Immersive viewer on Apple Vision Pro
True-stereoscopic tumor surfaces with hand-driven slice-plane manipulation — reviewed at scale in the surgeon’s own space. Meta Quest 3 support is under evaluation.
NeuroStage · Surgical Planning on Apple Vision Pro
Brain tumor surgical planning in immersive 3D on Apple Vision Pro
Automated brain tumor segmentation powered by OncoAI, delivered as surgeon-ready 3D models — walk around the tumor in true stereoscopic space, straight from a DICOM upload.
Research Preview — not FDA cleared. For research and surgical-planning rehearsal only; not for clinical diagnosis or intraoperative guidance.
The clinical gap
Surgeons think in 3D. The review is still slice-by-slice.
Brain tumor planning is three-dimensional reasoning — lesion morphology, eloquent-area proximity, approach trajectory. Yet pre-operative review is still conducted slice-by-slice on 2D MRI, leaving the surgeon’s mental 3D reconstruction as the rate-limiting step. Existing 3D tools demand manual segmentation, desktop-only workflows, or single-user review.
NeuroStage closes the gap by pairing Carina’s automated brain tumor segmentation with an immersive spatial viewer — delivering surgeon-ready 3D models directly from a DICOM upload.
How it works
DICOM in, surgeon-ready 3D out
NeuroStage is the clinical-frontend tier of Carina’s brain-imaging pipeline: upload a study from the web, OncoAI runs the analysis, and the result is available immediately in both the web browser and the spatial viewer — no manual segmentation step.
Automated segmentation
Multi-class tumor labels, no manual contouring
OncoAI co-registers the MRI contrasts to a common 1×1×1 mm grid and produces a multi-class label — enhancing tumor, non-enhancing core, and peritumoral edema — that drives both the 2D overlay and the 3D surfaces the surgeon reviews.
Key capabilities
From upload to immersive review, in one platform
Automated tumor segmentation
OncoAI’s brain tumor model produces multi-class labels — enhancing tumor, non-enhancing core, peritumoral edema — with no manual contouring.
Multi-contrast MRI review
T1, T1c, T2, and FLAIR co-registered to a common space, with on-the-fly contrast switching on the same slice geometry.
Web study management
Institution-scoped study list, secure DICOM upload and download, role-based access, and 2FA — from any authorized browser.
Institutional data control
On-premise or HIPAA-eligible cloud deployment. Integrates with CuratAI for PACS curation and de-identification upstream.
One canonical output
Every study resolves to co-registered NIfTI volumes plus a tumor label — browsed from the web, opened in the spatial viewer, no per-site install.
The management surface
Upload, track, and share — from any authorized browser
Study-centric, institution-scoped
- Drag-and-drop DICOM upload; patient and study metadata read straight from the headers.
- Searchable study list with per-study analysis status and secure download.
- Three roles — staff, institution admin, institution user — with 2FA. Everything scoped to the institution.
Integrated with the Carina platform
One platform, from PACS to the operating plan
NeuroStage is the surgeon-facing surface of a pipeline that starts at the PACS. It inherits Carina’s deployment, security, and regulatory infrastructure — the same stack behind two FDA-cleared products.
Deployment
Two surfaces, one study
Web
Study upload, status, management, and lightweight review — any modern browser.
Spatial viewer
Immersive 3D review and surgical rehearsal — Apple Vision Pro (Meta Quest 3 under evaluation).
Where it runs
Carina’s standard server stack, with optional on-premise deployment for data-residency requirements.
Status
Research Preview
Research Preview — not FDA cleared. NeuroStage is available to selected academic medical centers under early-access agreements for research and surgical-planning rehearsal. It is not intended for clinical diagnosis or intraoperative guidance. Clinical validation work is underway.
Open an early-access partnership
For academic neurosurgery departments exploring surgical-planning rehearsal and neurosurgical training.