# Release Notes
Source: https://support.xraysim.com/Download/changelog
Read about the latest X-ray Simulator updates
# Version 1.10.1
Download the newest available version of the X-ray Simulator on the [download page](/Download/download).
***
## New Tibia and Fibula Simulation
Version 1.10.1 adds a Tibia and Fibula simulation for practicing lower-leg positioning. The simulation includes AP and lateral views, new patient positioning, and example images that students and faculty can use for comparison.
Students can find the simulation in the region selector.
![Tibia and Fibula module]()
![Tibia and Fibula positioning]()
## Digital X-ray Images
Version 1.10.1 adds a digital image option. The existing raw image option is still available.
Students can switch between:
* **Digital image**: a processed image that is closer to the review experience used with digital radiography systems.
* **Raw image**: the simulator image before digital processing.
Digital images show exposure index (EI), target exposure index, and deviation index (DI). These values help students and faculty discuss whether the exposure is close to the intended range.
![Digital X-ray workflow]()
## Image Review Tools
Desktop and VR now include more tools for reviewing digital images:
* Histogram views that show how light and dark values are distributed in the image.
* Window width and window level controls for adjusting how bright and contrasty the image looks.
Note: Some digital image review tools may vary depending on how the simulator is installed.
![Image review and post-processing tools]()
## Saved Projection Improvements
Saved projections now keep more of the setup when they are reopened. This includes whether the image was saved as digital or raw, image display settings, left/right ruler placement, mobile plate holder position, and the simulator version used to save the projection.
This helps saved cases load more consistently for faculty demonstrations and student practice sessions. Older shoulder saved projections from version 1.9.0 should also open more reliably.
## Stability and Usability Improvements
Desktop X-ray image generation has been updated so the simulator does not keep rebuilding the image when nothing has moved. This helps reduce unwanted image noise, especially at low mAs settings.
The VR X-ray Simulator also now supports keyboard input during login.
## VitaSim Launcher Kiosk Mode
Version 1.10.1 adds the VitaSim Launcher for VR training stations that run in Windows kiosk mode, where the PC is used as a locked training station. The launcher guides students through Meta Link, headset connection, and Enable Link checks before the simulator starts.
For faculty, simulation staff, and IT staff, the launcher gives each station a repeatable startup checklist. Staff can check station readiness, open support, restart or shut down the PC, and exit kiosk mode when maintenance is needed.
[Read more about running the VR X-ray Simulator as a kiosk](/Tech/running-the-x-ray-sim-as-a-kiosk)
![VitaSim Launcher kiosk screen]()
## Room and Scene Updates
This release also improves several room interactions and visual details:
* Plate handling.
* Table bucky and mobile plate holder movement.
* Patient positioning.
* Cervical spine (C-spine) and skull bone visibility under clothing.
* Shoulder skin coverage.
* Collimation display behavior.
Directional arrows now show which way movable room controls can be adjusted. This makes it easier for students to understand how a control moves before they interact with it.
![Room and scene updates]()
![Movement direction arrows]()
## Automatic Updates
Version 1.10.1 adds automatic update support for the X-ray Simulator. This makes it easier for standard installations to move to future releases without manually downloading a new installer each time.
For centrally managed computers, IT teams can still control deployment through the MDM installers listed below.
## Installer Availability
Version 1.10.1 is available as:
* [Windows Desktop X-ray Simulator](https://storage.googleapis.com/platform-builds/x-ray-simulator/desktop-x-ray-simulator/production/VitaSim.XraySim.Desktop-win-Setup.exe)
* [macOS Desktop X-ray Simulator](https://storage.googleapis.com/platform-builds/x-ray-simulator/desktop-x-ray-simulator/production/Desktop-X-Ray-Simulator-1.10.1.dmg)
* [Windows VR X-ray Simulator](https://storage.googleapis.com/platform-builds/x-ray-simulator/vr-x-ray-simulator/production/VitaSim.XraySim.VR-win-Setup.exe)
This release also introduces dedicated managed deployment packages for Windows Desktop and Windows VR installations. IT teams can download the new `.msi` installers and Microsoft Intune `.intunewin` packages from the [download page](/Download/download#mdm-deployment-packages), with deployment commands and detection guidance in the [MDM deployment guide](/Tech/mdm-deployment-instructions).
Direct MDM package links:
* [Desktop X-ray Simulator MDM MSI](https://storage.googleapis.com/platform-builds/x-ray-simulator/desktop-x-ray-simulator/production/mdm/1.10.1/DesktopX-raySimulator-MDM-1.10.1.msi)
* [Desktop X-ray Simulator Intune package](https://storage.googleapis.com/platform-builds/x-ray-simulator/desktop-x-ray-simulator/production/mdm/1.10.1/DesktopX-raySimulator-MDM-1.10.1.intunewin)
* [VR X-ray Simulator MDM MSI](https://storage.googleapis.com/platform-builds/x-ray-simulator/vr-x-ray-simulator/production/mdm/1.10.1/VRX-raySimulator-MDM-1.10.1.msi)
* [VR X-ray Simulator Intune package](https://storage.googleapis.com/platform-builds/x-ray-simulator/vr-x-ray-simulator/production/mdm/1.10.1/VRX-raySimulator-MDM-1.10.1.intunewin)
***
Feedback and support: [support.xraysim.com](https://support.xraysim.com) or [support@vitasim.dk](mailto:support@vitasim.dk)
# Version 1.9.0
Download the newest version of the X-ray Simulator on the [download page](/Download/download)
***
## Updated Room Layout for Easier Workflow
We have redesigned the room layout and removed the door to improve movement between the examination and control rooms.
Additionally, the room has been expanded to accommodate the new Detenting and Bucky features introduced in this release.
![New Regions]()
## Table and Wall Bucky Support for More Realistic Exams
We are excited to introduce support for table and wall bucky in the X-ray Simulator, enhancing the realism of student exams.
Key features include:
* Pull the bucky out using the main handles, and adjust it up/down or side/side with the knob handle.
* The bucky automatically snaps in and out for ease of use.
* The plate can only be positioned at the center, but its orientation affects how it sits in the bucky. Use this to align the long axis of the plate when needed.
![New Regions]()
## X-ray Tube Detenting to Wall Bucky and Radiographic Table
With the introduction of the bucky feature, we've added the ability to detent the X-ray tube to the center of the wall bucky or radiographic table. This mimics real-life beam alignment challenges.
How to use:
* Activate detenting with the new toggle button at the top left.
* Move the tube into position until you hear a click; detenting is confirmed by a colored light on the tube's front.
* Click the toggle button again to release the detent.
![New Regions]()
## Guiding Laser Toggle for Plate Centering in the Bucky
To assist with centering the central ray on the hidden plate inside the bucky, we've added a guiding laser on the virtual X-ray Tube.
Instructions:
* Turn on the laser using the new button located between the collimation dials.
* Click the button again to turn off the laser.
* Note: The collimation field and laser are controlled separately.
![New Regions]()
## New Joint Mobilities for Improved Simulation Training
We've added new joint mobilities in select simulations to enhance training realism:
* The simulated cross-table knee exam now supports adduction and abduction, helping students align femur condyles in lateral images.
* The axis hip exam features a mobility that allows the raised leg to be pulled out and up, clearing axial images of overlapping thigh muscle mass.
* The shoulder simulation now enables arm rotation inward and outward, giving students more control for humerus alignment.
New joint mobilities can be adjusted by grabbing the highlighted regions.
![New Regions]()
## New Standing Patient Simulation for Pelvic/Hip Case
Due to popular demand, a standing hip simulation is now available, reflecting common examination approaches in some countries.
You can find the new simulation under the existing hip/pelvic case by selecting the "standing" patient option.
![New Regions]()
***
Feedback and support: [support.xraysim.com](https://support.xraysim.com) or [support@vitasim.dk](mailto:support@vitasim.dk)
# Version 1.8.0 - Major Update
Download the newest version of the X-ray Simulator on the [download page](/Download/download)
***
## Expanded Simulation Catalog
Five new anatomical regions have been introduced with full positional controls and anatomical models:
![New Regions]()
The new regions include:
* **Bony Thorax (+ Sternum)**
* **Cervical Spine (C-Spine)**
* **Thoracic Spine (T-Spine)**
* **Lumbar Spine (L-Spine)**
* **Skull**
If you want to explore all the details of the new regions, you can find them in the Simulation Catalog (PDF).
***
## Core Improvements
### Desktop X-ray Simulator
* **Redesigned Region Selection**:
```
Region -> Exam -> Simulation
```
This update simplifies navigation and aligns with the categorization used in most RadTech positioning books.
![Updated desktop navigation]()
* **Control Panel Overhaul**:
* Cleaner layout with more intuitive grouping.
* The new **View Controls** panel allows you to toggle "collimation mode" via the grid-icon UI.
* The Technique panel now shows an **estimate of the collimation cut-off size**.
* Tube positioning controls now show an estimate of SID based on tube position and angle.
![New control panel]()
* **New Functionalities**:
* Users can now toggle skin visibility on the patient model.
* Users can now adjust bed height via a slider for improved positioning practice.
* **Patient Movement**:
* The patient can now be translated either in the horizontal plane (for standing) or the frontal plane (for supine).
***
## VR X-ray Simulator
* **New Patient Gizmo**:
A virtual tool has been introduced to grab and reposition the patient.
Grab and drag the control gizmo to reposition the patient.
* **UI Enhancements**:
* Users can now grab the plate from all sides.
* Estimated collimator size and SID are now visible in the tube display.
![Tube data]()
***
Feedback and support: [support.xraysim.com](https://support.xraysim.com) or [support@vitasim.dk](mailto:support@vitasim.dk)
# Download
Source: https://support.xraysim.com/Download/download
Download the latest available X-ray Simulator software
## Download for Desktop
V. 1.10.1
V. 1.10.1
## Download for VR
V. 1.10.1
## MDM deployment packages
Use these packages for managed Windows deployments through Microsoft Intune or another MDM platform. See the [MDM deployment guide](/Tech/mdm-deployment-instructions) for install commands, Intune notes, and detection rule suggestions.
Windows Desktop X-ray Simulator V. 1.10.1
Windows Desktop X-ray Simulator V. 1.10.1
Windows VR X-ray Simulator V. 1.10.1
Windows VR X-ray Simulator V. 1.10.1
## Supporting documents for V. 1.10.1
* [Release notes for V. 1.10.1](/Download/changelog)
* [Upgrade guide](/Download/upgrade-guide)
# X-Ray Simulator Upgrade Guide
Source: https://support.xraysim.com/Download/upgrade-guide
This guide explains how to update your X-ray Simulator to the latest version. The process is simple, but please read the notes below carefully - especially if your computer is managed by your institution’s IT department.
### If Your Institution Uses Central or Silent Deployment
If your IT department normally installs or updates software automatically (for example, through a silent install, software center, or central distribution system), please do not attempt a manual upgrade.
Instead:
* Notify your IT department that a new version is available.
* Share the download link and ask them to deploy it when convenient.
Tip for IT Administrators The installer supports standard Windows silent install parameters. For details or deployment documentation, see [MDM Installation](/Tech/mdm-deployment-instructions)
### Manual upgrade steps
1. Visit the official X-ray Simulator download page: [Download](/Download/download)
2. Choose the correct installer for your edition (Desktop or VR).
3. Save the file to your computer - for example, in your Downloads folder.
1. Double-click the downloaded .exe file to start the installation.
2. If prompted by Windows for permission, click “Yes” to allow the installer to make changes.
Administrator Rights Required: You may need administrator privileges to install or update the software. If you do not have admin rights, please contact your IT department for assistance.
3. Follow the on-screen instructions to complete the installation.
4. Once installation finishes, launch the simulator and verify it opens correctly.
### Need Help?
If you encounter any issues during installation or setup:
* Visit the **Support Center**: [support.xraysim.com](http://support.xraysim.com)
* Email us at [**support@vitasim.dk**](mailto:support@vitasim.dk)
### Book a Free Upgrade Assistance Session
Would you like help upgrading, or prefer a guided walkthrough?\
You can book a completely free one-on-one online (MS Teams) upgrade session with our support team:
[Book Upgrade Assistance](https://meetings-eu1.hubspot.com/anders-winter/assisted-upgrade-for-x-ray-simulator-staff-support)
# Accounts and Login
Source: https://support.xraysim.com/Guides/Introduction/accounts-and-login
Understand the difference between students, licenses, X-ray Simulator accounts, PC logins, admin accounts, and Meta accounts.
Use this page when you need to understand which login is used where, or when a school asks how accounts relate to software licenses.
The short version is:
* **Students determine licensing.** License count is based on the number of students expected to use X-ray Simulator during the licensed period.
* **Accounts control simulator access.** X-ray Simulator accounts are login credentials created and provided by VitaSim after purchase.
* **Devices do not determine license count.** A computer, VR station, or headset is hardware. It does not define the number of licenses needed.
## Students, licenses, and accounts
A licensed student is any student expected to use X-ray Simulator during the licensed period. This is true whether the student has an individual account, shares a station account, or uses more than one device.
Faculty, instructors, IT reviewers, and administrators do not count toward the paid student license count. They are included so they can support teaching, setup, review, and administration.
X-ray Simulator accounts are separate from license count. VitaSim creates and provides these accounts after purchase. A program can use individual student accounts, shared station accounts, or a mix of both.
X-ray Simulator does not require a separate activation code for normal setup or login.
## Choosing an account setup
### Individual student accounts
Individual student accounts are usually best when students should log in as themselves. This is common for Desktop X-ray Simulator deployments, especially when students run the simulator on their own computers.
Use individual accounts when the program wants clearer per-student tracking, separate saved progress, or stronger accountability.
### Shared station accounts
Shared station accounts are acceptable when operational simplicity matters more than individual student tracking. This is common for VR stations because the headset and PC are shared equipment.
For example, if 20 students use one VR station, the license count is still based on the 20 students. The program may choose one shared station account for that VR station, but the account count does not change the license count.
Both account patterns can be used for either Desktop or VR when the program prefers that setup.
