chore(version): Update package versions to 3.13.0-beta.78 [skip ci]

* Add (better) assertions for area calculation fixes.
* Add SVG and measurement side panel area for freehand ROI test.
* Add Playwright viewport screenshot scope migration guide.
* Update cornerstonjs dependencies to 4.22.8. Ensure all versions of @babel/preset-env are 7.29.5.

---------

Co-authored-by: Ghadeer Albattarni <165973963+GhadeerAlbattarni@users.noreply.github.com>

.circleci/config.yml

@@ -6,7 +6,7 @@ orbs:
 
 defaults: &defaults
   docker:
-    - image: cimg/node:20.18.1
+    - image: cimg/node:20.19.0
       environment:
         TERM: xterm
         QUICK_BUILD: true
@@ -112,50 +112,6 @@ jobs:
       - checkout
       - attach_workspace:
           at: ~/repo
-      # SECURITY AUDIT
-      - run:
-          name: 'Security Audit - High Risk Vulnerabilities'
-          command: |
-            echo "🔍 Running bun audit for security vulnerabilities..."
-            echo "Checking for HIGH-RISK vulnerabilities..."
-
-            # Define ignored vulnerabilities with comments
-            IGNORED_VULNS=(
-              "GHSA-5j98-mcp5-4vw2"  # CVE-2025-64756 - glob is not used on the command line
-              "GHSA-8qq5-rm4j-mr97"  # CVE-2026-23745 - limited to build/dev environments
-              "GHSA-r6q2-hw4h-h46w"  # CVE-2026-23950 - limited to build/dev environments
-              "GHSA-34x7-hfp2-rc4v"  # CVE-2026-24842 - limited to build/dev environments
-            )
-
-            # Build ignore flags
-            IGNORE_FLAGS=""
-            for vuln in "${IGNORED_VULNS[@]}"; do
-              IGNORE_FLAGS="$IGNORE_FLAGS --ignore=$vuln"
-            done
-
-            if bun audit $IGNORE_FLAGS --audit-level high; then
-              echo "✅ No high-risk vulnerabilities found"
-              echo "🎉 Security audit passed!"
-            else
-              echo ""
-              echo "❌ HIGH-RISK VULNERABILITIES DETECTED!"
-              echo "======================================"
-              echo ""
-              echo "🔧 To fix these issues:"
-              echo "  1. Run: bun audit"
-              echo "  2. Review the vulnerability details"
-              echo "  3. Update affected packages to secure versions"
-              echo "  4. Test your changes"
-              echo "  5. Re-run: bun audit --audit-level high"
-              echo ""
-              echo "📋 Full audit report:"
-
-              bun audit $IGNORE_FLAGS --audit-level low || true
-
-              echo ""
-              echo "❌ This build cannot proceed until high-risk vulnerabilities are resolved."
-              exit 1
-            fi
       - run:
           name: Install Dependencies
           command: bun install --frozen-lockfile
@@ -374,6 +330,7 @@ jobs:
     resource_class: large
     parallelism: 8
     steps:
+      - install_bun
       - run:
           name: Install System Dependencies
           command: |
@@ -393,6 +350,69 @@ jobs:
             npx wait-on@latest http://localhost:3000 && cd platform/app && npx cypress run --record --parallel
           start-command: yarn run test:data && yarn run test:e2e:serve
 
+  SECURITY_AUDIT:
+    <<: *defaults
+    resource_class: large
+    steps:
+      - install_bun
+      - checkout
+      - run:
+          name: 'Security Audit - High Risk Vulnerabilities'
+          command: |
+            git fetch origin master 2>/dev/null || true
+            BASE_REF=$(git merge-base HEAD origin/master 2>/dev/null)
+            if [[ -z "$BASE_REF" ]]; then
+              echo "Could not determine base ref (e.g. shallow clone or no origin/master), skipping security audit."
+              exit 0
+            fi
+            CHANGED_FILES=$(git diff --name-only origin/master...HEAD 2>/dev/null || echo "")
+            if ! echo "$CHANGED_FILES" | grep -qx 'bun.lock'; then
+              echo "⏭️ bun.lock unchanged - skipping security audit."
+              exit 0
+            fi
+            echo "🔍 bun.lock changed - running bun audit for security vulnerabilities..."
+            echo "Checking for HIGH-RISK vulnerabilities..."
+
+            # Define ignored vulnerabilities with comments
+            IGNORED_VULNS=(
+              "GHSA-3ppc-4f35-3m26"  # CVE-2026-26996 - minimatch via itk-wasm and glob is safe because it does NOT use the CLI
+                                     # CVE-2026-26996 - minimatch via other packages are strictly for building and CI/CD purposes; no user supplied expressions are passed to minimatch
+              "GHSA-7r86-cg39-jmmj"  # CVE-2026-27903 - minimatch same as above
+              "GHSA-23c5-xmqv-rm74"  # CVE-2026-27904 - minimatch same as above
+              "GHSA-c2c7-rcm5-vvqj"  # CVE-2026-33671 - picomatch is generally used for development and CI/CD purposes
+            )
+
+            # Build ignore flags
+            IGNORE_FLAGS=""
+            for vuln in "${IGNORED_VULNS[@]}"; do
+              IGNORE_FLAGS="$IGNORE_FLAGS --ignore=$vuln"
+            done
+
+            if bun audit $IGNORE_FLAGS --audit-level high; then
+              echo "✅ No high-risk vulnerabilities found"
+              echo "🎉 Security audit passed!"
+              exit 0
+            else
+              echo ""
+              echo "❌ HIGH-RISK VULNERABILITIES DETECTED!"
+              echo "======================================"
+              echo ""
+              echo "🔧 To fix these issues:"
+              echo "  1. Run: bun audit"
+              echo "  2. Review the vulnerability details"
+              echo "  3. Update affected packages to secure versions"
+              echo "  4. Test your changes"
+              echo "  5. Re-run: bun audit --audit-level high"
+              echo ""
+              echo "📋 Full audit report:"
+
+              bun audit $IGNORE_FLAGS --audit-level low || true
+
+              echo ""
+              echo "❌ This build cannot proceed until high-risk vulnerabilities are resolved."
+              exit 1
+            fi
+
   DOCKER_MULTIARCH_MANIFEST:
     <<: *defaults
     resource_class: large
@@ -482,6 +502,10 @@ workflows:
       - CYPRESS:
           name: 'Cypress Tests'
           context: cypress
+      - SECURITY_AUDIT:
+          filters:
+            branches:
+              ignore: master
 
   # viewer-dev.ohif.org
   DEPLOY_MASTER:

.github/.dependabot.yaml

@@ -2,6 +2,8 @@ version: 2
 enable-beta-ecosystems: true
 updates:
   - package-ecosystem: 'bun'
+    # Disable all pull requests for bun version updates.
+    open-pull-requests-limit: 0
     directory: '/'
     schedule:
       interval: 'daily'
@@ -10,6 +12,8 @@ updates:
       prefix: 'chore'
       include: 'scope'
   - package-ecosystem: 'npm'
+    # Disable all pull requests for npm version updates.
+    open-pull-requests-limit: 0
     directory: '/'
     schedule:
       interval: 'daily'

.github/workflows/playwright.yml

@@ -2,6 +2,19 @@ name: Playwright Tests
 on:
   pull_request:
     branches: [master, release/*]
+  workflow_dispatch:
+    inputs:
+      cs3d_ref:
+        description: >-
+          CS3D branch (e.g. main, origin:feat/foo) or version (e.g. 4.18.2, 4.19+, 4.x). Only used
+          when ohif-integration label is present or via workflow_dispatch.
+        required: false
+        default: '4.19+'
+
+permissions:
+  contents: read
+  pull-requests: read
+  issues: read
 
 concurrency:
   group: ${{ github.workflow }}-${{ github.ref }}
@@ -9,7 +22,7 @@ concurrency:
 
 jobs:
   playwright-tests:
-    timeout-minutes: 60
+    timeout-minutes: 120
     runs-on: self-hosted
     strategy:
       fail-fast: false
@@ -25,14 +38,85 @@ jobs:
           node-version: ${{ matrix.node-version }}
       - name: Install Yarn
         run: npm install -g yarn@1.22.22
+
+      # ── CS3D integration: detect label and ref type ──────────────────────
+      - name: Check for CS3D integration label
+        id: cs3d-check
+        run: bash .scripts/ci/cs3d-check-integration.sh
+        env:
+          GH_TOKEN: ${{ github.token }}
+          EVENT_NAME: ${{ github.event_name }}
+          CS3D_REF_INPUT: ${{ github.event.inputs.cs3d_ref || '4.19+' }}
+          REPO: ${{ github.repository }}
+          PR_NUMBER: ${{ github.event.pull_request.number }}
+
+      - name: Detect CS3D ref type
+        id: cs3d-ref
+        if: steps.cs3d-check.outputs.enabled == 'true'
+        run: |
+          REF="${CS3D_REF}"
+          if [[ "$REF" =~ ^[0-9]+\.[0-9x]+\+?(\.[0-9x]+)?(-[a-zA-Z0-9._]+)?$ ]]; then
+            echo "type=version" >> "$GITHUB_OUTPUT"
+            RESOLVED=$(node .scripts/cs3d-resolve-version.mjs "$REF")
+            echo "version=$RESOLVED" >> "$GITHUB_OUTPUT"
+            echo "::notice::CS3D version: $REF -> $RESOLVED"
+          else
+            echo "type=branch" >> "$GITHUB_OUTPUT"
+            echo "::notice::CS3D branch: $REF"
+          fi
+        env:
+          CS3D_REF: ${{ steps.cs3d-check.outputs.cs3d_ref }}
+
+      # ── CS3D branch path: clone and build before OHIF install ───────────
+      - name: Clone CS3D
+        if: steps.cs3d-check.outputs.enabled == 'true' && steps.cs3d-ref.outputs.type == 'branch'
+        run: |
+          REF="${CS3D_REF}"
+          if [[ "$REF" == *:* ]]; then
+            REPO="https://github.com/${REF%%:*}/cornerstone3D.git"
+            BRANCH="${REF#*:}"
+          else
+            REPO="https://github.com/cornerstonejs/cornerstone3D.git"
+            BRANCH="$REF"
+          fi
+          echo "::notice::Cloning CS3D from $REPO branch $BRANCH"
+          git clone --depth 1 --branch "$BRANCH" "$REPO" libs/@cornerstonejs
+        env:
+          CS3D_REF: ${{ steps.cs3d-check.outputs.cs3d_ref }}
+
+      - name: Install & Build CS3D
+        if: steps.cs3d-check.outputs.enabled == 'true' && steps.cs3d-ref.outputs.type == 'branch'
+        working-directory: libs/@cornerstonejs
+        run: bun install --frozen-lockfile && bun run build:esm
+
+      # ── Common: install OHIF dependencies ───────────────────────────────
       - name: Install dependencies
         run: bun install --frozen-lockfile
+
+      # ── CS3D branch path: link packages after OHIF install ──────────────
+      - name: Link CS3D packages
+        if: steps.cs3d-check.outputs.enabled == 'true' && steps.cs3d-ref.outputs.type == 'branch'
+        working-directory: libs/@cornerstonejs
+        run: node scripts/link-ohif-cornerstone-node-modules.mjs "$GITHUB_WORKSPACE"
+
+      # ── CS3D version path: update versions after OHIF install ───────────
+      - name: Set CS3D version
+        if: steps.cs3d-check.outputs.enabled == 'true' && steps.cs3d-ref.outputs.type == 'version'
+        run: |
+          node .scripts/cs3d-set-version.mjs "${CS3D_VERSION}"
+          bun install --config=./bunfig.update-lockfile.toml
+        env:
+          CS3D_VERSION: ${{ steps.cs3d-ref.outputs.version }}
+
+      # ── Common: run tests ───────────────────────────────────────────────
       - name: Install Playwright browsers
         run: npx playwright install
       - name: Run Playwright tests
         run: |
           export NODE_OPTIONS="--max_old_space_size=10192"
           bun run test:e2e:coverage
+
+      # ── Common: collect test results and coverage ───────────────────────
       - name: Create directory of test results
         if: ${{ !cancelled() }}
         run: |
@@ -56,3 +140,70 @@ jobs:
           name: coverage-report-pr
           path: coverage
           retention-days: 3
+
+      # ── CS3D: build and deploy preview to Netlify ───────────────────────
+      - name: Log build context (OHIF/CS3D branch and version for build diagnosis)
+        if: steps.cs3d-check.outputs.enabled == 'true'
+        run: |
+          if [[ "$CS3D_REF_TYPE" == "branch" ]]; then
+            echo "::notice::Build type: ohif-downstream | OHIF: ${{ github.repository }}@${{ github.ref }} (${{ github.sha }}) | CS3D: branch ${{ steps.cs3d-check.outputs.cs3d_ref }}"
+          else
+            echo "::notice::Build type: ohif-upstream | OHIF: ${{ github.repository }}@${{ github.ref }} (${{ github.sha }}) | CS3D: version ${{ steps.cs3d-ref.outputs.version }}"
+          fi
+          node .scripts/log-build-context.mjs
+        env:
+          BUILD_TYPE: ${{ steps.cs3d-ref.outputs.type == 'branch' && 'ohif-downstream' || 'ohif-upstream' }}
+          CS3D_REF_TYPE: ${{ steps.cs3d-ref.outputs.type }}
+
+      - name: Build OHIF viewer (CS3D preview)
+        if: steps.cs3d-check.outputs.enabled == 'true'
+        run: bun run build:ci
+
+      - name: Deploy CS3D preview to Netlify
+        if: steps.cs3d-check.outputs.enabled == 'true'
+        run: |
+          RESULT=$(npx netlify-cli deploy --dir=platform/app/dist --alias="cs3d-pr-${PR_NUM}" --json --filter=@ohif/app) || {
+            echo "::error::Netlify deploy command failed"
+            exit 1
+          }
+          URL=$(echo "$RESULT" | jq -r '.deploy_url')
+          if [[ -z "$URL" || "$URL" == "null" ]]; then
+            echo "::error::Netlify deploy did not return a valid URL"
+            echo "$RESULT"
+            exit 1
+          fi
+          echo "::notice::CS3D preview deployed: $URL"
+        env:
+          NETLIFY_AUTH_TOKEN: ${{ secrets.NETLIFY_AUTH_TOKEN }}
+          NETLIFY_SITE_ID: ${{ secrets.NETLIFY_SITE_ID }}
+          PR_NUM: ${{ github.event.pull_request.number || 'manual' }}
+
+      # ── CS3D: log results ───────────────────────────────────────────────
+      - name: Log CS3D build used
+        if: steps.cs3d-check.outputs.enabled == 'true'
+        run: |
+          if [[ "$CS3D_REF_TYPE" == "branch" ]]; then
+            echo "::notice::CS3D integration PASSED with branch ${CS3D_REF} (linked from libs/@cornerstonejs)"
+          else
+            echo "::notice::CS3D integration PASSED with @cornerstonejs/*@${CS3D_VERSION}"
+          fi
+        env:
+          CS3D_REF_TYPE: ${{ steps.cs3d-ref.outputs.type }}
+          CS3D_REF: ${{ steps.cs3d-check.outputs.cs3d_ref }}
+          CS3D_VERSION: ${{ steps.cs3d-ref.outputs.version }}
+
+  # ── Separate job: block merge when using a CS3D branch ─────────────
+  cs3d-branch-merge-guard:
+    name: "CS3D Branch Merge Guard"
+    runs-on: ubuntu-latest
+    timeout-minutes: 5
+    steps:
+      - uses: actions/checkout@v4
+      - name: Check for CS3D branch usage
+        run: bash .scripts/ci/cs3d-branch-merge-guard.sh
+        env:
+          GH_TOKEN: ${{ github.token }}
+          EVENT_NAME: ${{ github.event_name }}
+          CS3D_REF_INPUT: ${{ github.event.inputs.cs3d_ref || '4.19+' }}
+          REPO: ${{ github.repository }}
+          PR_NUMBER: ${{ github.event.pull_request.number }}

.gitignore

@@ -44,6 +44,7 @@ videos/
 
 # autogenerated files
 platform/app/src/pluginImports.js
+CLAUDE.md
 /Viewers.iml
 platform/app/.recipes/Nginx-Dcm4Chee/logs/*
 platform/app/.recipes/OpenResty-Orthanc/logs/*
@@ -61,5 +62,14 @@ tests/playwright-report/
 
 **/.claude/settings.local.json
 
+# cornerstone3D local linking
+libs/
+
 # Backup files
 *~
+
+# cornerstone3D local linking
+libs/
+link-cs3d.js
+unlink-cs3d.js
+auth.json

.scripts/ci/cs3d-branch-merge-guard.sh

@@ -0,0 +1,42 @@
+#!/usr/bin/env bash
+# CS3D branch merge guard: blocks merge when tests ran against a CS3D branch (not a version).
+# Exits 0 when merge is allowed or guard is skipped; exits 1 when merge must be blocked.
+#
+# Required env: GH_TOKEN, EVENT_NAME, REPO, PR_NUMBER
+# Optional env: CS3D_REF_INPUT (for workflow_dispatch, default 4.19+)
+
+set -e
+
+if [[ "$EVENT_NAME" == "workflow_dispatch" ]]; then
+  echo "::notice::workflow_dispatch — no merge to block, skipping guard."
+  exit 0
+elif [[ "$EVENT_NAME" == "pull_request" ]]; then
+  LABELS=$(gh api "repos/${REPO}/issues/${PR_NUMBER}/labels" --jq '.[].name')
+  if echo "$LABELS" | grep -q "ohif-integration"; then
+    ENABLED=true
+    CS3D_REF=$(gh api "repos/${REPO}/pulls/${PR_NUMBER}" --jq '.body' \
+      | sed -n 's/^[[:space:]]*CS3D_REF:[[:space:]]*\([^[:space:]]*\).*/\1/p' | head -1)
+    if [[ -z "$CS3D_REF" ]]; then
+      CS3D_REF="4.19+"
+    fi
+  else
+    ENABLED=false
+  fi
+else
+  ENABLED=false
+fi
+
+if [[ "$ENABLED" != "true" ]]; then
+  echo "::notice::No ohif-integration label — skipping merge guard."
+  exit 0
+fi
+
+# Check if the ref is a branch (not a version)
+if [[ "$CS3D_REF" =~ ^[0-9]+\.[0-9x]+\+?(\.[0-9x]+)?(-[a-zA-Z0-9._]+)?$ ]]; then
+  echo "::notice::CS3D ref '$CS3D_REF' is a version — merge allowed."
+  exit 0
+fi
+
+echo "::error::Tests ran against CS3D branch '${CS3D_REF}' — this build cannot be merged."
+echo "::error::Re-run with a published CS3D version (e.g. 4.19+) before merging."
+exit 1

.scripts/ci/cs3d-check-integration.sh

@@ -0,0 +1,29 @@
+#!/usr/bin/env bash
+# CS3D integration check: detects ohif-integration label and parses CS3D_REF.
+# Writes to GITHUB_OUTPUT: enabled (true|false), cs3d_ref (when enabled).
+#
+# Required env: GH_TOKEN, EVENT_NAME, REPO, PR_NUMBER, GITHUB_OUTPUT
+# Optional env: CS3D_REF_INPUT (for workflow_dispatch, default 4.19+)
+
+set -e
+
+if [[ "$EVENT_NAME" == "workflow_dispatch" ]]; then
+  echo "enabled=true" >> "$GITHUB_OUTPUT"
+  echo "cs3d_ref=${CS3D_REF_INPUT:-4.19+}" >> "$GITHUB_OUTPUT"
+elif [[ "$EVENT_NAME" == "pull_request" ]]; then
+  LABELS=$(gh api "repos/${REPO}/issues/${PR_NUMBER}/labels" --jq '.[].name')
+  if echo "$LABELS" | grep -q "ohif-integration"; then
+    echo "enabled=true" >> "$GITHUB_OUTPUT"
+    REF=$(gh api "repos/${REPO}/pulls/${PR_NUMBER}" --jq '.body' \
+      | sed -n 's/^[[:space:]]*CS3D_REF:[[:space:]]*\([^[:space:]]*\).*/\1/p' | head -1)
+    if [[ -z "$REF" ]]; then
+      REF="4.19+"
+    fi
+    echo "cs3d_ref=${REF}" >> "$GITHUB_OUTPUT"
+    echo "::notice::CS3D ref from PR body: ${REF}"
+  else
+    echo "enabled=false" >> "$GITHUB_OUTPUT"
+  fi
+else
+  echo "enabled=false" >> "$GITHUB_OUTPUT"
+fi

.scripts/cs3d-check.mjs

@@ -0,0 +1,55 @@
+import fs from 'node:fs';
+import path from 'node:path';
+import { execSync } from 'node:child_process';
+
+const workflowPath = path.resolve(
+  process.cwd(),
+  'libs',
+  '@cornerstonejs',
+  '.github',
+  'workflows',
+  'ohif-downstream.yml'
+);
+
+if (!fs.existsSync(workflowPath)) {
+  console.error(`[cs3d:check] Workflow file not found: ${workflowPath}`);
+  process.exit(1);
+}
+
+const workflowText = fs.readFileSync(workflowPath, 'utf8');
+const ohifRefMatch = workflowText.match(/^\s*OHIF_REF:\s*["']?([^"'\r\n]+)["']?\s*$/m);
+
+if (!ohifRefMatch) {
+  console.error('[cs3d:check] Could not find OHIF_REF in ohif-downstream workflow.');
+  process.exit(1);
+}
+
+const expectedBranch = ohifRefMatch[1].trim();
+let currentBranch = '';
+
+try {
+  currentBranch = execSync('git rev-parse --abbrev-ref HEAD', {
+    cwd: process.cwd(),
+    encoding: 'utf8',
+  }).trim();
+} catch (error) {
+  console.error('[cs3d:check] Failed to determine current git branch.');
+  process.exit(1);
+}
+
+if (currentBranch !== expectedBranch) {
+  console.error(
+    `[cs3d:check] Branch mismatch: current='${currentBranch}', expected='${expectedBranch}' from ${path.relative(
+      process.cwd(),
+      workflowPath
+    )}`
+  );
+  process.exit(1);
+}
+
+console.log(
+  `[cs3d:check] OK: current branch '${currentBranch}' matches OHIF_REF in ${path.relative(
+    process.cwd(),
+    workflowPath
+  )}`
+);

.scripts/cs3d-resolve-version.mjs

@@ -0,0 +1,63 @@
+#!/usr/bin/env node
+
+/**
+ * Resolves a version pattern to a concrete npm version of @cornerstonejs/core.
+ *
+ * Patterns:
+ * 4.18.2         -> 4.18.2 (exact, returned as-is)
+ * 4.18.2-beta.3  -> 4.18.2-beta.3 (exact prerelease)
+ * 4.x            -> latest 4.* from npm
+ * 4.17.x         -> latest 4.17.* from npm
+ * 4.19+          -> latest >=4.19.0 <5.0.0-0 from npm (4.19 and later, same major)
+ *
+ * Prints the resolved version to stdout.
+ */
+
+import { execSync } from 'child_process';
+
+const pattern = process.argv[2];
+if (!pattern) {
+  console.error('Usage: cs3d-resolve-version.mjs <pattern>');
+  console.error(' e.g. 4.x, 4.17.x, 4.19+, 4.18.2, 4.18.2-beta.3');
+  process.exit(1);
+}
+
+// Exact version (no wildcard or range) — pass through unchanged
+if (!pattern.includes('x') && !pattern.endsWith('+')) {
+  console.log(pattern);
+  process.exit(0);
+}
+
+// Convert "M.m+" to npm semver range ">=M.m.0 <(M+1).0.0-0"
+let npmRange = pattern;
+const plusMatch = pattern.match(/^(\d+)\.(\d+)\+$/);
+if (plusMatch) {
+  const major = Number(plusMatch[1]);
+  const minor = Number(plusMatch[2]);
+  npmRange = `>=${major}.${minor}.0 <${major + 1}.0.0-0`;
+}
+
+try {
+  // Let npm resolve the range: @package@<range> → concrete version
+  const raw = execSync(`npm view @cornerstonejs/core@"${npmRange}" version --json`, {
+    encoding: 'utf8',
+    timeout: 30_000,
+  });
+
+  const resolved = JSON.parse(raw);
+  if (!resolved) {
+    console.error(`npm returned no version when resolving @cornerstonejs/core@${npmRange}`);
+    process.exit(1);
+  }
+
+  // npm may return an array of versions for ranges; pick the latest (last) one
+  const version = Array.isArray(resolved) ? resolved[resolved.length - 1] : resolved;
+  console.log(version);
+} catch (err) {
+  const message =
+    (err && (err.stderr?.toString() || err.message || String(err))) ||
+    `Unknown error resolving @cornerstonejs/core@${pattern}`;
+  console.error(`Failed to resolve @cornerstonejs/core version for pattern "${pattern}":`);
+  console.error(message);
+  process.exit(1);
+}

.scripts/cs3d-set-version.mjs

@@ -0,0 +1,131 @@
+#!/usr/bin/env node
+
+/**
+ * Updates all @cornerstonejs/* package versions across the OHIF workspace.
+ *
+ * Usage: node .scripts/cs3d-set-version.mjs <version>
+ *
+ * Only updates the 8 main CS3D packages (not codec packages):
+ *   adapters, ai, core, dicom-image-loader, labelmap-interpolation,
+ *   nifti-volume-loader, polymorphic-segmentation, tools
+ */
+
+import { readFileSync, writeFileSync, existsSync, readdirSync } from 'fs';
+import { resolve, dirname, join } from 'path';
+import { fileURLToPath } from 'url';
+
+const __dirname = dirname(fileURLToPath(import.meta.url));
+const rootDir = resolve(__dirname, '..');
+
+const version = process.argv[2];
+if (!version) {
+  console.error('Usage: cs3d-set-version.mjs <version>');
+  console.error('  e.g. 4.18.2, 4.19.0-beta.1');
+  process.exit(1);
+}
+
+// The 8 CS3D packages that are built from source (not codecs)
+const CS3D_PACKAGES = [
+  '@cornerstonejs/adapters',
+  '@cornerstonejs/ai',
+  '@cornerstonejs/core',
+  '@cornerstonejs/dicom-image-loader',
+  '@cornerstonejs/labelmap-interpolation',
+  '@cornerstonejs/nifti-volume-loader',
+  '@cornerstonejs/polymorphic-segmentation',
+  '@cornerstonejs/tools',
+];
+
+// Read root package.json to get workspace globs
+const rootPkgPath = resolve(rootDir, 'package.json');
+const rootPkg = JSON.parse(readFileSync(rootPkgPath, 'utf8'));
+const workspaceGlobs = rootPkg.workspaces?.packages || rootPkg.workspaces || [];
+
+// Collect all package.json paths from workspace globs
+function findWorkspacePackageJsons() {
+  const paths = [rootPkgPath]; // include root
+
+  for (const pattern of workspaceGlobs) {
+    const parts = pattern.split('/');
+    let searchDir = rootDir;
+    let hasWildcard = false;
+
+    for (const part of parts) {
+      if (part === '*') {
+        hasWildcard = true;
+        break;
+      }
+      searchDir = join(searchDir, part);
+    }
+
+    if (hasWildcard) {
+      try {
+        const entries = readdirSync(searchDir, { withFileTypes: true });
+        for (const entry of entries) {
+          if (entry.isDirectory()) {
+            const pkgJson = join(searchDir, entry.name, 'package.json');
+            if (existsSync(pkgJson)) {
+              paths.push(pkgJson);
+            }
+          }
+        }
+      } catch {
+        // directory doesn't exist, skip
+      }
+    } else {
+      const pkgJson = join(rootDir, pattern, 'package.json');
+      if (existsSync(pkgJson)) {
+        paths.push(pkgJson);
+      }
+    }
+  }
+
+  return paths;
+}
+
+// Update a dependencies object, returning count of changes
+function updateDeps(deps, targetVersion) {
+  let count = 0;
+  if (!deps) return count;
+  for (const pkg of CS3D_PACKAGES) {
+    if (pkg in deps && deps[pkg] !== targetVersion) {
+      deps[pkg] = targetVersion;
+      count++;
+    }
+  }
+  return count;
+}
+
+const pkgPaths = findWorkspacePackageJsons();
+let totalChanges = 0;
+
+for (const pkgPath of pkgPaths) {
+  const content = readFileSync(pkgPath, 'utf8');
+  const pkg = JSON.parse(content);
+  let changes = 0;
+
+  changes += updateDeps(pkg.dependencies, version);
+  changes += updateDeps(pkg.devDependencies, version);
+  changes += updateDeps(pkg.peerDependencies, version);
+  changes += updateDeps(pkg.resolutions, version);
+
+  if (changes > 0) {
+    // Preserve original formatting (detect indent — restrict to spaces/tabs so
+    // we don't accidentally capture a CRLF newline as part of the indent string)
+    const indent = content.match(/^([ \t]+)/m)?.[1] || '  ';
+    writeFileSync(pkgPath, JSON.stringify(pkg, null, indent) + '\n');
+    const rel = pkgPath.replace(rootDir + '/', '').replace(rootDir + '\\', '');
+    console.log(`  Updated ${rel} (${changes} packages)`);
+    totalChanges += changes;
+  }
+}
+
+console.log(
+  `\nDone: ${totalChanges} version(s) updated to ${version} across ${pkgPaths.length} package files.`
+);
+console.log(
+  'This step changes package.json; the following install must not use a frozen Bun lockfile ' +
+    '(OHIF+CS3D combined “version” CI does: `bun install --config=./bunfig.update-lockfile.toml`). ' +
+    'Other installs stay frozen. Locally after this script, use that bun command and/or ' +
+    '`bun run install:update-lockfile` when you intend to commit lockfile updates.\n'
+);

.scripts/log-build-context.mjs

@@ -0,0 +1,108 @@
+#!/usr/bin/env node
+/**
+ * Logs build context (OHIF branch/version, CS3D source) for diagnosing build issues on GitHub.
+ * Run from repo root. Used by version.mjs and can be invoked from CI workflows.
+ */
+import { execa } from 'execa';
+import fs from 'fs/promises';
+import path from 'path';
+import { fileURLToPath } from 'url';
+
+const __dirname = path.dirname(fileURLToPath(import.meta.url));
+const REPO_ROOT = path.resolve(__dirname, '..');
+
+function log(msg) {
+  console.log(`[build-context] ${msg}`);
+}
+
+async function detectCs3dSource() {
+  const libsCs3d = path.join(REPO_ROOT, 'libs/@cornerstonejs');
+  const coreInNodeModules = path.join(REPO_ROOT, 'node_modules/@cornerstonejs/core');
+
+  try {
+    const libsExists = await fs.access(libsCs3d).then(() => true).catch(() => false);
+    if (!libsExists) {
+      return { source: 'npm', detail: 'published @cornerstonejs packages (no libs/@cornerstonejs)' };
+    }
+
+    const coreStat = await fs.lstat(coreInNodeModules).catch(() => null);
+    const isSymlink = coreStat?.isSymbolicLink();
+    if (isSymlink) {
+      const target = await fs.readlink(coreInNodeModules);
+      return { source: 'integrated', detail: `linked from libs/@cornerstonejs (→ ${target})` };
+    }
+
+    return { source: 'npm', detail: 'published @cornerstonejs packages (libs exists but not linked)' };
+  } catch {
+    return { source: 'unknown', detail: 'could not detect' };
+  }
+}
+
+async function getCs3dVersion() {
+  try {
+    const corePkg = path.join(REPO_ROOT, 'node_modules/@cornerstonejs/core/package.json');
+    const pkg = JSON.parse(await fs.readFile(corePkg, 'utf-8'));
+    return pkg.version || 'unknown';
+  } catch {
+    return 'unknown';
+  }
+}
+
+async function getCs3dBranchFromLibs() {
+  try {
+    const libsCs3d = path.join(REPO_ROOT, 'libs/@cornerstonejs');
+    const { stdout } = await execa('git', ['rev-parse', '--abbrev-ref', 'HEAD'], {
+      cwd: libsCs3d,
+    });
+    return stdout;
+  } catch {
+    return null;
+  }
+}
+
+async function run() {
+  const inCI = process.env.GITHUB_ACTIONS === 'true';
+  const buildType = inCI ? (process.env.BUILD_TYPE || 'ohif-upstream') : 'local';
+
+  log('═══════════════════════════════════════════════════════════════');
+  log('Build context (for diagnosing GitHub build issues)');
+  log('═══════════════════════════════════════════════════════════════');
+
+  if (inCI) {
+    log(`Build type: ${process.env.BUILD_TYPE || 'ohif-upstream'}`);
+    log(`GitHub repo: ${process.env.GITHUB_REPOSITORY || 'unknown'}`);
+    log(`GitHub ref: ${process.env.GITHUB_REF || 'unknown'}`);
+    log(`GitHub SHA: ${process.env.GITHUB_SHA || 'unknown'}`);
+    log(`Workflow: ${process.env.GITHUB_WORKFLOW || 'unknown'}`);
+  }
+
+  try {
+    const { stdout: branch } = await execa('git', ['rev-parse', '--abbrev-ref', 'HEAD'], {
+      cwd: REPO_ROOT,
+    });
+    const { stdout: sha } = await execa('git', ['rev-parse', '--short', 'HEAD'], {
+      cwd: REPO_ROOT,
+    });
+    log(`OHIF branch: ${branch} (${sha})`);
+  } catch {
+    log('OHIF branch: (not a git repo or error)');
+  }
+
+  const cs3d = await detectCs3dSource();
+  log(`CS3D source: ${cs3d.source} — ${cs3d.detail}`);
+
+  if (cs3d.source === 'integrated') {
+    const branch = await getCs3dBranchFromLibs();
+    if (branch) log(`CS3D branch (libs/@cornerstonejs): ${branch}`);
+  } else {
+    const ver = await getCs3dVersion();
+    log(`CS3D version (@cornerstonejs/core): ${ver}`);
+  }
+
+  log('═══════════════════════════════════════════════════════════════');
+}
+
+run().catch((err) => {
+  console.error('[build-context] Error:', err.message);
+  process.exitCode = 1;
+});

