First-time patients undergoing diagnostic computed tomography (CT) scans often experience significant anxiety and uncertainty, which can negatively impact scan results and patient well-being. We present an immersive mixed reality (MR) simulator designed to prepare adult patients for their first CT scan, aiming to improve both emotional and physical preparedness. In this paper, we review existing methods for reducing scan-related anxiety -- from educational materials to virtual reality exposure -- and identify their limitations. We then detail the design and technical implementation of our MR simulator, which combines a virtual CT suite walkthrough, guided relaxation training, realistic scan simulation (including audiovisual cues and breath-hold practice), and interactive feedback. The inclusion of these features is grounded in evidence-based rationale drawn from prior studies in patient anxiety reduction and compliance. We report results from a pilot study ($n=50$) demonstrating that patients who used the simulator had significantly lower pre-scan anxiety levels and improved compliance during the actual CT procedure, compared to controls. Patient feedback was overwhelmingly positive, indicating high satisfaction and perceived utility. We discuss the clinical implications of deploying such a tool, challenges in integration, and future directions for improving patient-centered care using mixed reality technologies.

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