From Screen to Space: Evaluating Siemens' Cinematic Reality Application for Medical Imaging on the Apple Vision Pro

Gijs Luijten^1,2,3*Lisle Faray De Paiva¹Sebastian Krueger⁴Alexander Brost⁴Laura Mazilescu⁵Ana Sofia Santos⁶Peter Hoyer⁷Jens Kleesiek^{10,11,12,6,8,9}Sophia Marie-Therese Schmitz⁵Ulf Peter Neumann^13,5Jan Egger^1,12,14,2,9*

• ¹Institute for Artificial Intelligence in Medicine (IKIM), Essen University Hospital (AöR), University of Duisburg-Essen, Essen, Germany
• ²Center for Virtual and Extended Reality in Medicine (ZvRM), University Hospital Essen (AöR), Essen, Germany
• ³Institute of Computer Graphics and Vision (ICG), Graz University of Technology, Graz, Germany
• ⁴Siemens Healthineers, Forchheim, Germany
• ⁵Department of General-, Visceral- and Transplant Surgery, Medical Center University Duisburg-Essen, Essen, Germany
• ⁶Institute for Artificial Intelligence in Medicine (IKIM), Essen University Hospital (AöR), Essen, Germany
• ⁷Pediatric Clinic II, University Children’s Hospital Essen, University Duisburg-Essen, Essen, Germany
• ⁸Medical Faculty, University of Duisburg-Essen, Essen, Germany
• ⁹Cancer Research Center Cologne Essen (CCCE), West German Cancer Center, University Hospital Essen (AöR), Essen, Germany
• ¹⁰German Cancer Consortium (DKTK), Partner site University Hospital Essen (AöR), Essen, Germany
• ¹¹Technische Universitat Dortmund Fakultat Physik, Dortmund, Germany
• ¹²Faculty of Computer Science, University of Duisburg-Essen, Essen, Germany
• ¹³Department of Surgery, Maastricht University Medical Centre+, Maastricht, Netherlands
• ¹⁴Institute of Computer Graphics and Vision (ICG), Graz University of Technology, Essen, Germany

Introduction: As one of the first research teams with full access to Siemens' Cinematic Reality, we evaluated its usability and clinical potential for cinematic volume rendering on the Apple Vision Pro. Methods: We visualized venous-phase liver computed tomography and magnetic resonance cholangiopancreatography scans from the CHAOS and MRCP DLRecon public datasets, respectively. Fourteen medical experts assessed usability and anticipated clinical integration potential using standardized questionnaires (System Usability Scale and ISONORM 9242-110-S) and an open-ended survey. Our primary aim was not to validate direct clinical outcomes, but to evaluate usability of the Siemens' Cinematic Reality on the Apple Vision Pro and gather expert feedback on potential use cases and missing features required for clinical adoption beyond educational purposes. Results: Their feedback identified feasibility, key usability strengths, and required features to catalyze the adaptation in real-world clinical workflows. Conclusion: The findings provide insights into the potential of immersive cinematic rendering in medical imaging and the needed features for clinical adoption as suggested by the medical experts. Siemens Cinematic Reality running on the Apple Vision Pro was deemed to have good usability, making it a promising tool.