## Credential types
Different credentials are involved in a full setup. Keep these separate when asking IT, faculty, or VitaSim for help.
| Credential | Used for | Managed by | Where to get help |
| -------------------------------------- | ---------------------------------------------------------------------------- | ----------------------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| X-ray Simulator account | Signing in to the Desktop or VR X-ray Simulator application | Created and provided by VitaSim after purchase | For account or license questions, contact [sales@vitasim.dk](mailto:sales@vitasim.dk). For additional or replacement accounts after purchase, contact your CSM or VitaSim support. |
| Windows or PC login | Signing in to the computer or workstation | Usually the institution's IT department | If the PC was provided by your institution, ask your internal IT team. If the PC was provided by VitaSim, contact [support@vitasim.dk](mailto:support@vitasim.dk). |
| Hardware admin login | Installing, updating, troubleshooting, or deploying software on the computer | Usually the institution's IT department | If your institution manages the PC, ask internal IT. If VitaSim provided the PC or station, contact [support@vitasim.dk](mailto:support@vitasim.dk). |
| Meta account and Meta Quest Link login | Setting up the Meta Quest headset and Meta Quest Link for VR use | The institution, Meta account owner, or VitaSim if VitaSim provided the setup | You can create or manage a Meta account at [auth.meta.com](https://auth.meta.com/). For Meta or Quest Link login questions related to a VitaSim-provided station, contact [support@vitasim.dk](mailto:support@vitasim.dk). |
## X-ray Simulator accounts
Use the X-ray Simulator account on the simulator login screen after launching the Desktop or VR application.
If you need an additional account, a replacement account, or a different account setup after purchase, contact your CSM or VitaSim support. If you are still planning a purchase and need help deciding license count or account setup, contact [sales@vitasim.dk](mailto:sales@vitasim.dk).
## PC and admin logins
The PC login controls access to the computer. The hardware admin login controls whether software can be installed, updated, or managed on that computer.
For institution-owned computers, these logins are normally controlled by the institution's IT department. For VitaSim-provided computers or VR stations, contact [support@vitasim.dk](mailto:support@vitasim.dk) if you need PC, Meta, or admin account help.
## Meta account and Quest Link login
The Meta account is only relevant for VR headset setup and Meta Quest Link. It is separate from X-ray Simulator accounts and separate from X-ray Simulator license count.
You may need the Meta account when setting up the VR headset, reinstalling Meta Quest Link, or changing Meta account settings. For normal simulator use, students sign in to X-ray Simulator with the X-ray Simulator account provided for the program or station.
## Who to contact
For X-ray Simulator accounts, license counts, or account setup planning, contact [sales@vitasim.dk](mailto:sales@vitasim.dk).
For PC logins, hardware admin accounts, Meta accounts, or Meta Quest Link login questions, contact [support@vitasim.dk](mailto:support@vitasim.dk).
# Getting Started with the Desktop X-ray Simulator
Source: https://support.xraysim.com/Guides/Introduction/getting-started-Desktop-x-ray
Learn how to install and launch the Desktop X-ray Simulator, open up your first case, and get familiar with the core controls and workflow.
### Installation and Login
[Click here to check the hardware requirements for running the Desktop X-ray Simulator.](/Tech/minimum-requirements-for-running-the-desktop-xray-simulator)
Download the appropriate platform installer from [the download page.](/Download/download)
Run the installation file (or drag the .dmg file if on Mac OS).
NOTICE for IT admins: The Desktop X-Ray Simulator support multi-user PC/workstation installation using MDM systems, like InTune. See the [MDM setup guide](/Tech/mdm-deployment-instructions) for details on running silent installs using command line arguments.
Locate the application on your computer and open it. You will be prompted to log in with your X-ray Simulator account. If you do not have account credentials, reach out to your institution's X-ray Simulator coordinator or review [Accounts and Login](/Guides/Introduction/accounts-and-login).
### Navigation and Controls
Open the Desktop X-ray Simulator application and enter your X-ray Simulator account username and password on the login screen. Click **Login** to proceed. See [Accounts and Login](/Guides/Introduction/accounts-and-login) if you need to confirm whether you should use an individual student account or a shared station account.
![Desktop Xray Sim Login Screen]()
After logging in, you are taken to the case selection screen. Start by choosing a body region in the left column - for example, *Upper extremity and shoulder girdle*. The middle column updates to show available exams for that region; select one to populate the right column with simulation cases. Click the arrow next to a case to load it.
![Desktop X Ray Simulator Choose Case]()
Once a case loads, the workspace is divided into three panels. **A** is the overhead 3D view of the room, showing the patient, table, and X-ray tube at a glance. **B** is the secondary viewport, displaying a closer angle of the scene - useful for assessing patient and tube positioning in relation to each other. **C** is the X-ray output panel, which displays the most recent exposure and updates in real time as you adjust parameters.
![Desktop Xray Simulator Windows]()
The **Patient controls** panel **(D)** is at the top of the right sidebar. Use *Choose projection* to switch between AP and Lateral. The sliders below let you adjust joint position - elbow flexion/extension, shoulder rotation, and wrist pronation/supination. Use *Move patient* to reposition the patient on the table.
![Deskotpxraysimpatientcontrols]()
The **View controls** panel **(E)** sits below Patient controls. Use the four view icons under *Choose view* to switch the secondary viewport **(B)** between different camera angles. The *Toggle skin* checkbox switches the patient model between a surface view and a skeletal/transparent view, useful for assessing anatomy and tube alignment.
![Desktopxraysimviewcontrols]()
The **Tube positioning** panel **(F)** controls the physical position of the X-ray tube. The arrow clusters adjust the tube horizontally and vertically. *SID* (Source-to-Image Distance) is displayed in real time as you move the tube. Use the *Tube angulation*, *Collimator rotation*, and *Column rotation* sliders to fine-tune the angle and orientation of the beam.
![Desktopxraysimtubepositioning]()
The **Technique** panel **(G)** is where you set your exposure parameters. Adjust *mAs* to control the radiation dose and *kVp* to set the beam energy. The *Collimator cutoff* sliders control field size in the X and Y axes, with the resulting dimensions shown in centimetres and inches below each slider. Changes here are reflected immediately in the X-ray output panel **(C)**.
![Desktopxraysim Technicque]()
The **Post processing** panel **(H)** provides two image processing buttons for adjusting the appearance of the exposure. Tick *Show data on image* to overlay exposure parameters directly on the X-ray. Below it, the **Image export** panel **(I)** shows the save location on your computer. Click **Save image** to export the current exposure as an image file to that folder.
![Desktopxraysimpostpros]()
# Product description and demo
Source: https://support.xraysim.com/Guides/Introduction/understanding-the-X-ray-Simulator
This article provides an overview and a complete demo of the product and covers the essential features of the X-Ray simulator.
## What is the X-Ray Simulator?
The X-Ray Simulator is a cutting-edge educational simulation tool developed by VitaSim, designed to provide students with a safe and realistic radiation free environment to practice x-ray procedures. By simulating real-world conditions as a virtual energized lab, it allows students to gain hands-on experience without the risks associated with live patients.
The X-ray Simulator is available on both Desktop and in immersive Virtual Reality.
## What is the Virtual Reality X-Ray Simulator?
The Virtual Reality X-Ray Simulator is the most immersive and advanced modality for accessing the virtual energized X-ray lab. It is designed to provide students with a highly realistic and interactive environment to practice x-ray procedures. By simulating realistic and advanced interactions, it allows students to gain near-real hands-on experience with the complexity of projection practice.
You can download the VR X-ray Simulator [here.](/Download/download)
## What is the Desktop X-Ray Simulator?
The Desktop X-Ray Simulator is our light-weight desktop application that allows students to access the virtual lab. It is designed to provide students with a safe and realistic environment to practice x-ray procedures using a simplified interface. It provides students with limited controls (compared to VR) , but still offers a significant level of realism and understanding.
You can download the Desktop X-ray Simulator [here.](/Download/download)
### Requirements
* A modern VR headset is necessary to access and utilize the VR X-ray simulator
* A Windows or Mac OS PC is required to access the Desktop X-ray Simulator
# Full demo video
# Software programs involved
Source: https://support.xraysim.com/Guides/Introduction/understanding-the-programs-involved-Desktop
The X-ray simulator is available as two distinct products, VR or Desktop. This page describes the software involved in running the Desktop X-ray Simulator.
## Desktop
**Desktop X-ray Simulator**
Desktop X-ray Simulator is the desktop equivalent of the VR X-Ray Simulator, another specialized tool used in radiography education. Users can manipulate X-ray position, exposure settings, explore anatomical structures, and practice performing x-ray, making it an essential tool for deepening understanding in both anatomy and radiographic principles.
The Desktop X-ray Simulator does not require VR hardware or the Meta Link application.
# Software programs involved
Source: https://support.xraysim.com/Guides/Introduction/understanding-the-programs-involved-VR
The X-ray simulator is available as two distinct products, VR or Desktop. This page describes the software involved in running the VR X-ray Simulator.
## Virtual Reality
**VR X-Ray Simulator:** The VR X-Ray Simulator is the simulation application itself. It is installed on a PC and connects to VR headsets using the Meta Link application provided by META (read below)
**Meta Link:** Meta Link is an application developed by Meta for its Quest 2, Quest 3, and Quest Pro VR headsets. This tool allows users to connect their VR headsets to external devices via USB C. By using Meta Link, these headsets can function as large, virtual displays for content from PCs, consoles, and other HDMI-enabled devices. This application is required to run the VR X-Ray simulator.
# VR Navigation and Interaction
Source: https://support.xraysim.com/Guides/Introduction/vr-navigation-and-interaction
This video will guide you through navigating and interacting within the virtual world.
This guide will teach you how to effectively navigate and interact within a virtual environment using your controllers.
**Basic Navigation**
1. **Teleportation**:
To move around the environment, you can teleport.
1. Push the joystick forward using your thumb
2. Point the controller at the desired location on the ground.
3. Release the joystick, and you will be teleported to that position.
2. **Rotation**:
You can rotate your view within the environment for better orientation.
1. Push the joystick to the left or right to rotate 45° in that direction.
**Interacting with Objects**
1. **Grabbing Objects**:
The virtual environment contains various objects that you can interact with by grabbing.
* Position your controller near the object you want to grab and use the grab button to hold it.
For more help, check out the [printable guides and templates](/Guides/Printable-guides-and-templates).
# VR Quick Start Guide
Source: https://support.xraysim.com/Guides/Introduction/vr-quick-start-guide
This guide shows you how to quickly get the VR X-ray simulator started, so that you and your students can start exploring.
Turn on the VR headset by holding the button on the right side, waiting for it to blink. You can confirm that the VR headset is on, by mounting it on your head and checking that the virtual world shows.
If you are in a new location, the VR headset might ask you to setup a new "Boundary" - This is your play area and it helps you stay safe when navigating the virtual world.
You need to establish the connection between the VR headset and the PC before you can start the X-ray Simulator. Therefore make sure to connect the Link cable to both the VR Headset and the PC. Make sure the connection is solid as there is nothing more annoying than losing the connection mid-simulation.
To activate the connection, mount the VR headset and locate the option to activate Meta Link. This options might pop-up by it self. You know that you have successfully connected the headset to the PC when the you find your self in an infinitely big room with white floor tiles.
If you are having trouble connecting to the PC try unplugging and reattaching the link cable to the headset. If this does not work, try restarting the VR headset.
When the VR headset is successfully connected, peak out from the VR headset, locate the X-ray simulator on the desktop and start the application. Be sure to start the VR X-ray simulator, as it is a common mistake to start the Desktop X-ray Simulator.
**Video walkthrough of the quick start guide.**
**To assist further, download and print the quick-start guide and keep it handy**
We suggest downloading and printing this guide. Keep it alongside your VR X-Ray Simulator for quick setup, accessible for both you and your students.
* [Printable guides and templates](/Guides/Printable-guides-and-templates)
**Furthermore you can download and print the VR Controller guide and keep it handy**
We suggest downloading and printing this guide. Keep it alongside your VR X-Ray Simulator for quick setup, accessible for both you and your students.
* [Printable guides and templates](/Guides/Printable-guides-and-templates)
# Printable Guides and Templates
Source: https://support.xraysim.com/Guides/Printable-guides-and-templates
A set of practical reference guides and templates that can be printed, laminated, and displayed for students to help them more effectively use the product.
## Guides for Simulation using Meta Quest 2
Use these guides if your simulations station uses a **Meta Quest 2**
### Quick Start Guide
Step-by-step instructions for powering on the **Quest 2** headset, mounting it, connecting it to the PC, and launching the VR X-Ray Simulator application. Download the .pptx if you want to make changes.
### VR Controller Guide
Explains how to use the controllers to interact with the virtual environment. Print and make it accessible to your students. Download the .pptx if you want to make changes.
## Guides for Simulation using Meta Quest 3
Use these guides if your simulations station uses a **Meta Quest 3**
### Quick Start Guide
Step-by-step instructions for powering on the **Quest 3** headset, mounting it, connecting it to the PC, and launching the VR X-Ray Simulator application. Download the .pptx if you want to make changes.
### VR Controller Guide
Explains how to use the controllers to interact with the virtual environment. Print and make it accessible to your students. Download the .pptx if you want to make changes.
### PC screensaver
[Download here](https://storage.googleapis.com/platform-builds/Docs%20assets/Screen%20saver.png)
# VR X-ray Simulator detailed setup guide
Source: https://support.xraysim.com/Guides/detailed-setup-guide
Below is a detailed, step-by-step instructions to help you set up and use the VR X-ray Simulator efficiently with a portable VR training station.
1. **Charge your VR headset** before starting.
2. **Disconnect the Link cable** from both the headset and PC if already connected.
1. Turn on the **monitor, VR headset, and PC**.
2. **Log in** to Windows on the PC.
**Do not start the VR X-ray Simulator yet.** Doing so before the VR connection is ready can cause issues.
1. **Connect the Link cable**:
* Plug one end into the **PC**.
* Plug the other end into the **VR headset**.
2. **Put on the headset**.