AGENTS.md

@@ -0,0 +1,201 @@
+# AGENTS.md
+
+This file provides guidance to AI coding agents (Claude, Codex, and other LLM tools) when working with code in this repository.
+
+## Project Overview
+
+This is **OHIF** v3  (Open Health Imaging Foundation) - a medical imaging viewer. It's an extensible web imaging platform.
+## Development Commands
+
+### Main Development
+```bash
+# Start development server for all packages
+yarn dev
+```
+
+### Building
+```bash
+# Build all packages for production
+yarn build
+
+# Build specific packages
+cd platform/app && yarn build    # Main viewer app
+```
+
+## Architecture Overview
+
+### Monorepo Structure
+- **`platform/`** - Core OHIF infrastructure
+  - `app/` - Main viewer application (`@ohif/viewer`)
+  - `core/` - Core services and utilities
+  - `ui-next/` - Modern UI component library
+- **`extensions/`** - Modular functionality plugins
+- **`modes/`** - Application workflow configurations
+
+### Key Extension Architecture
+
+**Extension System**: Each extension exports modules (viewports, tools, panels, commands) that the app dynamically loads. Extensions are self-contained with their own webpack builds.
+
+
+**Core Extensions:**
+- `cornerstone/` - Medical image rendering engine
+- `cornerstone-dicom-pmp/` - DICOM PMP support
+- `cornerstone-dicom-seg/` - DICOM Segmentation support
+- `cornerstone-dicom-sr/` - DICOM SR support
+- `dicom-pdf/` - DICOM PDF support
+- `dicom-video/` - DICOM Video support
+- `measurement-tracking/` - Measurement tracking support
+- `default/` - Standard OHIF functionality
+
+### Service-Oriented Design (PUB-SUB)
+
+The app uses a Services Manager pattern with these core services:
+- **Display Set Service**: Manages image series organization
+- **Measurement Service**: Handles annotations and measurements
+- **Hanging Protocol Service**: Controls image layout and display rules
+- **UI Service**: Manages panels, modals, and notifications
+- **Segmentation Service**: AI/ML powered image segmentation, loading segmentations, etc.
+- **Viewport Grid Service**: Manages viewport layout and display rules
+- **Viewport Display Set History Service**: Manages viewport display set history
+- **Viewport Dialog Service**: Manages viewport dialogs
+- **Notification Service**: Manages notifications
+- **Modal Service**: Manages modals
+- **Dialog Service**: Manages dialogs, more general not just viewport dialogs
+- **Customization Service**: Manages customization of the app
+- **Toolbar Service**: Manages the toolbar, viewport action corners, tool states
+- **User Authentication Service**: Manages user authentication, but used only for injecting tokens in dicomweb requests in our context
+- **Panel Service**: Manages side panels
+- **Cornerstone Viewport Service**: Manages the cornerstone viewport, rendering engines, presentation states, more tightly coupled to cornerstone than the other services
+- **Tool Group Service**: Manages tool groups, creating and managing tool groups, etc.
+- **Sync Group Service**: Manages sync groups, syncing zooming, panning, scrolling, etc.
+- **Cornerstone Cache Service**: Manages the cornerstone cache, caching images, etc.
+
+Most of the services utilize a pub sub architecture and extend the pub sub service interace at `pubSubServiceInterface.ts`
+
+### Commands Manager
+
+The Commands Manager tracks named commands (or functions) that are scoped to
+a context. When we attempt to run a command with a given name, we look for it
+in our active contexts, in the order specified.
+If found, we run the command, passing in any application
+or call specific data specified in the command's definition.
+
+You can call `commandsManager.runCommand` to run a command.
+
+### Extension Manager
+
+Aggregates and exposes extension modules throughout the OHIF application, manages data sources, and provides a centralized registry for accessing extension functionality.
+
+### Build System
+
+**Yarn Workspaces**: Optimized monorepo builds with dependency caching
+**Webpack 5**: Module federation for dynamic extension loading
+**Plugin Import System**: Extensions auto-register via `writePluginImportsFile.js`
+
+### Key Technologies
+
+- **React 18 + TypeScript**: UI framework
+- **Cornerstone.js**: Medical image rendering
+- **DICOM**: Medical imaging standard support
+- **ONNX Runtime**: AI model inference (SAM segmentation models)
+- **Zustand**: State management
+- **TailwindCSS**: Styling system
+
+## Development Patterns
+
+### Adding New Tools
+1. Create tool class in `extensions/cornerstone/src/tools/`
+2. Register in tool module's `toolNames.ts`
+3. Add to toolbar via `getToolbarModule.tsx`
+4. Add measurement mapping if needed in `measurementServiceMappings/`
+
+### Creating Extensions
+Extensions must export:
+- `id.js` - Unique extension identifier
+- `index.tsx` - Extension registration
+- Module functions (`getToolbarModule`, `getViewportModule`, etc.)
+
+### Viewport Customization
+Custom viewports extend base Cornerstone viewport:
+- Override render methods for custom overlays
+- Implement measurement tracking
+- Add viewport-specific tools and interactions
+
+### Service Integration
+Register services in extension's `servicesManager.registerService` and access via:
+```javascript
+const { MeasurementService } = servicesManager.services;
+```
+
+### Creating stores
+To create a store, you can make one in your extension's `stores/` directory, and you can follow the example of an existing store such as `useLutPresentationStore.ts` or `useSynchronizersStore.ts`.
+
+### Creating hooks
+To create a hook, you can make one in your extension's `hooks/` directory, and you can follow the example of an existing hook such as `usePatientInfo.tsx`.
+
+### Creating providers
+To create a provider, you can make one in your extension's `providers/` or `contexts/` directory, and you can follow the example of an existing provider such as `ViewportGridProvider.tsx`.
+
+### Adding new icons
+To add a new icon, you can add it to the `icons/` directory, then register the icon using `import { addIcon } from '@ohif/extension-default/src/utils'`
+
+### Creating synchronizers
+You can create custom synchronizers and place them in the `synchronizers/` directory, you can follow the example of `frameViewSynchronizer.ts`
+
+### Utilites
+Any new utilites should be placed in the `utils/` directory, and you can follow the example of `formatPN.ts`
+
+### Commands
+Commands are created in the commandsModule of the extension, for example the cornerstone extension has `commandsModule.tsx`, sometimes its also named `getCommandsModule.tsx.`
+
+### Overriding OHIF Components
+
+To override an OHIF component, you can create a new component in your extension's `components/` directory, then import it instead of the original ui-next component.
+
+### Mode layout
+
+The layoutTemplate is a function that returns a layout object, you can follow the example of `longitudinal/src/index.ts`. This would be helpful when you need to override a component as you can know where to look for the original component.
+
+### Pub Sub
+Always prioritrize pub sub, by calling a services subscribe over useEffects as it's more reliable, for example
+
+```ts
+  useEffect(() => {
+    const subscriptions = [
+      cornerstoneViewportService.subscribe(EVENTS.VIEWPORT_DATA_CHANGED, handleViewportDataChanged),
+      syncGroupService.subscribe(EVENTS.VIEWPORT_REMOVED, onHotKeyRemoval),
+      syncGroupService.subscribe(EVENTS.VIEWPORT_ADDED, onHotKeyAddition),
+    ];
+
+    return () => {
+      subscriptions.forEach(({ unsubscribe }) => unsubscribe());
+    };
+  }, []);
+```
+
+### Never modify core architecture
+Do not modify the core and always find a way to implement the solution via the extensions and modes, only modify core as a last resort if all other fail or there's an architectural constraint.
+
+## Configuration
+
+### Plugin Configuration
+Extensions are auto-discovered via `pluginConfig.json` and dynamically imported during build.
+
+## Medical Imaging Specifics
+
+### DICOM Support
+- Multi-format: CT, MRI, X-Ray, Mammography, Ultrasound
+- SOP Class handlers for specialized DICOM types (RT, SEG, SR)
+- DICOMweb protocol for web-based image retrieval
+
+### Hanging Protocols
+Define how images are arranged and displayed:
+- Located in `hps/` directories
+- JSON configuration with viewport rules
+- Support for priors comparison and multi-monitor layouts
+
+### Measurement Tools
+- Cornerstone Tools integration for annotations
+- Bidirectional measurements, polylines, annotations
+- Export capabilities (DICOM SR, CSV reports)
+- AI-assisted measurements via ONNX models

CHANGELOG.md

@@ -3,6 +3,669 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+
+### Bug Fixes
+
+* **measurements:** read displayName in SplineROI and PlanarFreehandROI reports ([#5908](https://github.com/OHIF/Viewers/issues/5908)) ([27af682](https://github.com/OHIF/Viewers/commit/27af6821b56f2c5be3a5d4ce38d05be6fbce68f4))
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+
+### Bug Fixes
+
+* **segmentation:** remove thresholdRange label in double-range tool settings ([#5931](https://github.com/OHIF/Viewers/issues/5931)) ([527cfb0](https://github.com/OHIF/Viewers/commit/527cfb0ae8c615aeaddbc7f16892ba4460a5b596))
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+
+### Bug Fixes
+
+* **security:** Update various dependencies to fix security vulnerabilities. ([#6023](https://github.com/OHIF/Viewers/issues/6023)) ([55b46f3](https://github.com/OHIF/Viewers/commit/55b46f39c65a183978a44a61fb322685134f3bd6))
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+
+### Features
+
+* **llm:** add instructions md file for claude and other LLM tools ([#6017](https://github.com/OHIF/Viewers/issues/6017)) ([f231eff](https://github.com/OHIF/Viewers/commit/f231eff5980495c9f3ac0bd907a03388d06c5b90))
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+
+### Bug Fixes
+
+* **measurement-tracking:** restore tracked state on undo after Delete all ([#5994](https://github.com/OHIF/Viewers/issues/5994)) ([397aa4d](https://github.com/OHIF/Viewers/commit/397aa4d0e361e95dcbd83e0557a9cd84c0b8440a))
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+
+### Bug Fixes
+
+* remove waitForVolumeLoad from main toolbar page object ([#6004](https://github.com/OHIF/Viewers/issues/6004)) ([37e19f7](https://github.com/OHIF/Viewers/commit/37e19f734a675a95cedc8a8acc3980816a489574))
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+
+### Bug Fixes
+
+* **security:** Patch axios security vulnerabilities. ([#5998](https://github.com/OHIF/Viewers/issues/5998)) ([5e624f1](https://github.com/OHIF/Viewers/commit/5e624f13870cdb63300b82285b46d4b21b9d47c3))
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+
+### Bug Fixes
+
+* **ToolGroupService:** Centralize tool binding persistence and provide API to add and remove persisted bindings. ([#5989](https://github.com/OHIF/Viewers/issues/5989)) ([979d619](https://github.com/OHIF/Viewers/commit/979d619f7ccb426beb75d59721b01c98175d5241))
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+
+### Features
+
+* **ui-next:** Adds toggle state for ToolButton and Crosshair example ([#5914](https://github.com/OHIF/Viewers/issues/5914)) ([691e267](https://github.com/OHIF/Viewers/commit/691e26731f4f3b3957fe81fc051b09c972696cf6))
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+
+### Bug Fixes
+
+* **config url:** Hardening fetch options. ([#5985](https://github.com/OHIF/Viewers/issues/5985)) ([468e573](https://github.com/OHIF/Viewers/commit/468e5734a9ab02516430cc0dab5d7f2106dea950))
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+
+### Bug Fixes
+
+* **seg:** prevent segmentations from spreading to all viewports before hydration confirmation in 3D four-up ([#5967](https://github.com/OHIF/Viewers/issues/5967)) ([f8ccf9f](https://github.com/OHIF/Viewers/commit/f8ccf9ff2ea9ab7c38bd427514a8ae87902822a3))
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+
+### Bug Fixes
+
+* **security:** refine dynamic config URL trust policy and document trusted-origin behavior ([#5973](https://github.com/OHIF/Viewers/issues/5973)) ([f3cca21](https://github.com/OHIF/Viewers/commit/f3cca21e49729fbf4bab85aa1de64b9dcfebd0ce))
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+
+### Bug Fixes
+
+* **security:** Patch protobufjs for CVE-2026-41242. ([#5974](https://github.com/OHIF/Viewers/issues/5974)) ([1fc97fe](https://github.com/OHIF/Viewers/commit/1fc97fea43cc5e6689bd0076b77a278c67252af7))
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+
+### Features
+
+* **slice scrollbar:** Integrate ViewportSliceProgressScrollbar with customizations and docs ([#5960](https://github.com/OHIF/Viewers/issues/5960)) ([8fc0dc1](https://github.com/OHIF/Viewers/commit/8fc0dc16e97f3262fdac902ecf2d7c20cb8f78cc))
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+
+### Bug Fixes
+
+* **configuration:** Harden dynamic datasource URL trust boundaries and credential handling. ([#5963](https://github.com/OHIF/Viewers/issues/5963)) ([eede569](https://github.com/OHIF/Viewers/commit/eede569a88ed6a3177bbdea8552dfb93ca13cac5))
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+
+### Bug Fixes
+
+* Use newer ONNX version and load without errors ([#5854](https://github.com/OHIF/Viewers/issues/5854)) ([cc5dc20](https://github.com/OHIF/Viewers/commit/cc5dc201649bcbfb4cfad21141dbd56000d30f53)), closes [#5875](https://github.com/OHIF/Viewers/issues/5875) [#5884](https://github.com/OHIF/Viewers/issues/5884) [#5886](https://github.com/OHIF/Viewers/issues/5886) [#5893](https://github.com/OHIF/Viewers/issues/5893) [#5874](https://github.com/OHIF/Viewers/issues/5874) [#5865](https://github.com/OHIF/Viewers/issues/5865)
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+
+### Bug Fixes
+
+* Enhance multiframe instance handling and improve instance valida… ([#5956](https://github.com/OHIF/Viewers/issues/5956)) ([f5a66b9](https://github.com/OHIF/Viewers/commit/f5a66b9eea236cd3291eac857208d7465516c89a))
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+
+### Bug Fixes
+
+* A couple of changes to enable cs3d integration build ([#5944](https://github.com/OHIF/Viewers/issues/5944)) ([f6bbd5c](https://github.com/OHIF/Viewers/commit/f6bbd5c779e4692dc47c93327a890661b8dcc174))
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+
+### Bug Fixes
+
+* ignore auth in git ([#5955](https://github.com/OHIF/Viewers/issues/5955)) ([961eea1](https://github.com/OHIF/Viewers/commit/961eea1c39c37a940c1707c3dfafcede5f4af994))
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+
+### Bug Fixes
+
+* **cornerstone:** read FrameOfReferenceUID from display set in viewport service ([#5950](https://github.com/OHIF/Viewers/issues/5950)) ([d219171](https://github.com/OHIF/Viewers/commit/d219171e25caf5a7c575080f63819d6f4fe45016))
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+
+### Reverts
+
+* rename DisplaySet.frameOfReferenceUID back to FrameOfReferenceUID ([#5943](https://github.com/OHIF/Viewers/issues/5943)) ([0e933c2](https://github.com/OHIF/Viewers/commit/0e933c256e07b7cda35ed2ba3cfb1ab35d895d57))
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+
+### Bug Fixes
+
+* **defaultRouteInit:** pass sorted display sets to hanging protocol for deterministic viewport order ([#5933](https://github.com/OHIF/Viewers/issues/5933)) ([68b10d3](https://github.com/OHIF/Viewers/commit/68b10d365a72d656c83a1c61624dcbd245fff5db))
+
+
+### Features
+
+* **component:** Adds SmartScrollbar to ui-next - OHIF-2558 ([#5924](https://github.com/OHIF/Viewers/issues/5924)) ([91a8715](https://github.com/OHIF/Viewers/commit/91a8715795c1501b271f10b361382331eb836bf9))
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+
+### Bug Fixes
+
+* **security:** Update yarn.lock that was missed in PR [#5936](https://github.com/OHIF/Viewers/issues/5936). ([#5940](https://github.com/OHIF/Viewers/issues/5940)) ([84ddf78](https://github.com/OHIF/Viewers/commit/84ddf78c879a7cb1aa62c3aaef4428adf67065da))
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+
+### Bug Fixes
+
+* **security:** update dependencies to fix security vulnerabilities ([#5936](https://github.com/OHIF/Viewers/issues/5936)) ([5358a39](https://github.com/OHIF/Viewers/commit/5358a3985a1fa87eb1e3e7493dd61254f790b6d8))
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+
+### Bug Fixes
+
+* **segmentation:** restrict overlay segmentation menu to same frame of reference as viewport background display set  ([#5900](https://github.com/OHIF/Viewers/issues/5900)) ([b9029ef](https://github.com/OHIF/Viewers/commit/b9029ef6f8d63a0e36ec929310c1c5ad3f563ef8))
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+
+### Bug Fixes
+
+* **measurement:** Restore viewport interactivity when deleting in-progress Spline or Livewire measurement ([#5905](https://github.com/OHIF/Viewers/issues/5905)) ([7929f08](https://github.com/OHIF/Viewers/commit/7929f0898f1bf882682a912b1c32d93d0944726f))
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+
+### Bug Fixes
+
+* prevent black viewport when navigating series with client-created segmentation ([#5919](https://github.com/OHIF/Viewers/issues/5919)) ([e66fb5a](https://github.com/OHIF/Viewers/commit/e66fb5a2b8c93a60ea20d315f73def7a02ea205f))
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+
+### Bug Fixes
+
+* **SR:** Added support for spline and live wire SR items. ([#5870](https://github.com/OHIF/Viewers/issues/5870)) ([1d4802c](https://github.com/OHIF/Viewers/commit/1d4802c2a38dd75dca7afca87913e100453c9135))
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+
+### Features
+
+* Add combined build ([#5895](https://github.com/OHIF/Viewers/issues/5895)) ([1df671e](https://github.com/OHIF/Viewers/commit/1df671e9ab67d43f98bf09f6838ddc0a5f220277))
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+
+### Bug Fixes
+
+* **sr-hydration:** enable hydration and arrow navigation for 3D SR measurements ([#5887](https://github.com/OHIF/Viewers/issues/5887)) ([7a38903](https://github.com/OHIF/Viewers/commit/7a38903b1977b1cf0f3a0ba8a4a823fac5e8fdeb))
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+
+### Bug Fixes
+
+* **security:** Bump flattened version to address CVE-2026-32141. ([#5897](https://github.com/OHIF/Viewers/issues/5897)) ([d8d376e](https://github.com/OHIF/Viewers/commit/d8d376edaf9c2b7af237182657e3e2203cca5abb))
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+
+### Bug Fixes
+
+* **window level:** The window level value is not displayed by default on all the viewports when selecting common/custom layout and TMTV. ([#5865](https://github.com/OHIF/Viewers/issues/5865)) ([fe1ecfe](https://github.com/OHIF/Viewers/commit/fe1ecfe0cc5d1bcf82686d821f356da8936a8c4b))
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+
+### Bug Fixes
+
+* **segmentation:** Display "No description S:{series number} {modality}" for segmentations with no label. ([#5874](https://github.com/OHIF/Viewers/issues/5874)) ([7b5d0ce](https://github.com/OHIF/Viewers/commit/7b5d0ce40e5422ccfce6091ac3d7559586cbe57e))
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+
+### Bug Fixes
+
+* **security:** Bump tar version to address CVE-2026-31802. ([#5893](https://github.com/OHIF/Viewers/issues/5893)) ([d015b2e](https://github.com/OHIF/Viewers/commit/d015b2e32a418042034c4f557c5a36499c72f702))
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+
+### Bug Fixes
+
+* Modalities in study list should select starts with as primary ([#5886](https://github.com/OHIF/Viewers/issues/5886)) ([b83e978](https://github.com/OHIF/Viewers/commit/b83e978df8c9ffda3759378318267b8d0020653c))
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+
+### Bug Fixes
+
+* **Threshold tool:** Threshold tool no longer becomes deselected when the Dynamic option is selected ([#5884](https://github.com/OHIF/Viewers/issues/5884)) ([889026f](https://github.com/OHIF/Viewers/commit/889026f8a9c20cd21c31b4a02128afd5f057b14b))
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+
+### Bug Fixes
+
+* **seg hydration:** auto-hydrate RT struct on second load with disableConfirmationPrompts ([#5875](https://github.com/OHIF/Viewers/issues/5875)) ([6f773f9](https://github.com/OHIF/Viewers/commit/6f773f997214c388409f3af3e9fc0e5b84debc10))
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+
+### Bug Fixes
+
+* **security:** Bump svgo and tar to fix vulnerabilities. ([#5877](https://github.com/OHIF/Viewers/issues/5877)) ([61a1fcc](https://github.com/OHIF/Viewers/commit/61a1fccd7d47965831a6c80357219eed979ce4d6))
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+
+### Features
+
+* **ecg:** add DICOM ECG waveform extension ([#5856](https://github.com/OHIF/Viewers/issues/5856)) ([70f76ae](https://github.com/OHIF/Viewers/commit/70f76aeba1b27f8e4de5ec73a7b831428e38e3d2))
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+
+### Bug Fixes
+
+* **microscopy:** rename measurement in microscopy mode ([#5866](https://github.com/OHIF/Viewers/issues/5866)) ([2358a73](https://github.com/OHIF/Viewers/commit/2358a73c3cd24953430064480fb9e66bfe36ea69))
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+
+### Bug Fixes
+
+* **segmentation:** segment bidirectional tool error and show toast notification when no segment is drawn ([#5861](https://github.com/OHIF/Viewers/issues/5861)) ([7e10830](https://github.com/OHIF/Viewers/commit/7e10830d5802e22bda4df6a3f8008e9a414b4cd4))
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+
+### Bug Fixes
+
+* **security:** Address various security vulnerabilities. ([#5869](https://github.com/OHIF/Viewers/issues/5869)) ([be8e266](https://github.com/OHIF/Viewers/commit/be8e266a80f13d03ce9dc4a21a0227d3e1bc36ac))
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+
+### Bug Fixes
+
+* Update CS3D 4.18.2 ([#5837](https://github.com/OHIF/Viewers/issues/5837)) ([5370b93](https://github.com/OHIF/Viewers/commit/5370b9382e7bfddeadd69bab9e653f5f997a6e19))
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+
+### Bug Fixes
+
+* prevent viewer crash when opening DICOM Tag Browser from empty viewport  ([#5827](https://github.com/OHIF/Viewers/issues/5827)) ([d11d6d4](https://github.com/OHIF/Viewers/commit/d11d6d401bc92a3870ec1089d97235b01a6b27c3))
+* **ui-next:** Add validation for opacity and border inputs in the segmentation panel - OHIF-2332 ([#5819](https://github.com/OHIF/Viewers/issues/5819)) ([a8f7099](https://github.com/OHIF/Viewers/commit/a8f709982f16983a11c780e696521df5aa05b604))
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+
+### Bug Fixes
+
+* palette color 8 encoded 16 ([#5823](https://github.com/OHIF/Viewers/issues/5823)) ([eeca1f7](https://github.com/OHIF/Viewers/commit/eeca1f7a7b529d1700f5d281a6fd98074547ffe9)), closes [#5813](https://github.com/OHIF/Viewers/issues/5813)
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package ohif-monorepo-root
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+
+### Bug Fixes
+
+* **RTStruct:** RTSTRUCT contours rendered on first slice for multi-frame images without IPP ([#5811](https://github.com/OHIF/Viewers/issues/5811)) ([b5573ca](https://github.com/OHIF/Viewers/commit/b5573caaa65d0d7ff3e83df0ec70b4aa7ea898ca))
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+
+### Bug Fixes
+
+* Published version should match ([#5813](https://github.com/OHIF/Viewers/issues/5813)) ([d359a3b](https://github.com/OHIF/Viewers/commit/d359a3b784227b248c5b09548db363c7f8adbcb8))
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+
+### Bug Fixes
+
+* **security:**  CVE-2026-27212 patched. Various dependency updates as a result of CVE-2026-26996. ([#5830](https://github.com/OHIF/Viewers/issues/5830)) ([2722960](https://github.com/OHIF/Viewers/commit/27229609cda3162e37573418ef82ca5d4e365075))
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+
+### Bug Fixes
+
+* **segmentation overlay:** update viewport ds list upon seg delete - OHIF-2425 ([#5729](https://github.com/OHIF/Viewers/issues/5729)) ([b353541](https://github.com/OHIF/Viewers/commit/b35354120a01d89b27844f967c32c052bba8b096))
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+
+### Bug Fixes
+
+* Add copy to clipboard option for capture ([#5720](https://github.com/OHIF/Viewers/issues/5720)) ([53c67f3](https://github.com/OHIF/Viewers/commit/53c67f361234a0b4160c1b11fafcb143a0723336))
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+
+### Bug Fixes
+
+* **security:** Bump tar to 7.5.9 and lerna to 9.0.4 to fix CVE-2026-26960. ([#5824](https://github.com/OHIF/Viewers/issues/5824)) ([3d59c0d](https://github.com/OHIF/Viewers/commit/3d59c0d9d3783336eaa8d37cfc0172818942bf00))
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 

README.md

@@ -49,6 +49,7 @@ provided by the <a href="https://ohif.org/">Open Health Imaging Foundation (OHIF
 | <img src="https://github.com/OHIF/Viewers/blob/master/platform/docs/docs/assets/img/demo-4d.webp?raw=true" alt="4D" width="350"/> | 4D  | [Demo](https://viewer.ohif.org/dynamic-volume?StudyInstanceUIDs=2.25.232704420736447710317909004159492840763) |
 | <img src="https://github.com/OHIF/Viewers/blob/master/platform/docs/docs/assets/img/demo-video.webp?raw=true" alt="VIDEO" width="350"/> | Video  | [Demo](https://viewer.ohif.org/viewer?StudyInstanceUIDs=2.25.96975534054447904995905761963464388233) |
 | <img src="https://github.com/OHIF/Viewers/blob/master/platform/docs/docs/assets/img/microscopy.webp?raw=true" alt="microscopy" width="350"/> | Slide Microscopy  | [Demo](https://viewer.ohif.org/microscopy?StudyInstanceUIDs=2.25.141277760791347900862109212450152067508) |
+| <img src="https://github.com/OHIF/Viewers/blob/master/platform/docs/docs/assets/img/demo-ecg.webp?raw=true" alt="ECG" width="350"/> | ECG Waveform  | [Demo](https://viewer-dev.ohif.org/viewer?StudyInstanceUIDs=2.25.209974489360710696739324151261716440238) |
 
 ## About
 
@@ -104,7 +105,6 @@ For commercial support, academic collaborations, and answers to common
 questions; please use [Get Support](https://ohif.org/get-support/) to contact
 us.
 
