How can I convert an rtstruct to an nrrd

In Segmentations module change Master representation to binary labelmap (click Make master button in the Binary labelmap row in Representations section) then save the scene. Structure sets may overlap, therefore the nrrd file will be a 4-dimensional volume, each segment is stored in a separate 3D subvolume.

Use latest nightly build, it’s stable and contains many fixes and improvements.