3. **Set up your play area**:
* If prompted, complete the *boundary* or *guardian* setup as instructed.
4. **Establish the Meta Link connection**:
* Using the VR controllers, select **“Enable”** in the popup for Link.
* *If no popup appears:*
1. Open **Settings** (bottom left of the menu bar in the headset).
2. Select **Link**.
3. Select **Enable**.
5. **Confirm you are connected**:
* Look around in VR. You should see a white, infinitely tiled floor (“matrix”).
* This confirms your headset is now connected to the PC using Meta Link.
1. On the PC, **double-click** the **VR X-ray Simulator** icon on the taskbar.
Do not open the “Desktop X-ray Simulator”.
2. Inside the headset, the simulator will launch.
3. **Using your VR controllers**, log in with the X-ray Simulator account provided for the program or station. See [Accounts and Login](/Guides/Introduction/accounts-and-login) if you need to confirm which account to use.
All interaction with the VR X-ray Simulator must be done via the controllers.
The PCs mouse and keyboard are not supported for VR interaction.
## Troubleshooting
**Common Issues & Solutions**
**Login screen displays “Your version has expired”**
* *Cause*: Usually, WiFi/internet is not available.
* *Fix*: Ensure your PC and headset have internet access.
Your version might actually have expired, but this is uncommon.
**Simulator doesn't display or track headset**
* *Cause*: App started before Meta Link was enabled.
* *Fix*: Close the simulator, establish the Link connection, and relaunch.
**Cannot get to the Meta Link 'matrix' environment**
* *Cause*: Link cable is not properly connected.
* *Fix*: Check that both ends of the cable are secure.
**App is unresponsive**
* *Cause*: Oculus/Meta button was pressed, displaying an overlay.
* *Fix*: Press the button again to dismiss the overlay.
## FAQs
* **Can I use the keyboard and mouse to log in?**
* *No. Use the VR controllers for all logins and navigation.*
***
# Equipment purchasing Example for a Portable VR Station
Source: https://support.xraysim.com/Guides/purchasing/example-of-portable
This page provides a list of recommended equipment and budget considerations.
All links are examples, and the external links sometimes expire. Please consult your local IT department or supplier for the latest prices and compatibility.
## Key Components and Cost Breakdown
To set up a portable VR station, the following components are recommended.\
You should also consider your need for extension cords, wire strips and double-sided tape, as these can make assembly and setup much easier.
![Portable VR Station Example]()
Here’s a breakdown of the items and estimated costs:
| Item | Description | Quantity | Estimated Price Range (Incl. Tax) |
| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------- | --------------------------------- |
| [**Gaming Laptop**](https://www.bestbuy.com/site/lenovo-loq-15-6-gaming-laptop-fhd-amd-ryzen-7-7435hs-with-16gb-memory-nvidia-geforce-rtx-4060-8gb-512gb-ssd-luna-grey/6578511.p?skuId=6578511) | A laptop with a high-performance CPU, 16GB RAM, RTX graphics card, and SSD storage. See [minimum requirements](/Tech/minimum-requirements-for-running-the-vr-xray-simulator). | 1 | \$900 - \$1,200 |
| [**VR Headset**](https://www.bestbuy.com/site/meta-quest-3-128gb-the-most-powerful-quest-ultimate-mixed-reality-experiences-get-batman-arkham-shadow-included-white/6549064.p?skuId=6549064) | A portable VR headset, in the Meta Quest series (at least MQ2) | 1 | \$500 - \$550 |
| [**USB-C Cable**](https://www.bestbuy.com/site/insignia-16-4-usb-c-virtual-reality-headset-cable-for-meta-quest-2-and-3-black/6441559.p?skuId=6441559) | A long (16ft/5m) USB-C cable compatible with VR headset and PC. (At least USB 3.2 protocol) | 1 | \$60 - \$70 |
| [**43” TV**](https://www.bestbuy.com/site/lg-43-class-ut70-series-led-4k-uhd-smart-webos-tv-2024/6593577.p?skuId=6593577) | A lightweight 43" 4K smart TV for display, with a VESA size matching the TV stand (usually 200 by 200 VESA) | 1 | \$150 - \$290 |
| [**Portable TV Stand**](https://www.bestbuy.com/site/mobile-tv-stand-for-most-flat-panel-tvs-up-to-65/5022900.p?skuId=5022900) | A sturdy mobile stand suitable for the 43'' display (See image above) | 1 | \$150 - \$250 |
| [**Comfort Headstrap**](https://www.bestbuy.com/site/meta-quest-elite-strap-works-with-meta-quest-3-3s-premium-comfort-and-weight-distribution-gray/6555641.p?skuId=6555641) | An upgraded VR head strap to improve comfort during extended use. | 1 | \$50 - \$70 |
| [**Silicone VR Face Masks**](https://www.bestbuy.com/site/meta-quest-3-silicone-facial-interface-black/6555631.p?skuId=6555631) | Sanitary covers for hygiene. | 1 | \$30 - \$40 |
| **HDMI cable** | For connecting the PC with the TV. | 1 | \$10 - \$40 |
| **Extension cord (3 plug)** | For TV, PC and controller charging. | 1 | \$10 - \$40 |
| **Sanitary Wipes** | For cleaning the silicone cover between usage | 1 pack | (Probably in stock in house) |
# Equipment purchasing Example for a Stationary VR Station
Source: https://support.xraysim.com/Guides/purchasing/example-of-stationary
This page provides a list of recommended equipment and budget considerations.
All links are examples, and the external links sometimes expire. Please consult your local IT department or supplier for the latest prices and compatibility.
## Key Components and Cost Breakdown
To set up a stationary VR station, the following components are recommended.\
You should also consider your need for extension cords, wire strips and double-sided tape, as these can make assembly and setup much easier.
![Stationary VR Station Example]()
Here’s a breakdown of the items and estimated costs (including taxes):
| Item | Description | Quantity | Estimated Price Range (Incl. Tax) |
| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------- | --------------------------------- |
| [**Stationary VR PC**](https://www.bestbuy.com/site/ibuypower-scale-gaming-desktop-pc-intel-core-i5-14400f-nvidia-geforce-rtx-4060-8gb-16gb-ddr5-ram-1tb-nvme-black/6576685.p?skuId=6576685) | A PC with a high-performance CPU, 16GB RAM, RTX graphics card, and SSD storage. See [minimum requirements](/Tech/minimum-requirements-for-running-the-vr-xray-simulator). | 1 | $900 - $1,200 |
| [**VR Headset**](https://www.bestbuy.com/site/meta-quest-3-128gb-the-most-powerful-quest-ultimate-mixed-reality-experiences-get-batman-arkham-shadow-included-white/6549064.p?skuId=6549064) | A portable VR headset, in the Meta Quest series (at least MQ2) | 1 | $500 - $550 |
| [**USB-C Cable**](https://www.bestbuy.com/site/insignia-16-4-usb-c-virtual-reality-headset-cable-for-meta-quest-2-and-3-black/6441559.p?skuId=6441559) | A long (16ft/5m) USB-C cable. Check compatibility between VR headset and PC, as the PC sometimes does not have a USB-C port. (At least USB 3.2 protocol) | 1 | $60 - $70 |
| [**TV**](https://www.bestbuy.com/site/lg-43-class-ut70-series-led-4k-uhd-smart-webos-tv-2024/6593577.p?skuId=6593577) | A lightweight 43" 4K TV for display, with a VESA size matching the wall mount (usually 200 by 200) | 1 | $150 - $290 |
| [**Display Wall Mount**](https://www.bestbuy.com/site/best-buy-essentials-fixed-tv-wall-mount-for-most-37-90-tvs-black/6451090.p?skuId=6451090) | A display wall mount suitable for a 43'' display (See image above) | 1 | $30 - $120 |
| [**Controller Charging Stations**](https://www.bestbuy.com/site/meta-quest-compact-charging-dock-works-with-meta-quest-3-3s-extended-headset-charging-cable-wireless-charging/6596932.p?skuId=6596932) | A charging dock compatible with the selected VR headset controllers (MQ 2/3/3s etc). Note: The headset charges while connected to the PC. | 1 | $60 - $70 |
| [**Comfort Headstrap**](https://www.bestbuy.com/site/meta-quest-elite-strap-works-with-meta-quest-3-3s-premium-comfort-and-weight-distribution-gray/6555641.p?skuId=6555641) | An upgraded VR head strap to improve comfort during extended use. | 1 | $50 - $70 |
| [**Silicone VR Face Masks**](https://www.bestbuy.com/site/meta-quest-3-silicone-facial-interface-black/6555631.p?skuId=6555631) | Sanitary covers for hygiene. | 1 | $30 - $40 |
| **16 by 16 feet rug** | Helps define play area and makes it easier to use | 1 | $50 - $200 |
| **Sanitary Wipes** | For cleaning the silicone cover between usage | 1 pack | (Probably in stock in house) |
# Purchasing and Equipment
Source: https://support.xraysim.com/Procurement/Equipment and purchasing
Purchasing guidance for X-ray Simulator software licenses, one-time hardware needs, recommended equipment, and quote requests.
This page is for procurement and purchasing teams reviewing what an institution may need to buy for X-ray Simulator.
Faculty or program directors often already have one or more quotes from VitaSim. Those quotes may include software licenses, optional hardware, or both, so procurement can usually start from the quote faculty provides.
Software licenses and hardware are separate purchasing categories, even when they appear on the same quote. License pricing is based on the number of students who will use X-ray Simulator, not the number of computers, VR stations, or login accounts. The [Accounts and Login](/Guides/Introduction/accounts-and-login) page explains the difference between students, licenses, accounts, and stations. Hardware is a one-time purchase and may be included as an optional line item if faculty wants a complete purchasing option.
## What procurement should check
1. Use the quote faculty received from VitaSim as the starting point.
2. Check whether the quote includes software licenses only, or software licenses plus optional hardware.
3. If hardware is included, decide whether your institution wants VitaSim to procure it or prefers to buy hardware directly from your own vendors.
4. If procurement needs an updated quote, a quote without hardware, a quote with hardware added, or different billing details, contact [sales@vitasim.dk](mailto:sales@vitasim.dk).
5. Send a purchase order using the quote details provided by VitaSim. Payment can be made by bank transfer or wire transfer. Card and check payments are also accepted with a 5.25% fee.
## Software licenses
X-ray Simulator access is licensed through VitaSim. License pricing is based on student count and is usually quoted earlier in the faculty evaluation process.
Licenses are not tied to a specific workstation, VR station, or login account. For example, if 20 students will use one VR station, the license count is based on those 20 students. The program may choose to give each student an individual account, or use one shared account for that station for operational simplicity, but the license is still based on the number of students using the simulator. Review [Accounts and Login](/Guides/Introduction/accounts-and-login#students-licenses-and-accounts) if procurement needs to confirm the distinction before issuing a purchase order.
If procurement needs an updated quote or adjusted quote, email [sales@vitasim.dk](mailto:sales@vitasim.dk) with:
* Institution name
* Billing contact
* Expected student count
* Product interest: Desktop X-ray Simulator, VR X-ray Simulator, or both
* Any purchase order, vendor onboarding, or invoice requirements
Contact `sales@vitasim.dk` if procurement needs the quote updated, hardware added or removed, invoice details, or purchase order support.
## Hardware purchase options
Hardware is separate from software license pricing, even when it appears on the same quote.
Institutions may purchase recommended hardware themselves using the requirements and example station pages below. This is usually the simplest path when your procurement team already has approved hardware vendors.
Institutions may also request VitaSim to procure hardware on their behalf with a 20% hardware procurement markup. Faculty may ask VitaSim to include hardware on a quote so procurement has a complete option available, even if the institution later decides to buy the hardware directly.
## Buying paths
### Desktop X-ray Simulator
Desktop deployments require a student-based software license and a compatible Windows or macOS computer. Review the [Desktop system requirements](/Tech/minimum-requirements-for-running-the-desktop-xray-simulator) before purchasing hardware.
### VR X-ray Simulator: portable station
A portable VR station typically includes a VR-ready laptop or compact PC, a Meta Quest headset, and a Link cable. The software license is based on the number of students who will use the simulator, not the number of portable stations. Review the [portable VR station example](/Guides/purchasing/example-of-portable) and the [VR system requirements](/Tech/minimum-requirements-for-running-the-vr-xray-simulator) before purchasing.
### VR X-ray Simulator: stationary station
A stationary VR station typically includes a VR-ready desktop PC, a monitor, a Meta Quest headset, and a Link cable. The software license is based on the number of students who will use the simulator, not the number of stationary stations. Review the [stationary VR station example](/Guides/purchasing/example-of-stationary) and the [VR system requirements](/Tech/minimum-requirements-for-running-the-vr-xray-simulator) before purchasing.
## Purchase orders and payment
VitaSim accepts purchase orders. After a quote has been prepared, procurement can use the quote details to issue a purchase order.
* Purchase order with bank transfer or wire transfer
* Card payment with a 5.25% fee
* Check payment with a 5.25% fee
VitaSim\
Forskerparken 10\
5230 Odense M\
Denmark
## Supporting documentation
Hardware and operating system requirements for the Desktop X-ray Simulator.
PC hardware requirements for running the VR X-ray Simulator.
Example equipment for a portable VR training station.
Example equipment for a stationary VR training station.
Difference between students, licenses, simulator accounts, PC logins, admin accounts, and Meta accounts.
Current software installers and supporting release documents.
# Approval Packet for Faculty
Source: https://support.xraysim.com/Procurement/Introduction
A forwarding checklist for faculty and program directors who need to route X-ray Simulator approval information to IT, procurement, and legal teams.
Use this page when your radiography or radiologic technology program is evaluating X-ray Simulator and needs supporting information for internal approval.
Faculty and program directors can use the links below to quickly find the material typically requested by IT, procurement, purchasing, vendor management, or legal teams. Each page gives a short overview and points to the more detailed documentation or contact path when needed.
Find answers about local installation, minimum requirements, MDM deployment, student use, ports, local server needs, data handling, healthcare information, and technical review requests.