-
 ## Developing
 
 ### Branches
@@ -168,6 +168,64 @@ yarn config set workspaces-experimental true
 yarn install --frozen-lockfile
 ```
 
+### Cornerstone3D Integration Testing
+
+OHIF's Playwright end-to-end tests can run against a **CS3D branch** or a
+**published CS3D version**, allowing changes that span both repositories to be
+validated together before merging.
+
+#### Setting up an integration build
+
+1. Add the **`ohif-integration`** label to your OHIF pull request.
+2. In the PR body, add a line specifying the CS3D ref:
+   ```
+   CS3D_REF: feat/my-feature
+   ```
+   - **Version ref** (e.g. `4.19+`, `4.18.2`) — the workflow resolves it to an
+     exact published version and swaps the CS3D dependency via npm.
+   - **Branch ref** (e.g. `main`, `cornerstonejs:feat/foo`) — the workflow
+     clones the branch, builds CS3D from source with `bun run build:esm`, and
+     symlinks the built packages into OHIF's `node_modules`.
+   - For forks, use the `<owner>:<branch>` format
+     (e.g. `myGithubUser:feat/foo`).
+   - If no `CS3D_REF` is specified, the default is `4.19+`.
+3. The workflow can also be triggered manually via **workflow_dispatch** with a
+   `cs3d_ref` input.
+
+#### What happens in CI
+
+The [Playwright workflow](.github/workflows/playwright.yml) runs two jobs:
+
+| Job | Purpose |
+|-----|---------|
+| **Playwright Tests** | Builds OHIF (with CS3D linked or version-swapped), runs the full Playwright suite, uploads test results and coverage, and deploys a Netlify preview when `ohif-integration` is active. |
+| **CS3D Branch Merge Guard** | A lightweight check that **fails** when the `ohif-integration` label is present and `CS3D_REF` points to a branch (not a version). This prevents merging while still letting the Playwright tests show green so you can see whether the code actually works. |
+
+#### Testing changes that span both repos
+
+If a feature requires changes in both Cornerstone3D and OHIF:
+
+1. Create your feature branch in CS3D and push it.
+2. Create a matching branch in OHIF.
+3. Add the `ohif-integration` label to the OHIF pull request.
+4. In the PR body, add: `CS3D_REF: <your-cs3d-branch>`.
+5. Playwright tests will build CS3D from source, link it, and run the full
+   suite. The merge guard will block merge until you switch to a published
+   version — but you can see the test results and the preview deploy while
+   iterating.
+6. Once the CS3D side is merged and published, update the PR body to reference
+   the published version (e.g. `CS3D_REF: 4.19+`). The tests will run against
+   the registry version and the merge guard will pass.
+
+#### Preview deploys
+
+When `ohif-integration` is active, the Playwright workflow also builds the OHIF
+viewer and deploys it to Netlify as a preview. This gives you a live URL to
+manually test the combined CS3D + OHIF changes without running anything locally.
+
+For details on linking CS3D locally for development, see the
+[Cornerstone3D README](libs/@cornerstonejs/README.md#local-development-linking--unlinking).
+
 ## Commands
 
 These commands are available from the root directory. Each project directory

addOns/externals/devDependencies/CHANGELOG.md

@@ -3,6 +3,516 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+
+### Bug Fixes
+
+* **security:**  CVE-2026-27212 patched. Various dependency updates as a result of CVE-2026-26996. ([#5830](https://github.com/OHIF/Viewers/issues/5830)) ([2722960](https://github.com/OHIF/Viewers/commit/27229609cda3162e37573418ef82ca5d4e365075))
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+**Note:** Version bump only for package @externals/devDependencies
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+
+### Bug Fixes
+
+* **security:** Bump tar to 7.5.9 and lerna to 9.0.4 to fix CVE-2026-26960. ([#5824](https://github.com/OHIF/Viewers/issues/5824)) ([3d59c0d](https://github.com/OHIF/Viewers/commit/3d59c0d9d3783336eaa8d37cfc0172818942bf00))
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 **Note:** Version bump only for package @externals/devDependencies

addOns/externals/devDependencies/package.json

@@ -1,7 +1,7 @@
 {
   "name": "@externals/devDependencies",
   "description": "External dev dependencies - put dev build dependencies here",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "license": "MIT",
   "private": true,
   "engines": {
@@ -20,7 +20,6 @@
     "react-dom": "18.3.1"
   },
   "devDependencies": {
-    "@babel/eslint-parser": "7.28.0",
     "@pmmmwh/react-refresh-webpack-plugin": "0.5.17",
     "@rsbuild/core": "1.5.1",
     "@rsbuild/plugin-node-polyfill": "1.4.2",
@@ -28,30 +27,27 @@
     "@svgr/webpack": "8.1.0",
     "@swc/helpers": "0.5.17",
     "@types/jest": "27.5.2",
-    "@typescript-eslint/eslint-plugin": "6.21.0",
-    "@typescript-eslint/parser": "6.21.0",
+    "@typescript-eslint/eslint-plugin": "8.56.0",
+    "@typescript-eslint/parser": "8.56.0",
     "autoprefixer": "10.4.21",
     "babel-loader": "8.4.1",
-    "babel-plugin-module-resolver": "5.0.2",
     "clean-webpack-plugin": "3.0.0",
     "copy-webpack-plugin": "9.1.0",
     "cross-env": "7.0.3",
     "css-loader": "6.11.0",
     "dotenv": "8.6.0",
-    "eslint": "8.57.1",
+    "eslint": "9.39.3",
     "eslint-config-prettier": "7.2.0",
-    "eslint-config-react-app": "6.0.0",
+    "eslint-config-react-app": "7.0.1",
     "eslint-plugin-cypress": "2.15.2",
-    "eslint-plugin-flowtype": "7.0.0",
     "eslint-plugin-import": "2.32.0",
     "eslint-plugin-jsx-a11y": "6.10.2",
     "eslint-plugin-node": "11.1.0",
     "eslint-plugin-prettier": "5.5.1",
-    "eslint-plugin-promise": "5.2.0",
+    "eslint-plugin-promise": "7.2.1",
     "eslint-plugin-react": "7.37.5",
-    "eslint-plugin-react-hooks": "4.6.2",
+    "eslint-plugin-react-hooks": "7.0.1",
     "eslint-plugin-tsdoc": "0.2.17",
-    "eslint-webpack-plugin": "2.7.0",
     "execa": "8.0.1",
     "extract-css-chunks-webpack-plugin": "4.10.0",
     "html-webpack-plugin": "5.6.3",
@@ -60,7 +56,7 @@
     "jest-canvas-mock": "2.5.2",
     "jest-environment-jsdom": "29.7.0",
     "jest-junit": "6.4.0",
-    "lerna": "7.4.2",
+    "lerna": "9.0.4",
     "lint-staged": "9.5.0",
     "mini-css-extract-plugin": "2.9.2",
     "optimize-css-assets-webpack-plugin": "6.0.1",
@@ -72,7 +68,7 @@
     "prettier-plugin-tailwindcss": "0.6.9",
     "react-refresh": "0.14.2",
     "semver": "7.7.2",
-    "serve": "14.2.4",
+    "serve": "14.2.5",
     "shader-loader": "1.3.1",
     "shx": "0.3.4",
     "source-map-loader": "4.0.2",

addOns/externals/dicom-microscopy-viewer/CHANGELOG.md

@@ -3,6 +3,510 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+**Note:** Version bump only for package @externals/dicom-microscopy-viewer
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 **Note:** Version bump only for package @externals/dicom-microscopy-viewer

addOns/externals/dicom-microscopy-viewer/package.json

@@ -1,7 +1,7 @@
 {
   "name": "@externals/dicom-microscopy-viewer",
   "description": "External reference to dicom-microscopy-viewer",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "license": "MIT",
   "dependencies": {
     "dicom-microscopy-viewer": "0.48.17"

addOns/package.json

@@ -31,7 +31,7 @@
     "@babel/plugin-transform-regenerator": "7.28.1",
     "@babel/plugin-transform-runtime": "7.28.0",
     "@babel/plugin-transform-typescript": "7.28.0",
-    "@babel/preset-env": "7.28.0",
+    "@babel/preset-env": "7.29.5",
     "@babel/preset-react": "7.27.1",
     "@babel/preset-typescript": "7.27.1"
   },

commit.txt

@@ -1 +1 @@
-cca1a8683bc7d392a3a07268f24585642d13b1cd
+27af6821b56f2c5be3a5d4ce38d05be6fbce68f4

extensions/cornerstone-dicom-pmap/CHANGELOG.md

@@ -3,6 +3,528 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+
+### Bug Fixes
+
+* Use newer ONNX version and load without errors ([#5854](https://github.com/OHIF/Viewers/issues/5854)) ([cc5dc20](https://github.com/OHIF/Viewers/commit/cc5dc201649bcbfb4cfad21141dbd56000d30f53)), closes [#5875](https://github.com/OHIF/Viewers/issues/5875) [#5884](https://github.com/OHIF/Viewers/issues/5884) [#5886](https://github.com/OHIF/Viewers/issues/5886) [#5893](https://github.com/OHIF/Viewers/issues/5893) [#5874](https://github.com/OHIF/Viewers/issues/5874) [#5865](https://github.com/OHIF/Viewers/issues/5865)
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+
+### Bug Fixes
+
+* A couple of changes to enable cs3d integration build ([#5944](https://github.com/OHIF/Viewers/issues/5944)) ([f6bbd5c](https://github.com/OHIF/Viewers/commit/f6bbd5c779e4692dc47c93327a890661b8dcc174))
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+
+### Features
+
+* Add combined build ([#5895](https://github.com/OHIF/Viewers/issues/5895)) ([1df671e](https://github.com/OHIF/Viewers/commit/1df671e9ab67d43f98bf09f6838ddc0a5f220277))
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+
+### Bug Fixes
+
+* **segmentation:** Display "No description S:{series number} {modality}" for segmentations with no label. ([#5874](https://github.com/OHIF/Viewers/issues/5874)) ([7b5d0ce](https://github.com/OHIF/Viewers/commit/7b5d0ce40e5422ccfce6091ac3d7559586cbe57e))
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+
+### Bug Fixes
+
+* Update CS3D 4.18.2 ([#5837](https://github.com/OHIF/Viewers/issues/5837)) ([5370b93](https://github.com/OHIF/Viewers/commit/5370b9382e7bfddeadd69bab9e653f5f997a6e19))
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+
+### Bug Fixes
+
+* palette color 8 encoded 16 ([#5823](https://github.com/OHIF/Viewers/issues/5823)) ([eeca1f7](https://github.com/OHIF/Viewers/commit/eeca1f7a7b529d1700f5d281a6fd98074547ffe9)), closes [#5813](https://github.com/OHIF/Viewers/issues/5813)
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 **Note:** Version bump only for package @ohif/extension-cornerstone-dicom-pmap

extensions/cornerstone-dicom-pmap/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@ohif/extension-cornerstone-dicom-pmap",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "description": "DICOM Parametric Map read workflow",
   "author": "OHIF",
   "license": "MIT",
@@ -33,10 +33,10 @@
     "start": "yarn run dev"
   },
   "peerDependencies": {
-    "@ohif/core": "3.13.0-beta.15",
-    "@ohif/extension-cornerstone": "3.13.0-beta.15",
-    "@ohif/extension-default": "3.13.0-beta.15",
-    "@ohif/i18n": "3.13.0-beta.15",
+    "@ohif/core": "3.13.0-beta.78",
+    "@ohif/extension-cornerstone": "3.13.0-beta.78",
+    "@ohif/extension-default": "3.13.0-beta.78",
+    "@ohif/i18n": "3.13.0-beta.78",
     "prop-types": "15.8.1",
     "react": "18.3.1",
     "react-dom": "18.3.1",
@@ -46,8 +46,8 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/adapters": "4.15.29",
-    "@cornerstonejs/core": "4.15.29",
+    "@cornerstonejs/adapters": "4.22.8",
+    "@cornerstonejs/core": "4.22.8",
     "@kitware/vtk.js": "34.15.1"
   }
 }

extensions/cornerstone-dicom-rt/CHANGELOG.md

@@ -3,6 +3,519 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+
+### Reverts
+
+* rename DisplaySet.frameOfReferenceUID back to FrameOfReferenceUID ([#5943](https://github.com/OHIF/Viewers/issues/5943)) ([0e933c2](https://github.com/OHIF/Viewers/commit/0e933c256e07b7cda35ed2ba3cfb1ab35d895d57))
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+
+### Bug Fixes
+
+* **segmentation:** restrict overlay segmentation menu to same frame of reference as viewport background display set  ([#5900](https://github.com/OHIF/Viewers/issues/5900)) ([b9029ef](https://github.com/OHIF/Viewers/commit/b9029ef6f8d63a0e36ec929310c1c5ad3f563ef8))
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+
+### Bug Fixes
+
+* **segmentation overlay:** update viewport ds list upon seg delete - OHIF-2425 ([#5729](https://github.com/OHIF/Viewers/issues/5729)) ([b353541](https://github.com/OHIF/Viewers/commit/b35354120a01d89b27844f967c32c052bba8b096))
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 **Note:** Version bump only for package @ohif/extension-cornerstone-dicom-rt

extensions/cornerstone-dicom-rt/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@ohif/extension-cornerstone-dicom-rt",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "description": "DICOM RT read workflow",
   "author": "OHIF",
   "license": "MIT",
@@ -33,10 +33,10 @@
     "start": "yarn run dev"
   },
   "peerDependencies": {
-    "@ohif/core": "3.13.0-beta.15",
-    "@ohif/extension-cornerstone": "3.13.0-beta.15",
-    "@ohif/extension-default": "3.13.0-beta.15",
-    "@ohif/i18n": "3.13.0-beta.15",
+    "@ohif/core": "3.13.0-beta.78",
+    "@ohif/extension-cornerstone": "3.13.0-beta.78",
+    "@ohif/extension-default": "3.13.0-beta.78",
+    "@ohif/i18n": "3.13.0-beta.78",
     "prop-types": "15.8.1",
     "react": "18.3.1",
     "react-dom": "18.3.1",

extensions/cornerstone-dicom-rt/src/getSopClassHandlerModule.ts

@@ -1,5 +1,6 @@
 import { utils, Types as OhifTypes } from '@ohif/core';
 import i18n from '@ohif/i18n';
+import { segmentation as cstSegmentation } from '@cornerstonejs/tools';
 
 import { SOPClassHandlerId } from './id';
 import loadRTStruct from './loadRTStruct';
@@ -8,8 +9,6 @@ const { sopClassDictionary } = utils;
 
 const sopClassUids = [sopClassDictionary.RTStructureSetStorage];
 
-const cachedRTStructsSEG = new Set<string>();
-
 const loadPromises = {};
 
 function _getDisplaySetsFromSeries(
@@ -57,6 +56,7 @@ function _getDisplaySetsFromSeries(
     StudyInstanceUID,
     SOPClassHandlerId,
     SOPClassUID,
+    FrameOfReferenceUID: null,
     referencedImages: null,
     referencedSeriesInstanceUID: null,
     referencedDisplaySetInstanceUID: null,
@@ -96,6 +96,9 @@ function _getDisplaySetsFromSeries(
   displaySet.referencedImages = instance.ReferencedSeriesSequence.ReferencedInstanceSequence;
   displaySet.referencedSeriesInstanceUID = referencedSeries.SeriesInstanceUID;
 
+  displaySet.FrameOfReferenceUID =
+    instance.ReferencedFrameOfReferenceSequence?.[0]?.FrameOfReferenceUID;
+
   const { displaySetService } = servicesManager.services;
   const referencedDisplaySets =
     displaySetService.getDisplaySetsForReferences(referencedSeriesSequence);
@@ -114,6 +117,7 @@ function _getDisplaySetsFromSeries(
         if (addedDisplaySet.SeriesInstanceUID === displaySet.referencedSeriesInstanceUID) {
           displaySet.referencedDisplaySetInstanceUID = addedDisplaySet.displaySetInstanceUID;
           displaySet.isReconstructable = addedDisplaySet.isReconstructable;
+          displaySet.FrameOfReferenceUID = addedDisplaySet.FrameOfReferenceUID;
           unsubscribe();
         }
       }
@@ -122,6 +126,7 @@ function _getDisplaySetsFromSeries(
     const [referencedDisplaySet] = referencedDisplaySets;
     displaySet.referencedDisplaySetInstanceUID = referencedDisplaySet.displaySetInstanceUID;
     displaySet.isReconstructable = referencedDisplaySet.isReconstructable;
+    displaySet.FrameOfReferenceUID = referencedDisplaySet.FrameOfReferenceUID;
   }
 
   displaySet.load = ({ headers, createSegmentation = true }) =>
@@ -143,23 +148,13 @@ function _load(
   if (
     (rtDisplaySet.loading || rtDisplaySet.isLoaded) &&
     loadPromises[SOPInstanceUID] &&
-    cachedRTStructsSEG.has(rtDisplaySet.displaySetInstanceUID)
+    _segmentationExists(rtDisplaySet)
   ) {
     return loadPromises[SOPInstanceUID];
   }
 
   rtDisplaySet.loading = true;
 
-  const { unsubscribe } = segmentationService.subscribe(
-    segmentationService.EVENTS.SEGMENTATION_LOADING_COMPLETE,
-    (evt: { rtDisplaySet: { displaySetInstanceUID: string } }) => {
-      if (evt.rtDisplaySet?.displaySetInstanceUID === rtDisplaySet.displaySetInstanceUID) {
-        cachedRTStructsSEG.add(rtDisplaySet.displaySetInstanceUID);
-        unsubscribe();
-      }
-    }
-  );
-
   // We don't want to fire multiple loads, so we'll wait for the first to finish
   // and also return the same promise to any other callers.
   loadPromises[SOPInstanceUID] = new Promise<void>(async (resolve, reject) => {
@@ -219,6 +214,10 @@ function _deriveReferencedSeriesSequenceFromFrameOfReferenceSequence(
   return ReferencedSeriesSequence;
 }
 
+function _segmentationExists(segDisplaySet) {
+  return !!cstSegmentation.state.getSegmentation(segDisplaySet.displaySetInstanceUID);
+}
+
 function getSopClassHandlerModule(params: OhifTypes.Extensions.ExtensionParams) {
   const { servicesManager, extensionManager } = params;
 

extensions/cornerstone-dicom-rt/src/viewports/OHIFCornerstoneRTViewport.tsx

@@ -168,7 +168,7 @@ function OHIFCornerstoneRTViewport(props: withAppTypes) {
 
     return () => {
       // remove the segmentation representations if seg displayset changed
-      segmentationService.removeSegmentationRepresentations(viewportId);
+      segmentationService.removeRepresentationsFromViewport(viewportId);
       referencedDisplaySetRef.current = null;
       toolGroupService.destroyToolGroup(toolGroupId);
     };

extensions/cornerstone-dicom-seg/CHANGELOG.md

@@ -3,6 +3,537 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+
+### Bug Fixes
+
+* Use newer ONNX version and load without errors ([#5854](https://github.com/OHIF/Viewers/issues/5854)) ([cc5dc20](https://github.com/OHIF/Viewers/commit/cc5dc201649bcbfb4cfad21141dbd56000d30f53)), closes [#5875](https://github.com/OHIF/Viewers/issues/5875) [#5884](https://github.com/OHIF/Viewers/issues/5884) [#5886](https://github.com/OHIF/Viewers/issues/5886) [#5893](https://github.com/OHIF/Viewers/issues/5893) [#5874](https://github.com/OHIF/Viewers/issues/5874) [#5865](https://github.com/OHIF/Viewers/issues/5865)
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+
+### Bug Fixes
+
+* A couple of changes to enable cs3d integration build ([#5944](https://github.com/OHIF/Viewers/issues/5944)) ([f6bbd5c](https://github.com/OHIF/Viewers/commit/f6bbd5c779e4692dc47c93327a890661b8dcc174))
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+
+### Reverts
+
+* rename DisplaySet.frameOfReferenceUID back to FrameOfReferenceUID ([#5943](https://github.com/OHIF/Viewers/issues/5943)) ([0e933c2](https://github.com/OHIF/Viewers/commit/0e933c256e07b7cda35ed2ba3cfb1ab35d895d57))
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+
+### Bug Fixes
+
+* **segmentation:** restrict overlay segmentation menu to same frame of reference as viewport background display set  ([#5900](https://github.com/OHIF/Viewers/issues/5900)) ([b9029ef](https://github.com/OHIF/Viewers/commit/b9029ef6f8d63a0e36ec929310c1c5ad3f563ef8))
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+
+### Bug Fixes
+
+* **SR:** Added support for spline and live wire SR items. ([#5870](https://github.com/OHIF/Viewers/issues/5870)) ([1d4802c](https://github.com/OHIF/Viewers/commit/1d4802c2a38dd75dca7afca87913e100453c9135))
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+
+### Features
+
+* Add combined build ([#5895](https://github.com/OHIF/Viewers/issues/5895)) ([1df671e](https://github.com/OHIF/Viewers/commit/1df671e9ab67d43f98bf09f6838ddc0a5f220277))
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+
+### Bug Fixes
+
+* **segmentation:** Display "No description S:{series number} {modality}" for segmentations with no label. ([#5874](https://github.com/OHIF/Viewers/issues/5874)) ([7b5d0ce](https://github.com/OHIF/Viewers/commit/7b5d0ce40e5422ccfce6091ac3d7559586cbe57e))
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+
+### Bug Fixes
+
+* Update CS3D 4.18.2 ([#5837](https://github.com/OHIF/Viewers/issues/5837)) ([5370b93](https://github.com/OHIF/Viewers/commit/5370b9382e7bfddeadd69bab9e653f5f997a6e19))
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+
+### Bug Fixes
+
+* palette color 8 encoded 16 ([#5823](https://github.com/OHIF/Viewers/issues/5823)) ([eeca1f7](https://github.com/OHIF/Viewers/commit/eeca1f7a7b529d1700f5d281a6fd98074547ffe9)), closes [#5813](https://github.com/OHIF/Viewers/issues/5813)
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 **Note:** Version bump only for package @ohif/extension-cornerstone-dicom-seg

extensions/cornerstone-dicom-seg/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@ohif/extension-cornerstone-dicom-seg",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "description": "DICOM SEG read workflow",
   "author": "OHIF",
   "license": "MIT",
@@ -33,10 +33,10 @@
     "start": "yarn run dev"
   },
   "peerDependencies": {
-    "@ohif/core": "3.13.0-beta.15",
-    "@ohif/extension-cornerstone": "3.13.0-beta.15",
-    "@ohif/extension-default": "3.13.0-beta.15",
-    "@ohif/i18n": "3.13.0-beta.15",
+    "@ohif/core": "3.13.0-beta.78",
+    "@ohif/extension-cornerstone": "3.13.0-beta.78",
+    "@ohif/extension-default": "3.13.0-beta.78",
+    "@ohif/i18n": "3.13.0-beta.78",
     "prop-types": "15.8.1",
     "react": "18.3.1",
     "react-dom": "18.3.1",
@@ -46,8 +46,8 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/adapters": "4.15.29",
-    "@cornerstonejs/core": "4.15.29",
+    "@cornerstonejs/adapters": "4.22.8",
+    "@cornerstonejs/core": "4.22.8",
     "@kitware/vtk.js": "34.15.1"
   }
 }

extensions/cornerstone-dicom-seg/src/commandsModule.ts

@@ -2,9 +2,8 @@ import dcmjs from 'dcmjs';
 import { classes, Types, utils } from '@ohif/core';
 import { cache, metaData } from '@cornerstonejs/core';
 import { segmentation as cornerstoneToolsSegmentation } from '@cornerstonejs/tools';
-import { adaptersRT, helpers, adaptersSEG } from '@cornerstonejs/adapters';
+import { adaptersRT, adaptersSEG } from '@cornerstonejs/adapters';
 import { createReportDialogPrompt, useUIStateStore } from '@ohif/extension-default';
-import { DicomMetadataStore } from '@ohif/core';
 
 import PROMPT_RESPONSES from '../../default/src/utils/_shared/PROMPT_RESPONSES';
 
@@ -29,11 +28,11 @@ const {
   },
 } = adaptersRT;
 
-const { downloadDICOMData } = helpers;
 
 const commandsModule = ({
   servicesManager,
   extensionManager,
+  commandsManager,
 }: Types.Extensions.ExtensionParams): Types.Extensions.CommandsModule => {
   const { segmentationService, displaySetService, viewportGridService } =
     servicesManager.services as AppTypes.Services;
@@ -194,8 +193,11 @@ const commandsModule = ({
       const generatedSegmentation = actions.generateSegmentation({
         segmentationId,
       });
-
-      downloadDICOMData(generatedSegmentation.dataset, `${segmentationInOHIF.label}`);
+      const storeFn = commandsManager.runCommand('createStoreFunction', {
+        dataSource: 'download',
+        defaultFileName: `${segmentationInOHIF.label}.dcm`,
+      });
+      storeFn(generatedSegmentation.dataset);
     },
     /**
      * Stores a segmentation based on the provided segmentationId into a specified data source.
@@ -217,11 +219,10 @@ const commandsModule = ({
       }
 
       const { label, predecessorImageId } = segmentation;
-      const defaultDataSource = dataSource ?? extensionManager.getActiveDataSource()[0];
 
       const {
         value: reportName,
-        dataSourceName: selectedDataSource,
+        dataSourceName,
         series,
         priorSeriesNumber,
         action,
@@ -231,50 +232,58 @@ const commandsModule = ({
         predecessorImageId,
         title: 'Store Segmentation',
         modality,
+        enableDownload: true,
       });
 
-      if (action === PROMPT_RESPONSES.CREATE_REPORT) {
-        try {
-          const selectedDataSourceConfig = selectedDataSource
-            ? extensionManager.getDataSources(selectedDataSource)[0]
-            : defaultDataSource;
+      if (action !== PROMPT_RESPONSES.CREATE_REPORT) {
+        return;
+      }
 
-          const args = {
-            segmentationId,
-            options: {
-              SeriesDescription: series ? undefined : reportName || label || 'Contour Series',
-              SeriesNumber: series ? undefined : 1 + priorSeriesNumber,
-              predecessorImageId: series,
-            },
-          };
-          const generatedDataAsync =
-            (modality === 'SEG' && actions.generateSegmentation(args)) ||
-            (modality === 'RTSTRUCT' && actions.generateContour(args));
-          const generatedData = await generatedDataAsync;
+      const defaultFileName =
+        modality === 'RTSTRUCT'
+          ? `rtss-${segmentationId}.dcm`
+          : `${label || 'segmentation'}.dcm`;
 
-          if (!generatedData || !generatedData.dataset) {
-            throw new Error('Error during segmentation generation');
-          }
+      const storeFn = commandsManager.runCommand('createStoreFunction', {
+        dataSource: dataSourceName,
+        defaultFileName,
+      });
 
-          const { dataset: naturalizedReport } = generatedData;
+      if (!storeFn) {
+        throw new Error(`No valid store for dataSource: ${dataSourceName}`);
+      }
 
-          // DCMJS assigns a dummy study id during creation, and this can cause problems, so clearing it out
-          if (naturalizedReport.StudyID === 'No Study ID') {
-            naturalizedReport.StudyID = '';
-          }
+      try {
+        const args = {
+          segmentationId,
+          options: {
+            SeriesDescription: series ? undefined : reportName || label || 'Contour Series',
+            SeriesNumber: series ? undefined : 1 + priorSeriesNumber,
+            predecessorImageId: series,
+          },
+        };
+        const generatedDataAsync =
+          (modality === 'SEG' && actions.generateSegmentation(args)) ||
+          (modality === 'RTSTRUCT' && actions.generateContour(args));
+        const generatedData = await generatedDataAsync;
 
-          await selectedDataSourceConfig.store.dicom(naturalizedReport);
-
-          // add the information for where we stored it to the instance as well
-          naturalizedReport.wadoRoot = selectedDataSourceConfig.getConfig().wadoRoot;
-
-          DicomMetadataStore.addInstances([naturalizedReport], true);
-
-          return naturalizedReport;
-        } catch (error) {
-          console.debug('Error storing segmentation:', error);
-          throw error;
+        if (!generatedData?.dataset) {
+          throw new Error('Error during segmentation generation');
         }
+
+        const { dataset: naturalizedReport } = generatedData;
+
+        // DCMJS assigns a dummy study id during creation, and this can cause problems, so clearing it out
+        if (naturalizedReport.StudyID === 'No Study ID') {
+          naturalizedReport.StudyID = '';
+        }
+
+        await storeFn(naturalizedReport, {});
+
+        return naturalizedReport;
+      } catch (error) {
+        console.debug('Error storing segmentation:', error);
+        throw error;
       }
     },
 
@@ -307,14 +316,11 @@ const commandsModule = ({
     downloadRTSS: async args => {
       const { dataset } = await actions.generateContour(args);
       const { InstanceNumber: instanceNumber = 1, SeriesInstanceUID: seriesUID } = dataset;
-
-      try {
-        //Create a URL for the binary.
-        const filename = `rtss-${seriesUID}-${instanceNumber}.dcm`;
-        downloadDICOMData(dataset, filename);
-      } catch (e) {
-        console.warn(e);
-      }
+      const storeFn = commandsManager.runCommand('createStoreFunction', {
+        dataSource: 'download',
+        defaultFileName: `rtss-${seriesUID}-${instanceNumber}.dcm`,
+      });
+      await storeFn(dataset);
     },
 
     toggleActiveSegmentationUtility: ({ itemId: buttonId }) => {

extensions/cornerstone-dicom-seg/src/getSopClassHandlerModule.ts

@@ -30,6 +30,7 @@ function _getDisplaySetsFromSeries(
     SeriesDate,
     StructureSetDate,
     SOPClassUID,
+    FrameOfReferenceUID,
     wadoRoot,
     wadoUri,
     wadoUriRoot,
@@ -49,6 +50,7 @@ function _getDisplaySetsFromSeries(
     StudyInstanceUID,
     SOPClassHandlerId,
     SOPClassUID,
+    FrameOfReferenceUID,
     referencedImages: null,
     referencedSeriesInstanceUID: null,
     referencedDisplaySetInstanceUID: null,
@@ -104,6 +106,7 @@ function _getDisplaySetsFromSeries(
         if (addedDisplaySet.SeriesInstanceUID === displaySet.referencedSeriesInstanceUID) {
           displaySet.referencedDisplaySetInstanceUID = addedDisplaySet.displaySetInstanceUID;
           displaySet.isReconstructable = addedDisplaySet.isReconstructable;
+          displaySet.FrameOfReferenceUID = addedDisplaySet.FrameOfReferenceUID;
           unsubscribe();
         }
       }
@@ -111,6 +114,7 @@ function _getDisplaySetsFromSeries(
   } else {
     displaySet.referencedDisplaySetInstanceUID = referencedDisplaySet.displaySetInstanceUID;
     displaySet.isReconstructable = referencedDisplaySet.isReconstructable;
+    displaySet.FrameOfReferenceUID = referencedDisplaySet.FrameOfReferenceUID;
   }
 
   displaySet.load = async ({ headers }) =>

extensions/cornerstone-dicom-sr/CHANGELOG.md

@@ -3,6 +3,540 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+
+### Bug Fixes
+
+* Use newer ONNX version and load without errors ([#5854](https://github.com/OHIF/Viewers/issues/5854)) ([cc5dc20](https://github.com/OHIF/Viewers/commit/cc5dc201649bcbfb4cfad21141dbd56000d30f53)), closes [#5875](https://github.com/OHIF/Viewers/issues/5875) [#5884](https://github.com/OHIF/Viewers/issues/5884) [#5886](https://github.com/OHIF/Viewers/issues/5886) [#5893](https://github.com/OHIF/Viewers/issues/5893) [#5874](https://github.com/OHIF/Viewers/issues/5874) [#5865](https://github.com/OHIF/Viewers/issues/5865)
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+
+### Bug Fixes
+
+* A couple of changes to enable cs3d integration build ([#5944](https://github.com/OHIF/Viewers/issues/5944)) ([f6bbd5c](https://github.com/OHIF/Viewers/commit/f6bbd5c779e4692dc47c93327a890661b8dcc174))
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+
+### Reverts
+
+* rename DisplaySet.frameOfReferenceUID back to FrameOfReferenceUID ([#5943](https://github.com/OHIF/Viewers/issues/5943)) ([0e933c2](https://github.com/OHIF/Viewers/commit/0e933c256e07b7cda35ed2ba3cfb1ab35d895d57))
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+
+### Bug Fixes
+
+* **segmentation:** restrict overlay segmentation menu to same frame of reference as viewport background display set  ([#5900](https://github.com/OHIF/Viewers/issues/5900)) ([b9029ef](https://github.com/OHIF/Viewers/commit/b9029ef6f8d63a0e36ec929310c1c5ad3f563ef8))
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+
+### Bug Fixes
+
+* **SR:** Added support for spline and live wire SR items. ([#5870](https://github.com/OHIF/Viewers/issues/5870)) ([1d4802c](https://github.com/OHIF/Viewers/commit/1d4802c2a38dd75dca7afca87913e100453c9135))
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+
+### Features
+
+* Add combined build ([#5895](https://github.com/OHIF/Viewers/issues/5895)) ([1df671e](https://github.com/OHIF/Viewers/commit/1df671e9ab67d43f98bf09f6838ddc0a5f220277))
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+
+### Bug Fixes
+
+* **sr-hydration:** enable hydration and arrow navigation for 3D SR measurements ([#5887](https://github.com/OHIF/Viewers/issues/5887)) ([7a38903](https://github.com/OHIF/Viewers/commit/7a38903b1977b1cf0f3a0ba8a4a823fac5e8fdeb))
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+
+### Bug Fixes
+
+* **segmentation:** Display "No description S:{series number} {modality}" for segmentations with no label. ([#5874](https://github.com/OHIF/Viewers/issues/5874)) ([7b5d0ce](https://github.com/OHIF/Viewers/commit/7b5d0ce40e5422ccfce6091ac3d7559586cbe57e))
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+
+### Bug Fixes
+
+* Update CS3D 4.18.2 ([#5837](https://github.com/OHIF/Viewers/issues/5837)) ([5370b93](https://github.com/OHIF/Viewers/commit/5370b9382e7bfddeadd69bab9e653f5f997a6e19))
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+
+### Bug Fixes
+
+* palette color 8 encoded 16 ([#5823](https://github.com/OHIF/Viewers/issues/5823)) ([eeca1f7](https://github.com/OHIF/Viewers/commit/eeca1f7a7b529d1700f5d281a6fd98074547ffe9)), closes [#5813](https://github.com/OHIF/Viewers/issues/5813)
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 **Note:** Version bump only for package @ohif/extension-cornerstone-dicom-sr

extensions/cornerstone-dicom-sr/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@ohif/extension-cornerstone-dicom-sr",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "description": "OHIF extension for an SR Cornerstone Viewport",
   "author": "OHIF",
   "license": "MIT",
@@ -34,10 +34,10 @@
     "test:unit:ci": "jest --ci --runInBand --collectCoverage --passWithNoTests"
   },
   "peerDependencies": {
-    "@ohif/core": "3.13.0-beta.15",
-    "@ohif/extension-cornerstone": "3.13.0-beta.15",
-    "@ohif/extension-measurement-tracking": "3.13.0-beta.15",
-    "@ohif/ui": "3.13.0-beta.15",
+    "@ohif/core": "3.13.0-beta.78",
+    "@ohif/extension-cornerstone": "3.13.0-beta.78",
+    "@ohif/extension-measurement-tracking": "3.13.0-beta.78",
+    "@ohif/ui": "3.13.0-beta.78",
     "dcmjs": "0.49.4",
     "dicom-parser": "1.8.21",
     "hammerjs": "2.0.8",
@@ -46,9 +46,9 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/adapters": "4.15.29",
-    "@cornerstonejs/core": "4.15.29",
-    "@cornerstonejs/tools": "4.15.29",
+    "@cornerstonejs/adapters": "4.22.8",
+    "@cornerstonejs/core": "4.22.8",
+    "@cornerstonejs/tools": "4.22.8",
     "classnames": "2.5.1"
   }
 }

extensions/cornerstone-dicom-sr/src/commandsModule.ts

@@ -1,14 +1,11 @@
 import { metaData } from '@cornerstonejs/core';
 
-import OHIF, { DicomMetadataStore, utils } from '@ohif/core';
-import dcmjs from 'dcmjs';
+import OHIF from '@ohif/core';
 import { adaptersSR } from '@cornerstonejs/adapters';
 
 import getFilteredCornerstoneToolState from './utils/getFilteredCornerstoneToolState';
 import hydrateStructuredReport from './utils/hydrateStructuredReport';
 
-const { downloadBlob } = utils;
-
 const { MeasurementReport } = adaptersSR.Cornerstone3D;
 const { log } = OHIF;
 
@@ -75,24 +72,8 @@ const commandsModule = (props: withAppTypes) => {
     /**
      *
      * @param measurementData An array of measurements from the measurements service
-     * @param additionalFindingTypes toolTypes that should be stored with labels as Findings
-     * @param options Naturalized DICOM JSON headers to merge into the displaySet.
-     * as opposed to Finding Sites.
      * that you wish to serialize.
-     */
-    downloadReport: ({ measurementData, additionalFindingTypes, options = {} }) => {
-      const srDataset = _generateReport(measurementData, additionalFindingTypes, options);
-      const reportBlob = dcmjs.data.datasetToBlob(srDataset);
-
-      //Create a URL for the binary.
-      downloadBlob(reportBlob, { filename: 'dicom-sr.dcm' });
-    },
-
-    /**
-     *
-     * @param measurementData An array of measurements from the measurements service
-     * that you wish to serialize.
-     * @param dataSource The dataSource that you wish to use to persist the data.
+     * @param dataSource The data source name ('download', 'copyToClipboard', or a named data source).
      * @param additionalFindingTypes toolTypes that should be stored with labels as Findings
      * @param options Naturalized DICOM JSON headers to merge into the displaySet.
      * @return The naturalized report
@@ -103,23 +84,30 @@ const commandsModule = (props: withAppTypes) => {
       additionalFindingTypes,
       options = {},
     }) => {
-      // Use the @cornerstonejs adapter for converting to/from DICOM
-      // But it is good enough for now whilst we only have cornerstone as a datasource.
       log.info('[DICOMSR] storeMeasurements');
 
-      if (!dataSource || !dataSource.store || !dataSource.store.dicom) {
-        log.error('[DICOMSR] datasource has no dataSource.store.dicom endpoint!');
+      const storeFn = commandsManager.runCommand('createStoreFunction', {
+        dataSource,
+        defaultFileName: 'dicom-sr.dcm',
+      });
+
+      if (!storeFn) {
+        log.error('[DICOMSR] No valid store for dataSource:', dataSource);
         return Promise.reject({});
       }
 
       try {
-        const naturalizedReport = _generateReport(measurementData, additionalFindingTypes, options);
+        const naturalizedReport = _generateReport(
+          measurementData,
+          additionalFindingTypes,
+          options
+        );
 
-        const { StudyInstanceUID, ContentSequence } = naturalizedReport;
+        const { ContentSequence } = naturalizedReport;
         // The content sequence has 5 or more elements, of which
         // the `[4]` element contains the annotation data, so this is
         // checking that there is some annotation data present.
-        if (!ContentSequence?.[4].ContentSequence?.length) {
+        if (!ContentSequence?.[4]?.ContentSequence?.length) {
           console.log('naturalizedReport missing imaging content', naturalizedReport);
           throw new Error('Invalid report, no content');
         }
@@ -128,22 +116,12 @@ const commandsModule = (props: withAppTypes) => {
         }
 
         const onBeforeDicomStore = customizationService.getCustomization('onBeforeDicomStore');
-
         let dicomDict;
         if (typeof onBeforeDicomStore === 'function') {
           dicomDict = onBeforeDicomStore({ dicomDict, measurementData, naturalizedReport });
         }
 
-        await dataSource.store.dicom(naturalizedReport, null, dicomDict);
-
-        if (StudyInstanceUID) {
-          dataSource.deleteStudyMetadataPromise(StudyInstanceUID);
-        }
-
-        // The "Mode" route listens for DicomMetadataStore changes
-        // When a new instance is added, it listens and
-        // automatically calls makeDisplaySets
-        DicomMetadataStore.addInstances([naturalizedReport], true);
+        await storeFn(naturalizedReport, { measurementData, dicomDict });
 
         return naturalizedReport;
       } catch (error) {
@@ -166,7 +144,6 @@ const commandsModule = (props: withAppTypes) => {
   };
 
   const definitions = {
-    downloadReport: actions.downloadReport,
