Germany was the largest supplier to the main importing countries.
What this market covers
Cancer treatment that places a sealed radioactive source inside or next to a tumor. It is used for prostate, cervical, breast and skin cancers.
Typical segments
- High dose rate brachytherapy
- Low dose rate seed implants
- Eye plaque therapy
- Electronic brachytherapy
Top importing countries
Customs import value under HS 902221 in each country's latest reported year (in brackets), USD million.
GCC and Africa
Import value by country group, latest reported year per country, USD million.
Source: UN Comtrade
Why this market is moving now
- Import value for the 11 countries reporting every year fell 49% from 2020 to 2025.
- EU exports of the matching CN code to the region rose 23% from 2020 to 2025.
- Demand is concentrated: one country took a large share of the region's reported imports.
About the data
Figures are customs import values (CIF, US dollars) that 19 countries reported to UN Comtrade for HS code 902221 (Apparatus based on the use of alpha, beta or gamma radiations, for medical, surgical,). Each country's latest reported year is used: Algeria 2024, Bahrain 2023, Cote d'Ivoire 2025, Egypt 2025, Ethiopia 2023, Ghana 2025, Israel 2025, Jordan 2023, Kenya 2025, Kuwait 2025, Morocco 2025, Nigeria 2025, Oman 2025, Qatar 2024, Saudi Arabia 2025, South Africa 2025, Tanzania 2025, Tunisia 2024, United Arab Emirates 2023.
South Africa reports import values FOB (free on board) rather than CIF.
Supplier figures add up the partner breakdown that the largest importing countries reported for their latest year. Partner areas that the reporters did not specify are left out of the list.
EU export figures are Eurostat Comext values in euros for CN code 90222100 (Apparatus based on the use of alpha, beta or gamma radiations, for medical, surgical,), the code used on the EU page for this market. Shares, changes and per-kilogram values are calculated from these figures. No figure on this page is a forecast.
Key figures
Each figure names the source it came from. Open the source list below to read the quoted line.
| Figure | Value | Year | Source |
|---|---|---|---|
| Customs data from 19 Middle East and Africa countries shows imports of $10.0 million under HS code 902221 (Apparatus based on the use of alpha, beta or gamma radiations, for medical, surgical,) in their latest year with data (2025 for 12 countries, 2024 for 3 and 2023 for 4). | 10.0 USD million | 2025 | UN Comtrade |
| Imports under HS 902221 by the 11 countries that reported every year from 2020 to 2025 were down 49% in 2025 compared with 2020, from $12.7 million to $6.5 million, calculated from UN Comtrade values. | -49 % since 2020 | 2025 | UN Comtrade |
| South Africa was the largest importer among the countries covered, with $2.7 million in 2025, or 27% of the total. | 2.7 USD million | 2025 | UN Comtrade |
| Tunisia followed with $1.6 million in 2024. | 1.6 USD million | 2024 | UN Comtrade |
| The six GCC (Gulf Cooperation Council) countries accounted for $1.2 million, or 12% of the total, in their latest reported years. | 1.2 USD million | 2025 | UN Comtrade |
| The 11 African countries with data accounted for $8.5 million, or 85% of the total. | 8.5 USD million | 2025 | UN Comtrade |
| Germany was the largest supplier to the 6 largest importing countries in the region, which took 81% of its reported imports, with $2.9 million, or 36% of their imports under HS 902221 (partner data for each country's latest year). | 2.9 USD million | 2025 | UN Comtrade |
| EU exports of CN 90222100 (Apparatus based on the use of alpha, beta or gamma radiations, for medical, surgical,) to the 10 Middle East and Africa countries covered were worth €7.3 million in 2025. | 7.3 EUR million | 2025 | Eurostat |
| EU exports of CN 90222100 to these countries were up 23% in 2025 compared with 2020, when they were €5.9 million, calculated from Eurostat values. | +23 % since 2020 | 2025 | Eurostat |
| Egypt was the largest of these destinations for EU exports of CN 90222100 in 2025, at €2.2 million. | 2.2 EUR million | 2025 | Eurostat |
Sources and method
The figures on this page come from the public sources listed below. Read how we work.
