RealImaging Advanced, new in the US at NASS 2026

See the anatomy and the instrument. Without the radiation.

RealImaging is the X ray simulator for the RealSpine platform. It shows the anatomy inside the cartridge and where the instrument sits, in real time, with no C arm in the room. The new RealImaging Advanced tracks up to 13 instruments with medical grade precision. RealImaging Lite runs on an iPad for courses and workshops.

Radiation free X ray simulation

3D anatomy in axial, sagittal and coronal planes

Advanced tracks up to 13 instruments, Apple Vision compatible

RealImaging Lite app showing simulated X ray on an iPad
RealImaging Lite on an iPad: what the app does, Realists Training on YouTube, about 2 minutes.

Watch

RealImaging Lite, on an iPad, in two minutes.

Realists' walkthrough of the Lite app: the simulated X ray, the three planes, the annotations. Then the tiers below.

Compare Lite and Advanced

Two tiers

Advanced tracks up to 13 instruments with medical grade precision. Lite runs on the iPad you already own.

Both simulate the X ray view of the cartridge without radiation. The difference is precision, and how many instruments the system follows at once.

RealImaging Advanced

Medical grade precision. Up to 13 instruments tracked.

A camera system tracks your instruments against the Tracking Base Star, and the laptop renders the radiation free X ray simulation of the cartridge you are working on. Built for navigation and robotics training where precision is the point.

Medical grade precision, based on stereotactic image guidance

Tracks up to 13 instruments at once

Radiation free X ray simulation of the anatomical cartridge

Camera system for optical tracking, 110V and 220V

Tracked pointer, 250 mm long, 4 mm diameter

Laptop with the Realists Imaging software (one year license)

Tracking Base Star, tripod with adapter, transport case

Apple Vision compatible

Explore the 3D anatomy in an immersive spatial environment with Apple Vision on RealImaging Advanced.

In the case

Camera system with power supply, one tracked pointer, laptop with power supply, Tracking Base Star, tripod and adapter, transport case. Software licensed separately for one year.

RealImaging Lite

On an iPad, in any room.

A QR code tracker on the cartridge, the iPad camera, and the anatomy appears. Built for courses, workshops and local training.

Radiation free X ray simulation for safe and realistic training

3D anatomical visualization in axial, sagittal and coronal planes

Landmark tools and annotations to highlight critical structures while teaching

Zoom, rotate, move and reset the 3D view with your fingers

Integrates with the RealSpine simulators; the QR code set ships with the cartridge

Where Lite fits

Courses, workshops and local training where an iPad and a QR code tracker are enough. For instrument tracking and precision work, choose Advanced.

How the view is made

Three steps between the cartridge and the screen.

1

Mount the tracker

The QR code tracker on the cartridge for Lite. The Tracking Base Star and the camera on its tripod for Advanced.

2

Track the instrument

The iPad camera reads the tracker. The optical camera follows the tracked pointer. Either way the software knows where the instrument is in the anatomy.

3

See the X ray, without the X ray

The simulated X ray view and the 3D anatomy in three planes, live, annotated for teaching. No radiation, no lead aprons, no C arm.

Works with

Five RealSpine cartridges, cervical and lumbar.

Compatible products as Realists lists them. Each one has its own page.

Book a demo

See RealImaging on a cartridge, on an iPad, in any room.

Thirty minutes with Greg Rhinehart, in person at your site or online. He replies with available times and brings the platform.

Book a Demo

Before you book

Questions we get about RealImaging.

Advanced or Lite?

Which RealSpine models does it work with?

Do we still need a C arm?

What is Apple Vision for?

What comes with Advanced?

See the instrument. Skip the lead.

Book a demo and watch RealImaging track your instrument through a RealSpine cartridge with no C arm in the room.

Book a Demo