     storeMeasurements: actions.storeMeasurements,
     hydrateStructuredReport: actions.hydrateStructuredReport,
   };

extensions/cornerstone-dicom-sr/src/getSopClassHandlerModule.ts

@@ -200,8 +200,13 @@ async function _load(
   srDisplaySet.isRehydratable = isRehydratable(srDisplaySet, mappings);
   srDisplaySet.isLoaded = true;
 
-  /** Check currently added displaySets and add measurements if the sources exist */
-  displaySetService.activeDisplaySets.forEach(activeDisplaySet => {
+  /** Check currently added displaySets and add measurements if the sources exist.
+   *  Walk the SR's study first in default series order (not load order) so SCOORD3D
+   *  FrameOfReference matching picks a stable series when several share FOR. */
+  const displaySetsForSRPass = utils.sortDisplaySetsCopy(displaySetService.activeDisplaySets, {
+    studyInstanceUIDFirst: srDisplaySet.StudyInstanceUID,
+  });
+  displaySetsForSRPass.forEach(activeDisplaySet => {
     _checkIfCanAddMeasurementsToDisplaySet(
       srDisplaySet,
       activeDisplaySet,
@@ -637,16 +642,35 @@ function _processNonGeometricallyDefinedMeasurement(mergedContentSequence) {
   NUMContentItems.forEach(item => {
     const { ConceptNameCodeSequence, ContentSequence, MeasuredValueSequence } = item;
 
-    // Handle spatial reference ONLY if ContentSequence exists
+    // Handle spatial reference ONLY if ContentSequence exists.
+    // ContentSequence may be a scalar SCOORD or an array when additional named
+    // SCOORDs (e.g. control points) are nested alongside the primary geometry.
+    // Pick the primary geometry entry: prefer the SCOORD without a
+    // ConceptNameCodeSequence (plain polyline), falling back to the first SCOORD.
     if (ContentSequence) {
-      const { ValueType } = ContentSequence;
+      const scoordItem = Array.isArray(ContentSequence)
+        ? (ContentSequence.find(
+            cs =>
+              (cs.ValueType === 'SCOORD' || cs.ValueType === 'SCOORD3D') &&
+              !cs.ConceptNameCodeSequence
+          ) ?? ContentSequence.find(cs => cs.ValueType === 'SCOORD' || cs.ValueType === 'SCOORD3D'))
+        : ContentSequence;
+
+      if (!scoordItem) {
+        console.warn(
+          'ContentSequence array contains no SCOORD or SCOORD3D entry, skipping annotation.'
+        );
+        return;
+      }
+
+      const { ValueType } = scoordItem;
 
       if (ValueType !== 'SCOORD' && ValueType !== 'SCOORD3D') {
         console.warn(`Graphic ${ValueType} not currently supported, skipping annotation.`);
         return;
       }
 
-      const coords = _getCoordsFromSCOORDOrSCOORD3D(ContentSequence);
+      const coords = _getCoordsFromSCOORDOrSCOORD3D(scoordItem);
 
       if (coords) {
         measurement.coords.push(coords);

extensions/cornerstone-dicom-sr/src/utils/hydrateStructuredReport.ts

@@ -80,7 +80,7 @@ export default function hydrateStructuredReport(
     const { ReferencedSOPInstanceUID, imageId, frameNumber = 1 } = measurement;
     const key = `${ReferencedSOPInstanceUID}:${frameNumber}`;
 
-    if (!sopInstanceUIDToImageId[key]) {
+    if (imageId && !sopInstanceUIDToImageId[key]) {
       sopInstanceUIDToImageId[key] = imageId;
     }
   });
@@ -118,41 +118,17 @@ export default function hydrateStructuredReport(
     }
   });
 
-  // Set the series touched as tracked.
-  const imageIds = [];
-
-  // TODO: notification if no hydratable?
-  Object.keys(hydratableMeasurementsInSR).forEach(annotationType => {
-    const toolDataForAnnotationType = hydratableMeasurementsInSR[annotationType];
-
-    toolDataForAnnotationType.forEach(toolData => {
-      // Add the measurement to toolState
-      // dcmjs and Cornerstone3D has structural defect in supporting multi-frame
-      // files, and looking up the imageId from sopInstanceUIDToImageId results
-      // in the wrong value.
-      const frameNumber = toolData.annotation.data?.frameNumber || 1;
-      const imageId = sopInstanceUIDToImageId[`${toolData.sopInstanceUid}:${frameNumber}`];
-
-      if (!imageIds.includes(imageId)) {
-        imageIds.push(imageId);
-      }
-    });
-  });
-
   let targetStudyInstanceUID;
   const SeriesInstanceUIDs = [];
 
-  for (let i = 0; i < imageIds.length; i++) {
-    const imageId = imageIds[i];
-    if (!imageId) {
-      continue;
-    }
-    const { SeriesInstanceUID, StudyInstanceUID } = metaData.get('instance', imageId);
+  // Set the series touched as tracked.
+  const imageIds = getImageIds(hydratableMeasurementsInSR, sopInstanceUIDToImageId);
 
+  for (const imageId of imageIds) {
+    const { SeriesInstanceUID, StudyInstanceUID } = metaData.get('instance', imageId);
     if (!SeriesInstanceUIDs.includes(SeriesInstanceUID)) {
       SeriesInstanceUIDs.push(SeriesInstanceUID);
     }
-
     if (!targetStudyInstanceUID) {
       targetStudyInstanceUID = StudyInstanceUID;
     } else if (targetStudyInstanceUID !== StudyInstanceUID) {
@@ -160,6 +136,31 @@ export default function hydrateStructuredReport(
     }
   }
 
+  // For 3d annotations there are no image IDs,
+  // so we need to find the display sets by frame of reference to get the SeriesInstanceUIDs
+  const frameOfReferenceUIDs = getFrameOfReferenceUIDs(
+    hydratableMeasurementsInSR,
+    sopInstanceUIDToImageId
+  );
+
+  for (const FrameOfReferenceUID of frameOfReferenceUIDs) {
+    const displaySetsFOR = displaySetService.getDisplaySetsBy(
+      ds => ds.FrameOfReferenceUID === FrameOfReferenceUID && !ds.isDerivedDisplaySet
+    );
+    const ds = chooseDisplaySet(displaySetsFOR, FrameOfReferenceUID);
+    if (!ds) {
+      continue;
+    }
+    if (!SeriesInstanceUIDs.includes(ds.SeriesInstanceUID)) {
+      SeriesInstanceUIDs.push(ds.SeriesInstanceUID);
+    }
+    if (!targetStudyInstanceUID) {
+      targetStudyInstanceUID = ds.StudyInstanceUID;
+    } else if (targetStudyInstanceUID !== ds.StudyInstanceUID) {
+      console.warn('NO SUPPORT FOR SRs THAT HAVE MEASUREMENTS FROM MULTIPLE STUDIES.');
+    }
+  }
+
   /**
    * Gets reference data for what frame of reference and the referenced
    * image id, or for 3d measurements, the volumeId to apply this annotation to.
@@ -196,7 +197,7 @@ export default function hydrateStructuredReport(
     toolDataForAnnotationType.forEach(toolData => {
       toolData.uid = guid();
       const referenceData = getReferenceData(toolData);
-      const { imageId } = referenceData;
+      const { referencedImageId } = referenceData;
 
       const annotation = {
         annotationUID: toolData.annotation.annotationUID,
@@ -241,8 +242,8 @@ export default function hydrateStructuredReport(
         locking.setAnnotationLocked(newAnnotationUID, true);
       }
 
-      if (imageId && !imageIds.includes(imageId)) {
-        imageIds.push(imageId);
+      if (referencedImageId && !imageIds.includes(referencedImageId)) {
+        imageIds.push(referencedImageId);
       }
     });
   });
@@ -255,15 +256,64 @@ export default function hydrateStructuredReport(
   };
 }
 
+/**
+ * Gets the unique imageIds from hydratable measurements that have an imageId reference
+ * (i.e., 2D/SCOORD annotations).
+ */
+function getImageIds(hydratableMeasurementsInSR, sopInstanceUIDToImageId): string[] {
+  const imageIds: string[] = [];
+  Object.keys(hydratableMeasurementsInSR).forEach(annotationType => {
+    const toolDataForAnnotationType = hydratableMeasurementsInSR[annotationType];
+
+    toolDataForAnnotationType.forEach(toolData => {
+      // Add the measurement to toolState
+      // dcmjs and Cornerstone3D has structural defect in supporting multi-frame
+      // files, and looking up the imageId from sopInstanceUIDToImageId results
+      // in the wrong value.
+      const frameNumber = toolData.annotation.data?.frameNumber || 1;
+      const imageId = sopInstanceUIDToImageId[`${toolData.sopInstanceUid}:${frameNumber}`];
+
+      if (imageId && !imageIds.includes(imageId)) {
+        imageIds.push(imageId);
+      }
+    });
+  });
+  return imageIds;
+}
+
+/**
+ * Gets the unique FrameOfReferenceUIDs from hydratable measurements that have no imageId reference
+ * (i.e., 3D/SCOORD3D annotations). This excludes annotations handled by the getImageIds function.
+ */
+function getFrameOfReferenceUIDs(hydratableMeasurementsInSR, sopInstanceUIDToImageId): string[] {
+  const frameOfReferenceUIDs: string[] = [];
+
+  Object.keys(hydratableMeasurementsInSR).forEach(annotationType => {
+    const toolDataForAnnotationType = hydratableMeasurementsInSR[annotationType];
+    toolDataForAnnotationType.forEach(toolData => {
+      const frameNumber = toolData.annotation.data?.frameNumber || 1;
+      const imageId = sopInstanceUIDToImageId[`${toolData.sopInstanceUid}:${frameNumber}`];
+
+      if (!imageId) {
+        const { FrameOfReferenceUID } = toolData.annotation.metadata;
+        if (FrameOfReferenceUID && !frameOfReferenceUIDs.includes(FrameOfReferenceUID)) {
+          frameOfReferenceUIDs.push(FrameOfReferenceUID);
+        }
+      }
+    });
+  });
+  return frameOfReferenceUIDs;
+}
+
 /**
  * For 3d annotations, there are often several display sets which could
  * be used to display the annotation.  Choose the first annotation with the
  * same frame of reference that is reconstructable, or the first display set
  * otherwise.
  */
-function chooseDisplaySet(displaySets, annotation) {
+function chooseDisplaySet(displaySets, reference) {
   if (!displaySets?.length) {
-    console.warn('No display set found for', annotation);
+    console.warn('No display set found for', reference);
     return;
   }
   if (displaySets.length === 1) {

extensions/cornerstone-dynamic-volume/CHANGELOG.md

@@ -3,6 +3,528 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+
+### Bug Fixes
+
+* Use newer ONNX version and load without errors ([#5854](https://github.com/OHIF/Viewers/issues/5854)) ([cc5dc20](https://github.com/OHIF/Viewers/commit/cc5dc201649bcbfb4cfad21141dbd56000d30f53)), closes [#5875](https://github.com/OHIF/Viewers/issues/5875) [#5884](https://github.com/OHIF/Viewers/issues/5884) [#5886](https://github.com/OHIF/Viewers/issues/5886) [#5893](https://github.com/OHIF/Viewers/issues/5893) [#5874](https://github.com/OHIF/Viewers/issues/5874) [#5865](https://github.com/OHIF/Viewers/issues/5865)
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+
+### Bug Fixes
+
+* A couple of changes to enable cs3d integration build ([#5944](https://github.com/OHIF/Viewers/issues/5944)) ([f6bbd5c](https://github.com/OHIF/Viewers/commit/f6bbd5c779e4692dc47c93327a890661b8dcc174))
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+
+### Features
+
+* Add combined build ([#5895](https://github.com/OHIF/Viewers/issues/5895)) ([1df671e](https://github.com/OHIF/Viewers/commit/1df671e9ab67d43f98bf09f6838ddc0a5f220277))
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+
+### Bug Fixes
+
+* **segmentation:** Display "No description S:{series number} {modality}" for segmentations with no label. ([#5874](https://github.com/OHIF/Viewers/issues/5874)) ([7b5d0ce](https://github.com/OHIF/Viewers/commit/7b5d0ce40e5422ccfce6091ac3d7559586cbe57e))
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+
+### Bug Fixes
+
+* Update CS3D 4.18.2 ([#5837](https://github.com/OHIF/Viewers/issues/5837)) ([5370b93](https://github.com/OHIF/Viewers/commit/5370b9382e7bfddeadd69bab9e653f5f997a6e19))
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+
+### Bug Fixes
+
+* palette color 8 encoded 16 ([#5823](https://github.com/OHIF/Viewers/issues/5823)) ([eeca1f7](https://github.com/OHIF/Viewers/commit/eeca1f7a7b529d1700f5d281a6fd98074547ffe9)), closes [#5813](https://github.com/OHIF/Viewers/issues/5813)
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 **Note:** Version bump only for package @ohif/extension-cornerstone-dynamic-volume

extensions/cornerstone-dynamic-volume/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@ohif/extension-cornerstone-dynamic-volume",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "description": "OHIF extension for 4D volumes data",
   "author": "OHIF",
   "license": "MIT",
@@ -29,11 +29,11 @@
     "test:unit:ci": "jest --ci --runInBand --collectCoverage --passWithNoTests"
   },
   "peerDependencies": {
-    "@ohif/core": "3.13.0-beta.15",
-    "@ohif/extension-cornerstone": "3.13.0-beta.15",
-    "@ohif/extension-default": "3.13.0-beta.15",
-    "@ohif/i18n": "3.13.0-beta.15",
-    "@ohif/ui": "3.13.0-beta.15",
+    "@ohif/core": "3.13.0-beta.78",
+    "@ohif/extension-cornerstone": "3.13.0-beta.78",
+    "@ohif/extension-default": "3.13.0-beta.78",
+    "@ohif/i18n": "3.13.0-beta.78",
+    "@ohif/ui": "3.13.0-beta.78",
     "dcmjs": "0.49.4",
     "dicom-parser": "1.8.21",
     "hammerjs": "2.0.8",
@@ -42,8 +42,8 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/core": "4.15.29",
-    "@cornerstonejs/tools": "4.15.29",
+    "@cornerstonejs/core": "4.22.8",
+    "@cornerstonejs/tools": "4.22.8",
     "classnames": "2.5.1"
   }
 }

extensions/cornerstone/CHANGELOG.md

@@ -3,6 +3,579 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+
+### Bug Fixes
+
+* **measurements:** read displayName in SplineROI and PlanarFreehandROI reports ([#5908](https://github.com/OHIF/Viewers/issues/5908)) ([27af682](https://github.com/OHIF/Viewers/commit/27af6821b56f2c5be3a5d4ce38d05be6fbce68f4))
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+
+### Bug Fixes
+
+* **measurement-tracking:** restore tracked state on undo after Delete all ([#5994](https://github.com/OHIF/Viewers/issues/5994)) ([397aa4d](https://github.com/OHIF/Viewers/commit/397aa4d0e361e95dcbd83e0557a9cd84c0b8440a))
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+
+### Bug Fixes
+
+* **ToolGroupService:** Centralize tool binding persistence and provide API to add and remove persisted bindings. ([#5989](https://github.com/OHIF/Viewers/issues/5989)) ([979d619](https://github.com/OHIF/Viewers/commit/979d619f7ccb426beb75d59721b01c98175d5241))
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+
+### Features
+
+* **ui-next:** Adds toggle state for ToolButton and Crosshair example ([#5914](https://github.com/OHIF/Viewers/issues/5914)) ([691e267](https://github.com/OHIF/Viewers/commit/691e26731f4f3b3957fe81fc051b09c972696cf6))
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+
+### Bug Fixes
+
+* **seg:** prevent segmentations from spreading to all viewports before hydration confirmation in 3D four-up ([#5967](https://github.com/OHIF/Viewers/issues/5967)) ([f8ccf9f](https://github.com/OHIF/Viewers/commit/f8ccf9ff2ea9ab7c38bd427514a8ae87902822a3))
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+
+### Features
+
+* **slice scrollbar:** Integrate ViewportSliceProgressScrollbar with customizations and docs ([#5960](https://github.com/OHIF/Viewers/issues/5960)) ([8fc0dc1](https://github.com/OHIF/Viewers/commit/8fc0dc16e97f3262fdac902ecf2d7c20cb8f78cc))
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+
+### Bug Fixes
+
+* Use newer ONNX version and load without errors ([#5854](https://github.com/OHIF/Viewers/issues/5854)) ([cc5dc20](https://github.com/OHIF/Viewers/commit/cc5dc201649bcbfb4cfad21141dbd56000d30f53)), closes [#5875](https://github.com/OHIF/Viewers/issues/5875) [#5884](https://github.com/OHIF/Viewers/issues/5884) [#5886](https://github.com/OHIF/Viewers/issues/5886) [#5893](https://github.com/OHIF/Viewers/issues/5893) [#5874](https://github.com/OHIF/Viewers/issues/5874) [#5865](https://github.com/OHIF/Viewers/issues/5865)
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+
+### Bug Fixes
+
+* A couple of changes to enable cs3d integration build ([#5944](https://github.com/OHIF/Viewers/issues/5944)) ([f6bbd5c](https://github.com/OHIF/Viewers/commit/f6bbd5c779e4692dc47c93327a890661b8dcc174))
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+
+### Bug Fixes
+
+* **cornerstone:** read FrameOfReferenceUID from display set in viewport service ([#5950](https://github.com/OHIF/Viewers/issues/5950)) ([d219171](https://github.com/OHIF/Viewers/commit/d219171e25caf5a7c575080f63819d6f4fe45016))
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+
+### Reverts
+
+* rename DisplaySet.frameOfReferenceUID back to FrameOfReferenceUID ([#5943](https://github.com/OHIF/Viewers/issues/5943)) ([0e933c2](https://github.com/OHIF/Viewers/commit/0e933c256e07b7cda35ed2ba3cfb1ab35d895d57))
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+
+### Bug Fixes
+
+* **segmentation:** restrict overlay segmentation menu to same frame of reference as viewport background display set  ([#5900](https://github.com/OHIF/Viewers/issues/5900)) ([b9029ef](https://github.com/OHIF/Viewers/commit/b9029ef6f8d63a0e36ec929310c1c5ad3f563ef8))
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+
+### Bug Fixes
+
+* **measurement:** Restore viewport interactivity when deleting in-progress Spline or Livewire measurement ([#5905](https://github.com/OHIF/Viewers/issues/5905)) ([7929f08](https://github.com/OHIF/Viewers/commit/7929f0898f1bf882682a912b1c32d93d0944726f))
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+
+### Bug Fixes
+
+* **SR:** Added support for spline and live wire SR items. ([#5870](https://github.com/OHIF/Viewers/issues/5870)) ([1d4802c](https://github.com/OHIF/Viewers/commit/1d4802c2a38dd75dca7afca87913e100453c9135))
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+
+### Features
+
+* Add combined build ([#5895](https://github.com/OHIF/Viewers/issues/5895)) ([1df671e](https://github.com/OHIF/Viewers/commit/1df671e9ab67d43f98bf09f6838ddc0a5f220277))
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+
+### Bug Fixes
+
+* **window level:** The window level value is not displayed by default on all the viewports when selecting common/custom layout and TMTV. ([#5865](https://github.com/OHIF/Viewers/issues/5865)) ([fe1ecfe](https://github.com/OHIF/Viewers/commit/fe1ecfe0cc5d1bcf82686d821f356da8936a8c4b))
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+
+### Bug Fixes
+
+* **segmentation:** Display "No description S:{series number} {modality}" for segmentations with no label. ([#5874](https://github.com/OHIF/Viewers/issues/5874)) ([7b5d0ce](https://github.com/OHIF/Viewers/commit/7b5d0ce40e5422ccfce6091ac3d7559586cbe57e))
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+
+### Bug Fixes
+
+* **seg hydration:** auto-hydrate RT struct on second load with disableConfirmationPrompts ([#5875](https://github.com/OHIF/Viewers/issues/5875)) ([6f773f9](https://github.com/OHIF/Viewers/commit/6f773f997214c388409f3af3e9fc0e5b84debc10))
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+
+### Features
+
+* **ecg:** add DICOM ECG waveform extension ([#5856](https://github.com/OHIF/Viewers/issues/5856)) ([70f76ae](https://github.com/OHIF/Viewers/commit/70f76aeba1b27f8e4de5ec73a7b831428e38e3d2))
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+
+### Bug Fixes
+
+* **segmentation:** segment bidirectional tool error and show toast notification when no segment is drawn ([#5861](https://github.com/OHIF/Viewers/issues/5861)) ([7e10830](https://github.com/OHIF/Viewers/commit/7e10830d5802e22bda4df6a3f8008e9a414b4cd4))
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+
+### Bug Fixes
+
+* Update CS3D 4.18.2 ([#5837](https://github.com/OHIF/Viewers/issues/5837)) ([5370b93](https://github.com/OHIF/Viewers/commit/5370b9382e7bfddeadd69bab9e653f5f997a6e19))
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+
+### Bug Fixes
+
+* palette color 8 encoded 16 ([#5823](https://github.com/OHIF/Viewers/issues/5823)) ([eeca1f7](https://github.com/OHIF/Viewers/commit/eeca1f7a7b529d1700f5d281a6fd98074547ffe9)), closes [#5813](https://github.com/OHIF/Viewers/issues/5813)
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+
+### Bug Fixes
+
+* **segmentation overlay:** update viewport ds list upon seg delete - OHIF-2425 ([#5729](https://github.com/OHIF/Viewers/issues/5729)) ([b353541](https://github.com/OHIF/Viewers/commit/b35354120a01d89b27844f967c32c052bba8b096))
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+
+### Bug Fixes
+
+* Add copy to clipboard option for capture ([#5720](https://github.com/OHIF/Viewers/issues/5720)) ([53c67f3](https://github.com/OHIF/Viewers/commit/53c67f361234a0b4160c1b11fafcb143a0723336))
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+**Note:** Version bump only for package @ohif/extension-cornerstone
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 **Note:** Version bump only for package @ohif/extension-cornerstone

extensions/cornerstone/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@ohif/extension-cornerstone",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "description": "OHIF extension for Cornerstone",
   "author": "OHIF",
   "license": "MIT",
@@ -40,9 +40,9 @@
     "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2",
     "@cornerstonejs/codec-openjpeg": "1.3.0",
     "@cornerstonejs/codec-openjph": "2.4.7",
-    "@cornerstonejs/dicom-image-loader": "4.15.29",
-    "@ohif/core": "3.13.0-beta.15",
-    "@ohif/ui": "3.13.0-beta.15",
+    "@cornerstonejs/dicom-image-loader": "4.22.8",
+    "@ohif/core": "3.13.0-beta.78",
+    "@ohif/ui": "3.13.0-beta.78",
     "dcmjs": "0.49.4",
     "dicom-parser": "1.8.21",
     "hammerjs": "2.0.8",
@@ -53,12 +53,12 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/adapters": "4.15.29",
-    "@cornerstonejs/ai": "4.15.29",
-    "@cornerstonejs/core": "4.15.29",
-    "@cornerstonejs/labelmap-interpolation": "4.15.29",
-    "@cornerstonejs/polymorphic-segmentation": "4.15.29",
-    "@cornerstonejs/tools": "4.15.29",
+    "@cornerstonejs/adapters": "4.22.8",
+    "@cornerstonejs/ai": "4.22.8",
+    "@cornerstonejs/core": "4.22.8",
+    "@cornerstonejs/labelmap-interpolation": "4.22.8",
+    "@cornerstonejs/polymorphic-segmentation": "4.22.8",
+    "@cornerstonejs/tools": "4.22.8",
     "@icr/polyseg-wasm": "0.4.0",
     "@itk-wasm/morphological-contour-interpolation": "1.1.0",
     "@kitware/vtk.js": "34.15.1",

extensions/cornerstone/src/Viewport/Overlays/CornerstoneOverlays.tsx

@@ -1,13 +1,14 @@
 import React, { useEffect, useState } from 'react';
 
 import ViewportImageScrollbar from './ViewportImageScrollbar';
+import ViewportSliceProgressScrollbar from './ViewportSliceProgressScrollbar/ViewportSliceProgressScrollbar';
 import CustomizableViewportOverlay from './CustomizableViewportOverlay';
 import ViewportOrientationMarkers from './ViewportOrientationMarkers';
 import ViewportImageSliceLoadingIndicator from './ViewportImageSliceLoadingIndicator';
 
 function CornerstoneOverlays(props: withAppTypes) {
   const { viewportId, element, scrollbarHeight, servicesManager } = props;
-  const { cornerstoneViewportService } = servicesManager.services;
+  const { cornerstoneViewportService, customizationService } = servicesManager.services;
   const [imageSliceData, setImageSliceData] = useState({
     imageIndex: 0,
     numberOfSlices: 0,
@@ -43,17 +44,31 @@ function CornerstoneOverlays(props: withAppTypes) {
     }
   }
 
+  const viewportScrollbarVariant = customizationService.getCustomization('viewportScrollbar.variant');
+  const useProgressScrollbar = viewportScrollbarVariant !== 'legacy';
+
   return (
     <div className="noselect">
-      <ViewportImageScrollbar
-        viewportId={viewportId}
-        viewportData={viewportData}
-        element={element}
-        imageSliceData={imageSliceData}
-        setImageSliceData={setImageSliceData}
-        scrollbarHeight={scrollbarHeight}
-        servicesManager={servicesManager}
-      />
+      {useProgressScrollbar ? (
+        <ViewportSliceProgressScrollbar
+          viewportId={viewportId}
+          viewportData={viewportData}
+          element={element}
+          imageSliceData={imageSliceData}
+          setImageSliceData={setImageSliceData}
+          servicesManager={servicesManager}
+        />
+      ) : (
+        <ViewportImageScrollbar
+          viewportId={viewportId}
+          viewportData={viewportData}
+          element={element}
+          imageSliceData={imageSliceData}
+          setImageSliceData={setImageSliceData}
+          scrollbarHeight={scrollbarHeight}
+          servicesManager={servicesManager}
+        />
+      )}
 
       <CustomizableViewportOverlay
         imageSliceData={imageSliceData}

extensions/cornerstone/src/Viewport/Overlays/CustomizableViewportOverlay.tsx

@@ -67,10 +67,9 @@ function CustomizableViewportOverlay({
 }) {
   const { cornerstoneViewportService, customizationService, toolGroupService, displaySetService } =
     servicesManager.services;
-  const [voi, setVOI] = useState({ windowCenter: null, windowWidth: null });
   const [scale, setScale] = useState(1);
   const [annotationState, setAnnotationState] = useState(0);
-  const { isViewportBackgroundLight: isLight } = useViewportRendering(viewportId);
+  const { isViewportBackgroundLight: isLight, windowLevel: voi } = useViewportRendering(viewportId);
   const { imageIndex } = imageSliceData;
 
   // Historical usage defined the overlays as separate items due to lack of
@@ -110,30 +109,6 @@ function CustomizableViewportOverlay({
     };
   }, [viewportData, viewportId, instanceNumber, cornerstoneViewportService]);
 
-  /**
-   * Updating the VOI when the viewport changes its voi
-   */
-  useEffect(() => {
-    const updateVOI = eventDetail => {
-      const { range } = eventDetail.detail;
-
-      if (!range) {
-        return;
-      }
-
-      const { lower, upper } = range;
-      const { windowWidth, windowCenter } = utilities.windowLevel.toWindowLevel(lower, upper);
-
-      setVOI({ windowCenter, windowWidth });
-    };
-
-    element.addEventListener(Enums.Events.VOI_MODIFIED, updateVOI);
-
-    return () => {
-      element.removeEventListener(Enums.Events.VOI_MODIFIED, updateVOI);
-    };
-  }, [viewportId, viewportData, voi, element]);
-
   const annotationModified = useCallback(evt => {
     if (evt.detail.annotation.metadata.toolName === UltrasoundPleuraBLineTool.toolName) {
       // Update the annotation state to trigger a re-render
@@ -226,6 +201,7 @@ function CustomizableViewportOverlay({
       scale,
       instanceNumber,
       annotationState,
+      isLight,
     ]
   );
 
@@ -391,7 +367,7 @@ function OverlayItem(props) {
       title={title}
     >
       {label ? <span className="mr-1 shrink-0">{label}</span> : null}
-      <span className="ml-0 mr-2 shrink-0">{value}</span>
+      <span className="ml-0 shrink-0">{value}</span>
     </div>
   );
 }
@@ -402,6 +378,7 @@ function OverlayItem(props) {
  */
 function VOIOverlayItem({ voi, customization }: OverlayItemProps) {
   const { windowWidth, windowCenter } = voi;
+  const { title } = customization;
   if (typeof windowCenter !== 'number' || typeof windowWidth !== 'number') {
     return null;
   }
@@ -410,6 +387,7 @@ function VOIOverlayItem({ voi, customization }: OverlayItemProps) {
     <div
       className="overlay-item flex flex-row"
       style={{ color: customization?.color }}
+      title={title}
     >
       <span className="mr-0.5 shrink-0 opacity-[0.70]">W:</span>
       <span className="mr-2.5 shrink-0">{windowWidth.toFixed(0)}</span>
@@ -443,11 +421,13 @@ function InstanceNumberOverlayItem({
   customization,
 }: OverlayItemProps) {
   const { imageIndex, numberOfSlices } = imageSliceData;
+  const { title } = customization;
 
   return (
     <div
       className="overlay-item flex flex-row"
       style={{ color: (customization && customization.color) || undefined }}
+      title={title}
     >
       <span>
         {instanceNumber !== undefined && instanceNumber !== null ? (

extensions/cornerstone/src/Viewport/Overlays/ViewportSliceProgressScrollbar/ViewportSliceProgressScrollbar.tsx

@@ -0,0 +1,200 @@
+import React, { useMemo } from 'react';
+import PropTypes from 'prop-types';
+import { VolumeViewport3D, utilities as csUtils } from '@cornerstonejs/core';
+import {
+  SmartScrollbar,
+  SmartScrollbarTrack,
+  SmartScrollbarFill,
+  SmartScrollbarIndicator,
+  SmartScrollbarEndpoints,
+} from '@ohif/ui-next';
+import { getViewportImageIds } from './helpers';
+import {
+  useLoadedSliceBytes,
+  useProgressScrollbarMode,
+  useViewedSliceBytes,
+  useViewportSliceSync,
+} from './hooks';
+import { ViewportSliceProgressScrollbarProps } from './types';
+
+function ViewportSliceProgressScrollbar({
+  viewportData,
+  viewportId,
+  element,
+  imageSliceData,
+  setImageSliceData,
+  servicesManager,
+}: ViewportSliceProgressScrollbarProps) {
+  const { cineService, cornerstoneViewportService, customizationService, viewedDataService } =
+    servicesManager.services;
+
+  const showLoadedEndpoints =
+    customizationService.getCustomization('viewportScrollbar.showLoadedEndpoints') !== false;
+  const showLoadedFill =
+    customizationService.getCustomization('viewportScrollbar.showLoadedFill') !== false;
+  const showViewedFill =
+    customizationService.getCustomization('viewportScrollbar.showViewedFill') !== false;
+  const showLoadingPattern =
+    customizationService.getCustomization('viewportScrollbar.showLoadingPattern') !== false;
+  const viewedDwellMsRaw = customizationService.getCustomization('viewportScrollbar.viewedDwellMs');
+  const loadedBatchIntervalMsRaw = customizationService.getCustomization(
+    'viewportScrollbar.loadedBatchIntervalMs'
+  );
+  const viewedDwellMs =
+    typeof viewedDwellMsRaw === 'number' && viewedDwellMsRaw >= 0 ? viewedDwellMsRaw : 0;
+  const loadedBatchIntervalMs =
+    typeof loadedBatchIntervalMsRaw === 'number' && loadedBatchIntervalMsRaw >= 0
+      ? loadedBatchIntervalMsRaw
+      : 200;
+
+  const { numberOfSlices, imageIndex } = imageSliceData;
+
+  const imageIds = useMemo(() => getViewportImageIds(viewportData), [viewportData]);
+  const imageIdToIndex = useMemo(() => {
+    const map = new Map<string, number>();
+    for (let i = 0; i < imageIds.length; i++) {
+      const imageId = imageIds[i];
+      if (imageId) {
+        map.set(imageId, i);
+      }
+    }
+    return map;
+  }, [imageIds]);
+
+  const isFullMode = useProgressScrollbarMode({
+    viewportData,
+    viewportId,
+    element,
+    cornerstoneViewportService,
+  });
+
+  useViewportSliceSync({
+    viewportData,
+    viewportId,
+    element,
+    cornerstoneViewportService,
+    setImageSliceData,
+  });
+
+  const {
+    bytes: loadedBytes,
+    version: loadedVersion,
+    isFull: isFullyLoaded,
+  } = useLoadedSliceBytes({
+    isFullMode,
+    numberOfSlices,
+    viewportData,
+    imageIds,
+    imageIdToIndex,
+    loadedBatchIntervalMs,
+  });
+
+  const { bytes: viewedBytes, version: viewedVersion } = useViewedSliceBytes({
+    isFullMode,
+    numberOfSlices,
+    imageIndex,
+    imageIds,
+    imageIdToIndex,
+    viewedDwellMs,
+    viewedDataService,
+  });
+
+  const onScrollbarValueChange = targetImageIndex => {
+    const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
+
+    if (!viewport || viewport instanceof VolumeViewport3D) {
+      return;
+    }
+
+    const { isCineEnabled } = cineService.getState();
+
+    if (isCineEnabled) {
+      cineService.stopClip(element, { viewportId });
+      cineService.setCine({ id: viewportId, frameRate: undefined, isPlaying: false });
+    }
+
+    csUtils.jumpToSlice(viewport.element, {
+      imageIndex: targetImageIndex,
+      debounceLoading: true,
+    });
+  };
+
+  const isLoading = isFullMode && showLoadingPattern ? !isFullyLoaded : false;
+
+  if (!numberOfSlices || numberOfSlices <= 1) {
+    return null;
+  }
+
+  return (
+    <div
+      style={{
+        position: 'absolute',
+        right: 0,
+        top: 0,
+        height: '100%',
+        padding: '8px 5px',
+        zIndex: 10,
+      }}
+    >
+      <div
+        style={{
+          position: 'relative',
+          height: '100%',
+          width: '11px',
+        }}
+      >
+        <SmartScrollbar
+          className="absolute inset-0"
+          value={imageIndex || 0}
+          total={numberOfSlices}
+          onValueChange={onScrollbarValueChange}
+          isLoading={isLoading}
+          enableKeyboardNavigation={false}
+          aria-label="Image navigation scrollbar"
+          indicator={
+            customizationService.getCustomization('viewportScrollbar.indicator') as
+              | Record<string, unknown>
+              | undefined
+          }
+        >
+          <SmartScrollbarTrack>
+            {isFullMode && showLoadedFill && (
+              <SmartScrollbarFill
+                marked={loadedBytes}
+                version={loadedVersion}
+                className="bg-neutral/25"
+                loadingClassName="bg-neutral/50"
+              />
+            )}
+            {isFullMode && showViewedFill && (
+              <SmartScrollbarFill
+                marked={viewedBytes}
+                version={viewedVersion}
+                className="bg-primary/35"
+                loadingClassName="bg-primary/35"
+              />
+            )}
+          </SmartScrollbarTrack>
+          <SmartScrollbarIndicator />
+          {isFullMode && showLoadedEndpoints && (
+            <SmartScrollbarEndpoints
+              marked={loadedBytes}
+              version={loadedVersion}
+            />
+          )}
+        </SmartScrollbar>
+      </div>
+    </div>
+  );
+}
+
+ViewportSliceProgressScrollbar.propTypes = {
+  viewportData: PropTypes.object,
+  viewportId: PropTypes.string.isRequired,
+  element: PropTypes.instanceOf(Element),
+  imageSliceData: PropTypes.object.isRequired,
+  setImageSliceData: PropTypes.func.isRequired,
+  servicesManager: PropTypes.object.isRequired,
+};
+
+export default ViewportSliceProgressScrollbar;

extensions/cornerstone/src/Viewport/Overlays/ViewportSliceProgressScrollbar/helpers.ts

@@ -0,0 +1,40 @@
+import { Enums, VolumeViewport3D } from '@cornerstonejs/core';
+import { ViewportData } from './types';
+
+export function getImageIndexFromEvent(event): number | undefined {
+  const { imageIndex, newImageIdIndex = imageIndex, imageIdIndex } = event.detail;
+  return newImageIdIndex ?? imageIdIndex;
+}
+
+export function getViewportImageIds(viewportData: ViewportData): string[] {
+  if (!viewportData?.data?.length) {
+    return [];
+  }
+
+  const firstData = viewportData.data[0];
+  const volumeImageIds = (firstData as any).volume?.imageIds as string[] | undefined;
+  const datumImageIds = (firstData as any).imageIds as string[] | undefined;
+
+  return volumeImageIds || datumImageIds || [];
+}
+
+export function isProgressFullMode(viewportData: ViewportData, viewport): boolean {
+  if (!viewportData || !viewport || viewport instanceof VolumeViewport3D) {
+    return false;
+  }
+
+  if (viewportData.viewportType === Enums.ViewportType.STACK) {
+    return true;
+  }
+
+  if (viewportData.viewportType === Enums.ViewportType.ORTHOGRAPHIC) {
+    return !!viewport.isInAcquisitionPlane?.();
+  }
+
+  return false;
+}
+
+export function getImageIdFromCacheEvent(event): string | undefined {
+  const detail = event?.detail;
+  return detail?.imageId || detail?.image?.imageId || detail?.cachedImage?.imageId;
+}

extensions/cornerstone/src/Viewport/Overlays/ViewportSliceProgressScrollbar/hooks.ts

@@ -0,0 +1,353 @@
+import { useEffect, useRef, useState } from 'react';
+import {
+  cache as cornerstoneCache,
+  Enums,
+  eventTarget,
+  utilities,
+  VolumeViewport3D,
+} from '@cornerstonejs/core';
+import { useByteArray } from '@ohif/ui-next';
+import { getImageIdFromCacheEvent, getImageIndexFromEvent, isProgressFullMode } from './helpers';
+import { ImageSliceData, ViewportData } from './types';
+
+export function useProgressScrollbarMode({
+  viewportData,
+  viewportId,
+  element,
+  cornerstoneViewportService,
+}: {
+  viewportData: ViewportData;
+  viewportId: string;
+  element: HTMLElement;
+  cornerstoneViewportService: AppTypes.CornerstoneViewportService;
+}) {
+  const [isFullMode, setIsFullMode] = useState(false);
+  const lastViewPlaneNormalRef = useRef<number[] | null>(null);
+
+  /**
+   * Tracks whether this viewport should render full progress UI (stack or acquisition-plane
+   * orthographic volume) versus minimal UI. We compute once on setup and recompute on each
+   * CAMERA_MODIFIED event so stack->MPR transitions and acquisition-plane changes are reflected
+   * immediately.
+   */
+  useEffect(() => {
+    if (!viewportData) {
+      return;
+    }
+
+    const updateMode = () => {
+      const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
+      const viewportImageData = viewport?.getImageData?.();
+      const nextViewPlaneNormal = viewport?.getCamera?.()?.viewPlaneNormal as number[] | undefined;
+      // Do not update the lastViewPlaneNormalRef until we have a valid viewportImageData.
+      // Without viewportImageData, the viewport is not fully initialized and the isAcquisitionPlane
+      // check will not be accurate.
+      if (viewportImageData && nextViewPlaneNormal) {
+        lastViewPlaneNormalRef.current = [...nextViewPlaneNormal];
+      }
+      const nextMode = isProgressFullMode(viewportData, viewport);
+      setIsFullMode(prevMode => (prevMode === nextMode ? prevMode : nextMode));
+    };
+
+    updateMode();
+
+    const onCameraModified = () => {
+      const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
+      const nextViewPlaneNormal = viewport?.getCamera?.()?.viewPlaneNormal as number[] | undefined;
+      const previousViewPlaneNormal = lastViewPlaneNormalRef.current;
+
+      // Ignore camera updates that keep the same orientation (pan/zoom/scroll).
+      if (nextViewPlaneNormal && previousViewPlaneNormal) {
+        if (utilities.isEqual(nextViewPlaneNormal, previousViewPlaneNormal)) {
+          return;
+        }
+      }
+
+      updateMode();
+    };
+    element.addEventListener(Enums.Events.CAMERA_MODIFIED, onCameraModified);
+
+    return () => {
+      element.removeEventListener(Enums.Events.CAMERA_MODIFIED, onCameraModified);
+    };
