Echography Systems. Its NAICS code is 334510 and its SIC code is 3841.