Find information about per-student license quotes, the account/license distinction, purchase orders, payment methods, hardware purchase options, and recommended Desktop or VR equipment.
Find vendor overview information and learn how to request questionnaires, wire transfer details, vendor tax forms, sole source information, terms of service, and insurance information.
Ask VitaSim which page or document to send if an internal department asks for something not covered here.
# IT and Security Review
Source: https://support.xraysim.com/Procurement/Security and IT approval
A forwardable overview for IT and security teams reviewing X-ray Simulator deployment, authentication, data handling, hardware, and MDM requirements.
This page is for IT and security teams reviewing X-ray Simulator before institutional approval or deployment.
Use this page to decide whether X-ray Simulator can be approved for deployment at your institution. If the standard setup is enough, follow the inline links below to review requirements, deployment, and data handling. If your institution requires a security questionnaire, data handling document, or formal IT review response, contact [sales@vitasim.dk](mailto:sales@vitasim.dk).
X-ray Simulator is locally installed educational simulation software for radiography and radiologic technology training. Both the Desktop X-ray Simulator and VR X-ray Simulator use online authentication during login with [X-ray Simulator accounts](/Guides/Introduction/accounts-and-login). The VR version also requires compatible Windows PC hardware, a Meta Quest headset, Meta Quest Link, and a USB Link connection.
## Common IT review questions
### Is X-ray Simulator SaaS or browser-based?
No. X-ray Simulator is not a SaaS or browser-based simulator. It is locally installed software.
The Desktop X-ray Simulator is installed on a compatible Windows or macOS computer. The VR X-ray Simulator is installed on a compatible Windows PC and connects to a Meta Quest headset through Meta Quest Link.
### What are the minimum requirements?
For Desktop deployments, review the [Desktop system requirements](/Tech/minimum-requirements-for-running-the-desktop-xray-simulator).
For VR deployments, review the [VR system requirements](/Tech/minimum-requirements-for-running-the-vr-xray-simulator) and [Meta Quest Link requirements](/Tech/vr-hardware-requirements-for-meta-link). VR requires a VR-ready Windows PC, a compatible Meta Quest headset, and a USB Link connection.
### Is it a local install?
Yes. X-ray Simulator is installed locally on the computer that runs the simulation. It uses internet access for authentication during login, but the simulator itself is not delivered through a browser.
### Can it be deployed through MDM?
Yes. The Windows installers support silent deployment for MDM tools such as Intune. Review the [MDM deployment instructions](/Tech/mdm-deployment-instructions) before packaging the installer.
### Can students run it themselves?
Yes, once the software, required hardware, and accounts are set up. Students can launch the simulator and sign in with X-ray Simulator accounts issued through VitaSim.
Accounts and licenses are separate concepts. Licensing is based on the number of students who will use X-ray Simulator, not on the number of VR stations or login accounts. A program may use [individual student accounts or shared station accounts](/Guides/Introduction/accounts-and-login#choosing-an-account-setup), depending on how it wants students to access the simulator.
For VR stations, students may also need to connect the headset through Meta Quest Link before starting the simulator. The [VR Quick Start Guide](/Guides/Introduction/vr-quick-start-guide) describes the normal startup workflow.
### Does it require special ports?
No special inbound ports or local network services are required for a standard setup. The simulator needs internet access for login authentication and related application communication. If your institution needs domain, firewall, or security questionnaire details, request them from [sales@vitasim.dk](mailto:sales@vitasim.dk).
### Do we need a local server?
No. A local server is not required. X-ray Simulator runs on the local workstation or VR PC.
### Does VitaSim hold PID or personal data?
The simulator is designed to avoid storing personally identifiable student data. Institutions commonly use [X-ray Simulator accounts issued by VitaSim](/Guides/Introduction/accounts-and-login#x-ray-simulator-accounts) instead of individual student identity accounts. Review the [Technical and Security FAQ](/Tech/technical-and-security-FAQ) for the current data handling and logging description.
### Does X-ray Simulator process payments?
No. The simulator application does not process payments. Procurement, invoicing, and payment are handled outside the simulator through VitaSim sales and finance workflows.
### Does it store or process healthcare information?
No. X-ray Simulator is educational simulation software and is not used for clinical diagnosis or patient care. It does not require patient health information to operate. Hospitals or clinical institutions that need formal healthcare information or security review responses should contact [sales@vitasim.dk](mailto:sales@vitasim.dk).
## Recommended approval path
1. Confirm whether your institution is approving the Desktop X-ray Simulator, the VR X-ray Simulator, or both.
2. Review the relevant hardware requirements inline above.
3. If the software will be deployed to managed Windows devices, review the [MDM deployment instructions](/Tech/mdm-deployment-instructions).
4. Review data handling and authentication in the [Technical and Security FAQ](/Tech/technical-and-security-FAQ).
5. Contact [sales@vitasim.dk](mailto:sales@vitasim.dk) if you need formal review documents or questionnaire responses.
## Common review links
Security, authentication, data handling, hosting, and integration questions.
Silent install and uninstall guidance for managed Windows deployments.
Minimum and recommended requirements for the Desktop X-ray Simulator.
Minimum and recommended PC requirements for the VR X-ray Simulator.
Meta Quest Link hardware compatibility information.
Account types involved in running and supporting X-ray Simulator.
## Security or deployment questions?
If your institution needs a security questionnaire, formal review document, or an answer not covered by the linked pages, [request review documents from sales](mailto:sales@vitasim.dk).
# Vendor and Legal Review
Source: https://support.xraysim.com/Procurement/Vendor approval
Public vendor overview and document request guidance for legal, compliance, vendor management, and procurement teams reviewing VitaSim and X-ray Simulator.
This page is for legal, compliance, vendor management, and procurement teams reviewing VitaSim or X-ray Simulator before institutional approval.
Use this page to identify whether your institution can complete vendor review from public information, or whether you need documents from VitaSim. For questionnaires, wire transfer details, tax/vendor forms, sole source information, terms of service, or insurance information, contact [sales@vitasim.dk](mailto:sales@vitasim.dk).
## Vendor overview
| Item | Details |
| ------------------- | ---------------------------------------------------------------------------------- |
| Vendor | VitaSim |
| Product | X-ray Simulator |
| Product category | Educational simulation software for radiography and radiologic technology training |
| Support site | [support.xraysim.com](https://support.xraysim.com) |
| Product website | [vitasim.dk/x-ray](https://www.vitasim.dk/x-ray) |
| Procurement contact | [sales@vitasim.dk](mailto:sales@vitasim.dk) |
## Common review requests
Most legal and vendor management reviews fall into one of these paths:
* If you need general product and support information, review the [product description and demo](/Guides/Introduction/understanding-the-X-ray-Simulator) and the [support options](/Support/support).
* If you need security, data handling, authentication, or hosting information, review the [Technical and Security FAQ](/Tech/technical-and-security-FAQ).
* If you need a questionnaire response or institution-specific document, email [sales@vitasim.dk](mailto:sales@vitasim.dk) with the form or request.
## Public review information
* X-ray Simulator is locally installed educational simulation software.
* The product is not intended for clinical diagnosis or patient care.
* Software access is licensed through VitaSim.
* Technical deployment and security information is available in the linked support documentation.
## Documents available on request
Some procurement and legal documents are institution-specific and are not published directly on the support site. Contact [sales@vitasim.dk](mailto:sales@vitasim.dk) to request:
* Questionnaire responses
* Bank details for wire transfer
* W-8BEN-E or other required vendor tax forms
* Sole source information
* Terms of service
* Insurance information
* Privacy or data processing information
* Institution-specific procurement forms
For US institutions, W-8BEN-E is commonly used for non-US business entities. Your finance or vendor management team should confirm the exact form they require.
Email `sales@vitasim.dk` with the questionnaire, vendor form, or document request from your institution.
## Supporting documentation
Security, data handling, authentication, hosting, and integration overview.
Product purpose and high-level demonstration material.
Support contact options for current and prospective customers.
# Bony Ribs Simulation
Source: https://support.xraysim.com/Simulation-Catalog/axial-skeleton/bony-ribs
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the bony ribs simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ---------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP, PA, AP unilateral, posterior axillary, and anterior axillary rib views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Thoracic vertebrae, scapulae, clavicles, ribs 1-10, sternum, upper lumbar spine, and lower cervical spine. |
| **What setup is used?** | Wall bucky workflow. |
| **What movement is included?** | The rib phantom does not feature joint mobility, but it can be picked up and repositioned. |
| **What bone variations exist?** | Healthy bone version. |
| **Known limitation** | Low trabecular bone detail and no inspiration or expiration simulation. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Bony Ribs positioning]()
![Bony Ribs bone model examples]()
![Example exposure from the Bony Ribs simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector is set up for use with wall bucky. |
| Simulated exposures | Confirmed support for AP, PA, AP unilateral, posterior axillary, and anterior axillary views. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | -------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Thoracic vertebrae, scapulae, clavicles, ribs 1-10 bilateral, sternum, upper lumbar spine, and lower cervical spine. |
| Joint mobility | The rib phantom does not feature joint mobility, but it can be freely picked up and repositioned as needed. |
## Bone variations
* Healthy bone version
## Known limitations
The rib anatomy has a low presence of trabecular bone structure, which limits radiographic realism. The simulation does not include lung inspiration or expiration, so it cannot replicate thoracic imaging under dynamic respiratory conditions.
# C-spine Simulation
Source: https://support.xraysim.com/Simulation-Catalog/axial-skeleton/c-spine
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the cervical spine simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | -------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP, AP axial, oblique, and lateral cervical spine projections. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Cranium, cervical spine, thoracic vertebrae, scapulae, clavicles, ribs 1-10, sternum, and upper lumbar spine. |
| **What setup is used?** | Wall bucky workflow with an erect patient position. |
| **What movement is included?** | Head flexion, extension, and rotation; neck bending, tilting, and rotation; jaw opening and closing; and patient axial rotation. |
| **What bone variations exist?** | Healthy bone version. |
| **Known limitation** | Erect positioning only. Prone cervical spine projections are not supported. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for C-spine positioning]()
![C-spine bone model examples]()
![Example exposure from the C-spine simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector setup uses wall bucky. |
| Simulated exposures | Confirmed support for AP, AP axial, oblique, and lateral cervical spine projections. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Cranium, cervical spine, thoracic vertebrae, scapulae, clavicles, ribs 1-10 bilateral, sternum, and upper lumbar spine. |
| Joint mobility | Head flexion, extension, and rotation through the upper cervical joints. Neck bending, tilting, and rotation through the cervical spine. Jaw opening and closing through the temporomandibular joint. Patient axial rotation for in-plane adjustment. |
## Bone variations
* Healthy bone version
## Known limitations
The C-spine simulation is limited to erect patient positioning. This restricts projections that require prone positioning. For those workflows, refer to the skull simulation.
# L-spine Simulation
Source: https://support.xraysim.com/Simulation-Catalog/axial-skeleton/l-spine
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the lumbar spine simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ------------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP, L5-S1 lateral, oblique, and lateral lumbar spine projections. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Thoracic vertebrae, scapulae, ribs 1-10, sternum, lumbar spine, and pelvis. |
| **What setup is used?** | Table bucky workflow with recumbent positioning. |
| **What movement is included?** | Patient lateral rotation onto the right side for decubitus positioning, plus patient craniocaudal and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version. |
| **Known limitation** | Recumbent positioning only. Prone or erect lumbar spine projections are not supported, and vertebrae have low trabecular bone detail. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for L-spine positioning]()
![L-spine bone model examples]()
![Example exposure from the L-spine simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector is set up for use with the table bucky. |
| Simulated exposures | Confirmed support for AP, L5-S1 lateral, oblique, and lateral lumbar spine projections. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | ------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Thoracic vertebrae, scapulae, ribs 1-10 bilateral, sternum, lumbar spine, and pelvis. |
| Joint mobility | Patient lateral rotation onto the right side for decubitus positioning. Patient craniocaudal and mediolateral adjustment. |
## Bone variations
* Healthy bone version
## Known limitations
The L-spine simulation is limited to recumbent patient positioning. This restricts projections that require prone or erect positioning. The vertebrae also have a low presence of trabecular bone structures, which may limit radiographic realism when evaluating bone quality and internal architecture.
# Skull Simulation
Source: https://support.xraysim.com/Simulation-Catalog/axial-skeleton/skull
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the skull simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | Supine PA, lateral, and PA axial skull views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Cranium, upper cervical spine C1-C6, occipital condyles, frontal bone, parietal bones, temporal bones, occipital bone, sphenoid bone, and ethmoid bone. |
| **What setup is used?** | Free plating or table bucky workflow with the patient supine. |
| **What movement is included?** | Cranium flexion, extension, and rotation; jaw depression and elevation; and patient craniocaudal and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version. |
| **Known limitation** | Supine positioning only. Upright or prone skull projections are not supported. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Skull positioning]()
![Skull bone model examples]()
![Example exposure from the Skull simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector is set up for free plating or table bucky. |
| Simulated exposures | Confirmed support for supine PA, lateral, and PA axial views. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
| Included anatomy | Cranium, upper cervical spine C1-C6, occipital condyles, frontal bone, parietal bones, temporal bones, occipital bone, sphenoid bone, and ethmoid bone. |
| Joint mobility | Cranium flexion, extension, and left/right rotation through the atlanto-occipital and atlantoaxial joints. Jaw depression and elevation through the temporomandibular joint. Patient craniocaudal and mediolateral adjustment. |
## Bone variations
* Healthy bone version
## Known limitations
The skull simulation is limited to supine patient positioning. This restricts projections that require upright or prone positioning. For those workflows, refer to the C-spine simulation.