+  }, [viewportData, viewportId, cornerstoneViewportService, element]);
+
+  return isFullMode;
+}
+
+export function useViewportSliceSync({
+  viewportData,
+  viewportId,
+  element,
+  cornerstoneViewportService,
+  setImageSliceData,
+}: {
+  viewportData: ViewportData;
+  viewportId: string;
+  element: HTMLElement;
+  cornerstoneViewportService: AppTypes.CornerstoneViewportService;
+  setImageSliceData: (data: ImageSliceData) => void;
+}) {
+  /**
+   * Keeps shared slice state in sync: first initialize from the live viewport snapshot, then
+   * subscribe to navigation/render events for incremental updates while users scroll.
+   */
+  useEffect(() => {
+    if (!viewportData) {
+      return;
+    }
+
+    const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
+    if (viewport && !(viewport instanceof VolumeViewport3D)) {
+      try {
+        const currentImageIndex = viewport.getCurrentImageIdIndex();
+        const currentNumberOfSlices = viewport.getNumberOfSlices();
+
+        setImageSliceData({
+          imageIndex: currentImageIndex,
+          numberOfSlices: currentNumberOfSlices,
+        });
+      } catch (error) {
+        console.warn(error);
+      }
+    }
+
+    const { viewportType } = viewportData;
+    const eventId =
+      (viewportType === Enums.ViewportType.STACK && Enums.Events.STACK_NEW_IMAGE) ||
+      (viewportType === Enums.ViewportType.ORTHOGRAPHIC && Enums.Events.VOLUME_NEW_IMAGE) ||
+      Enums.Events.IMAGE_RENDERED;
+
+    const updateIndex = event => {
+      const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
+      if (!viewport || viewport instanceof VolumeViewport3D) {
+        return;
+      }
+
+      const nextImageIndex = getImageIndexFromEvent(event);
+      if (nextImageIndex == null) {
+        return;
+      }
+      const nextNumberOfSlices = viewport.getNumberOfSlices();
+
+      setImageSliceData({
+        imageIndex: nextImageIndex,
+        numberOfSlices: nextNumberOfSlices,
+      });
+    };
+
+    element.addEventListener(eventId, updateIndex);
+
+    return () => {
+      element.removeEventListener(eventId, updateIndex);
+    };
+  }, [viewportData, element, viewportId, cornerstoneViewportService, setImageSliceData]);
+}
+
+export function useLoadedSliceBytes({
+  isFullMode,
+  numberOfSlices,
+  viewportData,
+  imageIds,
+  imageIdToIndex,
+  loadedBatchIntervalMs,
+}: {
+  isFullMode: boolean;
+  numberOfSlices: number;
+  viewportData: ViewportData;
+  imageIds: string[];
+  imageIdToIndex: Map<string, number>;
+  loadedBatchIntervalMs: number;
+}) {
+  const loadedState = useByteArray(numberOfSlices || 0, loadedBatchIntervalMs);
+  const {
+    resetWith: resetLoaded,
+    setByte: setLoadedByte,
+    clearByte: clearLoadedByte,
+  } = loadedState;
+
+  /**
+   * Keeps the loaded byte array in sync with Cornerstone cache: seed from cache whenever stack /
+   * mode / slice count changes, then subscribe so cache add/remove updates stay incremental.
+   * Seeding runs immediately before registering listeners in the same effect.
+   */
+  useEffect(() => {
+    if (isFullMode && numberOfSlices) {
+      resetLoaded(bytes => {
+        for (let i = 0; i < bytes.length; i++) {
+          const imageId = imageIds[i];
+          if (imageId && cornerstoneCache.isLoaded(imageId)) {
+            bytes[i] = 1;
+          }
+        }
+      });
+    }
+
+    if (!isFullMode || !viewportData) {
+      return;
+    }
+
+    const markLoaded = event => {
+      const imageId = getImageIdFromCacheEvent(event);
+      if (!imageId) {
+        return;
+      }
+      const index = imageIdToIndex.get(imageId);
+      if (index !== undefined) {
+        setLoadedByte(index);
+      }
+    };
+
+    const markRemoved = event => {
+      const imageId = getImageIdFromCacheEvent(event);
+      if (!imageId) {
+        return;
+      }
+      const index = imageIdToIndex.get(imageId);
+      if (index !== undefined) {
+        clearLoadedByte(index);
+      }
+    };
+
+    eventTarget.addEventListener(Enums.Events.IMAGE_CACHE_IMAGE_ADDED, markLoaded);
+    eventTarget.addEventListener(Enums.Events.IMAGE_CACHE_IMAGE_REMOVED, markRemoved);
+
+    return () => {
+      eventTarget.removeEventListener(Enums.Events.IMAGE_CACHE_IMAGE_ADDED, markLoaded);
+      eventTarget.removeEventListener(Enums.Events.IMAGE_CACHE_IMAGE_REMOVED, markRemoved);
+    };
+  }, [
+    imageIds,
+    isFullMode,
+    numberOfSlices,
+    viewportData,
+    imageIdToIndex,
+    resetLoaded,
+    setLoadedByte,
+    clearLoadedByte,
+  ]);
+
+  return loadedState;
+}
+
+export function useViewedSliceBytes({
+  isFullMode,
+  numberOfSlices,
+  imageIndex,
+  imageIds,
+  imageIdToIndex,
+  viewedDwellMs,
+  viewedDataService,
+}: {
+  isFullMode: boolean;
+  numberOfSlices: number;
+  imageIndex: number;
+  imageIds: string[];
+  imageIdToIndex: Map<string, number>;
+  viewedDwellMs: number;
+  viewedDataService: AppTypes.ViewedDataService;
+}) {
+  const viewedState = useByteArray(numberOfSlices || 0);
+  const { resetWith: resetViewed, setByte: setViewedByte } = viewedState;
+
+  /**
+   * Keeps the viewed byte array in sync with the global viewed-data store: seed from the store
+   * whenever stack / mode / slice count changes, then subscribe so `markDataViewed` updates stay
+   * incremental. Seeding runs immediately before registering the listener in the same effect.
+   */
+  useEffect(() => {
+    if (isFullMode && numberOfSlices) {
+      resetViewed(bytes => {
+        for (let i = 0; i < bytes.length; i++) {
+          const imageId = imageIds[i];
+          if (imageId && viewedDataService?.isDataViewed(imageId)) {
+            bytes[i] = 1;
+          }
+        }
+      });
+    }
+
+    if (!viewedDataService) {
+      return;
+    }
+
+    const subscription = viewedDataService.subscribeViewedDataChanges(
+      ({
+        viewedDataId,
+        viewedDataCleared,
+      }: {
+        viewedDataId?: string;
+        viewedDataCleared?: boolean;
+      }) => {
+        if (!isFullMode || !numberOfSlices) {
+          return;
+        }
+
+        if (viewedDataCleared) {
+          resetViewed(bytes => {
+            bytes.fill(0);
+          });
+          return;
+        }
+
+        const index = imageIdToIndex.get(viewedDataId);
+        if (index !== undefined) {
+          setViewedByte(index);
+        }
+      }
+    );
+
+    return () => {
+      subscription.unsubscribe();
+    };
+  }, [
+    imageIds,
+    isFullMode,
+    numberOfSlices,
+    imageIdToIndex,
+    resetViewed,
+    setViewedByte,
+    viewedDataService,
+  ]);
+
+  /**
+   * Marks slices as viewed in full mode. With `viewedDwellMs === 0`, marking is immediate on
+   * index change; otherwise a dwell timer is used and cleaned up on subsequent changes/unmount.
+   */
+  useEffect(() => {
+    if (!isFullMode || !numberOfSlices) {
+      return;
+    }
+
+    const markViewed = (targetIndex: number) => {
+      setViewedByte(targetIndex);
+      const imageId = imageIds[targetIndex];
+      if (imageId) {
+        viewedDataService?.markDataViewed(imageId);
+      }
+    };
+
+    if (viewedDwellMs === 0) {
+      markViewed(imageIndex || 0);
+      return;
+    }
+
+    const timerId = window.setTimeout(() => {
+      markViewed(imageIndex || 0);
+    }, viewedDwellMs);
+
+    return () => {
+      window.clearTimeout(timerId);
+    };
+  }, [
+    isFullMode,
+    numberOfSlices,
+    imageIndex,
+    imageIds,
+    setViewedByte,
+    viewedDwellMs,
+    viewedDataService,
+  ]);
+
+  return viewedState;
+}

extensions/cornerstone/src/Viewport/Overlays/ViewportSliceProgressScrollbar/index.ts

@@ -0,0 +1 @@
+export { default } from './ViewportSliceProgressScrollbar';

extensions/cornerstone/src/Viewport/Overlays/ViewportSliceProgressScrollbar/types.ts

@@ -0,0 +1,17 @@
+import { StackViewportData, VolumeViewportData } from '../../../types/CornerstoneCacheService';
+
+export type ViewportData = StackViewportData | VolumeViewportData;
+
+export type ImageSliceData = {
+  imageIndex: number;
+  numberOfSlices: number;
+};
+
+export type ViewportSliceProgressScrollbarProps = {
+  viewportData: ViewportData | null;
+  viewportId: string;
+  element: HTMLElement;
+  imageSliceData: ImageSliceData;
+  setImageSliceData: (data: ImageSliceData) => void;
+  servicesManager: AppTypes.ServicesManager;
+};

extensions/cornerstone/src/commandsModule.ts

@@ -145,7 +145,21 @@ function commandsModule({
 
   function _getActiveViewportToolGroupId() {
     const viewport = _getActiveViewportEnabledElement();
-    return toolGroupService.getToolGroupForViewport(viewport.id);
+    const toolGroup = viewport && toolGroupService.getToolGroupForViewport(viewport.id);
+    return toolGroup?.id;
+  }
+
+  function _usesPrimaryActivation(bindings) {
+    if (!bindings?.length) {
+      return true;
+    }
+
+    return bindings.some(
+      binding =>
+        binding.mouseButton === Enums.MouseBindings.Primary &&
+        binding.modifierKey == null &&
+        binding.numTouchPoints == null
+    );
   }
 
   function _getActiveSegmentationInfo() {
@@ -398,12 +412,31 @@ function commandsModule({
 
       const { segmentationId: targetId, segmentIndex: targetIndex } = targetSegmentation;
 
+      // Check if the segment has voxels before computing bidirectional measurement
+      const uniqueSegmentIndices = cstUtils.segmentation.getUniqueSegmentIndices(targetId);
+      const hasVoxels = uniqueSegmentIndices.includes(targetIndex);
+
+      if (!hasVoxels) {
+        uiNotificationService.show({
+          title: i18n.t('SegmentationPanel:Segment Bidirectional'),
+          message: i18n.t(
+            'SegmentationPanel:Draw a segment before using bidirectional measurement'
+          ),
+          type: 'warning',
+        });
+        return;
+      }
+
       // Get bidirectional measurement data
       const bidirectionalData = await cstUtils.segmentation.getSegmentLargestBidirectional({
         segmentationId: targetId,
         segmentIndices: [targetIndex],
       });
 
+      if (!bidirectionalData.length) {
+        return;
+      }
+
       const activeViewportId = viewportGridService.getActiveViewportId();
 
       // Process each bidirectional measurement
@@ -445,7 +478,7 @@ function commandsModule({
         measurement => measurement.segmentIndex === targetIndex
       );
       commandsManager.run('jumpToMeasurement', {
-        uid: activeBidirectional.annotationUID,
+        uid: activeBidirectional?.annotationUID,
       });
     },
     interpolateLabelmap: () => {
@@ -737,6 +770,9 @@ function commandsModule({
      * Also marks any provided display measurements isActive value
      */
     jumpToMeasurement: ({ uid, displayMeasurements = [] }) => {
+      if (!uid) {
+        return;
+      }
       measurementService.jumpToMeasurement(viewportGridService.getActiveViewportId(), uid);
       for (const measurement of displayMeasurements) {
         measurement.isActive = measurement.uid === uid;
@@ -995,32 +1031,48 @@ function commandsModule({
 
       toolIsEnabled ? toolGroup.setToolDisabled(toolName) : toolGroup.setToolEnabled(toolName);
     },
-    toggleActiveDisabledToolbar({ value, itemId, toolGroupId }) {
+    toggleActiveDisabledToolbar({ value, itemId, toolGroupId, toolGroupIds }) {
       const toolName = itemId || value;
-      toolGroupId = toolGroupId ?? _getActiveViewportToolGroupId();
-      const toolGroup = toolGroupService.getToolGroup(toolGroupId);
-      if (!toolGroup || !toolGroup.hasTool(toolName)) {
-        return;
-      }
+      const resolvedToolGroupIds = toolGroupIds?.length
+        ? toolGroupIds
+        : [toolGroupId ?? _getActiveViewportToolGroupId()];
 
-      const toolIsActive = [
-        Enums.ToolModes.Active,
-        Enums.ToolModes.Enabled,
-        Enums.ToolModes.Passive,
-      ].includes(toolGroup.getToolOptions(toolName).mode);
-
-      toolIsActive
-        ? toolGroup.setToolDisabled(toolName)
-        : actions.setToolActive({ toolName, toolGroupId });
-
-      // we should set the previously active tool to active after we set the
-      // current tool disabled
-      if (toolIsActive) {
-        const prevToolName = toolGroup.getPrevActivePrimaryToolName();
-        if (prevToolName !== toolName) {
-          actions.setToolActive({ toolName: prevToolName, toolGroupId });
+      resolvedToolGroupIds.forEach(toolGroupId => {
+        const toolGroup = toolGroupService.getToolGroup(toolGroupId);
+        if (!toolGroup || !toolGroup.hasTool(toolName)) {
+          return;
         }
-      }
+
+        const toolIsActive = [
+          Enums.ToolModes.Active,
+          Enums.ToolModes.Enabled,
+          Enums.ToolModes.Passive,
+        ].includes(toolGroup.getToolOptions(toolName).mode);
+
+        if (toolIsActive) {
+          toolGroup.setToolDisabled(toolName);
+
+          const bindings = toolGroupService.getToolBindings(toolGroupId, toolName);
+
+          if (_usesPrimaryActivation(bindings)) {
+            // we should set the previously active tool to active after we set the
+            // current tool disabled
+            const prevToolName = toolGroup.getPrevActivePrimaryToolName();
+            if (prevToolName !== toolName) {
+              actions.setToolActive({ toolName: prevToolName, toolGroupId });
+            }
+          }
+
+          return;
+        }
+
+        const bindings = toolGroupService.getToolBindings(toolGroupId, toolName);
+        if (_usesPrimaryActivation(bindings)) {
+          actions.setToolActive({ toolName, toolGroupId, bindings });
+        } else {
+          toolGroup.setToolActive(toolName, { bindings });
+        }
+      });
     },
     setToolActiveToolbar: ({ value, itemId, toolName, toolGroupIds = [], bindings }) => {
       // Sometimes it is passed as value (tools with options), sometimes as itemId (toolbar buttons)
@@ -1735,12 +1787,14 @@ function commandsModule({
      * Removes a segmentation from the viewport
      * @param props.segmentationId - The ID of the segmentation to remove
      */
-    removeSegmentationFromViewportCommand: ({ segmentationId }) => {
-      const { segmentationService, viewportGridService } = servicesManager.services;
-      segmentationService.removeSegmentationRepresentations(
-        viewportGridService.getActiveViewportId(),
-        { segmentationId }
-      );
+    removeSegmentationFromViewportCommand: ({ segmentationId: displaySetInstanceUID }) => {
+      const { viewportGridService } = servicesManager.services;
+      const viewportId = viewportGridService.getActiveViewportId();
+
+      commandsManager.runCommand('removeDisplaySetLayer', {
+        viewportId,
+        displaySetInstanceUID,
+      });
     },
 
     /**
@@ -2072,6 +2126,15 @@ function commandsModule({
         displaySetInstanceUIDs,
       });
 
+      if (!updatedViewports?.length) {
+        return;
+      }
+
+      updatedViewports.forEach(({ viewportId: csViewportId }) => {
+        const csViewport = cornerstoneViewportService.getCornerstoneViewport(csViewportId);
+        csViewport?.setNeedsRender?.();
+      });
+
       actions.setDisplaySetsForViewports({
         viewportsToUpdate: updatedViewports.map(viewport => ({
           viewportId: viewport.viewportId,

extensions/cornerstone/src/components/ExportSegmentationSubMenuItem.tsx

@@ -5,9 +5,7 @@ import {
   DropdownMenuSubTrigger,
   DropdownMenuPortal,
   DropdownMenuSubContent,
-  DropdownMenuLabel,
   DropdownMenuItem,
-  DropdownMenuSeparator,
   Icons,
 } from '@ohif/ui-next';
 
@@ -19,8 +17,6 @@ interface ExportSegmentationSubMenuItemProps {
   allowExport: boolean;
   actions: {
     storeSegmentation: (segmentationId: string, modality?: string) => Promise<unknown>;
-    onSegmentationDownloadRTSS: (segmentationId: string) => void;
-    onSegmentationDownload: (segmentationId: string) => void;
     downloadCSVSegmentationReport: (segmentationId: string) => void;
   };
 }
@@ -37,14 +33,10 @@ export const ExportSegmentationSubMenuItem: React.FC<ExportSegmentationSubMenuIt
     <DropdownMenuSub>
       <DropdownMenuSubTrigger className="pl-1">
         <Icons.Export className="text-foreground" />
-        <span className="pl-2">{t('Download & Export')}</span>
+        <span className="pl-2">{t('Export')}</span>
       </DropdownMenuSubTrigger>
       <DropdownMenuPortal>
         <DropdownMenuSubContent>
-          <DropdownMenuLabel className="flex items-center pl-0">
-            <Icons.Download className="h-5 w-5" />
-            <span className="pl-1">{t('Download')}</span>
-          </DropdownMenuLabel>
           {segmentationRepresentationType === SegmentationRepresentations.Labelmap && (
             <DropdownMenuItem
               onClick={e => {
@@ -56,31 +48,6 @@ export const ExportSegmentationSubMenuItem: React.FC<ExportSegmentationSubMenuIt
               {t('CSV Report')}
             </DropdownMenuItem>
           )}
-          {segmentationRepresentationType === SegmentationRepresentations.Labelmap && (
-            <DropdownMenuItem
-              onClick={e => {
-                e.preventDefault();
-                actions.onSegmentationDownload(segmentationId);
-              }}
-              disabled={!allowExport}
-            >
-              {t('DICOM SEG')}
-            </DropdownMenuItem>
-          )}
-          <DropdownMenuItem
-            onClick={e => {
-              e.preventDefault();
-              actions.onSegmentationDownloadRTSS(segmentationId);
-            }}
-            disabled={!allowExport}
-          >
-            {t('DICOM RTSS')}
-          </DropdownMenuItem>
-          <DropdownMenuSeparator />
-          <DropdownMenuLabel className="flex items-center pl-0">
-            <Icons.Export className="h-5 w-5" />
-            <span className="pl-1 pt-1">{t('Export')}</span>
-          </DropdownMenuLabel>
           {segmentationRepresentationType === SegmentationRepresentations.Labelmap && (
             <DropdownMenuItem
               onClick={e => {

extensions/cornerstone/src/components/ViewportDataOverlaySettingMenu/ViewportDataOverlayMenu.tsx

@@ -1,4 +1,4 @@
-import React, { useState } from 'react';
+import React, { useEffect, useState } from 'react';
 import {
   Button,
   Icons,
@@ -43,6 +43,10 @@ function ViewportDataOverlayMenu({ viewportId }: withAppTypes<{ viewportId: stri
 
   const [thresholdOpacityEnabled, setThresholdOpacityEnabled] = useState(false);
 
+  useEffect(() => {
+    setOptimisticOverlayDisplaySets(overlayDisplaySets);
+  }, [backgroundDisplaySet?.displaySetInstanceUID, overlayDisplaySets]);
+
   /**
    * Change the background display set
    */
@@ -482,7 +486,10 @@ function ViewportDataOverlayMenu({ viewportId }: withAppTypes<{ viewportId: stri
               }
             }}
           >
-            <SelectTrigger className="flex-1">
+            <SelectTrigger
+              className="flex-1"
+              data-cy={`overlay-background-ds-select-${viewportId}`}
+            >
               <SelectValue>
                 {(
                   backgroundDisplaySet?.SeriesDescription ||

extensions/cornerstone/src/customizations/CustomDropdownMenuContent.tsx

@@ -64,12 +64,6 @@ export const CustomDropdownMenuContent = () => {
         context: 'CORNERSTONE',
       });
     },
-    onSegmentationDownloadRTSS: segmentationId => {
-      commandsManager.run('downloadRTSS', { segmentationId });
-    },
-    onSegmentationDownload: segmentationId => {
-      commandsManager.run('downloadSegmentation', { segmentationId });
-    },
     downloadCSVSegmentationReport: segmentationId => {
       commandsManager.run('downloadCSVSegmentationReport', { segmentationId });
     },

extensions/cornerstone/src/customizations/captureViewportModalCustomization.tsx

@@ -1,5 +1,5 @@
 import React, { useState, useEffect } from 'react';
-import { ImageModal, FooterAction } from '@ohif/ui-next';
+import { ImageModal, FooterAction, toast } from '@ohif/ui-next';
 import { useTranslation } from 'react-i18next';
 const MAX_TEXTURE_SIZE = 10000;
 const DEFAULT_FILENAME = 'image';
@@ -16,6 +16,7 @@ interface ViewportDownloadFormNewProps {
   onEnableViewport: (element: HTMLElement) => void;
   onDisableViewport: () => void;
   onDownload: (filename: string, fileType: string) => void;
+  onCopyToClipboard: () => void;
   warningState: { enabled: boolean; value: string };
 }
 
@@ -32,6 +33,7 @@ function ViewportDownloadFormNew({
   onEnableViewport,
   onDisableViewport,
   onDownload,
+  onCopyToClipboard,
 }: ViewportDownloadFormNewProps) {
   const [viewportElement, setViewportElement] = useState<HTMLElement | null>(null);
   const [showWarningMessage, setShowWarningMessage] = useState(true);
@@ -138,13 +140,27 @@ function ViewportDownloadFormNew({
               <FooterAction.Secondary onClick={onClose}>
                 {t('Common:Cancel')}
               </FooterAction.Secondary>
+              <FooterAction.Secondary
+                onClick={async () => {
+                  try {
+                    await onCopyToClipboard();
+                    toast.success(t('Image copied to clipboard'));
+                    onClose();
+                  } catch (error) {
+                    toast.error(t('Failed to copy image to clipboard'));
+                    console.error('Failed to copy to clipboard:', error);
+                  }
+                }}
+              >
+                {t('Copy to Clipboard')}
+              </FooterAction.Secondary>
               <FooterAction.Primary
                 onClick={() => {
                   onDownload(filename || DEFAULT_FILENAME, fileType);
                   onClose();
                 }}
               >
-                {t('Common:Save')}
+                {t('Save Image')}
               </FooterAction.Primary>
             </FooterAction.Right>
           </FooterAction>

extensions/cornerstone/src/customizations/viewportOverlayCustomization.tsx

@@ -25,6 +25,7 @@ export default {
     {
       id: 'WindowLevel',
       inheritsFrom: 'ohif.overlayItem.windowLevel',
+      title: 'Window Level',
     },
     {
       id: 'ZoomLevel',
@@ -39,6 +40,7 @@ export default {
     {
       id: 'InstanceNumber',
       inheritsFrom: 'ohif.overlayItem.instanceNumber',
+      title: 'Instance Number',
     },
   ],
 };

extensions/cornerstone/src/customizations/viewportScrollbarCustomization.tsx

@@ -0,0 +1,27 @@
+/**
+ * Default customization values for viewport scrollbar behavior.
+ * The `progress` scrollbar variant is in full mode for stack viewports and
+ * acquisition-plane orthographic viewports.
+ * Otherwise, viewports using the `progress` scrollbar show only the indicator.
+ *
+ * - `viewportScrollbar.variant`: `'progress' | 'legacy'` (default: `'progress'`)
+ * - `viewportScrollbar.showLoadedEndpoints`: show loaded-range endpoint caps in full mode
+ * - `viewportScrollbar.showLoadedFill`: show loaded/cached fill in full mode
+ * - `viewportScrollbar.showViewedFill`: show viewed fill in full mode
+ * - `viewportScrollbar.showLoadingPattern`: show loading pattern in full mode while not fully loaded
+ * - `viewportScrollbar.viewedDwellMs`: delay before marking current image viewed in full mode (ms)
+ * - `viewportScrollbar.loadedBatchIntervalMs`: loaded-state version batch interval in full mode (ms)
+ * - `viewportScrollbar.indicator`: optional custom indicator config
+ */
+export default function getViewportScrollbarCustomization() {
+  return {
+    'viewportScrollbar.variant': 'progress',
+    'viewportScrollbar.showLoadedEndpoints': true,
+    'viewportScrollbar.showLoadedFill': true,
+    'viewportScrollbar.showViewedFill': true,
+    'viewportScrollbar.showLoadingPattern': true,
+    'viewportScrollbar.viewedDwellMs': 0,
+    'viewportScrollbar.loadedBatchIntervalMs': 200,
+    'viewportScrollbar.indicator': {},
+  };
+}

extensions/cornerstone/src/getCustomizationModule.tsx

@@ -11,6 +11,7 @@ import windowLevelPresetsCustomization from './customizations/windowLevelPresets
 import miscCustomization from './customizations/miscCustomization';
 import captureViewportModalCustomization from './customizations/captureViewportModalCustomization';
 import viewportDownloadWarningCustomization from './customizations/viewportDownloadWarningCustomization';
+import getViewportScrollbarCustomization from './customizations/viewportScrollbarCustomization';
 
 function getCustomizationModule({ commandsManager, servicesManager, extensionManager }) {
   return [
@@ -34,6 +35,7 @@ function getCustomizationModule({ commandsManager, servicesManager, extensionMan
         ...miscCustomization,
         ...captureViewportModalCustomization,
         ...viewportDownloadWarningCustomization,
+        ...getViewportScrollbarCustomization(),
       },
     },
   ];

extensions/cornerstone/src/getSopClassHandlerModule.js

@@ -3,6 +3,7 @@ import i18n from '@ohif/i18n';
 import { utilities as csUtils, Enums as csEnums } from '@cornerstonejs/core';
 import dcmjs from 'dcmjs';
 import { dicomWebUtils } from '@ohif/extension-default';
+import { buildEcgModule } from './utils/ecgMetadata';
 
 const { MetadataModules } = csEnums;
 const { utils } = OHIF;
@@ -155,6 +156,84 @@ export function getDicomMicroscopySopClassHandler({ servicesManager, extensionMa
   };
 }
 
-export function getSopClassHandlerModule(params) {
-  return [getDicomMicroscopySopClassHandler(params)];
+/**
+ * DICOM Waveform SOP Class UIDs for ECG / cardiac electrophysiology.
+ * Reference: https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html
+ */
+const ECG_SOP_CLASS_UIDS = {
+  TWELVE_LEAD_ECG_WAVEFORM_STORAGE: '1.2.840.10008.5.1.4.1.1.9.1.1',
+  GENERAL_ECG_WAVEFORM_STORAGE: '1.2.840.10008.5.1.4.1.1.9.1.2',
+  AMBULATORY_ECG_WAVEFORM_STORAGE: '1.2.840.10008.5.1.4.1.1.9.1.3',
+  HEMODYNAMIC_WAVEFORM_STORAGE: '1.2.840.10008.5.1.4.1.1.9.2.1',
+  CARDIAC_ELECTROPHYSIOLOGY_WAVEFORM_STORAGE: '1.2.840.10008.5.1.4.1.1.9.3.1',
+};
+
+const ecgSopClassUids = Object.values(ECG_SOP_CLASS_UIDS);
+
+const DicomEcgSOPClassHandlerId =
+  '@ohif/extension-cornerstone.sopClassHandlerModule.DicomEcgSopClassHandler';
+
+function _getEcgDisplaySetsFromSeries(instances, servicesManager) {
+  const { userAuthenticationService } = servicesManager.services;
+
+  return instances.map(instance => {
+    const { Modality, SOPInstanceUID } = instance;
+    const { SeriesDescription, SeriesNumber, SeriesDate } = instance;
+    const { SeriesInstanceUID, StudyInstanceUID, SOPClassUID } = instance;
+    const imageId = instance.imageId;
+
+    // Register ECG metadata in the OHIF metadata provider so that
+    // Cornerstone's ECGViewport can retrieve it via metaData.get('ecgModule', imageId).
+    if (imageId) {
+      const ecgModule = buildEcgModule(instance, userAuthenticationService);
+      if (ecgModule) {
+        csUtils.genericMetadataProvider.addRaw(imageId, {
+          type: MetadataModules.ECG,
+          metadata: ecgModule,
+        });
+      }
+    }
+
+    return {
+      Modality,
+      displaySetInstanceUID: utils.guid(),
+      SeriesDescription,
+      SeriesNumber,
+      SeriesDate,
+      SOPInstanceUID,
+      SeriesInstanceUID,
+      StudyInstanceUID,
+      SOPClassHandlerId: DicomEcgSOPClassHandlerId,
+      SOPClassUID,
+      referencedImages: null,
+      measurements: null,
+      viewportType: csEnums.ViewportType.ECG,
+      instances: [instance],
+      instance,
+      thumbnailSrc: null,
+      isDerivedDisplaySet: false,
+      isLoaded: false,
+      sopClassUids: ecgSopClassUids,
+      numImageFrames: 0,
+      numInstances: 1,
+      imageIds: imageId ? [imageId] : [],
+      supportsWindowLevel: false,
+      label: SeriesDescription || 'ECG',
+    };
+  });
+}
+
+export function getDicomEcgSopClassHandler({ servicesManager }) {
+  const getDisplaySetsFromSeries = instances =>
+    _getEcgDisplaySetsFromSeries(instances, servicesManager);
+
+  return {
+    name: 'DicomEcgSopClassHandler',
+    sopClassUids: ecgSopClassUids,
+    getDisplaySetsFromSeries,
+  };
+}
+
+export function getSopClassHandlerModule(params) {
+  return [getDicomMicroscopySopClassHandler(params), getDicomEcgSopClassHandler(params)];
 }

extensions/cornerstone/src/getToolbarModule.tsx

@@ -429,6 +429,40 @@ export default function getToolbarModule({ servicesManager, extensionManager }:
         };
       },
     },
+    {
+      name: 'evaluate.cornerstoneTool.toggleWithModifier',
+      evaluate: ({ viewportId, button, disabledText, toggledOnIcon, defaultIcon }) => {
+        const toolGroup = toolGroupService.getToolGroupForViewport(viewportId);
+        if (!toolGroup) {
+          return;
+        }
+
+        const toolName = toolbarService.getToolNameForButton(button);
+        if (!toolGroup.hasTool(toolName)) {
+          return getDisabledState(disabledText);
+        }
+
+        const { mode } = toolGroup.getToolOptions(toolName) ?? {};
+        const isToggled =
+          mode === Enums.ToolModes.Passive ||
+          mode === Enums.ToolModes.Active ||
+          mode === Enums.ToolModes.Enabled;
+
+        const toolBindings = toolGroupService.getToolBindings(toolGroup.id, toolName);
+        const hasModifierKey =
+          toolBindings?.some(binding => binding.modifierKey != null) ?? false;
+
+        return {
+          disabled: false,
+          isActive: false,
+          isToggled,
+          icon:
+            isToggled && hasModifierKey && toggledOnIcon
+              ? toggledOnIcon
+              : defaultIcon ?? button.props.icon,
+        };
+      },
+    },
     {
       name: 'evaluate.action',
       evaluate: () => {

extensions/cornerstone/src/hooks/useViewportRendering.tsx

@@ -10,6 +10,7 @@ import {
   BaseVolumeViewport,
   cache,
 } from '@cornerstonejs/core';
+import { getDataIdForViewport } from '../utils/getDataIdForViewport';
 import { WindowLevelPreset } from '../types/WindowLevel';
 import { ColorbarPositionType, ColorbarOptions, ColorbarProperties } from '../types/Colorbar';
 import { VolumeRenderingConfig } from '../types/VolumeRenderingConfig';
@@ -104,11 +105,6 @@ const opacityToLinear = (opacityValue: number): number => {
   return Math.pow(opacityValue, 1.0 / GAMMA);
 };
 
-const is3DViewport = ({ viewportId, cornerstoneViewportService }) => {
-  const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
-  return viewport instanceof VolumeViewport3D;
-};
-
 /**
  * Hook to access window level functionality for a specific viewport
  *
@@ -124,15 +120,17 @@ export function useViewportRendering(
   const { cornerstoneViewportService, colorbarService, customizationService } =
     servicesManager.services;
 
-  const [is3DVolume, setIs3DVolume] = useState(
-    is3DViewport({ viewportId, cornerstoneViewportService })
-  );
   const [hasColorbar, setHasColorbar] = useState(colorbarService.hasColorbar(viewportId));
   const [colorbarPosition, setColorbarPosition] = useState<ColorbarPositionType>(
     options?.location ? getPosition(options.location) : 'bottom'
   );
   const [voiRange, setVoiRange] = useState<{ lower: number; upper: number } | undefined>();
   const voiRangeRef = React.useRef<{ lower: number; upper: number } | undefined>();
+  // Viewport from service; kept in state so we can subscribe to VIEWPORT_DATA_CHANGED when null and re-run effects when it becomes available
+  const [viewport, setViewport] = useState<Types.IViewport | null>(() =>
+    viewportId ? (cornerstoneViewportService.getCornerstoneViewport(viewportId) ?? null) : null
+  );
+  const [is3DVolume, setIs3DVolume] = useState(viewport instanceof VolumeViewport3D);
   const [opacity, setOpacityState] = useState<number | undefined>();
   const [opacityLinear, setOpacityLinearState] = useState<number | undefined>();
   const [threshold, setThresholdState] = useState<number | undefined>();
@@ -178,6 +176,34 @@ export function useViewportRendering(
     );
   }, [viewportDisplaySets, presets]);
 
+  // Keep viewport in state; when not available, subscribe to VIEWPORT_DATA_CHANGED so we set it when the viewport is ready
+  useEffect(() => {
+    if (!viewportId) {
+      setViewport(null);
+      return;
+    }
+    const vp = cornerstoneViewportService.getCornerstoneViewport(viewportId);
+    setViewport(vp ?? null);
+    if (vp) {
+      return;
+    }
+    const { unsubscribe } = cornerstoneViewportService.subscribe(
+      cornerstoneViewportService.EVENTS.VIEWPORT_DATA_CHANGED,
+      ({ viewportId: eventViewportId }) => {
+        if (eventViewportId !== viewportId) {
+          return;
+        }
+        const next = cornerstoneViewportService.getCornerstoneViewport(viewportId);
+        if (next) {
+          setViewport(next);
+        }
+      }
+    );
+    return () => {
+      unsubscribe();
+    };
+  }, [viewportId, cornerstoneViewportService]);
+
   // Calculate pixel value range for the active display set
   useEffect(() => {
     if (!activeDisplaySetInstanceUID) {
@@ -189,17 +215,15 @@ export function useViewportRendering(
       return;
     }
 
-    const csViewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
-
-    if (!csViewport) {
+    if (!viewport) {
       return;
     }
 
-    if (!(csViewport instanceof BaseVolumeViewport)) {
+    if (!(viewport instanceof BaseVolumeViewport)) {
       return;
     }
 
-    const volumeIds = csViewport.getAllVolumeIds();
+    const volumeIds = viewport.getAllVolumeIds();
     const volumeId = volumeIds.find(id => id.includes(activeDisplaySetInstanceUID));
 
     if (!volumeId) {
@@ -207,7 +231,7 @@ export function useViewportRendering(
     }
 
     // only handle volume viewports for now
-    const imageData = csViewport.getImageData(volumeId);
+    const imageData = viewport.getImageData(volumeId);
 
     if (!imageData) {
       return;
@@ -220,7 +244,7 @@ export function useViewportRendering(
     const range = voxelManager.getRange();
 
     setPixelValueRange({ min: range[0], max: range[1] });
-  }, [activeDisplaySetInstanceUID, displaySetService, cornerstoneViewportService, viewportId]);
+  }, [activeDisplaySetInstanceUID, displaySetService, viewport]);
 
   // Get the presets specifically for the active display set
   const activeDisplaySetPresets = useMemo(() => {
@@ -240,55 +264,47 @@ export function useViewportRendering(
   }, [allWindowLevelPresets, activeDisplaySetInstanceUID]);
 
   useEffect(() => {
-    setIs3DVolume(is3DViewport({ viewportId, cornerstoneViewportService }));
+    setIs3DVolume(viewport instanceof VolumeViewport3D);
 
-    const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
-
-    // Initialize the VOI range from the viewport
-    if (viewport && activeDisplaySetInstanceUID) {
-      try {
-        let properties;
-
-        if (viewport instanceof StackViewport) {
-          properties = viewport.getProperties();
-          if (properties.voiRange) {
-            setVoiRange(properties.voiRange);
-            voiRangeRef.current = properties.voiRange;
-          }
-        } else if (viewport instanceof BaseVolumeViewport) {
-          // For volume viewports, find the actor for the active display set
-          const volumeIds = viewport.getAllVolumeIds();
-          const volumeId = volumeIds.find(id => id.includes(activeDisplaySetInstanceUID));
-
-          if (volumeId) {
-            properties = viewport.getProperties(volumeId);
-            if (properties?.voiRange) {
-              setVoiRange(properties.voiRange);
-              voiRangeRef.current = properties.voiRange;
-            }
-
-            // Get opacity from colormap if available
-            if (properties?.colormap?.opacity !== undefined) {
-              const isArray = Array.isArray(properties.colormap.opacity);
-              const opacity = isArray
-                ? properties.colormap.opacity.reduce((max, current) => Math.max(max, current), 0)
-                : properties.colormap.opacity;
-
-              setOpacityState(opacity);
-              setOpacityLinearState(opacityToLinear(opacity));
-            }
-
-            // Get threshold from colormap if available
-            if (properties?.colormap && properties.colormap.threshold !== undefined) {
-              setThresholdState(properties.colormap.threshold);
-            }
-          }
-        }
-      } catch (error) {
-        console.error('Error initializing VOI range:', error);
-      }
+    if (!viewport || !activeDisplaySetInstanceUID) {
+      return;
     }
-  }, [cornerstoneViewportService, viewportId, activeDisplaySetInstanceUID]);
+    try {
+      const dataId = getDataIdForViewport(viewport as unknown, activeDisplaySetInstanceUID);
+
+      const properties =
+        dataId != null
+          ? (viewport as Types.IBaseVolumeViewport).getProperties(dataId)
+          : viewport.getProperties();
+
+      if (!properties) {
+        return;
+      }
+
+      if (properties.voiRange) {
+        setVoiRange(properties.voiRange);
+        voiRangeRef.current = properties.voiRange;
+      }
+
+      if (properties.colormap?.opacity !== undefined) {
+        const opacityVal = properties.colormap.opacity;
+        const opacity = Array.isArray(opacityVal)
+          ? (opacityVal as unknown as number[]).reduce(
+              (max, current) => Math.max(max, current),
+              0
+            )
+          : opacityVal;
+        setOpacityState(opacity);
+        setOpacityLinearState(opacityToLinear(opacity));
+      }
+
+      if (properties.colormap?.threshold !== undefined) {
+        setThresholdState(properties.colormap.threshold);
+      }
+    } catch (error) {
+      console.error('Error initializing VOI range:', error);
+    }
+  }, [activeDisplaySetInstanceUID, viewport]);
 
   useEffect(() => {
     if (!viewportId) {
@@ -313,19 +329,11 @@ export function useViewportRendering(
   }, [colorbarService, viewportId]);
 
   useEffect(() => {
-    if (!viewportId || !activeDisplaySetInstanceUID) {
-      return;
