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Beyond the Desktop: XR-Driven Segmentation with Meta Quest 3 and MX Ink (2506.04858v1)

Published 5 Jun 2025 in cs.HC, cs.CY, cs.GR, and cs.MM

Abstract: Medical imaging segmentation is essential in clinical settings for diagnosing diseases, planning surgeries, and other procedures. However, manual annotation is a cumbersome and effortful task. To mitigate these aspects, this study implements and evaluates the usability and clinical applicability of an extended reality (XR)-based segmentation tool for anatomical CT scans, using the Meta Quest 3 headset and Logitech MX Ink stylus. We develop an immersive interface enabling real-time interaction with 2D and 3D medical imaging data in a customizable workspace designed to mitigate workflow fragmentation and cognitive demands inherent to conventional manual segmentation tools. The platform combines stylus-driven annotation, mirroring traditional pen-on-paper workflows, with instant 3D volumetric rendering. A user study with a public craniofacial CT dataset demonstrated the tool's foundational viability, achieving a System Usability Scale (SUS) score of 66, within the expected range for medical applications. Participants highlighted the system's intuitive controls (scoring 4.1/5 for self-descriptiveness on ISONORM metrics) and spatial interaction design, with qualitative feedback highlighting strengths in hybrid 2D/3D navigation and realistic stylus ergonomics. While users identified opportunities to enhance task-specific precision and error management, the platform's core workflow enabled dynamic slice adjustment, reducing cognitive load compared to desktop tools. Results position the XR-stylus paradigm as a promising foundation for immersive segmentation tools, with iterative refinements targeting haptic feedback calibration and workflow personalization to advance adoption in preoperative planning.

Summary

  • The paper introduces a novel XR segmentation tool that integrates Meta Quest 3 and MX Ink to merge 2D and 3D interactions for craniofacial CT scans.
  • It employs a stylus-driven annotation method built on Unity and assesses usability with SUS (average score of 66) and ISO-standard questionnaires.
  • The evaluation demonstrates intuitive user interaction and ergonomic benefits, while also highlighting the need for improvements like refined haptic feedback.

XR-Driven Segmentation: An Evaluation of Usability in Medical Imaging

The paper "Beyond the Desktop: XR-Driven Segmentation with Meta Quest 3 and MX Ink" presents a paper investigating an innovative extended reality (XR)-based tool for segmenting anatomical structures in medical imaging, specifically focusing on craniofacial CT scans. The tool, integrating a Meta Quest 3 headset and a Logitech MX Ink stylus, introduces a novel interface that allows immersive interaction with both 2D slices and 3D medical imaging data. This paper meticulously examines the usability and clinical potential of this XR-segmentation tool, which could potentially revolutionize traditional manual annotation processes in medical imaging.

Key Contributions and Methodology

The authors conducted a comprehensive evaluation of the XR platform, emphasizing the interface's ability to unify 2D and 3D spatial interactions within a customizable workspace. The system utilizes a stylus-driven annotation tool, embedded in an immersive environment, enabling clinicians to manipulate imaging data in real-time. The platform employs Unity for development, leveraging Meta's XR SDK and OpenXR plugins, providing a robust foundation for cross-platform deployment.

Crucial to this paper is a user evaluation involving medical students and practitioners, wherein participants utilized the XR tool to segment craniofacial structures from a public CT dataset. Usability was quantitatively assessed using the System Usability Scale (SUS) and an ISO 9241-110 compliant questionnaire. In addition to standardized assessments, qualitative feedback through interviews was collected to gain insights into practical usability and potential improvements. A notable numerical finding includes a System Usability Scale (SUS) score averaging 66, which, although slightly below the established benchmark, indicates a viable starting point for future development. Furthermore, strong endorsements regarding the stylus's ergonomics were recorded, achieving a high score for self-descriptiveness on the ISONORM metrics.

Implications and Observations

The integration of XR technology in medical imaging workflows has clear implications for enhancing user interaction and reducing cognitive load, a pervasive challenge in clinical settings. This research indicates that XR-driven segmentation tools can alleviate the physical and cognitive constraints associated with traditional desktop-based segmentation methods. Participants in the paper appreciated how the platform supports dynamic slice adjustment, echoing the potential for reduced cognitive demands. The stylus's ability to mimic traditional pen-on-paper workflows was highlighted as a key benefit, offering a more intuitive interaction paradigm for clinicians unfamiliar with complex digital interfaces.

While the paper outlines promising initial results, it also identifies areas needing further refinement, such as haptic feedback calibration and accuracy in stylus positioning. Addressing these limitations could significantly enhance both precision and user satisfaction, which is crucial for broader adoption in clinical practice.

Future Developments and Potential Impact

The findings in this paper point toward significant future developments in XR applications for medical imaging. While the paper focuses on segmentation, the implications reach further into surgical planning and medical education. For instance, the potential for XR environments to simulate anatomical spatial relationships provides opportunities for medical education, offering an interactive platform for students to learn anatomy and surgical procedures in a virtual setting.

Future iterations of the platform should consider incorporating AI-driven functionalities, such as automated segmentation assistance, to enhance accuracy and efficiency further. Additionally, refining the hardware-software integration will be vital to overcoming current limitations and expanding the tool's applicability and utility in diverse clinical environments.

In conclusion, this paper showcases the potential of XR technologies to transform traditional clinical workflows, highlighting the initial steps toward widespread adoption in medical practice. Although this field is still in its nascent stages, continued research, iterative refinements, and the integration of AI capabilities could position XR-based systems as mainstays in the ever-evolving landscape of medical imaging.

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