# T-spine Simulation
Source: https://support.xraysim.com/Simulation-Catalog/axial-skeleton/t-spine
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the thoracic spine simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | --------------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP and lateral thoracic spine projections. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Thoracic vertebrae, scapulae, ribs 1-10, sternum, lumbar spine, and pelvis. |
| **What setup is used?** | Table bucky workflow with recumbent positioning. |
| **What movement is included?** | Patient lateral rotation onto the right side for decubitus positioning, plus patient craniocaudal and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version. |
| **Known limitation** | Recumbent positioning only. Prone or erect thoracic spine projections are not supported, and vertebrae have low trabecular bone detail. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for T-spine positioning]()
![T-spine bone model examples]()
![Example exposure from the T-spine simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector is set up for use with the table bucky. |
| Simulated exposures | Confirmed support for AP and lateral thoracic spine projections. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | ------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Thoracic vertebrae, scapulae, ribs 1-10 bilateral, sternum, lumbar spine, and pelvis. |
| Joint mobility | Patient lateral rotation onto the right side for decubitus positioning. Patient craniocaudal and mediolateral adjustment. |
## Bone variations
* Healthy bone version
## Known limitations
The T-spine simulation is limited to recumbent patient positioning. This restricts projections that require prone or erect positioning. The vertebrae also have a low presence of trabecular bone structures, which may limit radiographic realism when evaluating bone quality and internal architecture.
# Browse by Region
Source: https://support.xraysim.com/Simulation-Catalog/browse-by-region
Compare the current X-ray Simulator modules by region.
Use this page to compare current simulations by region. Each row shows confirmed projection examples, setup and movement options, and the main limitation to be aware of before teaching or practicing the simulation.
Each module page gives the full detail: included anatomy, detector setup, confirmed views, patient and joint movement, bone variations, example exposure, and known limitations.
The projections listed here are confirmed examples. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
### Upper Extremity
| Simulation | Confirmed projections | Setup and movement | Main limitation |
| -------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------- | -------------------------------------------------------------------------- |
| [Shoulder](/Simulation-Catalog/upper-extremity/shoulder) | AP abducted, PA tangential, and apical shoulder views. Includes humerus, scapula, clavicle, partial upper ribs, upper thoracic spine, lower cervical spine, and proximal humerus fracture variation. | Wall bucky workflow. Shoulder internal and external rotation. Patient axial rotation plus anteroposterior and mediolateral adjustment. | Active scapular movement through arm extension or flexion is not included. |
| [Elbow](/Simulation-Catalog/upper-extremity/elbow) | PA, lateral, and oblique elbow views. Includes humerus, radius, ulna, distal humerus fracture, radial head fracture, and ulnar olecranon fracture variations. | Free-plating workflow. Shoulder rotation, elbow flexion and extension, and patient anteroposterior and mediolateral adjustment. | Forearm supination and pronation are not included. |
| [Wrist](/Simulation-Catalog/upper-extremity/wrist) | PA, lateral, and oblique wrist views. Includes radius, ulna, carpal bones, metacarpals, phalanges, Colles fracture, and volar locking plate variation. | Free-plating workflow for seated patient. Forearm pronation and supination, wrist flexion, extension, adduction, and abduction. | Positioning pillows are not provided. |
### Lower Extremity
| Simulation | Confirmed projections | Setup and movement | Main limitation |
| -------------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------- |
| [Hip and Pelvic](/Simulation-Catalog/lower-extremity/hip-and-pelvic) | AP, lateral, and axial hip or pelvis work. Includes ilium, ischium, pubis, sacrum, coccyx, L3-L5, both femurs, collum femoris fracture, ossis pubis fracture, and standing healthy-bone variation. | Wall bucky, table bucky, and tabletop detector workflows. Internal and external femur rotation on both legs plus craniocaudal and mediolateral patient adjustment. | No known limitations currently listed. |
| [Tibia and Fibula](/Simulation-Catalog/lower-extremity/tibia-fibula) | AP and lateral Tibia/Fibula views. Includes knee, tibia/fibula, and foot-region anatomy. | Free-plating workflow with the patient supine on the table. Left hip pronation/supination and full X/Y patient repositioning on the bed. | Confirmed projection coverage is AP and lateral. Other lower-leg projections are not currently listed as confirmed views. |
| [Knee](/Simulation-Catalog/lower-extremity/knee) | AP and cross-table lateral knee views. Includes tibia, fibula, femur, patella, and osteoarthrosis variation. | Free plating and mobile detector cart workflow. Hip internal and external rotation, leg adduction and abduction, and patient craniocaudal and mediolateral adjustment. | Patient remains supine. Standing and side-lying lateral knee positioning are not included; lateral imaging is cross-table only. |
| [Ankle](/Simulation-Catalog/lower-extremity/ankle) | AP, oblique, and lateral ankle views. Includes tibia, fibula, tarsals, metatarsals, phalanges, lateral malleolus fracture, and medial malleolus fracture variations. | Free-plating workflow with supine patient. Foot plantarflexion and dorsiflexion, hip internal and external rotation, and patient craniocaudal and mediolateral adjustment. | Internal ankle rotation is limited, which may affect views requiring medial rotation. |
| [Foot](/Simulation-Catalog/lower-extremity/foot) | AP, oblique, and lateral foot views. Includes tibia, fibula, tarsals, metatarsals, phalanges, and 5th metatarsal avulsion fracture variation. | Free-plating workflow with recumbent patient. Foot plantarflexion and dorsiflexion for lateral body position, hip rotation for lateral body position, and patient craniocaudal and mediolateral adjustment. | No known limitations currently listed. |
### Axial Skeleton
| Simulation | Confirmed projections | Setup and movement | Main limitation |
| --------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------- |
| [Bony Ribs](/Simulation-Catalog/axial-skeleton/bony-ribs) | AP, PA, AP unilateral, posterior axillary, and anterior axillary rib views. Includes thoracic vertebrae, scapulae, clavicles, ribs 1-10, sternum, upper lumbar spine, and lower cervical spine. | Wall bucky workflow. Rib phantom can be picked up and repositioned. | No joint mobility. Low trabecular bone detail and no inspiration or expiration simulation. |
| [Skull](/Simulation-Catalog/axial-skeleton/skull) | Supine PA, lateral, and PA axial skull views. Includes cranium, upper cervical spine C1-C6, occipital condyles, and cranial bones. | Free plating or table bucky. Cranium flexion, extension, and rotation; jaw depression and elevation; patient craniocaudal and mediolateral adjustment. | Supine positioning only. Upright or prone skull projections are not supported. |
| [C-spine](/Simulation-Catalog/axial-skeleton/c-spine) | AP, AP axial, oblique, and lateral cervical spine projections. Includes cranium, cervical spine, thoracic vertebrae, scapulae, clavicles, ribs 1-10, sternum, and upper lumbar spine. | Wall bucky workflow. Head flexion, extension, and rotation; neck bending, tilting, and rotation; jaw opening and closing; patient axial rotation. | Erect positioning only. Prone cervical spine projections are not supported. |
| [L-spine](/Simulation-Catalog/axial-skeleton/l-spine) | AP, L5-S1 lateral, oblique, and lateral lumbar spine projections. Includes thoracic vertebrae, scapulae, ribs 1-10, sternum, lumbar spine, and pelvis. | Table bucky workflow. Patient lateral rotation onto the right side for decubitus positioning plus craniocaudal and mediolateral adjustment. | Recumbent positioning only. Prone or erect lumbar spine projections are not supported. Vertebrae have low trabecular bone detail. |
| [T-spine](/Simulation-Catalog/axial-skeleton/t-spine) | AP and lateral thoracic spine projections. Includes thoracic vertebrae, scapulae, ribs 1-10, sternum, lumbar spine, and pelvis. | Table bucky workflow. Patient lateral rotation onto the right side for decubitus positioning plus craniocaudal and mediolateral adjustment. | Recumbent positioning only. Prone or erect thoracic spine projections are not supported. Vertebrae have low trabecular bone detail. |
## What each module page includes
* Simulator preview, bone model examples, and example exposure
* Detailed anatomy list
* Detector method
* Confirmed simulated exposures
* Joint and patient mobility
* Bone variations
* Known limitations
# Global Capabilities
Source: https://support.xraysim.com/Simulation-Catalog/capabilities
Current simulator-wide capabilities for the X-ray Simulator.
Use this page to check current simulator-wide functions. These are shared room, patient, control room, image review, and exposure-response capabilities.
For details that vary by anatomy, use the region and module pages.
Most capabilities on this page are shared across the simulator. Individual anatomy modules may have different patient positions, joint movement, detector methods, and known limitations.
Check anatomy, confirmed projections, patient movement, bone variations, and known limitations for each simulation.
## Patient and anatomy
| Capability | What to expect |
| --------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Exam choice | Students can choose exams by anatomical region and case type, such as a healthy pelvis case or a fracture case when that module includes one. |
| Multiple projections | The simulator supports more than 60 standard projections across included exams. Students can also attempt additional projections because the simulator is interactive rather than a fixed image library. |
| Patient positioning | Each simulation has specific preconfigured patient positions, such as erect, supine, prone, or seated, with rotation options from AP toward lateral where the procedure supports it. |
| In-plane patient adjustment | Patient positioning can include forward and backward movement within the plane to support alignment. |
| Joint mobility | Each simulation includes its own set of moveable joints so students can adjust and position the patient where supported. |
| Anatomy and bones | Patients use either high-quality bones with trabecular structures and landmarks or simplified bones with clear landmarks. Both support radiography positioning training. |
| Bone pathology and cases | All simulations include a healthy patient case. Some simulations also include trauma or pathological cases when relevant to the exam approach. |
## X-ray suite
### X-ray tube
| Capability | What to expect |
| --------------------------- | --------------------------------------------------------------------------------------------------------------------------------------- |
| Full tube movement | The tube can move in X, Y, and Z planes, and can tilt and rotate in single-degree intervals. |
| Tube detent | The tube can detent into position at the wall bucky or radiographic table along vertical and horizontal axes. |
| Collimation | Collimation is adjustable, with collimation size estimates shown on the tube display based on tube-to-detector distance and beam angle. |
| Source-image distance (SID) | The tube automatically measures and displays source-image distance on the tube digital display. |
### Radiographic table and wall bucky
| Capability | What to expect |
| ----------------------- | ---------------------------------------------------------------------------------------------------------------------- |
| Partial table control | The radiographic table includes vertical movement controls for select cases where table movement supports positioning. |
| Full table control | The simulated X-ray suite includes a height-adjustable floating tabletop. |
| Interactive table bucky | The simulated X-ray suite includes a sliding table bucky. |
| Interactive wall bucky | The simulated X-ray suite includes a height-adjustable wall bucky. |
### Imaging receptor
| Capability | What to expect |
| ------------------------- | ------------------------------------------------------------------------------------------------------------------ |
| Dedicated detector plates | Select detector plates are included for specific imaging simulations, including 17 x 17 in and 14 x 17 in formats. |
| Left and right markers | Interactive L and R markers can be placed on the receptor plate or wall bucky. |
## Control room and image review
| Capability | What to expect |
| ---------------------------- | ------------------------------------------------------------------------------------------------------------------ |
| Adjust technical factors | Students can adjust kVp and mAs to observe how technical-factor changes affect exposure outcomes. |
| Bone visualization | The control room includes a skin-overlay toggle so students can focus on positioning the bones directly. |
| Raw and digital image modes | Users can review either the raw simulator image or a processed digital image. |
| Exposure index values | Digital images can show EI, target EI, and DI values for exposure discussion. |
| Image review tools | Digital image review includes histogram, window width, and window level tools where supported by the installation. |
| Simple image post-processing | Images can be rotated 90 degrees clockwise or counterclockwise. |
## Exposure response
| Capability | What to expect |
| ------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Raw image response | The image shows raw response changes based on kVp and mAs so students can see how technical factors affect image quality. |
| Digital image response | Digital images provide a processed review experience closer to digital radiography workflows. |
| Realistic bone details | Depending on the selected exam, exposure response can reflect bony landmarks plus trabecular, marrow, and cortical bone structure. |
| Central ray alignment | Exposure output reflects central ray alignment. Large and small errors in tube angulation, tube positioning, or patient positioning are visible in the image. |
| Responds correctly to kVp | Exposure response changes with kVp, allowing optimal, overexposed, and underexposed images. Response depends on the image method. |
| Responds correctly to mAs | Exposure response changes with mAs, allowing optimal, low-density, and high-density images. Response depends on the image method. |
## Notes for planning
Always check the relevant simulation module before finalizing a teaching plan. Patient position, joint movement, detector setup, and anatomy vary by region.
# Ankle Simulation
Source: https://support.xraysim.com/Simulation-Catalog/lower-extremity/ankle
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the ankle simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP, oblique, and lateral ankle views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Tibia, fibula, tarsal bones, metatarsal bones, and phalanges. |
| **What setup is used?** | Free-plating workflow with the patient supine on the table. |
| **What movement is included?** | Foot plantarflexion and dorsiflexion, hip internal and external rotation, and patient craniocaudal and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version, lateral malleolus fracture version, and medial malleolus fracture version. |
| **Known limitation** | Internal ankle rotation is limited, which may affect views requiring medial rotation. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Ankle positioning]()
![Ankle bone model examples]()
![Example exposure from the Ankle simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------ |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector is set up for free plating because the patient is supine on the table. |
| Simulated exposures | Confirmed support for AP, oblique, and lateral views. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | --------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Tibia, fibula, tarsal bones, metatarsal bones, and phalanges. |
| Joint mobility | Foot plantarflexion and dorsiflexion. Hip internal and external rotation. Patient craniocaudal and mediolateral adjustment. |
## Bone variations
* Healthy bone version
* Pathological version featuring a lateral malleolus fracture
* Pathological version featuring a medial malleolus fracture
## Known limitations
The ankle joint lacks sufficient internal rotation to accurately simulate certain projections. This may affect positioning for views that require medial rotation.