-    }
-
-    const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
-    if (!viewport) {
+    if (!activeDisplaySetInstanceUID || !viewport?.element) {
       return;
     }
 
     const element = viewport.element;
-    if (!element) {
-      return;
-    }
 
     const updateVOI = eventDetail => {
       const { range } = eventDetail.detail;
@@ -369,7 +377,7 @@ export function useViewportRendering(
       element.removeEventListener(Enums.Events.VOI_MODIFIED, updateVOI);
       element.removeEventListener(Enums.Events.COLORMAP_MODIFIED, updateColormap);
     };
-  }, [viewportId, activeDisplaySetInstanceUID, cornerstoneViewportService, opacityToLinear]);
+  }, [activeDisplaySetInstanceUID, viewport, opacityToLinear]);
 
   const validateActiveDisplaySet = useCallback(() => {
     if (!activeDisplaySetInstanceUID) {
@@ -560,16 +568,11 @@ export function useViewportRendering(
         context: 'CORNERSTONE',
       });
     },
-    [commandsManager, viewportId, validateActiveDisplaySet]
+    [commandsManager, validateActiveDisplaySet, viewport, viewportId]
   );
 
   const setOpacity = useCallback(
     (opacityValue: number) => {
-      if (!viewportId) {
-        return;
-      }
-
-      const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
       if (!viewport || !(viewport instanceof BaseVolumeViewport)) {
         return;
       }
@@ -607,7 +610,7 @@ export function useViewportRendering(
 
       viewport.render();
     },
-    [cornerstoneViewportService, viewportId, validateActiveDisplaySet, opacityToLinear]
+    [validateActiveDisplaySet, opacityToLinear, viewport]
   );
 
   const setOpacityLinear = useCallback(
@@ -621,11 +624,6 @@ export function useViewportRendering(
 
   const setThreshold = useCallback(
     (thresholdValue: number) => {
-      if (!viewportId) {
-        return;
-      }
-
-      const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
       if (!viewport || !(viewport instanceof BaseVolumeViewport)) {
         return;
       }
@@ -653,18 +651,16 @@ export function useViewportRendering(
 
       viewport.render();
     },
-    [cornerstoneViewportService, viewportId, validateActiveDisplaySet]
+    [validateActiveDisplaySet, viewport]
   );
 
   // Get the current colormap for the active display set
   const colormap = useMemo(() => {
-    if (!viewportId || !activeDisplaySetInstanceUID || !viewportDisplaySets?.length) {
+    if (!activeDisplaySetInstanceUID || !viewportDisplaySets?.length) {
       return null;
     }
 
     try {
-      const viewport = cornerstoneViewportService.getCornerstoneViewport(viewportId);
-
       if (!viewport) {
         return null;
       }
@@ -711,13 +707,7 @@ export function useViewportRendering(
         colorbarProperties?.colormaps?.[0]
       );
     }
-  }, [
-    cornerstoneViewportService,
-    viewportId,
-    activeDisplaySetInstanceUID,
-    viewportDisplaySets,
-    colorbarProperties?.colormaps,
-  ]);
+  }, [activeDisplaySetInstanceUID, viewportDisplaySets, colorbarProperties?.colormaps, viewport]);
 
   // 3D volume rendering functions
   const setVolumeRenderingPreset = useCallback(
@@ -801,7 +791,9 @@ export function useViewportRendering(
     setWindowLevel,
     setVOIRange,
     voiRange,
-    windowLevel: utilities.windowLevel.toWindowLevel(voiRange?.lower, voiRange?.upper),
+    windowLevel: voiRange
+      ? utilities.windowLevel.toWindowLevel(voiRange?.lower, voiRange?.upper)
+      : { windowCenter: null, windowWidth: null },
 
     // Colorbar functions
     hasColorbar,

extensions/cornerstone/src/hooks/useViewportSegmentations.ts

@@ -9,7 +9,7 @@ import { useSystem } from '@ohif/core';
 const excludedModalities = ['SM', 'OT', 'DOC', 'ECG'];
 
 function mapSegmentationToDisplay(segmentation, customizationService) {
-  const { label, segments } = segmentation;
+  const { label, segments, fallbackLabel } = segmentation;
 
   // Get the readable text mapping once
   const readableTextMap = customizationService.getCustomization('panelSegmentation.readableText');
@@ -76,6 +76,7 @@ function mapSegmentationToDisplay(segmentation, customizationService) {
   return {
     ...segmentation,
     label,
+    fallbackLabel,
     segments: updatedSegments,
   };
 }

extensions/cornerstone/src/hps/mpr.ts

@@ -20,6 +20,34 @@ export const HYDRATE_SEG_SYNC_GROUP = {
   },
 };
 
+const viewportStructure = {
+  layoutType: 'grid',
+  properties: {
+    rows: 1,
+    columns: 3,
+    layoutOptions: [
+      {
+        x: 0,
+        y: 0,
+        width: 1 / 3,
+        height: 1,
+      },
+      {
+        x: 1 / 3,
+        y: 0,
+        width: 1 / 3,
+        height: 1,
+      },
+      {
+        x: 2 / 3,
+        y: 0,
+        width: 1 / 3,
+        height: 1,
+      },
+    ],
+  },
+};
+
 export const mpr: Types.HangingProtocol.Protocol = {
   id: 'mpr',
   name: i18n.t('Hps:MPR'),
@@ -53,33 +81,7 @@ export const mpr: Types.HangingProtocol.Protocol = {
   stages: [
     {
       name: 'MPR 1x3',
-      viewportStructure: {
-        layoutType: 'grid',
-        properties: {
-          rows: 1,
-          columns: 3,
-          layoutOptions: [
-            {
-              x: 0,
-              y: 0,
-              width: 1 / 3,
-              height: 1,
-            },
-            {
-              x: 1 / 3,
-              y: 0,
-              width: 1 / 3,
-              height: 1,
-            },
-            {
-              x: 2 / 3,
-              y: 0,
-              width: 1 / 3,
-              height: 1,
-            },
-          ],
-        },
-      },
+      viewportStructure,
       viewports: [
         {
           viewportOptions: {
@@ -134,5 +136,63 @@ export const mpr: Types.HangingProtocol.Protocol = {
         },
       ],
     },
+
+    {
+      name: 'MPR Reformat 1x3',
+      viewportStructure,
+      viewports: [
+        {
+          viewportOptions: {
+            viewportId: 'mpr-axial',
+            toolGroupId: 'mpr',
+            viewportType: 'volume',
+            orientation: 'axial_reformat',
+            initialImageOptions: {
+              preset: 'middle',
+            },
+            syncGroups: [VOI_SYNC_GROUP, HYDRATE_SEG_SYNC_GROUP],
+          },
+          displaySets: [
+            {
+              id: 'activeDisplaySet',
+            },
+          ],
+        },
+        {
+          viewportOptions: {
+            viewportId: 'mpr-sagittal',
+            toolGroupId: 'mpr',
+            viewportType: 'volume',
+            orientation: 'sagittal_reformat',
+            initialImageOptions: {
+              preset: 'middle',
+            },
+            syncGroups: [VOI_SYNC_GROUP, HYDRATE_SEG_SYNC_GROUP],
+          },
+          displaySets: [
+            {
+              id: 'activeDisplaySet',
+            },
+          ],
+        },
+        {
+          viewportOptions: {
+            viewportId: 'mpr-coronal',
+            toolGroupId: 'mpr',
+            viewportType: 'volume',
+            orientation: 'coronal_reformat',
+            initialImageOptions: {
+              preset: 'middle',
+            },
+            syncGroups: [VOI_SYNC_GROUP, HYDRATE_SEG_SYNC_GROUP],
+          },
+          displaySets: [
+            {
+              id: 'activeDisplaySet',
+            },
+          ],
+        },
+      ],
+    },
   ],
 };

extensions/cornerstone/src/index.tsx

@@ -21,6 +21,7 @@ import SegmentationService from './services/SegmentationService';
 import CornerstoneCacheService from './services/CornerstoneCacheService';
 import CornerstoneViewportService from './services/ViewportService/CornerstoneViewportService';
 import ColorbarService from './services/ColorbarService';
+import ViewedDataService from './services/ViewedDataService';
 import * as CornerstoneExtensionTypes from './types';
 
 import { toolNames } from './initCornerstoneTools';
@@ -180,6 +181,7 @@ const cornerstoneExtension: Types.Extensions.Extension = {
     useSelectedSegmentationsForViewportStore
       .getState()
       .clearSelectedSegmentationsForViewportStore();
+    servicesManager.services.viewedDataService?.clearViewedData();
     segmentationService.removeAllSegmentations();
   },
 
@@ -196,6 +198,7 @@ const cornerstoneExtension: Types.Extensions.Extension = {
     servicesManager.registerService(SegmentationService.REGISTRATION);
     servicesManager.registerService(CornerstoneCacheService.REGISTRATION);
     servicesManager.registerService(ColorbarService.REGISTRATION);
+    servicesManager.registerService(ViewedDataService.REGISTRATION);
 
     const { syncGroupService } = servicesManager.services;
     syncGroupService.registerCustomSynchronizer('frameview', createFrameViewSynchronizer);

extensions/cornerstone/src/initMeasurementService.ts

@@ -1,5 +1,5 @@
-import { eventTarget, Types } from '@cornerstonejs/core';
-import { Enums, annotation } from '@cornerstonejs/tools';
+import { eventTarget, Types, utilities as csUtils } from '@cornerstonejs/core';
+import { Enums, annotation, cancelActiveManipulations } from '@cornerstonejs/tools';
 import { DicomMetadataStore } from '@ohif/core';
 
 import * as CSExtensionEnums from './enums';
@@ -17,6 +17,8 @@ const { CORNERSTONE_3D_TOOLS_SOURCE_NAME, CORNERSTONE_3D_TOOLS_SOURCE_VERSION }
 const { removeAnnotation } = annotation.state;
 const csToolsEvents = Enums.Events;
 
+const { DefaultHistoryMemo } = csUtils.HistoryMemo;
+
 const initMeasurementService = (
   measurementService,
   displaySetService,
@@ -354,7 +356,7 @@ const connectMeasurementServiceToTools = ({
   const { MEASUREMENT_REMOVED, MEASUREMENTS_CLEARED, MEASUREMENT_UPDATED, RAW_MEASUREMENT_ADDED } =
     measurementService.EVENTS;
 
-  measurementService.subscribe(MEASUREMENTS_CLEARED, ({ measurements }) => {
+  measurementService.subscribe(MEASUREMENTS_CLEARED, ({ measurements, trackingContext }) => {
     if (!Object.keys(measurements).length) {
       return;
     }
@@ -373,6 +375,29 @@ const connectMeasurementServiceToTools = ({
         options: { deleting: true },
       });
     }
+
+    // If tracking context was provided, push a memo that keeps XState in sync with
+    // Cornerstone's annotation history across unlimited undo/redo cycles:
+    //   undo  → re-populate trackedStudy/trackedSeries so the panel reflects the
+    //           restored annotations.
+    //   redo  → wipe trackedStudy/trackedSeries because the annotations have been
+    //           re-deleted by their own Cornerstone memos; no measurements are
+    //           deleted here (they are already gone), so CLEAR_TRACKING_CONTEXT is
+    //           used instead of UNTRACK_ALL to avoid a double-delete.
+    if (trackingContext) {
+      DefaultHistoryMemo.push({
+        id: csUtils.uuidv4(),
+        operationType: 'trackingState',
+        restoreMemo(undo?: boolean) {
+          if (undo === true) {
+            commandsManager.run('restoreTrackedSeries', trackingContext);
+          } else if (undo === false) {
+            commandsManager.run('clearTrackedSeries');
+          }
+        },
+      });
+    }
+
     commandsManager.run('endRecordingForAnnotationGroup');
 
     // trigger a render
@@ -504,6 +529,12 @@ const connectMeasurementServiceToTools = ({
       if (source?.name && source.name !== CORNERSTONE_3D_TOOLS_SOURCE_NAME) {
         return;
       }
+      // Cancel any active tool manipulation (e.g., Spline/Livewire) to avoid leaving the tool
+      // in a drawing state after deleting a not completed measurement, which can block viewport interactivity.
+      const element = getActiveViewportEnabledElement(viewportGridService)?.viewport?.element;
+      if (element) {
+        cancelActiveManipulations(element);
+      }
       const removedAnnotation = annotation.state.getAnnotation(removedMeasurementId);
       removeAnnotation(removedMeasurementId);
       // Ensure `removedAnnotation` is available before triggering the memo,

extensions/cornerstone/src/services/ColorbarService/ColorbarService.ts

@@ -1,6 +1,7 @@
 import { PubSubService, Types as OhifTypes } from '@ohif/core';
 import { RENDERING_ENGINE_ID } from '../ViewportService/constants';
 import { getRenderingEngine } from '@cornerstonejs/core';
+import { getDataIdForViewport } from '../../utils/getDataIdForViewport';
 import { ColorbarOptions, ChangeTypes } from '../../types/Colorbar';
 
 export default class ColorbarService extends PubSubService {
@@ -38,25 +39,6 @@ export default class ColorbarService extends PubSubService {
     this.servicesManager = servicesManager;
   }
 
-  /**
-   * Gets the appropriate data ID for a viewport and display set
-   * @param viewport - The viewport instance
-   * @param displaySetInstanceUID - The display set instance UID to identify data
-   * @returns The appropriate data ID for the viewport type (volumeId for volume viewports, undefined for stack)
-   */
-  private getDataIdForViewport(viewport, displaySetInstanceUID: string): string | undefined {
-    // For volume viewports, find the matching volumeId
-    if (viewport.getAllVolumeIds) {
-      const volumeIds = viewport.getAllVolumeIds() || [];
-      return volumeIds.length > 0
-        ? volumeIds.find(id => id.includes(displaySetInstanceUID)) || undefined
-        : undefined;
-    }
-
-    // For other viewports, no specific dataId is needed for now
-    return undefined;
-  }
-
   /**
    * Adds a colorbar to a specific viewport identified by `viewportId`, using the provided `displaySetInstanceUIDs` and `options`.
    * This method prepares the colorbar state that will be used by the ViewportColorbarsContainer component.
@@ -92,7 +74,7 @@ export default class ColorbarService extends PubSubService {
         return;
       }
 
-      const dataId = this.getDataIdForViewport(viewport, displaySetInstanceUID);
+      const dataId = getDataIdForViewport(viewport, displaySetInstanceUID);
       const properties = dataId ? viewport.getProperties(dataId) : viewport.getProperties();
       const colormap = properties?.colormap;
 
@@ -246,7 +228,7 @@ export default class ColorbarService extends PubSubService {
     }
 
     // Get the appropriate dataId for this viewport/displaySet combination
-    const dataId = this.getDataIdForViewport(viewport, displaySetInstanceUID);
+    const dataId = getDataIdForViewport(viewport, displaySetInstanceUID);
 
     // Set properties with or without dataId based on what the viewport supports
     viewport.setProperties({ colormap }, dataId);

extensions/cornerstone/src/services/SegmentationService/SegmentationService.test.ts

@@ -1120,6 +1120,7 @@ describe('SegmentationService', () => {
         isDynamicVolume: false,
         SeriesNumber: 1,
         SeriesDescription: 'Series Description',
+        Modality: 'SEG',
       } as unknown as AppTypes.DisplaySet;
 
       jest
@@ -1145,6 +1146,7 @@ describe('SegmentationService', () => {
             info: 'S1: Series Description',
           },
           label: 'Segmentation 2',
+          fallbackLabel: 'S:1 SEG',
           segments: {
             '1': {
               active: true,
@@ -1175,6 +1177,7 @@ describe('SegmentationService', () => {
         dynamicVolumeInfo: {
           timePoints: ['timePoint1', 'timePoint2', 'timePoint3'],
         },
+        Modality: 'SEG',
       } as unknown as AppTypes.DisplaySet;
 
       jest
@@ -1212,6 +1215,7 @@ describe('SegmentationService', () => {
             info: 'S1: Series Description',
           },
           label: 'Segmentation 2',
+          fallbackLabel: 'S:1 SEG',
           segments: {
             '1': {
               active: true,
@@ -1320,6 +1324,8 @@ describe('SegmentationService', () => {
         },
         SeriesDate: '2025-01-01',
         SeriesDescription: 'Series Description',
+        Modality: 'SEG',
+        SeriesNumber: 1,
       };
 
       const referencedDisplaySet = {
@@ -1379,6 +1385,7 @@ describe('SegmentationService', () => {
       const expectedSegmentation = {
         config: {
           label: segDisplaySet.SeriesDescription,
+          fallbackLabel: 'S:1 SEG',
           segments: {
             '1': {
               active: false,
@@ -1534,7 +1541,7 @@ describe('SegmentationService', () => {
     it('should create a segmentation for a RTSTRUCT display set', async () => {
       const segmentationId = 'segmentationId';
       const rtStructDisplaySet = {
-        modality: 'RTSTRUCT',
+        Modality: 'RTSTRUCT',
         displaySetInstanceUID: 'display-set-uid',
         referencedDisplaySetInstanceUID: 'existent-display-set-uid',
         SeriesDate: '2025-01-01',
@@ -1544,6 +1551,7 @@ describe('SegmentationService', () => {
           ROIContours: [{}, {}, {}],
           frameOfReferenceUID: 'frameOfReferenceUID',
         },
+        SeriesNumber: 1,
       };
 
       const referencedDisplaySet = {
@@ -1650,6 +1658,7 @@ describe('SegmentationService', () => {
       const expectedSegmentation = {
         config: {
           label: rtStructDisplaySet.SeriesDescription,
+          fallbackLabel: 'S:1 RTSTRUCT',
           segments: {
             '1': {
               active: false,
@@ -2567,12 +2576,12 @@ describe('SegmentationService', () => {
   describe('clearSegmentationRepresentations', () => {
     it('should clear the segmentation representations', () => {
       const viewportId = 'viewportId';
-      jest.spyOn(service, 'removeSegmentationRepresentations').mockReturnValue(undefined);
+      jest.spyOn(service, 'removeRepresentationsFromViewport').mockReturnValue(undefined);
 
       service.clearSegmentationRepresentations(viewportId);
 
-      expect(service.removeSegmentationRepresentations).toHaveBeenCalledTimes(1);
-      expect(service.removeSegmentationRepresentations).toHaveBeenCalledWith(viewportId);
+      expect(service.removeRepresentationsFromViewport).toHaveBeenCalledTimes(1);
+      expect(service.removeRepresentationsFromViewport).toHaveBeenCalledWith(viewportId);
     });
   });
 
@@ -2600,7 +2609,7 @@ describe('SegmentationService', () => {
     });
   });
 
-  describe('removeSegmentationRepresentations', () => {
+  describe('removeRepresentationsFromViewport', () => {
     it('should remove the segmentation representations', () => {
       const viewportId = 'viewportId';
       const specifier = {
@@ -2609,7 +2618,7 @@ describe('SegmentationService', () => {
       };
       jest.spyOn(cstSegmentation, 'removeSegmentationRepresentations').mockReturnValue(undefined);
 
-      service.removeSegmentationRepresentations(viewportId, specifier);
+      service.removeRepresentationsFromViewport(viewportId, specifier);
 
       expect(cstSegmentation.removeSegmentationRepresentations).toHaveBeenCalledTimes(1);
       expect(cstSegmentation.removeSegmentationRepresentations).toHaveBeenCalledWith(

extensions/cornerstone/src/services/SegmentationService/SegmentationService.ts

@@ -55,6 +55,7 @@ export type SegmentationRepresentation = cstTypes.SegmentationRepresentation & {
   viewportId: string;
   id: string;
   label: string;
+  fallbackLabel?: string;
   styles: cstTypes.RepresentationStyle;
   segments: {
     [key: number]: SegmentRepresentation;
@@ -247,7 +248,7 @@ class SegmentationService extends PubSubService {
 
     eventTarget.removeEventListener(
       csToolsEnums.Events.SEGMENTATION_REMOVED,
-      this._onSegmentationModifiedFromSource
+      this._onSegmentationRemovedFromSource
     );
 
     eventTarget.removeEventListener(
@@ -267,7 +268,7 @@ class SegmentationService extends PubSubService {
 
     eventTarget.removeEventListener(
       csToolsEnums.Events.SEGMENTATION_REPRESENTATION_REMOVED,
-      this._onSegmentationRepresentationModifiedFromSource
+      this._onSegmentationRepresentationRemovedFromSource
     );
 
     eventTarget.removeEventListener(
@@ -430,6 +431,7 @@ class SegmentationService extends PubSubService {
       },
       config: {
         label,
+        fallbackLabel: `S:${displaySet.SeriesNumber} ${displaySet.Modality}`,
         segments:
           options?.segments && Object.keys(options.segments).length > 0
             ? options.segments
@@ -583,6 +585,7 @@ class SegmentationService extends PubSubService {
       },
       config: {
         label: segDisplaySet.SeriesDescription,
+        fallbackLabel: `S:${segDisplaySet.SeriesNumber} ${segDisplaySet.Modality}`,
         segments,
       },
     };
@@ -664,6 +667,7 @@ class SegmentationService extends PubSubService {
       },
       config: {
         label: rtDisplaySet.SeriesDescription,
+        fallbackLabel: `S:${rtDisplaySet.SeriesNumber} ${rtDisplaySet.Modality}`,
       },
     };
 
@@ -1284,14 +1288,14 @@ class SegmentationService extends PubSubService {
 
   /**
    * Clears segmentation representations from the viewport.
-   * Unlike removeSegmentationRepresentations, this doesn't update
+   * Unlike removeRepresentationsFromViewport, this doesn't update
    * removed display set and representation maps.
    * We track removed segmentations manually to avoid re-adding them
    * when the display set is added again.
    * @param viewportId - The viewport ID to clear segmentation representations from.
    */
   public clearSegmentationRepresentations(viewportId: string): void {
-    this.removeSegmentationRepresentations(viewportId);
+    this.removeRepresentationsFromViewport(viewportId);
   }
 
   /**
@@ -1307,7 +1311,7 @@ class SegmentationService extends PubSubService {
   }
 
   /**
-   * It removes the segmentation representations from the viewport.
+   * Removes segmentation representations from the viewport.
    * @param viewportId - The viewport id to remove the segmentation representations from.
    * @param specifier - The specifier to remove the segmentation representations.
    *
@@ -1317,7 +1321,7 @@ class SegmentationService extends PubSubService {
    * If a type specifier is provided, only the segmentation representation with the specified type are removed.
    * If both a segmentationId and type specifier are provided, only the segmentation representation with the specified segmentationId and type are removed.
    */
-  public removeSegmentationRepresentations(
+  public removeRepresentationsFromViewport(
     viewportId: string,
     specifier: {
       segmentationId?: string;
@@ -1842,6 +1846,7 @@ class SegmentationService extends PubSubService {
       id: id,
       segmentationId,
       label: segmentation.label,
+      fallbackLabel: segmentation.fallbackLabel,
       active,
       type,
       visible,
@@ -1861,7 +1866,7 @@ class SegmentationService extends PubSubService {
 
     eventTarget.addEventListener(
       csToolsEnums.Events.SEGMENTATION_REMOVED,
-      this._onSegmentationModifiedFromSource
+      this._onSegmentationRemovedFromSource
     );
 
     eventTarget.addEventListener(
@@ -1881,7 +1886,7 @@ class SegmentationService extends PubSubService {
 
     eventTarget.addEventListener(
       csToolsEnums.Events.SEGMENTATION_REPRESENTATION_REMOVED,
-      this._onSegmentationRepresentationModifiedFromSource
+      this._onSegmentationRepresentationRemovedFromSource
     );
 
     eventTarget.addEventListener(
@@ -2120,6 +2125,14 @@ class SegmentationService extends PubSubService {
     });
   };
 
+  private _onSegmentationRepresentationRemovedFromSource = evt => {
+    const { segmentationId, viewportId } = evt.detail;
+    this._broadcastEvent(this.EVENTS.SEGMENTATION_REPRESENTATION_REMOVED, {
+      segmentationId,
+      viewportId,
+    });
+  };
+
   private _onSegmentationModifiedFromSource = (
     evt: cstTypes.EventTypes.SegmentationModifiedEventType
   ) => {
@@ -2140,6 +2153,16 @@ class SegmentationService extends PubSubService {
     });
   };
 
+  private _onSegmentationRemovedFromSource = (
+    evt: cstTypes.EventTypes.SegmentationRemovedEventType
+  ) => {
+    const { segmentationId } = evt.detail;
+
+    this._broadcastEvent(this.EVENTS.SEGMENTATION_REMOVED, {
+      segmentationId,
+    });
+  };
+
   private _onAnnotationCutMergeProcessCompletedFromSource = evt => {
     const { segmentationId } = evt.detail;
     this._broadcastEvent(this.EVENTS.SEGMENTATION_ANNOTATION_CUT_MERGE_PROCESS_COMPLETED, {

extensions/cornerstone/src/services/SyncGroupService/createHydrateSegmentationSynchronizer.ts

@@ -66,7 +66,15 @@ const segmentationRepresentationModifiedCallback = async (
 
   const sharedDisplaySetExists = isAnyDisplaySetCommon(sourceDisplaySetUIDs, targetDisplaySetUIDs);
 
-  if (!sharedDisplaySetExists && !viewport.getFrameOfReferenceUID()) {
+  const targetFrameOfReferenceUID = viewport.getFrameOfReferenceUID();
+  const sourceFrameOfReferenceUID =
+    getEnabledElementByViewportId(sourceViewportId)?.viewport?.getFrameOfReferenceUID();
+
+  if (!sharedDisplaySetExists && !targetFrameOfReferenceUID) {
+    return;
+  }
+
+  if (!sharedDisplaySetExists && targetFrameOfReferenceUID !== sourceFrameOfReferenceUID) {
     return;
   }
 

extensions/cornerstone/src/services/ToolGroupService/ToolGroupService.ts

@@ -23,6 +23,12 @@ type Tools = {
   disabled?: Tool[];
 };
 
+type ToolBindings = Array<Record<string, unknown>>;
+type PersistedToolBindings = Record<string, Record<string, ToolBindings>>;
+type ApplyToolBindingsOptions = {
+  replaceExisting?: boolean;
+};
+
 export default class ToolGroupService {
   public static REGISTRATION = {
     name: 'toolGroupService',
@@ -36,7 +42,10 @@ export default class ToolGroupService {
   cornerstoneViewportService: any;
   viewportGridService: any;
   uiNotificationService: any;
+  customizationService: any;
   private toolGroupIds: Set<string> = new Set();
+  private toolBindingsMap: Map<string, Map<string, Array<Record<string, unknown>>>> = new Map();
+  private defaultToolBindingsMap: Map<string, Map<string, ToolBindings>> = new Map();
   /**
    * Service-specific
    */
@@ -44,11 +53,17 @@ export default class ToolGroupService {
   EVENTS: { [key: string]: string };
 
   constructor(servicesManager: AppTypes.ServicesManager) {
-    const { cornerstoneViewportService, viewportGridService, uiNotificationService } =
+    const {
+      cornerstoneViewportService,
+      viewportGridService,
+      uiNotificationService,
+      customizationService,
+    } =
       servicesManager.services;
     this.cornerstoneViewportService = cornerstoneViewportService;
     this.viewportGridService = viewportGridService;
     this.uiNotificationService = uiNotificationService;
+    this.customizationService = customizationService;
     this.listeners = {};
     this.EVENTS = EVENTS;
     Object.assign(this, pubSubServiceInterface);
@@ -122,6 +137,8 @@ export default class ToolGroupService {
   public destroy(): void {
     ToolGroupManager.destroy();
     this.toolGroupIds = new Set();
+    this.toolBindingsMap.clear();
+    this.defaultToolBindingsMap.clear();
 
     eventTarget.removeEventListener(Enums.Events.TOOL_ACTIVATED, this._onToolActivated);
   }
@@ -198,6 +215,7 @@ export default class ToolGroupService {
     // this.changeConfigurationIfNecessary(toolGroup, volumeId);
     this._addTools(toolGroup, tools, configs);
     this._setToolsMode(toolGroup, tools);
+    this._loadPersistedBindings(toolGroupId);
   }
 
   public createToolGroupAndAddTools(toolGroupId: string, tools: Array<Tool>): Types.IToolGroup {
@@ -242,34 +260,159 @@ export default class ToolGroupService {
     return this.getToolGroup(toolGroupId)?.getActivePrimaryMouseButtonTool();
   }
 
+  public getToolBindings(
+    toolGroupId: string,
+    toolName: string
+  ): ToolBindings | undefined {
+    return this.toolBindingsMap.get(toolGroupId)?.get(toolName);
+  }
+
+  public setToolBindings(toolGroupId: string, toolName: string, bindings: ToolBindings): void {
+    if (!this.toolBindingsMap.has(toolGroupId)) {
+      this.toolBindingsMap.set(toolGroupId, new Map());
+    }
+    this.toolBindingsMap.get(toolGroupId).set(toolName, this._cloneToolBindings(bindings));
+  }
+
+  public getDefaultToolBindings(toolGroupId: string, toolName: string): ToolBindings | undefined {
+    const defaultBindings = this.defaultToolBindingsMap.get(toolGroupId)?.get(toolName);
+    return defaultBindings ? this._cloneToolBindings(defaultBindings) : undefined;
+  }
+
+  public persistToolBindings(toolGroupId: string, toolName: string, bindings: ToolBindings): void {
+    const persistedBindings = this._readPersistedToolBindings();
+    if (!persistedBindings[toolGroupId]) {
+      persistedBindings[toolGroupId] = {};
+    }
+
+    persistedBindings[toolGroupId][toolName] = bindings;
+    this._writePersistedToolBindings(persistedBindings);
+  }
+
+  public removePersistedToolBindings(toolGroupId: string, toolName?: string): void {
+    const persistedBindings = this._readPersistedToolBindings();
+    if (!persistedBindings[toolGroupId]) {
+      return;
+    }
+
+    if (toolName) {
+      delete persistedBindings[toolGroupId][toolName];
+      if (!Object.keys(persistedBindings[toolGroupId]).length) {
+        delete persistedBindings[toolGroupId];
+      }
+    } else {
+      delete persistedBindings[toolGroupId];
+    }
+
+    this._writePersistedToolBindings(persistedBindings);
+  }
+
+  /**
+   * Applies the currently tracked bindings to the runtime tool instance.
+   *
+   * Note: this method may activate tools that are currently Passive or Enabled.
+   * Assigning bindings is treated as making the tool interactable.
+   */
+  public applyToolBindings(
+    toolGroupId: string,
+    toolName: string,
+    options: ApplyToolBindingsOptions = {}
+  ): void {
+    const toolGroup = ToolGroupManager.getToolGroup(toolGroupId);
+    if (!toolGroup || !toolGroup.hasTool(toolName)) {
+      return;
+    }
+    const bindings = this.getToolBindings(toolGroupId, toolName);
+    if (!bindings) {
+      return;
+    }
+    const { mode } = toolGroup.getToolOptions(toolName);
+    if (
+      mode === Enums.ToolModes.Active ||
+      mode === Enums.ToolModes.Passive ||
+      mode === Enums.ToolModes.Enabled
+    ) {
+      if (options.replaceExisting) {
+        // Opt-in behavior for callers that need replacement semantics.
+        toolGroup.setToolDisabled(toolName);
+      }
+      toolGroup.setToolActive(toolName, { bindings });
+    }
+  }
+
+  public getAllToolBindings(): Array<{
+    toolGroupId: string;
+    toolName: string;
+    bindings: Array<Record<string, unknown>>;
+  }> {
+    const result = [];
+    for (const [toolGroupId, toolMap] of this.toolBindingsMap) {
+      for (const [toolName, bindings] of toolMap) {
+        result.push({ toolGroupId, toolName, bindings });
+      }
+    }
+    return result;
+  }
+
   private _setToolsMode(toolGroup, tools) {
     const { active, passive, enabled, disabled } = tools;
 
     if (active) {
       active.forEach(({ toolName, bindings }) => {
+        if (bindings) {
+          this.setToolBindings(toolGroup.id, toolName, bindings);
+          this._setDefaultToolBindingsIfMissing(toolGroup.id, toolName, bindings);
+        }
         toolGroup.setToolActive(toolName, { bindings });
       });
     }
 
     if (passive) {
-      passive.forEach(({ toolName }) => {
+      passive.forEach(({ toolName, bindings }) => {
+        if (bindings) {
+          this.setToolBindings(toolGroup.id, toolName, bindings);
+          this._setDefaultToolBindingsIfMissing(toolGroup.id, toolName, bindings);
+        }
         toolGroup.setToolPassive(toolName);
       });
     }
 
     if (enabled) {
-      enabled.forEach(({ toolName }) => {
+      enabled.forEach(({ toolName, bindings }) => {
+        if (bindings) {
+          this.setToolBindings(toolGroup.id, toolName, bindings);
+          this._setDefaultToolBindingsIfMissing(toolGroup.id, toolName, bindings);
+        }
         toolGroup.setToolEnabled(toolName);
       });
     }
 
     if (disabled) {
-      disabled.forEach(({ toolName }) => {
+      disabled.forEach(({ toolName, bindings }) => {
+        if (bindings) {
+          this.setToolBindings(toolGroup.id, toolName, bindings);
+          this._setDefaultToolBindingsIfMissing(toolGroup.id, toolName, bindings);
+        }
         toolGroup.setToolDisabled(toolName);
       });
     }
   }
 
+  private _setDefaultToolBindingsIfMissing(
+    toolGroupId: string,
+    toolName: string,
+    bindings: ToolBindings
+  ): void {
+    if (!this.defaultToolBindingsMap.has(toolGroupId)) {
+      this.defaultToolBindingsMap.set(toolGroupId, new Map());
+    }
+
+    const toolMap = this.defaultToolBindingsMap.get(toolGroupId);
+    if (!toolMap.has(toolName)) {
+      toolMap.set(toolName, this._cloneToolBindings(bindings));
+    }
+  }
+
   private _addTools(toolGroup, tools) {
     const addTools = tools => {
       tools.forEach(({ toolName, parentTool, configuration }) => {
@@ -300,6 +443,71 @@ export default class ToolGroupService {
     }
   }
 
+  private _loadPersistedBindings(toolGroupId: string): void {
+    const toolGroupBindings = this._readPersistedToolBindings()[toolGroupId];
+    if (!toolGroupBindings) {
+      return;
+    }
+
+    const toolGroup = ToolGroupManager.getToolGroup(toolGroupId);
+
+    for (const [toolName, bindings] of Object.entries(toolGroupBindings)) {
+      this.setToolBindings(toolGroupId, toolName, bindings as ToolBindings);
+
+      if (!toolGroup || !toolGroup.hasTool(toolName)) {
+        continue;
+      }
+
+      const { mode } = toolGroup.getToolOptions(toolName);
+      if (mode === Enums.ToolModes.Active) {
+        this.applyToolBindings(toolGroupId, toolName, { replaceExisting: true });
+      }
+    }
+  }
+
+  private _readPersistedToolBindings(): PersistedToolBindings {
+    try {
+      const stored = localStorage.getItem(this._getToolBindingsStorageKey());
+      if (!stored) {
+        return {};
+      }
+
+      const parsed = JSON.parse(stored);
+      if (!parsed || typeof parsed !== 'object') {
+        return {};
+      }
+
+      return parsed as PersistedToolBindings;
+    } catch {
+      // ignore corrupt localStorage
+      return {};
+    }
+  }
+
+  private _writePersistedToolBindings(bindings: PersistedToolBindings): void {
+    const storageKey = this._getToolBindingsStorageKey();
+    if (!Object.keys(bindings).length) {
+      localStorage.removeItem(storageKey);
+      return;
+    }
+
+    localStorage.setItem(storageKey, JSON.stringify(bindings));
+  }
+
+  private _cloneToolBindings(bindings: ToolBindings): ToolBindings {
+    return bindings.map(binding => ({ ...binding }));
+  }
+
+  private _getToolBindingsStorageKey(): string {
+    const customizationValue = this.customizationService?.getCustomization(
+      'ohif.userPreferences.toolBindingsStorageKey'
+    );
+
+    return typeof customizationValue === 'string' && customizationValue.length > 0
+      ? customizationValue
+      : 'user-preferred-tool-bindings';
+  }
+
   private _onToolActivated = (evt: Types.EventTypes.ToolActivatedEventType) => {
     const { toolGroupId, toolName, toolBindingsOptions } = evt.detail;
     const isPrimaryTool = toolBindingsOptions.bindings?.some(

extensions/cornerstone/src/services/ViewedDataService/ViewedDataService.ts

@@ -0,0 +1,58 @@
+import { PubSubService } from '@ohif/core';
+
+export type ViewedDataPayload = {
+  viewedDataId?: string;
+  viewedDataCleared?: boolean;
+};
+
+class ViewedDataService extends PubSubService {
+  public static readonly EVENTS = {
+    VIEWED_DATA_CHANGED: 'event::viewedDataChanged',
+  };
+
+  public static REGISTRATION = {
+    name: 'viewedDataService',
+    altName: 'ViewedDataService',
+    create: () => {
+      return new ViewedDataService();
+    },
+  };
+
+  private viewedDataIds = new Set<string>();
+
+  constructor() {
+    super(ViewedDataService.EVENTS);
+  }
+
+  public markDataViewed(dataId: string): void {
+    if (!dataId || this.viewedDataIds.has(dataId)) {
+      return;
+    }
+
+    this.viewedDataIds.add(dataId);
+    this._broadcastEvent(this.EVENTS.VIEWED_DATA_CHANGED, {
+      viewedDataId: dataId,
+    });
+  }
+
+  public isDataViewed(dataId: string): boolean {
+    if (!dataId) {
+      return false;
+    }
+
+    return this.viewedDataIds.has(dataId);
+  }
+
+  public clearViewedData(): void {
+    this.viewedDataIds.clear();
+    this._broadcastEvent(this.EVENTS.VIEWED_DATA_CHANGED, {
+      viewedDataCleared: true,
+    });
+  }
+
+  public subscribeViewedDataChanges(listener: (payload: ViewedDataPayload) => void) {
+    return this.subscribe(this.EVENTS.VIEWED_DATA_CHANGED, listener);
+  }
+}
+
+export default ViewedDataService;

extensions/cornerstone/src/services/ViewedDataService/index.ts

@@ -0,0 +1,3 @@
+import ViewedDataService from './ViewedDataService';
+
+export default ViewedDataService;

extensions/cornerstone/src/services/ViewportService/CornerstoneViewportService.ts

@@ -9,6 +9,7 @@ import {
   utilities as csUtils,
   VolumeViewport,
   VolumeViewport3D,
+  ECGViewport,
   cache,
   Enums as csEnums,
   BaseVolumeViewport,
@@ -48,6 +49,47 @@ const EVENTS = {
 const MIN_STACK_VIEWPORTS_TO_ENQUEUE_RESIZE = 12;
 const MIN_VOLUME_VIEWPORTS_TO_ENQUEUE_RESIZE = 6;
 
+function getVolumeActorReferencedIds(viewport: Types.IVolumeViewport): string[] {
+  const actors = viewport.getActors?.() ?? [];
+  return actors
+    .filter(ac => ac.actor?.getClassName?.() === 'vtkVolume')
+    .map(ac => ac.referencedId)
+    .filter(Boolean) as string[];
+}
+
+function volumeIdPrefixesMatch(
+  existingIds: string[],
+  prefixLen: number,
+  targetIds: string[]
+): boolean {
+  if (prefixLen > targetIds.length) {
+    return false;
+  }
+  for (let i = 0; i < prefixLen; i++) {
+    if (existingIds[i] !== targetIds[i]) {
+      return false;
+    }
+  }
+  return true;
+}
+
+/**
+ * Returns true when the viewport type matches a volume-based presentation (ORTHOGRAPHIC or VOLUME_3D).
+ */
+function viewportMatchesDesiredVolumePresentation(
+  viewport: Types.IViewport,
+  desiredViewportInfo: ViewportInfo
+): boolean {
+  const desiredType = desiredViewportInfo.getViewportType();