- UN Comtrade: UN Comtrade database, annual imports by HS code (public preview API) (2026-11-06)
Quoted lines
- Figure 1
cmdCode=902221 flowCode=M partnerCode=0 primaryValue: ARE2023=66596; BHR2023=1068; CIV2025=85929; DZA2024=882808; EGY2025=265810; ETH2023=263828; GHA2025=279830; ISR2025=45000; JOR2023=236084; KEN2025=76651; KWT2025=203661; MAR2025=970262; NGA2025=1138668; OMN2025=25878; QAT2024=161622; SAU2025=769398; TUN2024=1646737; TZA2025=143886; ZAF2025=2740234; sum=10003951
- Figure 2
cmdCode 902221, flowCode M, partnerCode 0, sum of primaryValue for CIV EGY ISR KEN KWT MAR NGA OMN SAU TZA ZAF: 2020 = 12652363; 2025 = 6465377; change -49%
- Figure 3
reporterCode 710, period 2025, cmdCode 902221, flowCode M, partnerCode 0, primaryValue 2740234; share of 10003951 = 27%
- Figure 5
cmdCode 902221, flowCode M, partnerCode 0, sum of primaryValue for ARE BHR KWT OMN QAT SAU = 1228224; share 12%
- Figure 6
cmdCode 902221, flowCode M, partnerCode 0, sum of primaryValue for CIV DZA EGY ETH GHA KEN MAR NGA TUN TZA ZAF = 8494643; share 85%
- Figure 1
- UN Comtrade: UN Comtrade database, annual imports by HS code (public preview API) (2026-11-06)
Quoted lines
- Figure 4
reporterCode 788, period 2024, cmdCode 902221, flowCode M, partnerCode 0, primaryValue 1646737
- Figure 4
- UN Comtrade: UN Comtrade database, annual imports by HS code (public preview API) (2026-11-06)
Quoted lines
- Figure 7
cmdCode 902221, flowCode M, partnerCode 276, primaryValue summed over reporters = 2936987; world 8148108; share 36%
- Figure 7
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-06)
Quoted lines
- Figure 8
DS-045409, reporter EU27_2020, product 90222100, flow export, VALUE_IN_EUROS, 2025: AE=388318; BH=90511; DZ=179499; EG=2211252; IL=958919; JO=778684; KE=128331; MA=667661; TN=50894; ZA=1850578; sum 7304647
- Figure 9
DS-045409, reporter EU27_2020, product 90222100, flow export, VALUE_IN_EUROS, sum over the same partners: 2020 = 5945636; 2025 = 7304647; change +23%
- Figure 10
DS-045409, reporter EU27_2020, product 90222100, partner EG, flow export, 2025, VALUE_IN_EUROS 2211252
- Figure 8
Buyers and suppliers
Who buys
- Cancer centers
- Hospitals
- Radiation oncologists
Large suppliers to the countries covered
EU exports to the largest destinations in the region, 2025
Eurostat Comext, CN 90222100, EUR million.
What the full report covers
- 01Executive summary
The answer in one page: size, direction and what moves it - 02Market definition and scope
What is in and out of the Middle East and Africa market - 03Market size, 2021 to 2025
Historical series and growth rates - 04Outlook to 2031
Base, low and high scenarios with stated assumptions - 05Rules, policy and deadlines
Regulation and programmes that change demand - 06Drivers and barriers
What accelerates or slows adoption, by customer segment - 07Prices, costs and margins
Unit economics where public data allows - 08Competitive landscape
8 to 12 company profiles with recent moves - 09Opportunities and risks
For new entrants, suppliers and investors - 10Method and sources
Every assumption and source, listed
Included with the full report
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- Method note and assumptions
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Frequently asked questions
How big is the Middle East and Africa brachytherapy market?
There is no single official market total. Customs data reported to UN Comtrade shows imports of $10.0 million under HS code 902221 by 19 countries in the region, using the latest year each one reported.
Which Middle East and Africa countries import the most brachytherapy?
South Africa was the largest importer, followed by Tunisia and Nigeria.
Where does the Middle East and Africa import brachytherapy from?
Germany was the largest supplier to the largest importing countries in the region. Other large suppliers included Sweden, the Netherlands and China.
How do GCC and African imports of brachytherapy compare?
The GCC countries with data took $1.2 million, or 12% of the total, and the African countries with data took $8.5 million, or 85%, each in its latest reported year.
How much brachytherapy does the EU export to the Middle East and Africa?
Eurostat shows EU exports of CN 90222100 to the countries covered of €7.3 million in 2025. Egypt was the largest destination.
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