# Foot Simulation
Source: https://support.xraysim.com/Simulation-Catalog/lower-extremity/foot
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the foot simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP, oblique, and lateral foot views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Tibia, fibula, tarsal bones, metatarsal bones, and phalanges. |
| **What setup is used?** | Free-plating workflow with the patient recumbent on the table. |
| **What movement is included?** | Foot plantarflexion and dorsiflexion for lateral body position, hip internal and external rotation for lateral body position, and patient craniocaudal and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version and 5th metatarsal avulsion fracture version. |
| **Known limitation** | No known limitations are currently listed for this simulation. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Foot positioning]()
![Foot bone model examples]()
![Example exposure from the Foot simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------ |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector is set up for free plating because the patient is recumbent on the table. |
| Simulated exposures | Confirmed support for AP, oblique, and lateral views. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Tibia, fibula, tarsal bones, metatarsal bones, and phalanges. |
| Joint mobility | Foot plantarflexion and dorsiflexion for lateral body position. Hip internal and external rotation for lateral body position. Patient craniocaudal and mediolateral adjustment. |
## Bone variations
* Healthy bone version
* Pathological version featuring a 5th metatarsal avulsion fracture
## Known limitations
No known limitations are currently listed for this simulation.
# Hip and Pelvic Simulation
Source: https://support.xraysim.com/Simulation-Catalog/lower-extremity/hip-and-pelvic
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the hip and pelvic simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ---------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP, lateral, and axial hip or pelvis work. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Ilium, ischium, pubis, sacrum, coccyx, L3-L5, right femur, and left femur. |
| **What setup is used?** | Wall bucky, table bucky, and tabletop detector workflows. |
| **What movement is included?** | Internal and external femur rotation at both hips, plus patient craniocaudal and mediolateral adjustment. |
| **What bone variations exist?** | Supine healthy bones, supine collum femoris fracture, supine ossis pubis fracture, and standing healthy bones. |
| **Known limitation** | No known limitations are currently listed for this simulation. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Hip and Pelvic positioning]()
![Hip and Pelvic bone model examples]()
![Example exposure from the Hip and Pelvic simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The tube locks and detents to the wall and table bucky, enabling standard bucky tray operation. The detector can be used with both bucky and tabletop positioning. |
| Simulated exposures | Confirmed support for AP, lateral, and axial views. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | ---------------------------------------------------------------------------------------------------- |
| Included anatomy | Ilium, ischium, pubis, sacrum, coccyx, L3, L4, L5, right femur, and left femur. |
| Joint mobility | Internal and external femur rotation at both hips. Patient craniocaudal and mediolateral adjustment. |
## Bone variations
* Supine with healthy bones
* Supine with a collum femoris fracture
* Supine with an ossis pubis fracture
* Standing with healthy bones
## Known limitations
No known limitations are currently listed for this simulation.
# Knee Simulation
Source: https://support.xraysim.com/Simulation-Catalog/lower-extremity/knee
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the knee simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP and cross-table lateral knee views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Tibia, fibula, femur, and patella. |
| **What setup is used?** | Free plating and mobile detector cart workflow with the patient supine. |
| **What movement is included?** | Hip internal and external rotation, leg adduction and abduction, and patient craniocaudal and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version and osteoarthrosis version. |
| **Known limitation** | The patient remains supine. Standing and side-lying lateral knee positioning are not included; lateral imaging is cross-table only. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Knee positioning]()
![Knee bone model examples]()
![Example exposure from the Knee simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------- |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector is set up for free plating and use with a mobile detector cart. The patient is set up for a cross-table lateral projection. |
| Simulated exposures | Confirmed support for AP and cross-table lateral views. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | ------------------------------------------------------------------------------------------------------------------ |
| Included anatomy | Tibia, fibula, femur, and patella. |
| Joint mobility | Hip internal and external rotation. Leg adduction and abduction. Patient craniocaudal and mediolateral adjustment. |
## Bone variations
* Healthy bone version
* Pathological version featuring osteoarthrosis
## Known limitations
The patient remains supine and cannot be positioned standing. For lateral knee imaging, only a cross-table projection is currently possible because the patient cannot be rotated onto their side.
# Tibia and Fibula Simulation
Source: https://support.xraysim.com/Simulation-Catalog/lower-extremity/tibia-fibula
Quick reference for supported Tibia and Fibula views, included anatomy, setup, and current limitations.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP and lateral Tibia/Fibula views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Anatomy from the knee, tibia/fibula, and foot regions is available, including femur, patella, tibia, fibula, tarsal bones, metatarsal bones, and phalanges. |
| **What setup is used?** | Free-plating workflow with the patient supine on the table. |
| **What movement is included?** | Left hip pronation/supination and full X/Y patient repositioning on the bed. |
| **What bone variations exist?** | Healthy bone version. |
| **Known limitation** | Confirmed projection coverage is AP and lateral. Other lower-leg projections are not currently listed as confirmed views. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Tibia and Fibula positioning]()
![Tibia and Fibula bone model examples]()
![Example exposure from the Tibia and Fibula simulation]()
## Imaging capabilities
| Capability | Details |
| --------------------- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector is set up for free plating with the patient supine on the table. |
| Confirmed projections | Confirmed examples include AP and lateral Tibia/Fibula views. They do not define the full limit of what can be attempted. Other projections may be possible when the simulated setup supports them. |
## Anatomy and movement
| Area | Details |
| ---------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Anatomy from the knee, tibia/fibula, and foot regions is available, including femur, patella, tibia, fibula, tarsal bones, metatarsal bones, and phalanges. |
| Joint mobility | Left hip pronation and supination are available. The patient can also be repositioned across the bed in the X and Y axes. |
## Bone variations
* Healthy bone version
## Known limitations
Confirmed projection coverage for this module is AP and lateral. Range of motion is limited to left hip pronation/supination and X/Y patient repositioning on the bed.
# Simulation Catalog
Source: https://support.xraysim.com/Simulation-Catalog/overview
Current X-ray Simulator catalog, organized by anatomy region, imaging setup, supported views, and known limitations.
Use this catalog to see which anatomy, detector methods, simulated projections, bone variations, and limitations are currently represented in the X-ray Simulator.
The catalog is intended for educational planning and positioning practice. Example exposures demonstrate available anatomy only; they are not diagnostic-quality images, ideal positioning standards, or guaranteed imaging outcomes.
## Browse by region
Wall bucky shoulder workflow with humerus, scapula, clavicle, shoulder rotation, and proximal humerus fracture variation.
Free-plating elbow workflow with humerus, radius, ulna, elbow flexion, and multiple fracture variations.
Free-plating wrist workflow with forearm and hand anatomy, wrist mobility, Colles fracture, and volar plate variation.
Table, wall bucky, and tabletop hip and pelvis workflow with supine and standing healthy-bone scenarios.
Supine free-plating lower-leg workflow with AP and lateral Tibia/Fibula support.
Supine knee workflow with free plating, mobile detector cart, AP and cross-table lateral support.
Supine ankle workflow with AP, oblique, and lateral projections plus malleolus fracture variations.
Recumbent foot workflow with AP, oblique, and lateral support plus a 5th metatarsal avulsion fracture variation.
Wall bucky rib phantom workflow with AP, PA, unilateral, posterior axillary, and anterior axillary projections.
Supine skull workflow with free plating or table bucky, cranial mobility, jaw movement, and upper cervical anatomy.
Erect cervical spine workflow with wall bucky support, head and neck movement, and AP, AP axial, oblique, and lateral projections.
Recumbent lumbar spine workflow with table bucky support, decubitus positioning, and low-trabecular-bone limitation notes.
Recumbent thoracic spine workflow with table bucky support, AP and lateral projections, and low-trabecular-bone limitation notes.
## Catalog scope
Each module page follows the same structure:
* Preview and example exposure
* Radiographic tube functionality
* Detector method
* Confirmed simulated exposures
* Included anatomy
* Joint mobility
* Bone variations
* Known limitations
For support, bug reports, or suggested improvements, use the support contact listed in the documentation site.
# Elbow Simulation
Source: https://support.xraysim.com/Simulation-Catalog/upper-extremity/elbow
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the elbow simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ------------------------------------------------------------------------------------------------------------------------------ |
| **Which projections are confirmed?** | PA, lateral, and oblique elbow views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Humerus, radius, and ulna. |
| **What setup is used?** | Free-plating workflow. |
| **What movement is included?** | Shoulder internal and external rotation, elbow flexion and extension, and patient anteroposterior and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version, distal humerus fracture, radial head fracture, and ulnar olecranon fracture. |
| **Known limitation** | Forearm supination and pronation are not included. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Elbow positioning]()
![Elbow bone model examples]()
![Example exposure from the Elbow simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------ |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector setup uses free plating. |
| Simulated exposures | Confirmed support for PA, lateral, and oblique elbow views. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | -------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Humerus, radius, and ulna. |
| Joint mobility | Shoulder internal and external rotation. Elbow flexion and extension. Patient anteroposterior and mediolateral adjustment. |
## Bone variations
* Healthy bone version
* Distal humerus fracture
* Radial head fracture
* Ulnar olecranon fracture
## Known limitations
The forearm cannot supinate or pronate, which limits how accurately some elbow exposures can be simulated.
# Shoulder Simulation
Source: https://support.xraysim.com/Simulation-Catalog/upper-extremity/shoulder
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the shoulder simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | AP abducted, PA tangential, and apical shoulder views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Humerus, scapula, clavicle, partial ribs 1-6, upper thoracic spine, and lower cervical spine. |
| **What setup is used?** | Wall bucky workflow. |
| **What movement is included?** | Shoulder internal and external rotation, patient axial rotation, anteroposterior adjustment, and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version and proximal humerus fracture version. |
| **Known limitation** | Active scapular movement through arm extension or flexion is not included. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Shoulder positioning]()
![Shoulder bone model examples]()
![Example exposure from the Shoulder simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------- |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The tube locks and detents to the wall bucky, enabling standard bucky tray operation. |
| Simulated exposures | Confirmed support for AP abducted, PA tangential, and apical views. Additional views may be possible depending on joint mobility and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | --------------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Primary bones: humerus, scapula, clavicle. Adjacent structures: ribs 1-6 partial, upper thoracic spine, and lower cervical spine. |
| Joint mobility | Patient axial rotation, anteroposterior adjustment, and mediolateral adjustment. Shoulder internal and external rotation. |
## Bone variations
* Healthy bone version
* Pathological version featuring a proximal humerus fracture
## Known limitations
The patient can rotate the shoulder joint, but arm movement that would reposition the scapula backward or forward is not yet supported. Standard internal and external rotation is simulated, but active scapular motion through arm extension or flexion is not included in this version.
# Wrist Simulation
Source: https://support.xraysim.com/Simulation-Catalog/upper-extremity/wrist
Available anatomy, detector setup, simulated views, bone variations, and known limitations for the wrist simulation module.
## Quick reference
| Question | What to expect |
| ------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | PA, lateral, and oblique wrist views. |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them. |
| **What anatomy is included?** | Radius, ulna, carpal bones, metacarpals, and phalanges. |
| **What setup is used?** | Free-plating workflow for a seated patient. |
| **What movement is included?** | Shoulder rotation, lateral and medial elevation, elbow flexion and extension, forearm pronation and supination, wrist flexion, extension, adduction, and abduction, plus patient anteroposterior and mediolateral adjustment. |
| **What bone variations exist?** | Healthy bone version, Colles fracture version, and volar locking plate version. |
| **Known limitation** | Positioning pillows are not provided. |
The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
## Visual examples
![Simulator setup preview for Wrist positioning]()
![Wrist bone model examples]()
![Example exposure from the Wrist simulation]()
## Imaging capabilities
| Capability | Details |
| ------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------ |
| Radiographic tube | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable. |
| Detector methods | The detector setup uses free plating because the seated patient cannot be positioned for a bucky. |
| Simulated exposures | Confirmed support for PA, lateral, and oblique wrist views. Additional views may be possible depending on patient range of motion and available bones. |
## Anatomy and movement
| Area | Details |
| ---------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Forearm: radius and ulna. Hand: carpal bones, metacarpals, and phalanges. |
| Joint mobility | Shoulder internal and external rotation plus lateral and medial elevation. Elbow flexion and extension. Forearm pronation and supination. Wrist flexion, extension, adduction, and abduction. Patient anteroposterior and mediolateral adjustment. |
## Bone variations
* Healthy bone version
* Pathological version featuring a Colles fracture
* Post-operative case featuring a volar locking plate
## Known limitations
The wrist simulation does not provide positioning pillows.
# Restore a missing app icon
Source: https://support.xraysim.com/Support/restore-missing-app-icon
Download the official Desktop or VR X-ray Simulator icon and restore it to a Windows desktop shortcut.
If the X-ray Simulator desktop shortcut shows a blank or generic icon, download the official icon for your simulator and apply it to the shortcut.
## Download the correct icon
* [Download the Desktop X-ray Simulator icon](/Assets/app-icons/desktop-x-ray-simulator.ico)
* [Download the VR X-ray Simulator icon](/Assets/app-icons/vr-x-ray-simulator.ico)
Save the `.ico` file somewhere permanent on the PC. Windows needs the file to remain in the same location to keep displaying the icon.
## Apply the icon to the shortcut
1. Right-click the X-ray Simulator shortcut on the Windows desktop and select **Properties**.
2. Open the **Shortcut** tab and select **Change Icon**.
3. Select **Browse**, choose the downloaded `.ico` file, and select **Open**.
4. Select **OK**, then **Apply**.
If the X-ray Simulator shortcut itself is missing, or the icon does not return after these steps, [contact VitaSim support](/Support/support).
# Support options
Source: https://support.xraysim.com/Support/support
How can we help today?
Choose the support option that matches your region or question.
Tel: +31 97 010207649
**Phone hours: 08:00 AM till 05:00 PM(UCT +2)**
Tel: +1 (315) 903-7199
**Phone hours are 08:00 AM till 12:00 PM CDT (UTC -5)**
mailto: [support@vitasim.dk](mailto:support@vitasim.dk)
# Desktop X-ray Simulator Setup
Source: https://support.xraysim.com/Tech/Setup-and-installation-guides/Desktop-X-ray-Simulator-Setup
This guide will walk you through setting up your Desktop X-ray Simulator, preparing your PC or workstation with the necessary software and getting started.
### Setup and Installation
[Click here to check the hardware requirements for running the Desktop X-ray Simulator.](/Tech/minimum-requirements-for-running-the-desktop-xray-simulator)
Download the appropriate platform installer from [the download page.](/Download/download)
Run the installation file (or drag the .dmg file if on Mac OS).