+  if (viewport.type !== desiredType) {
+    return false;
+  }
+  return (
+    desiredType === csEnums.ViewportType.ORTHOGRAPHIC ||
+    desiredType === csEnums.ViewportType.VOLUME_3D
+  );
+}
+
 export const WITH_NAVIGATION = { withNavigation: true, withOrientation: false };
 export const WITH_ORIENTATION = { withNavigation: true, withOrientation: true };
 
@@ -778,6 +820,19 @@ class CornerstoneViewportService extends PubSubService implements IViewportServi
   /**
    * Sets the image data for the given viewport.
    */
+  private async _setEcgViewport(
+    viewport: Types.IECGViewport,
+    viewportData: StackViewportData
+  ): Promise<void> {
+    const [displaySet] = viewportData.data;
+    const imageId = displaySet.imageIds?.[0];
+    if (!imageId) {
+      console.error('[CornerstoneViewportService] ECG display set has no imageId');
+      return;
+    }
+    return viewport.setEcg(imageId);
+  }
+
   private async _setOtherViewport(
     viewport: Types.IStackViewport,
     viewportData: StackViewportData,
@@ -856,28 +911,21 @@ class CornerstoneViewportService extends PubSubService implements IViewportServi
       initialImageIndexToUse = this._getInitialImageIndexForViewport(viewportInfo, imageIds) || 0;
     }
 
-    return viewport.setStack(imageIds, initialImageIndexToUse).then(() => {
-      viewport.setProperties({ ...properties });
-      this.setPresentations(viewport.id, presentations, viewportInfo);
+    await viewport.setStack(imageIds, initialImageIndexToUse);
+    viewport.setProperties({ ...properties });
+    this.setPresentations(viewport.id, presentations, viewportInfo);
 
-      if (overlayProcessingResults?.length) {
-        overlayProcessingResults.forEach(overlayProcessingResult => {
-          if (overlayProcessingResult?.addOverlayFn) {
-            overlayProcessingResult.addOverlayFn();
-          }
-        });
-      }
+    await this._addOverlayRepresentations(overlayProcessingResults);
 
-      if (displayArea) {
-        viewport.setDisplayArea(displayArea);
-      }
-      if (rotation) {
-        viewport.setProperties({ rotation });
-      }
-      if (flipHorizontal) {
-        viewport.setCamera({ flipHorizontal: true });
-      }
-    });
+    if (displayArea) {
+      viewport.setDisplayArea(displayArea);
+    }
+    if (rotation) {
+      viewport.setProperties({ rotation });
+    }
+    if (flipHorizontal) {
+      viewport.setCamera({ flipHorizontal: true });
+    }
   }
 
   private _getInitialImageIndexForViewport(
@@ -1105,15 +1153,45 @@ class CornerstoneViewportService extends PubSubService implements IViewportServi
       });
     }
 
-    await viewport.setVolumes(volumeInputArray);
+    const baseVolumeInputs = filteredVolumeInputArray.map(({ volumeInput }) => volumeInput);
+    const nextBaseVolumeIds = baseVolumeInputs.map(v => v.volumeId);
+    const existingVolumeIds = getVolumeActorReferencedIds(viewport);
 
-    if (overlayProcessingResults?.length) {
-      overlayProcessingResults.forEach(({ addOverlayFn }) => {
-        if (addOverlayFn) {
-          addOverlayFn();
+    let skippedIdenticalBaseVolumes = false;
+
+    if (baseVolumeInputs.length) {
+      const singleBaseViewport = nextBaseVolumeIds.length === 1;
+
+      // Only skip setVolumes() when the viewport type already matches the desired OHIF type
+      // (ORTHOGRAPHIC / VOLUME_3D); otherwise a stack → MPR switch with the same volumeId
+      // would incorrectly skip rebuilding the viewport.
+      if (
+        singleBaseViewport &&
+        existingVolumeIds.length >= nextBaseVolumeIds.length &&
+        volumeIdPrefixesMatch(existingVolumeIds, nextBaseVolumeIds.length, nextBaseVolumeIds) &&
+        viewportMatchesDesiredVolumePresentation(viewport, viewportInfo)
+      ) {
+        // Same primary volume already loaded (e.g. labelmap / extra actors after it) — avoid
+        // setVolumes(), which tears down all actors and blanks MPR during SEG hydrate.
+        skippedIdenticalBaseVolumes = true;
+      } else if (
+        existingVolumeIds.length &&
+        nextBaseVolumeIds.length > existingVolumeIds.length &&
+        volumeIdPrefixesMatch(existingVolumeIds, existingVolumeIds.length, nextBaseVolumeIds) &&
+        typeof viewport.addVolumes === 'function'
+      ) {
+        const toAdd = baseVolumeInputs.slice(existingVolumeIds.length);
+        if (toAdd.length) {
+          await viewport.addVolumes(toAdd);
         }
-      });
+      } else {
+        await viewport.setVolumes(baseVolumeInputs);
+      }
+    } else if (volumeInputArray.length) {
+      await viewport.setVolumes(volumeInputArray);
     }
+
+    await this._addOverlayRepresentations(overlayProcessingResults);
     viewport.render();
 
     volumesProperties.forEach(({ properties, volumeId }) => {
@@ -1124,8 +1202,11 @@ class CornerstoneViewportService extends PubSubService implements IViewportServi
     });
 
     this.setPresentations(viewport.id, presentations);
+    // Presentations apply segmentation (hydrated labelmap etc.) after the render above — redraw so
+    // every orthographic/3D tile shows the updated scene (fixes MPR siblings blank after SEG hydrate).
+    viewport.render();
 
-    if (!presentations.positionPresentation) {
+    if (!presentations.positionPresentation && !skippedIdenticalBaseVolumes) {
       const imageIndex = this._getInitialImageIndexForViewport(viewportInfo);
 
       if (imageIndex !== undefined) {
@@ -1179,7 +1260,7 @@ class CornerstoneViewportService extends PubSubService implements IViewportServi
   private addOverlayRepresentationForDisplaySet(
     displaySet: OhifTypes.DisplaySet,
     viewport: Types.IViewport
-  ) {
+  ): Promise<void> {
     const { segmentationService } = this.servicesManager.services;
     const segmentationId = displaySet.displaySetInstanceUID;
 
@@ -1189,18 +1270,36 @@ class CornerstoneViewportService extends PubSubService implements IViewportServi
         : csToolsEnums.SegmentationRepresentations.Contour;
 
     const { predecessorImageId } = displaySet;
-    segmentationService.addSegmentationRepresentation(viewport.id, {
-      segmentationId,
-      predecessorImageId,
-      type: representationType,
-      config: {
-        blendMode:
-          viewport?.getBlendMode?.() === 1 ? BlendModes.LABELMAP_EDGE_PROJECTION_BLEND : undefined,
-      },
-    });
-
+    const segmentationRepresentationPromise = segmentationService.addSegmentationRepresentation(
+      viewport.id,
+      {
+        segmentationId,
+        predecessorImageId,
+        type: representationType,
+        config: {
+          blendMode:
+            viewport?.getBlendMode?.() === 1
+              ? BlendModes.LABELMAP_EDGE_PROJECTION_BLEND
+              : undefined,
+        },
+      }
+    );
     // store the segmentation presentation id in the viewport info
     this.storePresentation({ viewportId: viewport.id });
+    return segmentationRepresentationPromise;
+  }
+
+  private async _addOverlayRepresentations(
+    overlayProcessingResults?: Array<{ addOverlayFn?: () => Promise<void> }>
+  ): Promise<void> {
+    if (!overlayProcessingResults?.length) {
+      return;
+    }
+    for (const overlayProcessingResult of overlayProcessingResults) {
+      if (overlayProcessingResult?.addOverlayFn) {
+        await overlayProcessingResult.addOverlayFn();
+      }
+    }
   }
 
   // Todo: keepCamera is an interim solution until we have a better solution for
@@ -1257,6 +1356,13 @@ class CornerstoneViewportService extends PubSubService implements IViewportServi
       );
     }
 
+    if (viewport instanceof ECGViewport) {
+      return this._setEcgViewport(
+        viewport as unknown as Types.IECGViewport,
+        viewportData as StackViewportData
+      );
+    }
+
     return this._setOtherViewport(
       viewport,
       viewportData as StackViewportData,
@@ -1308,8 +1414,8 @@ class CornerstoneViewportService extends PubSubService implements IViewportServi
       return;
     }
 
-    if (displaySet.frameOfReferenceUID) {
-      return displaySet.frameOfReferenceUID;
+    if (displaySet.FrameOfReferenceUID) {
+      return displaySet.FrameOfReferenceUID;
     }
 
     if (displaySet.Modality === 'SEG') {

extensions/cornerstone/src/stores/useSegmentationPresentationStore.ts

@@ -135,16 +135,27 @@ const _getSegmentationPresentationId = ({
     return;
   }
 
+  const { displaySetService } = servicesManager.services;
   const { displaySetInstanceUIDs, viewportOptions } = viewport;
 
+  // Match keys used by updateStoredSegmentationPresentation (referenced volume only).
+  // Including overlay UIDs (e.g. SEG) produced ids like "MR&SEG" while the store
+  // entry is under "MR", so hydrated segmentations never applied and viewports could mis-render.
+  const nonOverlayUIDs = displaySetInstanceUIDs.filter(uid => {
+    const ds = displaySetService.getDisplaySetByUID(uid);
+    return ds && !ds.isOverlayDisplaySet;
+  });
+
+  if (!nonOverlayUIDs.length) {
+    return;
+  }
+
   let orientation = viewportOptions.orientation;
 
   if (!orientation) {
     // Calculate orientation from the viewport sample image
-    const displaySet = servicesManager.services.displaySetService.getDisplaySetByUID(
-      displaySetInstanceUIDs[0]
-    );
-    const sampleImage = displaySet.images?.[0];
+    const displaySet = displaySetService.getDisplaySetByUID(nonOverlayUIDs[0]);
+    const sampleImage = displaySet?.images?.[0];
     const imageOrientationPatient = sampleImage?.ImageOrientationPatient;
 
     orientation = getViewportOrientationFromImageOrientationPatient(imageOrientationPatient);
@@ -152,7 +163,7 @@ const _getSegmentationPresentationId = ({
 
   const segmentationPresentationArr = [];
 
-  segmentationPresentationArr.push(...displaySetInstanceUIDs);
+  segmentationPresentationArr.push(...nonOverlayUIDs);
 
   // Uncomment if unique indexing is needed
   // addUniqueIndex(

extensions/cornerstone/src/types/AppTypes.ts

@@ -5,6 +5,7 @@ import SegmentationServiceType from '../services/SegmentationService';
 import SyncGroupServiceType from '../services/SyncGroupService';
 import ToolGroupServiceType from '../services/ToolGroupService';
 import ColorbarServiceType from '../services/ColorbarService';
+import ViewedDataServiceType from '../services/ViewedDataService';
 import * as cornerstone from '@cornerstonejs/core';
 import * as cornerstoneTools from '@cornerstonejs/tools';
 
@@ -23,6 +24,7 @@ declare global {
     export type SyncGroupService = SyncGroupServiceType;
     export type ToolGroupService = ToolGroupServiceType;
     export type ColorbarService = ColorbarServiceType;
+    export type ViewedDataService = ViewedDataServiceType;
 
     export interface Services {
       cornerstoneViewportService?: CornerstoneViewportServiceType;
@@ -31,6 +33,7 @@ declare global {
       segmentationService?: SegmentationServiceType;
       cornerstoneCacheService?: CornerstoneCacheServiceType;
       colorbarService?: ColorbarServiceType;
+      viewedDataService?: ViewedDataServiceType;
     }
 
     export namespace Segmentation {

extensions/cornerstone/src/utils/CornerstoneViewportDownloadForm.tsx

@@ -118,29 +118,50 @@ const CornerstoneViewportDownloadForm = ({
     const downloadViewport = renderingEngine.getViewport(VIEWPORT_ID);
 
     try {
+      // Capture current viewport state
+      // - properties: VOI, colormap, interpolation, etc.
+      // - viewPresentation: flip/rotate/zoom presentation state added for
+      //   saving flip and rotation for capture
+      // - viewReference: image/volume reference
+      const properties = viewport.getProperties();
+      const viewPresentation = viewport.getViewPresentation?.();
+      const viewRef = viewport.getViewReference?.();
+
       if (downloadViewport instanceof StackViewport) {
         const imageId = viewport.getCurrentImageId();
-        const properties = viewport.getProperties();
-
         await downloadViewport.setStack([imageId]);
-        downloadViewport.setProperties(properties);
       } else if (downloadViewport instanceof BaseVolumeViewport) {
         const volumeIds = viewport.getAllVolumeIds();
-        downloadViewport.setVolumes([{ volumeId: volumeIds[0] }]);
+        await downloadViewport.setVolumes([{ volumeId: volumeIds[0] }]);
       }
 
+      // Apply presentation state so captured image preserves flip/rotate
+      if (viewPresentation && downloadViewport.setViewPresentation) {
+        downloadViewport.setViewPresentation(viewPresentation);
+      }
+
+      // Apply viewport display properties
+      downloadViewport.setProperties(properties);
+
+      // Ensure correct image/volume reference
+      if (viewRef && downloadViewport.setViewReference) {
+        downloadViewport.setViewReference(viewRef);
+      }
+
+      downloadViewport.render();
+
+      // Re-apply segmentation overlays to the download viewport
       if (segmentationRepresentations?.length) {
         segmentationRepresentations.forEach(segRepresentation => {
           const { segmentationId, colorLUTIndex, type } = segRepresentation;
+
           if (type === Enums.SegmentationRepresentations.Labelmap) {
             segmentation.addLabelmapRepresentationToViewportMap({
               [downloadViewport.id]: [
                 {
                   segmentationId,
                   type: Enums.SegmentationRepresentations.Labelmap,
-                  config: {
-                    colorLUTOrIndex: colorLUTIndex,
-                  },
+                  config: { colorLUTOrIndex: colorLUTIndex },
                 },
               ],
             });
@@ -152,9 +173,7 @@ const CornerstoneViewportDownloadForm = ({
                 {
                   segmentationId,
                   type: Enums.SegmentationRepresentations.Contour,
-                  config: {
-                    colorLUTOrIndex: colorLUTIndex,
-                  },
+                  config: { colorLUTOrIndex: colorLUTIndex },
                 },
               ],
             });
@@ -230,6 +249,48 @@ const CornerstoneViewportDownloadForm = ({
     downloadUrl(canvas.toDataURL(`image/${fileType}`, 1.0), { filename });
   };
 
+  const handleCopyToClipboard = async () => {
+    const divForDownloadViewport = document.querySelector(
+      `div[data-viewport-uid="${VIEWPORT_ID}"]`
+    );
+
+    if (!divForDownloadViewport) {
+      console.debug('No viewport found for copy');
+      return;
+    }
+
+    try {
+      const canvas = await html2canvas(divForDownloadViewport as HTMLElement);
+
+      // Clipboard API only supports PNG format in most browsers
+      const blob = await new Promise<Blob>((resolve, reject) => {
+        canvas.toBlob(
+          blob => {
+            if (blob) {
+              resolve(blob);
+            } else {
+              reject(new Error('Failed to create blob from canvas'));
+            }
+          },
+          'image/png',
+          1.0
+        );
+      });
+
+      // Copy to clipboard using the Clipboard API
+      await navigator.clipboard.write([
+        new ClipboardItem({
+          'image/png': blob,
+        }),
+      ]);
+
+      console.log('Image copied to clipboard successfully');
+    } catch (error) {
+      console.error('Failed to copy image to clipboard:', error);
+      throw error;
+    }
+  };
+
   const ViewportDownloadFormNew = customizationService.getCustomization(
     'ohif.captureViewportModal'
   );
@@ -247,6 +308,7 @@ const CornerstoneViewportDownloadForm = ({
       onEnableViewport={handleEnableViewport}
       onDisableViewport={handleDisableViewport}
       onDownload={handleDownload}
+      onCopyToClipboard={handleCopyToClipboard}
       warningState={warningState}
     />
   );

extensions/cornerstone/src/utils/ecgMetadata.test.ts

@@ -0,0 +1,217 @@
+import { decodeInt16Multiplex, base64ToArrayBuffer, buildEcgModule } from './ecgMetadata';
+
+// ---------------------------------------------------------------------------
+// decodeInt16Multiplex
+// ---------------------------------------------------------------------------
+describe('decodeInt16Multiplex', () => {
+  it('demultiplexes 2 channels correctly', () => {
+    // Interleaved layout: [ch0_s0, ch1_s0, ch0_s1, ch1_s1, ch0_s2, ch1_s2]
+    const interleaved = new Int16Array([10, 20, 30, 40, 50, 60]);
+    const channels = decodeInt16Multiplex(interleaved.buffer, 2, 3);
+
+    expect(channels).toHaveLength(2);
+    expect(Array.from(channels[0])).toEqual([10, 30, 50]);
+    expect(Array.from(channels[1])).toEqual([20, 40, 60]);
+  });
+
+  it('handles a single channel', () => {
+    const data = new Int16Array([100, 200, 300]);
+    const channels = decodeInt16Multiplex(data.buffer, 1, 3);
+
+    expect(channels).toHaveLength(1);
+    expect(Array.from(channels[0])).toEqual([100, 200, 300]);
+  });
+
+  it('handles negative values (signed short)', () => {
+    const data = new Int16Array([-1000, -2000, -3000]);
+    const channels = decodeInt16Multiplex(data.buffer, 1, 3);
+
+    expect(Array.from(channels[0])).toEqual([-1000, -2000, -3000]);
+  });
+
+  it('returns empty arrays when numberOfChannels or numberOfSamples is 0', () => {
+    const emptyBuffer = new Int16Array([]).buffer;
+
+    expect(decodeInt16Multiplex(emptyBuffer, 0, 0)).toHaveLength(0);
+    expect(decodeInt16Multiplex(emptyBuffer, 0, 10)).toHaveLength(0);
+  });
+
+  it('produces Int16Array instances for each channel', () => {
+    const data = new Int16Array([1, 2]);
+    const channels = decodeInt16Multiplex(data.buffer, 2, 1);
+
+    expect(channels[0]).toBeInstanceOf(Int16Array);
+    expect(channels[1]).toBeInstanceOf(Int16Array);
+  });
+});
+
+// ---------------------------------------------------------------------------
+// base64ToArrayBuffer
+// ---------------------------------------------------------------------------
+describe('base64ToArrayBuffer', () => {
+  it('decodes a simple base64 string to the correct bytes', () => {
+    // "ABC" in ASCII = [65, 66, 67]; base64 of that is 'QUJD'
+    const buffer = base64ToArrayBuffer('QUJD');
+    const bytes = new Uint8Array(buffer);
+
+    expect(bytes).toHaveLength(3);
+    expect(Array.from(bytes)).toEqual([65, 66, 67]);
+  });
+
+  it('round-trips an Int16Array through base64', () => {
+    const original = new Int16Array([500, -300, 0, 32767]);
+    const base64 = btoa(String.fromCharCode(...new Uint8Array(original.buffer)));
+    const recovered = new Int16Array(base64ToArrayBuffer(base64));
+
+    expect(Array.from(recovered)).toEqual(Array.from(original));
+  });
+
+  it('returns an ArrayBuffer', () => {
+    const result = base64ToArrayBuffer('AA=='); // single zero byte
+    expect(result).toBeInstanceOf(ArrayBuffer);
+    expect(result.byteLength).toBe(1);
+  });
+});
+
+// ---------------------------------------------------------------------------
+// buildEcgModule
+// ---------------------------------------------------------------------------
+describe('buildEcgModule', () => {
+  const makeInstance = (overrides = {}) => ({
+    WaveformSequence: [
+      {
+        NumberOfWaveformChannels: 12,
+        NumberOfWaveformSamples: 5000,
+        SamplingFrequency: 500,
+        WaveformBitsAllocated: 16,
+        WaveformSampleInterpretation: 'SS',
+        MultiplexGroupLabel: '12 Lead ECG',
+        ChannelDefinitionSequence: [
+          { ChannelSourceSequence: [{ CodeMeaning: 'Lead I' }] },
+          { ChannelSourceSequence: [{ CodeMeaning: 'Lead II' }] },
+        ],
+        WaveformData: { InlineBinary: btoa('\x00\x01') },
+      },
+    ],
+    ...overrides,
+  });
+
+  it('returns null when WaveformSequence is absent', () => {
+    expect(buildEcgModule({})).toBeNull();
+    expect(buildEcgModule({ WaveformSequence: [] })).toBeNull();
+  });
+
+  it('returns a valid ecgModule for a complete instance', () => {
+    const module = buildEcgModule(makeInstance());
+
+    expect(module).not.toBeNull();
+    expect(module!.numberOfWaveformChannels).toBe(12);
+    expect(module!.numberOfWaveformSamples).toBe(5000);
+    expect(module!.samplingFrequency).toBe(500);
+    expect(module!.waveformBitsAllocated).toBe(16);
+    expect(module!.waveformSampleInterpretation).toBe('SS');
+    expect(module!.multiplexGroupLabel).toBe('12 Lead ECG');
+    expect(module!.channelDefinitionSequence).toHaveLength(2);
+    expect(module!.channelDefinitionSequence[0].channelSourceSequence.codeMeaning).toBe('Lead I');
+    expect(typeof module!.waveformData.retrieveBulkData).toBe('function');
+  });
+
+  it('applies defaults for missing optional fields', () => {
+    const instance = {
+      WaveformSequence: [
+        {
+          // No explicit values — all defaults
+          WaveformData: { InlineBinary: btoa('\x00\x00') },
+        },
+      ],
+    };
+    const module = buildEcgModule(instance);
+
+    expect(module!.numberOfWaveformChannels).toBe(0);
+    expect(module!.numberOfWaveformSamples).toBe(0);
+    expect(module!.samplingFrequency).toBe(1);
+    expect(module!.waveformBitsAllocated).toBe(16);
+    expect(module!.waveformSampleInterpretation).toBe('SS');
+    expect(module!.multiplexGroupLabel).toBe('');
+    expect(module!.channelDefinitionSequence).toHaveLength(0);
+  });
+
+  it('retrieveBulkData decodes InlineBinary data correctly', async () => {
+    const samples = new Int16Array([10, 20, 30]);
+    const base64 = btoa(String.fromCharCode(...new Uint8Array(samples.buffer)));
+
+    const instance = {
+      WaveformSequence: [
+        {
+          NumberOfWaveformChannels: 1,
+          NumberOfWaveformSamples: 3,
+          WaveformData: { InlineBinary: base64 },
+        },
+      ],
+    };
+
+    const module = buildEcgModule(instance);
+    const channels = await module!.waveformData.retrieveBulkData();
+
+    expect(channels).toHaveLength(1);
+    expect(Array.from(channels[0])).toEqual([10, 20, 30]);
+  });
+
+  it('retrieveBulkData returns [] when WaveformData is absent', async () => {
+    const instance = {
+      WaveformSequence: [
+        { NumberOfWaveformChannels: 1, NumberOfWaveformSamples: 1 },
+      ],
+    };
+    const module = buildEcgModule(instance);
+    const channels = await module!.waveformData.retrieveBulkData();
+
+    expect(channels).toEqual([]);
+  });
+
+  it('retrieveBulkData fetches BulkDataURI with auth header when provided', async () => {
+    const samples = new Int16Array([1, 2]);
+    global.fetch = jest.fn().mockResolvedValue({
+      ok: true,
+      arrayBuffer: () => Promise.resolve(samples.buffer),
+    });
+
+    const userAuthenticationService = {
+      getAuthorizationHeader: () => ({ Authorization: 'Bearer token123' }),
+    };
+    const instance = {
+      WaveformSequence: [
+        {
+          NumberOfWaveformChannels: 1,
+          NumberOfWaveformSamples: 2,
+          WaveformData: { BulkDataURI: 'http://example.com/waveform' },
+        },
+      ],
+    };
+
+    const module = buildEcgModule(instance, userAuthenticationService);
+    await module!.waveformData.retrieveBulkData();
+
+    expect(global.fetch).toHaveBeenCalledWith('http://example.com/waveform', {
+      headers: {
+        Accept: 'application/octet-stream',
+        Authorization: 'Bearer token123',
+      },
+    });
+  });
+
+  it('retrieveBulkData throws when BulkDataURI response is not ok', async () => {
+    global.fetch = jest.fn().mockResolvedValue({ ok: false, status: 403 });
+
+    const instance = {
+      WaveformSequence: [
+        {
+          WaveformData: { BulkDataURI: 'http://example.com/waveform' },
+        },
+      ],
+    };
+
+    const module = buildEcgModule(instance);
+    await expect(module!.waveformData.retrieveBulkData()).rejects.toThrow('403');
+  });
+});

extensions/cornerstone/src/utils/ecgMetadata.ts

@@ -0,0 +1,129 @@
+/**
+ * Decode a multiplexed Int16 buffer into per-channel arrays.
+ * Layout: sample0ch0, sample0ch1 ... sample0chN, sample1ch0, …
+ * Note: DICOM ECG data is canonically SS (signed short). The sampleInterpretation
+ * field is forwarded to ECGViewport for its own use; the raw buffer is always
+ * treated as Int16 because Cornerstone ECGViewport expects Int16Array[].
+ */
+export function decodeInt16Multiplex(
+  buffer: ArrayBuffer,
+  numberOfChannels: number,
+  numberOfSamples: number
+): Int16Array[] {
+  const src = new Int16Array(buffer);
+  const channels: Int16Array[] = [];
+  for (let ch = 0; ch < numberOfChannels; ch++) {
+    const out = new Int16Array(numberOfSamples);
+    for (let s = 0; s < numberOfSamples; s++) {
+      out[s] = src[s * numberOfChannels + ch];
+    }
+    channels.push(out);
+  }
+  return channels;
+}
+
+/**
+ * Decode a base64 InlineBinary string into a raw ArrayBuffer.
+ */
+export function base64ToArrayBuffer(base64: string): ArrayBuffer {
+  const binaryStr = atob(base64);
+  const bytes = new Uint8Array(binaryStr.length);
+  for (let i = 0; i < binaryStr.length; i++) {
+    bytes[i] = binaryStr.charCodeAt(i);
+  }
+  return bytes.buffer;
+}
+
+export type EcgModule = {
+  numberOfWaveformChannels: number;
+  numberOfWaveformSamples: number;
+  samplingFrequency: number;
+  waveformBitsAllocated: number;
+  waveformSampleInterpretation: string;
+  multiplexGroupLabel: string;
+  channelDefinitionSequence: Array<{ channelSourceSequence: { codeMeaning: string } }>;
+  waveformData: { retrieveBulkData: () => Promise<Int16Array[]> };
+};
+
+/**
+ * Parse the naturalized DICOM instance's WaveformSequence and build the ecgModule
+ * that Cornerstone's ECGViewport.setEcg() expects via
+ * metaData.get(MetadataModules.ECG, imageId).
+ *
+ * Returns null if the instance has no WaveformSequence.
+ */
+export function buildEcgModule(
+  instance: any,
+  userAuthenticationService?: any
+): EcgModule | null {
+  const waveformGroups = instance?.WaveformSequence;
+  if (!waveformGroups?.length) {
+    return null;
+  }
+
+  // Use the first (and typically only) multiplex group
+  const group = waveformGroups[0];
+
+  const numberOfChannels = group.NumberOfWaveformChannels ?? 0;
+  const numberOfSamples = group.NumberOfWaveformSamples ?? 0;
+  const samplingFrequency = group.SamplingFrequency ?? 1;
+  const bitsAllocated = group.WaveformBitsAllocated ?? 16;
+  const sampleInterpretation = group.WaveformSampleInterpretation ?? 'SS';
+  const multiplexGroupLabel = group.MultiplexGroupLabel ?? '';
+
+  const channelDefinitionSequence = (group.ChannelDefinitionSequence ?? []).map(ch => ({
+    channelSourceSequence: {
+      codeMeaning:
+        ch?.ChannelSourceSequence?.[0]?.CodeMeaning ??
+        ch?.ChannelSourceSequence?.[0]?.codeMeaning ??
+        '',
+    },
+  }));
+
+  const retrieveBulkData = async (): Promise<Int16Array[]> => {
+    const waveformData = group.WaveformData;
+
+    if (!waveformData) {
+      console.warn('[ECGViewport] No WaveformData found on instance');
+      return [];
+    }
+
+    let buffer: ArrayBuffer;
+
+    if (waveformData.InlineBinary) {
+      buffer = base64ToArrayBuffer(waveformData.InlineBinary);
+    } else if (waveformData.BulkDataURI) {
+      const headers: Record<string, string> = {
+        Accept: 'application/octet-stream',
+      };
+      const authHeader = userAuthenticationService?.getAuthorizationHeader?.();
+      if (authHeader) {
+        Object.assign(headers, authHeader);
+      }
+
+      const response = await fetch(waveformData.BulkDataURI, { headers });
+      if (!response.ok) {
+        throw new Error(
+          `[ECGViewport] Failed to fetch waveform BulkDataURI: ${response.status}`
+        );
+      }
+      buffer = await response.arrayBuffer();
+    } else {
+      console.warn('[ECGViewport] WaveformData has no InlineBinary or BulkDataURI');
+      return [];
+    }
+
+    return decodeInt16Multiplex(buffer, numberOfChannels, numberOfSamples);
+  };
+
+  return {
+    numberOfWaveformChannels: numberOfChannels,
+    numberOfWaveformSamples: numberOfSamples,
+    samplingFrequency,
+    waveformBitsAllocated: bitsAllocated,
+    waveformSampleInterpretation: sampleInterpretation,
+    multiplexGroupLabel,
+    channelDefinitionSequence,
+    waveformData: { retrieveBulkData },
+  };
+}

extensions/cornerstone/src/utils/getCornerstoneOrientation.test.ts

@@ -8,6 +8,9 @@ jest.mock('@cornerstonejs/core', () => ({
       SAGITTAL: 'sagittal',
       CORONAL: 'coronal',
       ACQUISITION: 'acquisition',
+      AXIAL_REFORMAT: 'axial_reformat',
+      SAGITTAL_REFORMAT: 'sagittal_reformat',
+      CORONAL_REFORMAT: 'coronal_reformat',
     },
   },
 }));
@@ -33,6 +36,21 @@ describe('getCornerstoneOrientation', () => {
     expect(result).toBe(Enums.OrientationAxis.CORONAL);
   });
 
+  it('should return AXIAL_REFORMAT when orientation is axial_reformat', () => {
+    const result = getCornerstoneOrientation('axial_reformat');
+    expect(result).toBe(Enums.OrientationAxis.AXIAL_REFORMAT);
+  });
+
+  it('should return SAGITTAL_REFORMAT when orientation is sagittal_reformat', () => {
+    const result = getCornerstoneOrientation('sagittal_reformat');
+    expect(result).toBe(Enums.OrientationAxis.SAGITTAL_REFORMAT);
+  });
+
+  it('should return CORONAL_REFORMAT when orientation is coronal_reformat', () => {
+    const result = getCornerstoneOrientation('coronal_reformat');
+    expect(result).toBe(Enums.OrientationAxis.CORONAL_REFORMAT);
+  });
+
   it('should return ACQUISITION for unknown orientation', () => {
     const result = getCornerstoneOrientation('unknown');
     expect(result).toBe(Enums.OrientationAxis.ACQUISITION);

extensions/cornerstone/src/utils/getCornerstoneOrientation.ts

@@ -3,16 +3,25 @@ import { Enums } from '@cornerstonejs/core';
 const AXIAL = 'axial';
 const SAGITTAL = 'sagittal';
 const CORONAL = 'coronal';
+const AXIAL_REFORMAT = 'axial_reformat';
+const SAGITTAL_REFORMAT = 'sagittal_reformat';
+const CORONAL_REFORMAT = 'coronal_reformat';
 
 export default function getCornerstoneOrientation(orientation: string): Enums.OrientationAxis {
   if (orientation) {
     switch (orientation.toLowerCase()) {
       case AXIAL:
         return Enums.OrientationAxis.AXIAL;
+      case AXIAL_REFORMAT:
+        return Enums.OrientationAxis.AXIAL_REFORMAT;
       case SAGITTAL:
         return Enums.OrientationAxis.SAGITTAL;
+      case SAGITTAL_REFORMAT:
+        return Enums.OrientationAxis.SAGITTAL_REFORMAT;
       case CORONAL:
         return Enums.OrientationAxis.CORONAL;
+      case CORONAL_REFORMAT:
+        return Enums.OrientationAxis.CORONAL_REFORMAT;
       default:
         return Enums.OrientationAxis.ACQUISITION;
     }

extensions/cornerstone/src/utils/getCornerstoneViewportType.test.ts

@@ -10,6 +10,7 @@ jest.mock('@cornerstonejs/core', () => ({
       WHOLE_SLIDE: 'wholeslide',
       ORTHOGRAPHIC: 'orthographic',
       VOLUME_3D: 'volume3d',
+      ECG: 'ecg',
     },
   },
 }));
@@ -50,9 +51,14 @@ describe('getCornerstoneViewportType', () => {
     expect(result).toBe(Enums.ViewportType.VOLUME_3D);
   });
 
+  it('should return ECG when viewportType is ecg', () => {
+    const result = getCornerstoneViewportType('ecg');
+    expect(result).toBe(Enums.ViewportType.ECG);
+  });
+
   it('should throw error for invalid viewport type', () => {
     expect(() => getCornerstoneViewportType('invalid')).toThrow(
-      'Invalid viewport type: invalid. Valid types are: stack, volume, video, wholeslide'
+      'Invalid viewport type: invalid. Valid types are: stack, volume, video, wholeslide, ecg'
     );
   });
 

extensions/cornerstone/src/utils/getCornerstoneViewportType.ts

@@ -7,6 +7,7 @@ const ORTHOGRAPHIC = 'orthographic';
 const VOLUME_3D = 'volume3d';
 const VIDEO = 'video';
 const WHOLESLIDE = 'wholeslide';
+const ECG = 'ecg';
 
 export default function getCornerstoneViewportType(
   viewportType: string,
@@ -25,6 +26,10 @@ export default function getCornerstoneViewportType(
     return Enums.ViewportType.WHOLE_SLIDE;
   }
 
+  if (lowerViewportType === ECG) {
+    return Enums.ViewportType.ECG;
+  }
+
   if (lowerViewportType === VOLUME || lowerViewportType === ORTHOGRAPHIC) {
     return Enums.ViewportType.ORTHOGRAPHIC;
   }
@@ -34,6 +39,6 @@ export default function getCornerstoneViewportType(
   }
 
   throw new Error(
-    `Invalid viewport type: ${viewportType}. Valid types are: stack, volume, video, wholeslide`
+    `Invalid viewport type: ${viewportType}. Valid types are: stack, volume, video, wholeslide, ecg`
   );
 }

extensions/cornerstone/src/utils/getDataIdForViewport.ts

@@ -0,0 +1,22 @@
+/**
+ * Resolves the data ID (e.g. volumeId) for a viewport and display set.
+ * For viewports with multiple volumes/actors, returns the id that matches the display set; otherwise undefined.
+ * Use this to call viewport.getProperties(dataId) in a viewport-type-agnostic way.
+ *
+ * @param viewport - Viewport instance (stack, volume, or future types with optional getAllVolumeIds)
+ * @param displaySetInstanceUID - Display set instance UID to match
+ * @returns volumeId (or equivalent) for multi-actor viewports, undefined for single-actor
+ */
+export function getDataIdForViewport(
+  viewport: unknown,
+  displaySetInstanceUID: string
+): string | undefined {
+  const vp = viewport as { getAllVolumeIds?: () => string[] };
+  if (typeof vp.getAllVolumeIds !== 'function') {
+    return undefined;
+  }
+  const volumeIds = vp.getAllVolumeIds() || [];
+  return volumeIds.length > 0
+    ? volumeIds.find(id => id.includes(displaySetInstanceUID)) ?? undefined
+    : undefined;
+}

extensions/cornerstone/src/utils/hydrationUtils.test.ts

@@ -262,6 +262,57 @@ describe('getUpdatedViewportsForSegmentation', () => {
     expect(result).toEqual(mockUpdatedViewports);
   });
 
+  it('should merge all grid viewports that reference the volume after hydration (e.g. 3D four-up)', () => {
+    const volumeUid = 'volume-1';
+    const viewports = new Map([
+      [
+        'vp-axial',
+        {
+          viewportId: 'vp-axial',
+          viewportOptions: { viewportId: 'vp-axial' },
+          displaySetInstanceUIDs: [volumeUid],
+        },
+      ],
+      [
+        'vp-sagittal',
+        {
+          viewportId: 'vp-sagittal',
+          viewportOptions: { viewportId: 'vp-sagittal' },
+          displaySetInstanceUIDs: [volumeUid],
+        },
+      ],
+      [
+        'vp-other-study',
+        {
+          viewportId: 'vp-other-study',
+          viewportOptions: { viewportId: 'vp-other-study' },
+          displaySetInstanceUIDs: ['other-volume'],
+        },
+      ],
+    ]);
+
+    mockViewportGridService.getState.mockReturnValue({
+      isHangingProtocolLayout: true,
+      viewports,
+      activeViewportId: 'vp-axial',
+    });
+
+    mockHangingProtocolService.getViewportsRequireUpdate.mockReturnValue([
+      { viewportId: 'vp-axial', displaySetInstanceUIDs: [volumeUid] },
+    ]);
+
+    const result = getUpdatedViewportsForSegmentation({
+      viewportId: 'vp-axial',
+      servicesManager: mockServicesManager as unknown as AppTypes.ServicesManager,
+      displaySetInstanceUIDs: [volumeUid],
+    });
+
+    expect(result).toEqual([
+      { viewportId: 'vp-axial', displaySetInstanceUIDs: [volumeUid] },
+      { viewportId: 'vp-sagittal', displaySetInstanceUIDs: [volumeUid] },
+    ]);
+  });
+
   it('should handle complex viewport structure', () => {
     const complexViewport = {
       viewportOptions: {

extensions/cornerstone/src/utils/hydrationUtils.ts

@@ -1,3 +1,63 @@
+import type { Types } from '@ohif/core';
+
+/**
+ * After SEG hydration we must refresh every viewport that shows the referenced volume so
+ * presentations (including segmentation) apply to all MPR/3D tiles. Hanging-protocol matching
+ * can return only the active viewport when protocol definitions omit viewportId (e.g. 3D four-up)
+ * or when layout state diverges from the protocol; this merges in all grid panes that already
+ * list that volume in `displaySetInstanceUIDs`.
+ *
+ * Only exact displaySetInstanceUID matches are used (no Frame-of-Reference inference): sibling
+ * MPR planes must already share the same referenced volume UID in grid state, or HP matching
+ * must list them; otherwise forcing a different UID onto a volume viewport can leave it blank.
+ */
+function mergeVolumeSharingViewports(
+  hangingProtocolUpdates: Types.HangingProtocol.ViewportUpdate[] | null | undefined,
+  volumeUid: string | undefined,
+  viewports: AppTypes.ViewportGrid.GridViewports
+): Types.HangingProtocol.ViewportUpdate[] {
+  if (!volumeUid) {
+    return (hangingProtocolUpdates ?? []) as Types.HangingProtocol.ViewportUpdate[];
+  }
+
+  const byId = new Map<string, Types.HangingProtocol.ViewportUpdate>();
+
+  const add = (viewportId: string, uids: string[]) => {
+    if (!viewportId) {
+      return;
+    }
+    byId.set(viewportId, { viewportId, displaySetInstanceUIDs: uids });
+  };
+
+  if (Array.isArray(hangingProtocolUpdates)) {
+    for (const entry of hangingProtocolUpdates) {
+      const vid = entry.viewportId ?? entry.viewportOptions?.viewportId;
+      if (vid) {
+        add(vid, entry.displaySetInstanceUIDs?.length ? entry.displaySetInstanceUIDs : [volumeUid]);
+      }
+    }
+  }
+
+  viewports.forEach(vp => {
+    const uids = vp.displaySetInstanceUIDs || [];
+    if (uids.includes(volumeUid)) {
+      add(vp.viewportId, [volumeUid]);
+    }
+  });
+
+  const merged = Array.from(byId.values());
+
+  if (
+    merged.length === 0 &&
+    Array.isArray(hangingProtocolUpdates) &&
+    hangingProtocolUpdates.length > 0
+  ) {
+    return hangingProtocolUpdates;
+  }
+
+  return merged;
+}
+
 function getUpdatedViewportsForSegmentation({
   viewportId,
   servicesManager,
@@ -5,7 +65,7 @@ function getUpdatedViewportsForSegmentation({
 }: withAppTypes) {
   const { hangingProtocolService, viewportGridService } = servicesManager.services;
 
-  const { isHangingProtocolLayout } = viewportGridService.getState();
+  const { isHangingProtocolLayout, viewports } = viewportGridService.getState();
 
