Manual

Spatial OS

1. Spatial OS
1.A Quick start
1.A.1 How to run Spatial OS 1.A.2 How to connect your VR headset 1.A.3 How to switch between screen and VR view 1.A.4 How to connect a 3D screen 1.A.5 Supported 3D screens
1.1 Activating license keys
1.2 Sidebar
1.2.1 Data 1.2.2 Team 1.2.3 Settings 1.2.4 License 1.2.5 Light/dark mode 1.2.6 FPS rate
1.3 Tob bar
1.3.1 Video recording 1.3.2 Taking photos 1.3.3 Reset scene 1.3.4 Turn off
1.4 View configuration
1.4.1 VR View 1.4.2 Full screen
1.5 Settings
1.5.1 Application settings 1.5.2 TeamXR
1.6 Data
1.6.1 Saved files 1.6.2 Medical Imaging 1.6.3 Dissection Master 1.6.4 Anatomy Master 1.6.5 RecordXR
1.7 Loading models
1.7.1 Active model 1.7.2 Delete
1.8 Data manipulation
1.8.1 Cut 1.8.2 Scale 1.8.3 Mouse and keyboard shortcuts
2. Medical Imaging
2.1 Importing data
2.2 Editing and viewing DICOM data
2.2.1 Presets 2.2.2 Colors 2.2.3 AI 2.2.4 Quality 2.2.5 MPR
3. Medicalholodeck AI
3.1 Running a segmentation
3.2 Editing a segmentation
3.2.1 Structure 3.2.2 Options
4. Dissection Master
4.1 Load 4.2 Layers 4.3 Annotations
5. Anatomy Master
5.1 Load 5.2 Hierarchy
6. TeamXR
6.1 Creating a team 6.2 Joining a team
6.3 Session settings
6.3.1 Session code 6.3.2 Users in session 6.3.3 Sync model panels and selections 6.3.4 Join audio chat 6.3.5 Disconnect
7. RecordXR
7.1 Recordings
7.1.1 Download/play 7.1.2 Delete 7.1.3 Description 7.1.4 Export
7.2 RecordXR panel
7.2.1 Play/pause 7.2.2 RXR slider 7.2.3 Export 7.2.4 Mute 7.2.5 Close