NOTICE for IT admins: The Desktop X-Ray Simulator support multi-user PC/workstation installation using MDM systems, like InTune. See the [MDM setup guide](/Tech/mdm-deployment-instructions) for details on running silent installs using command line arguments.
Locate the application on your computer and open it. You will be prompted to log in with your X-ray Simulator account. If you do not have account credentials, reach out to your institution's X-ray Simulator coordinator or review [Accounts and Login](/Guides/Introduction/accounts-and-login).
## Troubleshooting
If the Windows desktop shortcut shows a blank or generic icon, follow [Restore a missing app icon](/Support/restore-missing-app-icon) to download and apply the official Desktop X-ray Simulator icon.
# VR Equipment installation and configuration
Source: https://support.xraysim.com/Tech/Setup-and-installation-guides/VR-X-ray-Simulator-Setup
This guide will walk you through setting up your VR headset, preparing your PC or workstation with the necessary software, and connecting the headset to launch the application.
Skip this guide if you purchased your VR headset and PC through VitaSim, as we have pre-installed and set up your PC and headset for immediate use - unless otherwise arranged with your dedicated customer success manager.
## Introduction
Running the VR X-ray Simulator requires a **Meta Quest VR headset** and a **VR Ready PC or Laptop**.
When the equipment have been acquired, follow the below steps to setup your equipment.
Read more about the right equipment to purchase in the purchasing example
for a [Stationary VR station](/Guides/purchasing/example-of-stationary) and a [Portable VR station](/Guides/purchasing/example-of-portable)
## Setup your Meta Quest VR headset
Create a Meta account on the [official Meta website](https://auth.meta.com)
Download the Meta app to your phone from the [Android app store](https://play.google.com/store/apps/details?id=com.oculus.twilight\&hl=en) or the [Apple app store](https://apps.apple.com/us/app/meta-quest/id1366478176)
Turn on the VR headset, mount it on your head and follow the setup instructions in the display. Keep your phone close, as there will be
steps to perform on the phone.
## Setup your PC or workstation
You'll need two pieces of software to run the VR X-Ray Simulator. The VR **X-Ray Simulator** to run the simulation on
the pc/workstation and the **Meta Quest Link application** to connects the PC/workstation to the VR headset to display the simulation and get input from the controllers.
### Prerequisites before setup
* You need [hardware admin](https://support.microsoft.com/en-gb/office/check-if-you-have-local-admin-rights-to-install-office-edc2f78a-e6b7-4041-917b-8136afb0a654) access rights on the PC/workstation before you can download and install the software.
* You will need your [Meta account](https://auth.meta.com).
NOTICE for IT admins: The VR X-Ray Simulator support multi-user PC/workstation installation using MDM systems, like InTune.
See the [MDM setup guide](/Tech/mdm-deployment-instructions) for details on running silent installs using command line arguments.
### When you meet the Prerequisites follow these steps
The VR X-Ray Simulator is available for download on the Download page. \
Choose the newest version in your language.
During the download and installation process, your browser or PC may alert you about "uncertified software." To proceed, click on "Advanced" or "Read more," then accept the risk to continue with the installation.
Meta provides a companion application for its VR headsets that enables the VR headset to connect to your PC/workstation and display the VR X-Ray Simulator in the VR headset.
[Download Meta Quest Link here.](https://www.meta.com/en-gb/help/quest/articles/headsets-and-accessories/oculus-rift-s/install-app-for-link/)
Follow the setup and installation instructions. Login with your Meta account when prompted.
Open Meta Quest Link, go to **Settings** > **General**, enable **“Unknown Sources”** and ensure that **“OpenXR Runtime”** is set to **”Set Meta Quest Link as act...”**
## Troubleshooting
If the Windows desktop shortcut shows a blank or generic icon, follow [Restore a missing app icon](/Support/restore-missing-app-icon) to download and apply the official VR X-ray Simulator icon.
# How to Setup Meta Quest Link
Source: https://support.xraysim.com/Tech/how-to-setup-meta-quest-link
# MDM deployment installers (VR and Desktop)
Source: https://support.xraysim.com/Tech/mdm-deployment-instructions
Best practice for deploying the X-ray Simulator using Intune or other MDM systems
## Important information for IT departments
The Windows Desktop and Windows VR X-ray Simulator now include dedicated managed deployment packages for V. 1.10.1.
Use these packages when deploying through Microsoft Intune or another MDM system:
Windows Desktop X-ray Simulator V. 1.10.1
Windows Desktop X-ray Simulator V. 1.10.1
Windows VR X-ray Simulator V. 1.10.1
Windows VR X-ray Simulator V. 1.10.1
Use the `.intunewin` files for Microsoft Intune Win32 app deployments. Use the `.msi` files when your MDM platform supports MSI deployment directly.
The standard `.exe` installers on the [download page](/Download/download) are still intended for interactive installs on individual machines.
## Official silent install commands
### Desktop X-ray Simulator
```bash theme={null}
msiexec /i "DesktopX-raySimulator-MDM-1.10.1.msi" /qn /norestart /L*v "C:\Windows\Temp\DesktopXRaySimulator-MDM-1.10.1-install.log"
```
### VR X-ray Simulator
```bash theme={null}
msiexec /i "VRX-raySimulator-MDM-1.10.1.msi" /qn /norestart /L*v "C:\Windows\Temp\VRXRaySimulator-MDM-1.10.1-install.log"
```
This ensures:
* **Fully silent installation** with no user interaction.
* **No system reboot** after installation.
* **Verbose logging** for troubleshooting in `C:\Windows\Temp`.
### Installer behavior
The applications install by default to:
```bash theme={null}
C:\Program Files\VitaSim\ X-Ray Simulator\
```
`` varies with the Desktop or VR version.
* Installations should run in the device/system context.
* Installation must be run with **administrative privileges**.
* No license entry or additional configuration is required at install time.
### Microsoft Intune setup
For Microsoft Intune, upload the matching `.intunewin` file as a Windows app (Win32).
Recommended install commands:
```bash theme={null}
msiexec /i "DesktopX-raySimulator-MDM-1.10.1.msi" /qn /norestart /L*v "C:\Windows\Temp\DesktopXRaySimulator-MDM-1.10.1-install.log"
```
```bash theme={null}
msiexec /i "VRX-raySimulator-MDM-1.10.1.msi" /qn /norestart /L*v "C:\Windows\Temp\VRXRaySimulator-MDM-1.10.1-install.log"
```
Recommended app behavior:
* Install behavior: **System**
* Device restart behavior: **No specific action**
* Assignment: target the device group used for the relevant lab, classroom, or training station pool.
### Silent uninstallation (optional)
If a silent uninstall command is required, use the MSI uninstall command generated by your MDM platform. If you are uninstalling directly from a local MSI file, use:
```bash theme={null}
msiexec /x "DesktopX-raySimulator-MDM-1.10.1.msi" /qn /norestart /L*v "C:\Windows\Temp\DesktopXRaySimulator-MDM-1.10.1-uninstall.log"
```
```bash theme={null}
msiexec /x "VRX-raySimulator-MDM-1.10.1.msi" /qn /norestart /L*v "C:\Windows\Temp\VRXRaySimulator-MDM-1.10.1-uninstall.log"
```
### Detection rule suggestions
If your MDM solution requires a detection rule to verify successful installation, use MSI product detection when available.
File-based detection can also check for the relevant application executable.
Desktop:
```bash theme={null}
C:\Program Files\VitaSim\Desktop X-Ray Simulator\Desktop X-Ray Simulator.exe
```
VR:
```bash theme={null}
C:\Program Files\VitaSim\VR X-Ray Simulator\VR X-Ray Simulator.exe
```
## Notes
* Administrative rights are necessary for both installation and uninstallation.
* If needed, the install logs in `C:\Windows\Temp` can be reviewed to verify installation success or troubleshoot issues.
* If you are upgrading machines that already have an older `.exe` installation, test the upgrade path on a small device group before broad deployment.
# Minimum Requirements for Running the Desktop X-ray Simulator
Source: https://support.xraysim.com/Tech/minimum-requirements-for-running-the-desktop-xray-simulator
To ensure an optimal experience with the Desktop X-ray Simulator, your system must meet the following minimum and recommended requirements.
## **Windows**
### **Minimum & Recommended Requirements**
* **RAM:**
* Minimum: **8 GB (DDR3 or newer)**
* Recommended: **16 GB (DDR4 or newer)**
* **Operating System:**
* **Windows 10 or newer**
* **Processor (CPU):**
* **Intel CPU required**
* **Graphics (GPU):**
* Supported integrated graphics
* Intel Core Processors: **HD Graphics 520/530 or newer**
* Intel Pentium Processors: **HD Graphics 510 or newer**
* Dedicated Graphics (Recommended for Better Performance):
* Nvidia: **GTX 1050 series or newer**
* Intel: **Iris Xe MAX Graphics**
* AMD: **Not officially supported (may work)**
Any dedicated or internal GPU supporting **OpenGL 4.3** or **Vulkan 1.0** **or newer** may be compatible.\
See the full list of Intel GPU compatibility with OpenGL 4.3 and Vulkan 1.0 on the [Intel support page](https://www.intel.com/content/www/us/en/support/articles/000005524/graphics.html#primary-content).
***
## **Mac**
### **System Requirements**
* **RAM:**
* Minimum: **8 GB (DDR3 or newer)**
* Recommended: **16 GB (DDR4 or newer)**
* **Operating System:**
* **macOS Big Sur or newer**
* **Graphics (GPU):**
* **Apple Silicon (M-series chips required)**
Any dedicated or internal Intel GPU supporting **Vulkan 1.0** **or newer** may be compatible.
# Minimum Requirements for Running the VR X-ray Simulator
Source: https://support.xraysim.com/Tech/minimum-requirements-for-running-the-vr-xray-simulator
To ensure an optimal experience with the VitaSim VR X-ray Simulator, your system must meet the following minimum and recommended requirements.
These requirements are based on recommendations by META for running Meta Link. For the latest specs, please consult METAs official page [here.](https://www.meta.com/en-gb/help/quest/articles/headsets-and-accessories/oculus-link/requirements-quest-link/?srsltid=AfmBOopp-_K-pa4RlE9wkuWODc_nx2AlbqYjcW2r6l_rAM3EMrvQnIif)
# Minimum PC Requirements
To run the VR X-ray Simulator, your computer must meet or exceed these baseline specifications:
| Component | Minimum Specifications |
| -------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Processor** | Intel i5-4590 / AMD Ryzen 5 1500X or greater |
| **Graphics Card** | See [GPU compatibility list](https://www.meta.com/en-gb/help/quest/articles/headsets-and-accessories/oculus-link/requirements-quest-link/?srsltid=AfmBOopp-_K-pa4RlE9wkuWODc_nx2AlbqYjcW2r6l_rAM3EMrvQnIif) |
| **Memory** | 8 GB+ RAM |
| **Operating System** | Windows 10 or Windows 11 |
| **USB Ports** | 1x USB port |
# Recommended PC Requirements
For the best performance, we recommend the following specifications:
| Component | Recommended Specifications |
| -------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Processor** | Intel i7 / AMD Ryzen 7 |
| **Graphics Card** | Nvidia RTX 20 series / AMD Radeon RX 6000 series (**Note**: NVIDIA GeForce RTX 2050 is not supported). See [GPU compatibility list](https://www.meta.com/en-gb/help/quest/articles/headsets-and-accessories/oculus-link/requirements-quest-link/?srsltid=AfmBOopp-_K-pa4RlE9wkuWODc_nx2AlbqYjcW2r6l_rAM3EMrvQnIif). |
| **Memory** | 16 GB DDR4 RAM |
| **Operating System** | Windows 10 or Windows 11 |
| **USB Ports** | 1x USB-C port |
# Supported Graphics Cards
Workstation graphicscards from Nvidia (such as the RTX Pro X000 series) - often found in high-end Lenovo workstations - are listed to be compatible. Consult Nvidias offical list on their website [here.](https://www.nvidia.com/en-us/design-visualization/solutions/vr-ready-systems/)
For a comprehensive list of compatible GPUs, refer to the official Meta support page: [Supported GPUs for Oculus Link](https://www.meta.com/en-gb/help/quest/articles/headsets-and-accessories/oculus-link/requirements-quest-link/?srsltid=AfmBOopp-_K-pa4RlE9wkuWODc_nx2AlbqYjcW2r6l_rAM3EMrvQnIif)
Please ensure that your GPU meets the necessary requirements for running VR applications. Using a non-recommended GPU may result in suboptimal performance or compatibility issues.
# Running the VR X-ray Simulator as a Kiosk
Source: https://support.xraysim.com/Tech/running-the-x-ray-sim-as-a-kiosk
The VitaSim Launcher turns a Windows 11 PC running the VR X-Ray Simulator into a controlled kiosk. Once installed, the launcher becomes the full-screen home screen at sign-in, walks students through Meta Link, the headset, and the Enable Link step, and only starts the simulator when the station is actually ready. Students never see the Windows desktop.
This guide is for an existing station that today runs only the VR X-Ray Simulator. If the simulator is not installed yet, complete the [VR X-Ray Simulator setup](/Tech/Setup-and-installation-guides/VR-X-ray-Simulator-Setup) first, then come back here.
![VitaSim Launcher station screen showing setup checks for Meta Link, headset connection, and Enable Link in headset]()
## Before you start
A few practical things will save you time during the upgrade.
Read this guide on a phone, tablet, or second laptop — not on the PC you are upgrading. Once kiosk mode is on, you will not have easy access to a browser on the station itself.
* **Plug the PC into power.** Do not run the upgrade on battery. A sign-out or reboot on an empty battery part-way through can leave the operator account in a half-configured state.
* **Connect to a stable network.** You will download the launcher installer, sign Meta Link in, and verify the simulator can reach the VitaSim portal. Wi-Fi works, but a wired connection is more reliable.
