Multimodal extended reality applications offer benefits for volumetric biomedical image analysis in research and medicine

3D data from high-resolution volumetric imaging is a central resource for diagnosis and treatment in modern medicine. While the fast development of AI enhances imaging and analysis, commonly used visualization methods lag far behind. Recent research used extended reality (XR) for perceiving 3D images with visual depth perception and touch, but used restricting haptic devices. While unrestricted touch is beneficial for volumetric data examination, implementing natural haptic interaction with XR is challenging. The research question is whether a multimodal XR application with intutitive haptic interaction adds value and should be pursued. In a study, 24 expterts for biomedical images in research and medicine. explored 3D anatomical medical shapes with 3 applications: a multimodal virtual reality (VR) prototype using haptic gloves, a simple VR prototype using VR controllers, and a commonly used standard PC application. Results of the standardized questionnaires showed no significant differences between the three application types regarding usability and no significant difference between both VR applications regarding presence. Participants agreed to statements that VR visualizations provide better depth information, that using the hands instead of controllers simplifies data exploration, that the multimodal VR prototype allows intuitive data exploration, and that it is beneficial over traditional data examination methods. While most participants mentioned the manual interaction as best aspect, they also found it the most improvable. We conclude that a multimodal XR application with improved manual interaction adds value for volumetric biomedical data examination. We will proceed with our open-source research project ISH3DE (Intuitive Stereoptic Haptic 3D Data Exploration) to serve medical education, therapeutic decisions, surgery preparations, or research data analysis.