Abstract: Disclosed is a medical imaging system (100, 400) component comprising: an optical image generator (122) configured for generating a two-dimensional image (200); an optical imaging system (126) configured for acquiring optical image data (166); and an optical waveguide bundle (124) comprising a subject end (132) and an equipment end (130). The subject end comprises at least one lens (136, 136). The optical image generator is configured for optically coupling to the equipment end to form an image projection pathway. The optical waveguide bundle is configured for projecting the two-dimensional image through the image projection pathway. The optical imaging system is configured for optically coupling to the equipment end to form an optical image data acquisition pathway. The optical imaging system is configured for acquiring the optical image data through the lens via the optical image data acquisition pathway.