* **Know the install paths** for the VR X-Ray Simulator and Meta Link on this PC. The defaults are:
* Simulator: `C:\Program Files\VR X-Ray Simulator\VR X-Ray Simulator.exe`
* Meta Link: `C:\Program Files\Meta Horizon\Support\oculus-client\client.exe`
* **Choose an admin PIN** that staff will use to exit the kiosk. See [About the admin PIN](#about-the-admin-pin) below.
A separate Windows admin account is useful as a recovery option but is not required. The upgrade works on a PC with a single account.
## Step 1: Confirm the simulator works on its own
Open the VR X-Ray Simulator the way you do today and complete a normal session — connect the headset, enable Link, sign in, and use the simulator for a few minutes.
Anything that fails now will still fail under the launcher. The launcher surfaces these issues as support codes rather than fixing them. If you hit problems here, see [Troubleshooting](/Guides/detailed-setup-guide#troubleshooting) and [How to set up Meta Quest Link](/Tech/how-to-setup-meta-quest-link) first.
## Step 2: Install the VitaSim Launcher
[Download the VitaSim Launcher installer 2026.5.12.0](https://storage.googleapis.com/platform-builds/x-ray-simulator/VitaSimKiosk/production/VitaSimLauncher_2026.5.12.0.exe) and run it on the station
The installer places the launcher and its scripts under `C:\VitaSim\`.
If your institution manages software through an MDM system (Intune and similar), hand the launcher install over to your IT team. It follows the same silent-install pattern documented in [MDM deployment instructions](/Tech/mdm-deployment-instructions).
Open `C:\VitaSim\config.local.json` and set the values for this PC:
```json theme={null}
{
"VrSimPath": "C:\\Program Files\\VR X-Ray Simulator\\VR X-Ray Simulator.exe",
"MetaLinkPath": "C:\\Program Files\\Meta Horizon\\Support\\oculus-client\\client.exe",
"StationId": "STATION-01",
"AdminPinHash": ""
}
```
`StationId` is the label this station reports in the support dialog. Use whatever your site calls the PC. `AdminPinHash` is covered in the next section.
## About the admin PIN
The default admin password is "**2019"** and it will stay if you do not change it.
The PIN protects the kiosk from being exited by students. The launcher uses it in two places:
* The `Exit Kiosk` button on the maintenance bar, which drops staff out to the Windows desktop.
* Confirmation dialogs shown before installing launcher or simulator updates.
The PIN never leaves the PC and is never stored in plain text. The launcher only keeps a SHA-256 hash of it in `config.json`, and compares hashes when staff type the PIN in.
**Choosing a PIN**
* Six digits or more, so students cannot guess it after watching staff type it once.
* Do not reuse a PIN staff already use for door codes, payroll, or their phone.
* Share it only with people who do maintenance on the station. Teachers usually do not need it.
* Write it down somewhere that survives staff turnover. If the PIN is lost, the only way back in is to re-deploy the config file.
**Generating the hash**
Use any SHA-256 tool to hash your chosen PIN, then paste the result into `AdminPinHash`. A simple option that runs entirely in your browser (the PIN never leaves your device) is [emn178.github.io/online-tools/sha256.html](https://emn178.github.io/online-tools/sha256.html). Type the PIN into the input box and copy the 64-character hex string from the output. Staff type the actual PIN at the kiosk; only the hash goes into the config file.
## Step 3: Test the launcher in windowed mode
Before locking the PC into kiosk mode, run the launcher as a normal app.
1. Start `C:\VitaSim\VitaSimLauncher.exe`.
2. Wait for the three setup steps to turn ready: `Meta Link (PC)`, `Headset (USB)`, and `Enable Link in headset`.
3. Press `Start X-ray Simulator` and verify a full training session runs end-to-end.
4. Open `Get Support` and confirm the station ID, launcher version, and simulator version look right.
If a step does not turn ready, fix it now. The support code shown in `Get Support` is the same code our team will ask for.
## Step 4: Switch to kiosk mode
Kiosk mode is enabled by setting the launcher as the Windows shell for the current user. This is one registry value, and you set it from PowerShell.
This step changes how Windows signs the current user in. Make sure Step 3 succeeded before continuing, and only run the command for the account you want to turn into the kiosk.
Open PowerShell on the operator account and run:
```powershell theme={null}
Set-ItemProperty `
-Path "HKCU:\Software\Microsoft\Windows NT\CurrentVersion\Winlogon" `
-Name "Shell" `
-Value "C:\VitaSim\VitaSimLauncher.exe"
```
That writes:
```text theme={null}
HKCU\Software\Microsoft\Windows NT\CurrentVersion\Winlogon
Shell = C:\VitaSim\VitaSimLauncher.exe
```
Sign out and sign back in. The launcher should open full-screen with no desktop, no taskbar, and no Start menu. The PC is now a kiosk station.
## Exit kiosk mode
Press `Exit Kiosk` on the bottom maintenance bar and enter your admin PIN. Explorer opens for the current session, and the launcher returns at the next sign-in.
In PowerShell on the operator account, run the command in the next section to restore Explorer, then sign out and back in.\\
To roll the PC back to a normal Windows desktop, run:
```powershell theme={null}
Set-ItemProperty `
-Path "HKCU:\Software\Microsoft\Windows NT\CurrentVersion\Winlogon" `
-Name "Shell" `
-Value "explorer.exe"
```
Sign out and sign back in. The account behaves like a normal Windows desktop again.
## If something goes wrong
If the account signs in to a black screen after the shell switch:
1. Press Ctrl+Shift+Esc to open Task Manager. From the menu, choose `Run new task`, type `explorer.exe`, and press Enter. You now have a desktop for the current session. Open PowerShell and run the restore command in [Exit kiosk mode](#exit-kiosk-mode) to make it permanent.
2. If Task Manager will not open, boot into Safe Mode and run the same restore command from there.
The recovery window that the launcher shows after a crash still works inside kiosk mode and includes the support code our team will ask for.
## Need help?
If you run into issues during installation or setup:
* Visit the Support Center: [support.xraysim.com](https://support.xraysim.com)
* Email us at [support@vitasim.dk](mailto:support@vitasim.dk)
## Book a Free Upgrade Assistance Session
Would you prefer a guided walkthrough? You can book a free one-on-one online (MS Teams) session with our support team and we will run the upgrade with you: Book Upgrade Assistance.
[Book Upgrade Assistance.](https://meetings-eu1.hubspot.com/anders-winter/assisted-upgrade-for-x-ray-simulator-staff-support)
# Technical and Security FAQ
Source: https://support.xraysim.com/Tech/technical-and-security-FAQ
Common answers for technical and security related questions
## **Introduction**
The X-ray Simulator is an advanced X-ray simulation software designed to support educational institutions in providing high-quality training for radiologic technology students. This guide addresses key security, compliance, and technical considerations for IT and security personnel evaluating the solution.
## **Business Purpose & Functionality**
### **What is the X-ray Simulator?**
The X-ray Simulator is a virtual training platform that allows educators to simulate real-world X-ray imaging scenarios. It enhances student learning through interactive exercises, and risk-free guided training.
#### **Key Features:**
* Realistic X-ray simulation for student training
* Interactive image acquisition and positioning
* Scalable platform for individual and classroom use
* Secure locally installed software with online account authentication
## **Common Questions:**
### Who would our direct contact be for support/assistance?
Support is provided through the options listed [here](/Support/support), and reference guides and documentation can be found on [The support page](/welcome). Support is available during the times listed on the website.
### Is the software cloud-based?
No, the X-ray Simulator is a self-contained desktop-based software that requires installation on a PC. However, it does use the internet for account authentication during login.
### Does the software integrate with any other systems?
No, the X-ray Simulator does not integrate with external systems. It is a standalone application that must be installed on a PC.
### What types of data are collected and stored in the X-ray Simulator?
The software does **not** store any personal data (PII). Instead, institutions use [X-ray Simulator accounts](/Guides/Introduction/accounts-and-login) provided by VitaSim. These may be individual student accounts or shared station accounts, depending on the program's preferred setup. The data collected includes:
* **Logging of activity**, such as login time and application performance metrics (e.g., FPS).
* **Simulation progress**, if progress is saved for future sessions.
### What is a shared station account, and why would a program use one?
A shared station account is a generic, non-personalized [X-ray Simulator account](/Guides/Introduction/accounts-and-login#choosing-an-account-setup) that a program can use for a shared simulator station. This is common for VR stations where the headset and PC are shared equipment. Shared accounts help institutions avoid storing personally identifiable student data in the simulator and can be reset or reassigned as needed.
### Does the X-ray Simulator require an internet connection to function?
The software only requires an internet connection for account authentication upon login.
Logging happens frequently during sessions, but loss of connection after login will not disturb normal simulator operation.
### What are the hardware requirements for using the X-ray Simulator?
The X-ray Simulator requires a PC that adhere to the requirements below for optimal performance.
The VR version also requires a compatible tethered VR headset.
Institutions should ensure that their hardware meets the system requirements before installation.
* For **VR hardware requirements**, visit: [Minimum Requirements for VR the X-ray Simulator](/Tech/minimum-requirements-for-running-the-vr-xray-simulator)
* For **Desktop hardware requirements**, visit: [Minimum Requirements for Desktop the X-ray Simulator](/Tech/minimum-requirements-for-running-the-desktop-xray-simulator)
### How are accounts managed within the X-ray Simulator?
Institutions receive [X-ray Simulator accounts](/Guides/Introduction/accounts-and-login#x-ray-simulator-accounts) from VitaSim after purchase. A program can use individual student accounts, shared station accounts, or a mix of both.
These accounts do not need to store personal student identity data and can be reset or replaced through the program's CSM or VitaSim support.
### Does the X-ray Simulator support role-based access?
No, the X-ray Simulator operates on a simple account authentication model.
An account either has access or does not; there are no distinct roles or permission levels within the system.
### How is the X-ray Simulator installed and managed on institutional computers?
The software requires **administrator privileges** for installation on institutional PCs.
The software supports MDM deployment.
Once installed, students can access it using the X-ray Simulator accounts provided for the program or station. See [Accounts and Login](/Guides/Introduction/accounts-and-login) for the difference between simulator accounts, PC logins, admin accounts, and Meta accounts.
Read more on the [setup page](/Tech/Setup-and-installation-guides/VR-X-ray-Simulator-Setup)
### How does the X-ray Simulator handle access control?
Access control is managed at the institutional level by assigning X-ray Simulator account credentials.
The X-ray Simulator does not have internal role-based permissions.
## **Data Handling & Security**
### **Does the X-ray Simulator store or process sensitive data (ePHI, PII, financial information)?**
No. The X-ray Simulator does not collect, store, or process electronic protected health information (ePHI), personally identifiable information (PII), or financial data. The system operates with X-ray Simulator accounts and simulated training data.
#### **How does the X-ray Simulator ensure data security?**
* **Encryption**: All data transmissions related to authentication are encrypted using industry-standard protocols.
* **Access Management**: Institutions control simulator access through assigned account credentials.
* **Data Governance**: No PII data is processed or stored within the application.
* **Audit Logging**: The system maintains detailed logs to track account activity for compliance and security monitoring.
## **Hosting & Compliance**
### **Is the X-ray Simulator hosted externally or on-premises?**
The X-ray Simulator is a locally installed desktop application. It does require an internet connection to authenticate the X-ray Simulator account upon login, but all other operations are performed offline.
### **What security measures are in place for the solution?**
* The X-ray Simulator does not store personal data, ensuring compliance with institutional privacy policies.
* All authentication requests are securely encrypted to prevent unauthorized access.
* The system logs account activity and performance data for troubleshooting and optimization.
### Can you provide a data flow diagram of the infrastructure.
Yes. Here is the simplified data flow diagram.
```mermaid theme={null}
flowchart TD
subgraph Account Layer
Accounts[[X-ray Simulator accounts]]
end
subgraph Application Layer
Auth[Send login credentials]
Log[Send activity and health data]
Save[Send save request with progress data]
end
subgraph Backend Layer
API[Portal API - portal.vitasim.dk]
end
subgraph Data Storage Layer
DB[MySQL Database - auth and logs]
Storage[Google Cloud Storage EMEA - saved progress]
end
%% Account to App
Accounts -->|Username and password| Auth
Accounts -->|FPS, usage time, errors| Log
Accounts -->|Progress as JSON| Save
%% App to API
Auth -->|POST /login| API
Log -->|POST /log| API
Save -->|POST /save| API
%% API to Storage
API -->|SELECT, INSERT auth, logs| DB
API -->|Upload JSON file| Storage
```
## **Institutional Integration & Deployment**
### **Which institutions and departments use the X-ray Simulator?**
The X-ray Simulator is used by:
* Radiologic technology training programs
### **How does the X-ray Simulator integrate with an institution's existing infrastructure?**
* **Account Authentication**: The X-ray Simulator requires login authentication but does not integrate with external identity management systems.
* **Standalone Operation**: The software does not require integration with Learning Management Systems (LMS) or hospital IT networks.
* **IT Support**: Dedicated support is available for onboarding and technical troubleshooting.
### **Account Management**
The X-ray Simulator uses a system of predefined accounts provided by VitaSim. A program can use individual student accounts, shared station accounts, or a mix of both. The [Accounts and Login](/Guides/Introduction/accounts-and-login) page explains how account count differs from license count.
* No personal student identity data is collected or stored.
* Accounts can be easily reset upon request.
* Simplified account management with no need for role-based access.
For X-ray Simulator account or license questions, contact [sales@vitasim.dk](mailto:sales@vitasim.dk). For PC, Meta, or admin account support, contact [support@vitasim.dk](mailto:support@vitasim.dk).
# VR Hardware Requirements For Meta Quest Link
Source: https://support.xraysim.com/Tech/vr-hardware-requirements-for-meta-link
# Welcome
Source: https://support.xraysim.com/welcome
This is our support page for the X-ray Simulator and it is designed to help you get going. Explore resources for installation, technical support, and product guides.
Choose the area that matches what you need right now.
Guides and resources for the immersive virtual reality version of the X-ray simulator - setup, headset configuration, and usage.
Guides and resources for the desktop application - installation, software configuration, and getting started on Windows and Mac.
Download for both Desktop and VR