Virtual Reality (VR) is becoming increasingly prevalent in medical education and training, as it offers distinct advantages over traditional methods. This project focused on the development of a VR fluoroscopy simulator designed for training radiology residents. Fluoroscopy, which involves real-time X-ray imaging, was selected due to the challenges of practicing with radiation on standard patients. The simulator was developed to run entirely on the Meta Quest 2 headset, which was chosen for its popularity, affordability, and user-friendliness, which lowers the barrier to entry and broadens access to training. 

We successfully deployed the application on a standalone Meta Quest 2 headset, and consistently achieved the required frame rate of 72 frames per second. The virtual fluoroscopy machine is largely functional, allowing users to output still images, rapid sequence images, and fluoroscopic images. The output images are derived from CT DICOM data which is converted into x-rays. Users can also move the image detector in all three dimensions, rotate it, and rotate the patient model. These real-time changes are reflected on the imaging monitor when the user captures an image. Future work will focus on implementing comprehensive tutorials and additional features available on a fluoroscope. Overall, the project demonstrates that VR simulations of medical scenarios can be rapidly prototyped using current software development tools