Case study

MRI Simulator

A mixed-reality rehearsal that prepares anxious patients for an MRI, and made them 100% more likely to call the experience engaging than standard prep videos.

Type
Clinical research · Mixed reality
Role
Co-designer / Developer · 2nd author
Tools
Unity · C# · Meta XR passthrough
Timeline
Summer 2023 · ~12 weeks
Team
Co-developed with Yue Yang · IMMERS (Daniel, Leuze) · Chariot Lab
Published
IEEE VRW 2024
Mixed methodsClinicalHuman factorsUnityMeta XR · passthrough
MRI Simulator
Design
Randomized crossover · n=14 · counterbalanced
Measured
Engagement · preparedness · stressor fidelity
Analysis
Mixed methods (quant ratings + open response)
Problem

Too many scans end before they begin

MRI exams are routinely terminated when patients panic in the bore, and the population it hurts most is the one least able to cope with it.

1–15%of patients experience claustrophobia in the scanner
~2Mprocedures cancelled annually from anxiety
47%termination rate, unsedated children aged 2–7

Standard prep is a passive video. The open question: could an interactive VR rehearsal on a standalone headset prepare patients better?

Approach

A rehearsal, not a video

We ran a randomized crossover pilot (n=14) comparing a VR-MRI simulator against the standard hospital training video. Each participant experienced both, in counterbalanced order, rating engagement, preparedness, and how well each conveyed the real stressors of a scan.

The design question wasn't "is VR cool." It was which medium teaches the two things that actually end scans: holding still, and the noise.

Process & artifacts

Designing for stillness under stress

Hold-still mechanicA movie pauses when the head drifts to the "yellow zone" and disappears in the "red zone", turning the hardest instruction into a game.
360° hospital tourFamiliarizes patients with the room and pre-scan steps before they ever arrive.
Panda avatar narratorA kid-friendly guide (with an adult-narrated alternate) explains the procedure.
MR passthrough transitionPatients see the real bed as they lie down: physical safety before entering the virtual bore.
Figure 3: hold-still, paused (yellow)
The movie pauses when the head marker drifts out of the green zone: immediate, legible feedback.
Figure 4: content gone (red)
Move too far and the content disappears entirely, training the stillness a real scan demands.

Authentic MRI noise (captured from real machines) plays in spatial audio to desensitize patients, and the Quest controller is rendered as the real-world emergency squeeze ball.

Impact

Engagement and preparedness, with significance

p = .002Engagement: 4.79/5 vs 2.64/5 for video. 100% (14/14) chose VR as more immersive
p = .034Preparedness: 4.64/5 vs 3.86/5. 85.7% preferred VR for their actual prep
p = .039Significantly better at conveying the "hold still" requirement…
p = .033…and the MRI noise, the two stressors that most often end scans

Deployed on Quest devices at Stanford Lucile Packard Children's Hospital and the Chariot Lab, with interest in future clinical studies.

My role

I co-designed and developed the interaction and narrative flows (the breathing exercise, the 360° tour, the squeeze-ball input) and implemented the core mixed-reality functionality. I contributed to the study design for evaluating anxiety reduction, and helped translate clinical requirements into interaction constraints so the simulator stayed faithful to real MRI workflows while still feeling approachable.

Co-developed with Yue Yang; mentored by Prof. Bruce L. Daniel and Christoph Leuze (IMMERS), with clinical guidance from the Chariot Lab.

Reflections & takeaways

Average anxiety scores were lower with VR (1.14 vs 1.50) but not statistically significant (p = .317): almost certainly a floor effect from testing healthy volunteers with low baseline anxiety. The honest read: engagement and preparedness were the real, defensible wins, and the next study needs the actual anxious population the tool is built for. Designing the hold-still mechanic taught me that the hardest clinical instruction becomes learnable the moment you make the feedback immediate and the stakes playful.

Yue Yang, Emmanuel Angel Corona, Bruce Lewis Daniel, Christoph Leuze. "Can a Novel Virtual Reality Simulator, Developed for Standalone HMDs, Effectively Prepare Patients for an MRI Examination?" 2024 IEEE VR Abstracts and Workshops (VRW). DOI: 10.1109/VRW62533.2024.00315.