Virtual Reality

1. Medicalholodeck
1.A Quick start
Licenses, navigation, connectivity
1.A.1 Activating license keys on standalone 1.A.2 Activating license keys on PC-VR systems 1.A.3 Hand navigation 1.A.4 Create screenshots and videos (standalone) 1.A.5 Create screenshots and videos (PC-VR) 1.A.6 Connect to Link 1.A.7 Export RXR files on PC-VR and standalone
1.1 Main control pad
1.1.1 Library 1.1.2 Jump 1.1.3 4D Record 1.1.4 TeamXR 1.1.5 Remote Render 1.1.6 Settings 1.1.7 Reset workspace 1.1.8 Undo 1.1.9 Redo 1.1.10 Exit 1.1.11 Capture a movie 1.1.12 Take a photo 1.1.13 Handle
1.2 Object pad
1.2.1 Cutter 1.2.2 Laser 1.2.3 Masking 1.2.4 Measure area 1.2.5 Measure distance 1.2.6 Delete 1.2.7 Scale 1.2.8 Move 1.2.9 Move backward 1.2.10 Frame rate 1.2.11 Remove dataset 1.2.12 Light on/off 1.2.13 Measure angle 1.2.14 Draw 1.2.15 Marker 1.2.16 Rotate horizontally 1.2.17 Rotate vertically 1.2.18 Handle
1.3 Library panel
1.3.1 Saved scenes 1.3.2 Medical Imaging 1.3.3 RecordXR 1.3.4 Dissection Master 1.3.5 Anatomy Master
1.4 Object marker
1.4.1 Lock 1.4.2 Center 1.4.3 UI 1.4.4 Delete 1.4.5 Groups 1.4.6 Cuts visibility
1.5 Lighting
1.5.1 Light 1.5.2 Light marker
1.6 Controllers
1.6.1 Left controller 1.6.2 Right controller
1.7 Settings
1.7.1 Settings 1.7.2 Licenses 1.7.3 PACS 1.7.4 Services
1.8 Link
1.8.1 Device bar 1.8.2 License management 1.8.3 Datasets 1.8.4 RecordXR 1.8.5 Presets 1.8.6 Transfer functions 1.8.7 Upload 1.8.8 Support
2. Medical Imaging
2.A Quick start
Data import, DICOM editing
2.A.1 Importing data on standalone devices 2.A.2 Importing data on PC-VR systems 2.A.3 Edit DICOM 2.A.4 Measure, mark and draw on DICOM
2.1 User interface
2.1.1 Import data 2.1.2 Save 2.1.3 Export 2.1.4 Load data 2.1.5 Delete data
2.2 Medical Imaging panel
2.2.1 Panel selector 2.2.2 Option preset 2.2.3 Transfer function 2.2.4 Transfer function preset 2.2.5 Tissue filter 2.2.6 Quality settings 2.2.7 Handle
2.3 AI segmentation panel
2.4 Multiplanar
2.4.1 Slider 2.4.2 Fit 2.4.3 Zoom out 2.4.4 Zoom in 2.4.5 Controller zoom 2.4.6 Window 2.4.7 Threshold
2.5 Tools
2.5.1 Mesh generator 2.5.2 Edge filter
2.6 Quality settings
2.6.1 Medical imaging settings 2.6.2 Low framerate screen 2.6.3 About 3D DICOM files 2.6.4 Processing and texturing 2.6.5 Challenges with large datasets in VR 2.6.6 Adaptive detail rendering
2.7 PACS connection 2.8 DICOM push
3. Medicalholodeck AI
3.A Quick start
Data loading, AI segmentation
3.A.1 Importing data 3.A.2 Loading data to the workspace 3.A.3 AI Segmentation panel 3.A.4 Choosing an AI model 3.A.5 Running segmentation 3.A.6 Visualization 3.A.7 Smoothing 3.A.8 Segments
3.1 Segmentation control panel
3.1.1 Structure 3.1.2 Options
3.2 Running AI segmentation locally
3.2.1 Installing Python 3.2.2 Installing PyTorch 3.2.3 Installing TotalSegmentator
4. Dissection Master
4.1 Changing layers 4.2 Scaling 4.3 Moving 4.4 Rotating 4.5 Annotations 4.6 Visibility controls
5. Anatomy Master
5.1 Scaling 5.2 Taking apart 5.3 Moving 5.4 Rotating 5.5 Cutting 5.6 Annotations 5.7 Visibility controls
6. RecordXR
6.1 User interface
6.1.1 Main control pad 6.1.2 RecordXR section 6.1.3 RecordXR panel
7. RecordXR Studio
7.A Quick start
Recording import, editing, export
7.A.1 Get records from Medicalholodeck 7.A.2 Open RecordXR Studio 7.A.3 Open a project 7.A.4 Add recordings 7.A.5 Zoom in/ zoom out 7.A.6 Change the order 7.A.7 Trim 7.A.8 Set the metadata 7.A.9 Add an avatar 7.A.10 Saving the project 7.A.11 Export a .RXR file 7.A.12 Exit the platform 7.A.13 Open the recording
7.1 Editing tools
7.1.1 Preview window 7.1.2 Timeline toolbar 7.1.3 Timeline
7.2 Metadata section
7.2.1 Title 7.2.2 Avatar 7.2.3 Preview icons 7.2.4 Duration 7.2.5 Description
7.3 Project controls
7.3.1 Save project 7.3.2 Export RXR 7.3.3 Close
8. TeamXR
8.1 Creating a team 8.2 Joining a team 8.3 Adding data to a session
8.4 Session settings
8.4.1 Session 8.4.2 Users in session 8.4.3 Session code 8.4.4 Disconnect 8.4.5 TeamXR settings 8.4.6 Open library
9. Remote Rendering
9.1 Accessing Remote Rendering 9.2 Using Remote Rendering
10. Mobile Device Management
10.1 Creating your Meta managed account and organization
10.2 Enrolling Meta Quest Devices through Horizon Managed Services
10.2.1 Add Medicalholodeck to Apps & content 10.2.2 Add your Wi-Fi network 10.2.3 Create a device preset with Medicalholodeck 10.2.4 Create a device group for Medicalholodeck headsets 10.2.5 Enroll devices

2.3 AI segmentation panel

2.3.V1.9-01

Provides automatic segmentation of CT and MRI scans, quickly identifying and separating anatomical structures such as organs, bones, and tissues. For details, see section 3 of the manual.

Important notice regarding clinical use Specialized features for surgical planning and other pre-operative professional applications are only available in Medical Imaging XR PRO FDA/CE version. This version is not yet available. Medicalholodeck is not a certified medical device and must not be used for clinical decision-making, diagnosis, surgical planning, or navigation. Use in clinical contexts is restricted to non-diagnostic purposes such as training, education, communication, and research. Any use of the software must comply with applicable local and national regulations. For specific use cases, please contact us. Medicalholodeck is currently undergoing FDA and CE certification processes. We are working to meet all regulatory requirements and expect Medical Imaging XR PRO to become available in the United States and the European Union. For updates, regulatory status, or inquiries, contact info@medicalholodeck.com.
Medicalholodeck® is a registered trademark. All rights reserved.
© 2026 Medicalholodeck AG. All rights reserved.