   const viewport = getTargetViewport({ viewportId, viewportGridService });
   const targetViewportId = viewport.viewportOptions.viewportId;
@@ -16,7 +76,11 @@ function getUpdatedViewportsForSegmentation({
     isHangingProtocolLayout
   );
 
-  return updatedViewports;
+  if (updatedViewports == null) {
+    return updatedViewports;
+  }
+
+  return mergeVolumeSharingViewports(updatedViewports, displaySetInstanceUIDs[0], viewports);
 }
 
 const getTargetViewport = ({ viewportId, viewportGridService }) => {

extensions/cornerstone/src/utils/measurementServiceMappings/PlanarFreehandROI.ts

@@ -96,7 +96,7 @@ function getMappedAnnotations(annotation, displaySetService) {
   const { cachedStats } = data;
   const { referencedImageId } = metadata;
 
-  if( !cachedStats ) {
+  if (!cachedStats) {
     return;
   }
 
@@ -160,8 +160,8 @@ function getColumnValueReport(annotation, customizationService) {
   const { metadata, data } = annotation;
   const stats = data.cachedStats[`imageId:${metadata.referencedImageId}`];
 
-  report.forEach(({ name, value }) => {
-    columns.push(name);
+  report.forEach(({ displayName, value }) => {
+    columns.push(displayName);
     stats[value] ? values.push(stats[value]) : values.push('not available');
   });
 

extensions/cornerstone/src/utils/measurementServiceMappings/SplineROI.ts

@@ -158,8 +158,8 @@ function getColumnValueReport(annotation, customizationService) {
   const { metadata, data } = annotation;
   const stats = data.cachedStats[`imageId:${metadata.referencedImageId}`];
 
-  report.forEach(({ name, value }) => {
-    columns.push(name);
+  report.forEach(({ displayName, value }) => {
+    columns.push(displayName);
     stats[value] ? values.push(stats[value]) : values.push('not available');
   });
 

extensions/cornerstone/src/utils/promptHydrationDialog.test.ts

@@ -11,7 +11,7 @@ describe('promptHydrationDialog', () => {
   };
 
   const mockExtensionManager = {
-    _appConfig: {
+    appConfig: {
       measurementTrackingMode: 'standard',
       disableConfirmationPrompts: false,
     },
@@ -57,7 +57,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should return HYDRATE response when disableConfirmationPrompts is true for non-SR types', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = true;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = true;
 
     const result = await promptHydrationDialog(defaultParameters);
 
@@ -71,7 +71,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should show dialog when disableConfirmationPrompts is false for non-SR types', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog(defaultParameters);
 
@@ -107,7 +107,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle CANCEL response', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog(defaultParameters);
 
@@ -120,7 +120,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle onOutsideClick', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog(defaultParameters);
 
@@ -133,7 +133,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle onKeyPress Enter', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog(defaultParameters);
 
@@ -146,7 +146,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle onKeyPress non-Enter key', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog(defaultParameters);
 
@@ -163,7 +163,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle SEG type hydration with setTimeout', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = true;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = true;
 
     await promptHydrationDialog({
       ...defaultParameters,
@@ -178,7 +178,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle RTSTRUCT type hydration', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = true;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = true;
 
     const result = await promptHydrationDialog({
       ...defaultParameters,
@@ -194,7 +194,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle SR type hydration when standardMode is true', async () => {
-    mockExtensionManager._appConfig.measurementTrackingMode = 'standard';
+    mockExtensionManager.appConfig.measurementTrackingMode = 'standard';
     const mockHydrationResult = {
       StudyInstanceUID: 'test-study-uid',
       SeriesInstanceUIDs: ['series-1', 'series-2'],
@@ -222,7 +222,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle SR type hydration when standardMode is false', async () => {
-    mockExtensionManager._appConfig.measurementTrackingMode = 'other';
+    mockExtensionManager.appConfig.measurementTrackingMode = 'other';
 
     const result = await promptHydrationDialog({
       ...defaultParameters,
@@ -241,7 +241,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle SR type with CANCEL response', async () => {
-    mockExtensionManager._appConfig.measurementTrackingMode = 'standard';
+    mockExtensionManager.appConfig.measurementTrackingMode = 'standard';
 
     const promise = promptHydrationDialog({
       ...defaultParameters,
@@ -262,7 +262,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle undefined preHydrateCallbacks', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = true;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = true;
 
     await promptHydrationDialog({
       ...defaultParameters,
@@ -273,7 +273,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle empty preHydrateCallbacks array', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = true;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = true;
 
     await promptHydrationDialog({
       ...defaultParameters,
@@ -285,7 +285,7 @@ describe('promptHydrationDialog', () => {
 
   it('should execute multiple preHydrateCallbacks', async () => {
     const mockPreHydrateCallback2 = jest.fn();
-    mockExtensionManager._appConfig.disableConfirmationPrompts = true;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = true;
 
     await promptHydrationDialog({
       ...defaultParameters,
@@ -297,7 +297,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should get correct customization message key for SEG type', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog({
       ...defaultParameters,
@@ -314,7 +314,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should get correct customization message key for RTSTRUCT type', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog({
       ...defaultParameters,
@@ -331,7 +331,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should get correct customization message key for SR type', async () => {
-    mockExtensionManager._appConfig.measurementTrackingMode = 'standard';
+    mockExtensionManager.appConfig.measurementTrackingMode = 'standard';
 
     const promise = promptHydrationDialog({
       ...defaultParameters,
@@ -348,7 +348,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should get default customization message key for unknown type', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog({
       ...defaultParameters,
@@ -365,7 +365,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should get correct dialog id for SEG type', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog({
       ...defaultParameters,
@@ -384,7 +384,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should get correct dialog id for SR type', async () => {
-    mockExtensionManager._appConfig.measurementTrackingMode = 'standard';
+    mockExtensionManager.appConfig.measurementTrackingMode = 'standard';
 
     const promise = promptHydrationDialog({
       ...defaultParameters,
@@ -403,7 +403,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should get default dialog id for unknown type', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog({
       ...defaultParameters,
@@ -422,7 +422,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle hydrateCallback returning false for SEG', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = true;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = true;
     mockHydrateCallback.mockResolvedValue(false);
 
     const result = await promptHydrationDialog({
@@ -434,7 +434,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle hydrateCallback returning false for RTSTRUCT', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = true;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = true;
     mockHydrateCallback.mockResolvedValue(false);
 
     const result = await promptHydrationDialog({
@@ -446,7 +446,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle SR hydration with null result', async () => {
-    mockExtensionManager._appConfig.measurementTrackingMode = 'standard';
+    mockExtensionManager.appConfig.measurementTrackingMode = 'standard';
     mockHydrateCallback.mockResolvedValue(null);
 
     const promise = promptHydrationDialog({
@@ -470,7 +470,7 @@ describe('promptHydrationDialog', () => {
   });
 
   it('should handle RTSTRUCT type in getDialogId', async () => {
-    mockExtensionManager._appConfig.disableConfirmationPrompts = false;
+    mockExtensionManager.appConfig.disableConfirmationPrompts = false;
 
     const promise = promptHydrationDialog({
       ...defaultParameters,

extensions/cornerstone/src/utils/promptHydrationDialog.ts

@@ -70,7 +70,7 @@ function promptHydrationDialog({
 }: HydrationDialogProps): Promise<boolean | HydrationSRResult> {
   const { uiViewportDialogService, customizationService } = servicesManager.services;
   const extensionManager = servicesManager._extensionManager;
-  const appConfig = extensionManager._appConfig;
+  const appConfig = extensionManager.appConfig;
 
   // Todo: make this use enum from the extension, we should move the enum
   const standardMode = appConfig?.measurementTrackingMode === 'standard';
@@ -94,22 +94,30 @@ function promptHydrationDialog({
       if (type === HydrationType.SEG) {
         // SEG needs setTimeout
         window.setTimeout(async () => {
-          const isHydrated = await hydrateCallback({
-            segDisplaySet: displaySet,
-            viewportId,
-          });
-
-          resolve(isHydrated);
+          try {
+            const isHydrated = await hydrateCallback({
+              segDisplaySet: displaySet,
+              viewportId,
+            });
+            resolve(isHydrated);
+          } catch (error) {
+            reject(error);
+          }
         }, 0);
       } else if (type === HydrationType.RTSTRUCT) {
         // RT hydration
-        const isHydrated = await hydrateCallback({
-          rtDisplaySet: displaySet,
-          viewportId,
-          servicesManager,
-        });
-
-        resolve(isHydrated);
+        window.setTimeout(async () => {
+          try {
+            const isHydrated = await hydrateCallback({
+              rtDisplaySet: displaySet,
+              viewportId,
+              servicesManager,
+            });
+            resolve(isHydrated);
+          } catch (error) {
+            reject(error);
+          }
+        }, 0);
       } else if (type === HydrationType.SR) {
         // SR has a different result structure
         const hydrationResult = await hydrateCallback(displaySet);

extensions/cornerstone/src/utils/setUpSegmentationEventHandlers.test.ts

@@ -15,6 +15,7 @@ describe('setUpSegmentationEventHandlers', () => {
   const mockSegmentationService = {
     EVENTS: {
       SEGMENTATION_ADDED: 'SEGMENTATION_ADDED',
+      SEGMENTATION_REMOVED: 'SEGMENTATION_REMOVED',
     },
     subscribe: jest.fn(),
     getSegmentation: jest.fn(),
@@ -40,6 +41,7 @@ describe('setUpSegmentationEventHandlers', () => {
   const mockUnsubscribeDataModified = jest.fn();
   const mockUnsubscribeModified = jest.fn();
   const mockUnsubscribeCreated = jest.fn();
+  const mockUnsubscribeRemoved = jest.fn();
   const mockUnsubscribeSelectedSegmentationsForViewportEvents = [jest.fn(), jest.fn()];
 
   const defaultParameters = {
@@ -59,8 +61,14 @@ describe('setUpSegmentationEventHandlers', () => {
       unsubscribeSelectedSegmentationsForViewportEvents:
         mockUnsubscribeSelectedSegmentationsForViewportEvents,
     });
-    mockSegmentationService.subscribe.mockReturnValue({
-      unsubscribe: mockUnsubscribeCreated,
+    mockSegmentationService.subscribe.mockImplementation((eventName: string) => {
+      if (eventName === mockSegmentationService.EVENTS.SEGMENTATION_ADDED) {
+        return { unsubscribe: mockUnsubscribeCreated };
+      }
+      if (eventName === mockSegmentationService.EVENTS.SEGMENTATION_REMOVED) {
+        return { unsubscribe: mockUnsubscribeRemoved };
+      }
+      return { unsubscribe: jest.fn() };
     });
   });
 
@@ -99,6 +107,7 @@ describe('setUpSegmentationEventHandlers', () => {
         mockUnsubscribeDataModified,
         mockUnsubscribeModified,
         mockUnsubscribeCreated,
+        mockUnsubscribeRemoved,
         ...mockUnsubscribeSelectedSegmentationsForViewportEvents,
       ],
     });
@@ -358,5 +367,6 @@ describe('setUpSegmentationEventHandlers', () => {
     expect(mockUnsubscribeDataModified).toHaveBeenCalled();
     expect(mockUnsubscribeModified).toHaveBeenCalled();
     expect(mockUnsubscribeCreated).toHaveBeenCalled();
+    expect(mockUnsubscribeRemoved).toHaveBeenCalled();
   });
 });

extensions/cornerstone/src/utils/setUpSegmentationEventHandlers.ts

@@ -7,7 +7,8 @@ import {
 } from './segmentationHandlers';
 
 export const setUpSegmentationEventHandlers = ({ servicesManager, commandsManager }) => {
-  const { segmentationService, customizationService, displaySetService } = servicesManager.services;
+  const { segmentationService, customizationService, displaySetService, viewportGridService } =
+    servicesManager.services;
 
   const { unsubscribe: unsubscribeSegmentationDataModifiedHandler } =
     setupSegmentationDataModifiedHandler({
@@ -57,6 +58,36 @@ export const setUpSegmentationEventHandlers = ({ servicesManager, commandsManage
     }
   );
 
+  const { unsubscribe: unsubscribeSegmentationRemoved } = segmentationService.subscribe(
+    segmentationService.EVENTS.SEGMENTATION_REMOVED,
+    ({ segmentationId }) => {
+      const displaySet = displaySetService.getDisplaySetByUID(segmentationId);
+
+      // Remove the display set layer from all viewports that have it
+      if (displaySet) {
+        const state = viewportGridService.getState();
+        const viewports = state.viewports;
+
+        // Find all viewports that contain this segmentation's display set as a layer
+        for (const [viewportId, viewport] of viewports.entries()) {
+          const displaySetInstanceUIDs = viewport.displaySetInstanceUIDs || [];
+          if (displaySetInstanceUIDs.includes(segmentationId)) {
+            // Remove the display set layer from this viewport
+            commandsManager.runCommand('removeDisplaySetLayer', {
+              viewportId,
+              displaySetInstanceUID: segmentationId,
+            });
+          }
+        }
+
+        // Delete the display set from the service if it was made in client
+        if (displaySet.madeInClient) {
+          displaySetService.deleteDisplaySet(segmentationId);
+        }
+      }
+    }
+  );
+
   const { unsubscribeSelectedSegmentationsForViewportEvents } =
     setUpSelectedSegmentationsForViewportHandler({
       segmentationService,
@@ -66,6 +97,7 @@ export const setUpSegmentationEventHandlers = ({ servicesManager, commandsManage
     unsubscribeSegmentationDataModifiedHandler,
     unsubscribeSegmentationModifiedHandler,
     unsubscribeSegmentationCreated,
+    unsubscribeSegmentationRemoved,
     ...unsubscribeSelectedSegmentationsForViewportEvents,
   ];
 

extensions/default/CHANGELOG.md

@@ -3,6 +3,558 @@
 All notable changes to this project will be documented in this file.
 See [Conventional Commits](https://conventionalcommits.org) for commit guidelines.
 
+# [3.13.0-beta.78](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.77...v3.13.0-beta.78) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.77](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.76...v3.13.0-beta.77) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.76](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.75...v3.13.0-beta.76) (2026-05-19)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.75](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.74...v3.13.0-beta.75) (2026-05-18)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.74](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.73...v3.13.0-beta.74) (2026-05-15)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.73](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.72...v3.13.0-beta.73) (2026-05-13)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.72](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.71...v3.13.0-beta.72) (2026-05-12)
+
+
+### Bug Fixes
+
+* **measurement-tracking:** restore tracked state on undo after Delete all ([#5994](https://github.com/OHIF/Viewers/issues/5994)) ([397aa4d](https://github.com/OHIF/Viewers/commit/397aa4d0e361e95dcbd83e0557a9cd84c0b8440a))
+
+
+
+
+
+# [3.13.0-beta.71](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.70...v3.13.0-beta.71) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.70](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.69...v3.13.0-beta.70) (2026-05-07)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.69](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.68...v3.13.0-beta.69) (2026-05-06)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.68](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.67...v3.13.0-beta.68) (2026-05-05)
+
+
+### Bug Fixes
+
+* **ToolGroupService:** Centralize tool binding persistence and provide API to add and remove persisted bindings. ([#5989](https://github.com/OHIF/Viewers/issues/5989)) ([979d619](https://github.com/OHIF/Viewers/commit/979d619f7ccb426beb75d59721b01c98175d5241))
+
+
+
+
+
+# [3.13.0-beta.67](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.66...v3.13.0-beta.67) (2026-04-30)
+
+
+### Features
+
+* **ui-next:** Adds toggle state for ToolButton and Crosshair example ([#5914](https://github.com/OHIF/Viewers/issues/5914)) ([691e267](https://github.com/OHIF/Viewers/commit/691e26731f4f3b3957fe81fc051b09c972696cf6))
+
+
+
+
+
+# [3.13.0-beta.66](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.65...v3.13.0-beta.66) (2026-04-29)
+
+
+### Bug Fixes
+
+* **config url:** Hardening fetch options. ([#5985](https://github.com/OHIF/Viewers/issues/5985)) ([468e573](https://github.com/OHIF/Viewers/commit/468e5734a9ab02516430cc0dab5d7f2106dea950))
+
+
+
+
+
+# [3.13.0-beta.65](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.64...v3.13.0-beta.65) (2026-04-29)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.64](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.63...v3.13.0-beta.64) (2026-04-27)
+
+
+### Bug Fixes
+
+* **seg:** prevent segmentations from spreading to all viewports before hydration confirmation in 3D four-up ([#5967](https://github.com/OHIF/Viewers/issues/5967)) ([f8ccf9f](https://github.com/OHIF/Viewers/commit/f8ccf9ff2ea9ab7c38bd427514a8ae87902822a3))
+
+
+
+
+
+# [3.13.0-beta.63](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.62...v3.13.0-beta.63) (2026-04-27)
+
+
+### Bug Fixes
+
+* **security:** refine dynamic config URL trust policy and document trusted-origin behavior ([#5973](https://github.com/OHIF/Viewers/issues/5973)) ([f3cca21](https://github.com/OHIF/Viewers/commit/f3cca21e49729fbf4bab85aa1de64b9dcfebd0ce))
+
+
+
+
+
+# [3.13.0-beta.62](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.61...v3.13.0-beta.62) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.61](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.60...v3.13.0-beta.61) (2026-04-23)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.60](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.59...v3.13.0-beta.60) (2026-04-21)
+
+
+### Bug Fixes
+
+* **configuration:** Harden dynamic datasource URL trust boundaries and credential handling. ([#5963](https://github.com/OHIF/Viewers/issues/5963)) ([eede569](https://github.com/OHIF/Viewers/commit/eede569a88ed6a3177bbdea8552dfb93ca13cac5))
+
+
+
+
+
+# [3.13.0-beta.59](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.58...v3.13.0-beta.59) (2026-04-16)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.58](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.57...v3.13.0-beta.58) (2026-04-14)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.57](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.56...v3.13.0-beta.57) (2026-04-13)
+
+
+### Bug Fixes
+
+* Enhance multiframe instance handling and improve instance valida… ([#5956](https://github.com/OHIF/Viewers/issues/5956)) ([f5a66b9](https://github.com/OHIF/Viewers/commit/f5a66b9eea236cd3291eac857208d7465516c89a))
+
+
+
+
+
+# [3.13.0-beta.56](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.55...v3.13.0-beta.56) (2026-04-10)
+
+
+### Bug Fixes
+
+* A couple of changes to enable cs3d integration build ([#5944](https://github.com/OHIF/Viewers/issues/5944)) ([f6bbd5c](https://github.com/OHIF/Viewers/commit/f6bbd5c779e4692dc47c93327a890661b8dcc174))
+
+
+
+
+
+# [3.13.0-beta.55](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.54...v3.13.0-beta.55) (2026-04-10)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.54](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.53...v3.13.0-beta.54) (2026-04-08)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.53](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.52...v3.13.0-beta.53) (2026-04-06)
+
+
+### Reverts
+
+* rename DisplaySet.frameOfReferenceUID back to FrameOfReferenceUID ([#5943](https://github.com/OHIF/Viewers/issues/5943)) ([0e933c2](https://github.com/OHIF/Viewers/commit/0e933c256e07b7cda35ed2ba3cfb1ab35d895d57))
+
+
+
+
+
+# [3.13.0-beta.52](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.51...v3.13.0-beta.52) (2026-04-06)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.51](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.50...v3.13.0-beta.51) (2026-04-03)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.50](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.49...v3.13.0-beta.50) (2026-04-02)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.49](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.48...v3.13.0-beta.49) (2026-04-02)
+
+
+### Bug Fixes
+
+* **segmentation:** restrict overlay segmentation menu to same frame of reference as viewport background display set  ([#5900](https://github.com/OHIF/Viewers/issues/5900)) ([b9029ef](https://github.com/OHIF/Viewers/commit/b9029ef6f8d63a0e36ec929310c1c5ad3f563ef8))
+
+
+
+
+
+# [3.13.0-beta.48](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.47...v3.13.0-beta.48) (2026-04-01)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.47](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.46...v3.13.0-beta.47) (2026-03-28)
+
+
+### Bug Fixes
+
+* prevent black viewport when navigating series with client-created segmentation ([#5919](https://github.com/OHIF/Viewers/issues/5919)) ([e66fb5a](https://github.com/OHIF/Viewers/commit/e66fb5a2b8c93a60ea20d315f73def7a02ea205f))
+
+
+
+
+
+# [3.13.0-beta.46](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.45...v3.13.0-beta.46) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.45](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.44...v3.13.0-beta.45) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.44](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.43...v3.13.0-beta.44) (2026-03-27)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.43](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.42...v3.13.0-beta.43) (2026-03-17)
+
+
+### Bug Fixes
+
+* **SR:** Added support for spline and live wire SR items. ([#5870](https://github.com/OHIF/Viewers/issues/5870)) ([1d4802c](https://github.com/OHIF/Viewers/commit/1d4802c2a38dd75dca7afca87913e100453c9135))
+
+
+
+
+
+# [3.13.0-beta.42](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.41...v3.13.0-beta.42) (2026-03-17)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.41](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.40...v3.13.0-beta.41) (2026-03-16)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.40](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.39...v3.13.0-beta.40) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.39](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.38...v3.13.0-beta.39) (2026-03-13)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.38](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.37...v3.13.0-beta.38) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.37](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.36...v3.13.0-beta.37) (2026-03-12)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.36](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.35...v3.13.0-beta.36) (2026-03-11)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.35](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.34...v3.13.0-beta.35) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.34](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.33...v3.13.0-beta.34) (2026-03-09)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.33](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.32...v3.13.0-beta.33) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.32](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.31...v3.13.0-beta.32) (2026-03-05)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.31](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.30...v3.13.0-beta.31) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.30](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.29...v3.13.0-beta.30) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.29](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.28...v3.13.0-beta.29) (2026-03-04)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.28](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.27...v3.13.0-beta.28) (2026-03-03)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.27](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.26...v3.13.0-beta.27) (2026-03-02)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.26](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.25...v3.13.0-beta.26) (2026-02-28)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.25](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.24...v3.13.0-beta.25) (2026-02-26)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.24](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.23...v3.13.0-beta.24) (2026-02-24)
+
+
+### Bug Fixes
+
+* prevent viewer crash when opening DICOM Tag Browser from empty viewport  ([#5827](https://github.com/OHIF/Viewers/issues/5827)) ([d11d6d4](https://github.com/OHIF/Viewers/commit/d11d6d401bc92a3870ec1089d97235b01a6b27c3))
+
+
+
+
+
+# [3.13.0-beta.23](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.22...v3.13.0-beta.23) (2026-02-23)
+
+
+### Bug Fixes
+
+* palette color 8 encoded 16 ([#5823](https://github.com/OHIF/Viewers/issues/5823)) ([eeca1f7](https://github.com/OHIF/Viewers/commit/eeca1f7a7b529d1700f5d281a6fd98074547ffe9)), closes [#5813](https://github.com/OHIF/Viewers/issues/5813)
+
+
+
+
+
+# [3.13.0-beta.22](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.21...v3.13.0-beta.22) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.21](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.20...v3.13.0-beta.21) (2026-02-23)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.20](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.19...v3.13.0-beta.20) (2026-02-21)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.19](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.18...v3.13.0-beta.19) (2026-02-20)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.18](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.17...v3.13.0-beta.18) (2026-02-19)
+
+
+### Bug Fixes
+
+* **segmentation overlay:** update viewport ds list upon seg delete - OHIF-2425 ([#5729](https://github.com/OHIF/Viewers/issues/5729)) ([b353541](https://github.com/OHIF/Viewers/commit/b35354120a01d89b27844f967c32c052bba8b096))
+
+
+
+
+
+# [3.13.0-beta.17](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.16...v3.13.0-beta.17) (2026-02-19)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
+# [3.13.0-beta.16](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.15...v3.13.0-beta.16) (2026-02-18)
+
+**Note:** Version bump only for package @ohif/extension-default
+
+
+
+
+
 # [3.13.0-beta.15](https://github.com/OHIF/Viewers/compare/v3.13.0-beta.14...v3.13.0-beta.15) (2026-02-17)
 
 

extensions/default/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@ohif/extension-default",
-  "version": "3.13.0-beta.15",
+  "version": "3.13.0-beta.78",
   "description": "Common/default features and functionality for basic image viewing",
   "author": "OHIF Core Team",
   "license": "MIT",
@@ -34,8 +34,8 @@
     "test:unit:ci": "jest --ci --runInBand --collectCoverage --passWithNoTests"
   },
   "peerDependencies": {
-    "@ohif/core": "3.13.0-beta.15",
-    "@ohif/i18n": "3.13.0-beta.15",
+    "@ohif/core": "3.13.0-beta.78",
+    "@ohif/i18n": "3.13.0-beta.78",
     "dcmjs": "0.49.4",
     "dicomweb-client": "0.10.4",
     "prop-types": "15.8.1",

extensions/default/src/Actions/createReportAsync.tsx

@@ -1,5 +1,3 @@
-import { DicomMetadataStore } from '@ohif/core';
-
 /**
  *
  * @param {*} servicesManager
@@ -7,7 +5,8 @@ import { DicomMetadataStore } from '@ohif/core';
 async function createReportAsync({
   servicesManager,
   getReport,
-  reportType = 'measurement',
+  reportType = 'Measurements',
+  successMessage,
 }: withAppTypes) {
   const { displaySetService, uiNotificationService, uiDialogService } = servicesManager.services;
 
@@ -18,18 +17,15 @@ async function createReportAsync({
       return;
     }
 
-    // The "Mode" route listens for DicomMetadataStore changes
-    // When a new instance is added, it listens and
-    // automatically calls makeDisplaySets
-    DicomMetadataStore.addInstances([naturalizedReport], true);
-
+    // addInstances is called by the store command (storeMeasurements/storeSegmentation),
+    // so the display set should already exist at this point.
     const displaySet = displaySetService.getMostRecentDisplaySet();
 
     const displaySetInstanceUID = displaySet.displaySetInstanceUID;
 
     uiNotificationService.show({
       title: 'Create Report',
-      message: `${reportType} saved successfully`,
+      message: successMessage ?? `${reportType} saved successfully`,
       type: 'success',
     });
 

extensions/default/src/DicomJSONDataSource/index.js

@@ -4,6 +4,7 @@ import qs from 'query-string';
 
 import getImageId from '../DicomWebDataSource/utils/getImageId';
 import getDirectURL from '../utils/getDirectURL';
+import { resolveConfigFetchPolicy, fetchConfigJson } from '../utils/secureConfigFetch';
 
 const metadataProvider = OHIF.classes.MetadataProvider;
 
@@ -59,13 +60,18 @@ const findStudies = (key, value) => {
   return studies;
 };
 
-function createDicomJSONApi(dicomJsonConfig) {
+function createDicomJSONApi(dicomJsonConfig, servicesManager) {
+  const { userAuthenticationService } = servicesManager.services;
   const implementation = {
     initialize: async ({ query, url }) => {
       if (!url) {
         url = query.get('url');
       }
-      let metaData = getMetaDataByURL(url);
+      const evaluatedUrl = resolveConfigFetchPolicy(url, {
+        allowedOrigins: dicomJsonConfig.dangerouslyAllowedOriginsForAuthenticatedEnvironments,
+        userAuthenticationService,
+      });
+      let metaData = getMetaDataByURL(evaluatedUrl.normalizedUrl);
 
       // if we have already cached the data from this specific url
       // We are only handling one StudyInstanceUID to run; however,
@@ -76,8 +82,7 @@ function createDicomJSONApi(dicomJsonConfig) {
         });
       }
 
-      const response = await fetch(url);
-      const data = await response.json();
+      const data = await fetchConfigJson(evaluatedUrl);
 
       let StudyInstanceUID;
       let SeriesInstanceUID;
@@ -105,11 +110,11 @@ function createDicomJSONApi(dicomJsonConfig) {
       });
 
       _store.urls.push({
-        url,
+        url: evaluatedUrl.normalizedUrl,
         studies: [...data.studies],
       });
       _store.studyInstanceUIDMap.set(
-        url,
+        evaluatedUrl.normalizedUrl,
         data.studies.map(study => study.StudyInstanceUID)
       );
     },
@@ -252,6 +257,8 @@ function createDicomJSONApi(dicomJsonConfig) {
         console.warn(' DICOMJson store dicom not implemented');
       },
     },
+    reject: {},
+    deleteStudyMetadataPromise: () => {},
     getImageIdsForDisplaySet(displaySet) {
       const images = displaySet.images;
       const imageIds = [];
@@ -297,8 +304,21 @@ function createDicomJSONApi(dicomJsonConfig) {
     },
     getStudyInstanceUIDs: ({ params, query }) => {
       const url = query.get('url');
-      return _store.studyInstanceUIDMap.get(url);
+      if (!url) {
+        return;
+      }
+
+      try {
+        const evaluatedUrl = resolveConfigFetchPolicy(url, {
+          allowedOrigins: dicomJsonConfig.dangerouslyAllowedOriginsForAuthenticatedEnvironments,
+          userAuthenticationService,
+        });
+        return _store.studyInstanceUIDMap.get(evaluatedUrl.normalizedUrl);
+      } catch {
+        return;
+      }
     },
+    getConfig: () => dicomJsonConfig,
   };
   return IWebApiDataSource.create(implementation);
 }

extensions/default/src/DicomWebProxyDataSource/index.ts

@@ -1,5 +1,6 @@
 import { IWebApiDataSource } from '@ohif/core';
 import { createDicomWebApi } from '../DicomWebDataSource/index';
+import { resolveConfigFetchPolicy, fetchConfigJson } from '../utils/secureConfigFetch';
 
 /**
  * This datasource is initialized with a url that returns a JSON object with a
@@ -11,6 +12,7 @@ import { createDicomWebApi } from '../DicomWebDataSource/index';
  */
 function createDicomWebProxyApi(dicomWebProxyConfig, servicesManager: AppTypes.ServicesManager) {
   const { name } = dicomWebProxyConfig;
+  const { userAuthenticationService } = servicesManager.services;
   let dicomWebDelegate = undefined;
 
   const implementation = {
@@ -20,12 +22,14 @@ function createDicomWebProxyApi(dicomWebProxyConfig, servicesManager: AppTypes.S
       if (!url) {
         throw new Error(`No url for '${name}'`);
       } else {
-        const response = await fetch(url);
-        const data = await response.json();
+        const evaluatedUrl = resolveConfigFetchPolicy(url, {
+          allowedOrigins: dicomWebProxyConfig.dangerouslyAllowedOriginsForAuthenticatedEnvironments,
+          userAuthenticationService,
+        });
+        const data = await fetchConfigJson(evaluatedUrl);
         if (!data.servers?.dicomWeb?.[0]) {
           throw new Error('Invalid configuration returned by url');
         }
-
         dicomWebDelegate = createDicomWebApi(
           data.servers.dicomWeb[0].configuration || data.servers.dicomWeb[0],
           servicesManager
@@ -54,9 +58,16 @@ function createDicomWebProxyApi(dicomWebProxyConfig, servicesManager: AppTypes.S
     store: {
       dicom: (...args) => dicomWebDelegate.store.dicom(...args),
     },
-    deleteStudyMetadataPromise: (...args) => dicomWebDelegate.deleteStudyMetadataPromise(...args),
-    getImageIdsForDisplaySet: (...args) => dicomWebDelegate.getImageIdsForDisplaySet(...args),
-    getImageIdsForInstance: (...args) => dicomWebDelegate.getImageIdsForInstance(...args),
+    reject: {
+      series: (...args) => dicomWebDelegate?.reject?.series?.(...args),
+    },
+    deleteStudyMetadataPromise: (...args) => dicomWebDelegate?.deleteStudyMetadataPromise?.(...args),
+    getImageIdsForDisplaySet: (...args) => dicomWebDelegate?.getImageIdsForDisplaySet?.(...args),
+    getImageIdsForInstance: (...args) => dicomWebDelegate?.getImageIdsForInstance?.(...args),
+    getConfig: (...args) =>
+      dicomWebDelegate?.getConfig?.(...args) ?? {
+        dicomUploadEnabled: false,
+      },
     getStudyInstanceUIDs({ params, query }) {
       let studyInstanceUIDs = [];
 

extensions/default/src/Panels/StudyBrowser/PanelStudyBrowser.tsx

@@ -87,7 +87,7 @@ function PanelStudyBrowser({
         commandsManager,
         servicesManager,
         isHangingProtocolLayout,
-        appConfig: extensionManager._appConfig,
+        appConfig: extensionManager.appConfig,
       };
 
       const handlers = customHandler?.callbacks.map(callback => callback(setupArgs));

extensions/default/src/Panels/createReportDialogPrompt.tsx

@@ -30,6 +30,7 @@ export default function CreateReportDialogPrompt({
   predecessorImageId,
   extensionManager,
   servicesManager,
+  enableDownload = false,
 }): Promise<{
   value: string;
   dataSourceName: string;
@@ -59,6 +60,7 @@ export default function CreateReportDialogPrompt({
         predecessorImageId,
         minSeriesNumber,
         modality,
+        enableDownload,
         onSave: async ({
           reportName,
           dataSource: selectedDataSource,

extensions/default/src/ViewerLayout/ViewerHeader.tsx

@@ -101,6 +101,7 @@ function ViewerHeader({ appConfig }: withAppTypes<{ appConfig: AppTypes.Config }
           <Button
             variant="ghost"
             className="hover:bg-muted"
+            data-cy="undo-btn"
             onClick={() => {
               commandsManager.run('undo');
             }}
@@ -110,6 +111,7 @@ function ViewerHeader({ appConfig }: withAppTypes<{ appConfig: AppTypes.Config }
           <Button
             variant="ghost"
             className="hover:bg-muted"
+            data-cy="redo-btn"
             onClick={() => {
               commandsManager.run('redo');
             }}

extensions/default/src/commandsModule.ts

@@ -1,4 +1,7 @@
-import { Types, DicomMetadataStore } from '@ohif/core';
+import { Types, DicomMetadataStore, utils } from '@ohif/core';
+import dcmjs from 'dcmjs';
+
+const { downloadBlob } = utils;
 
 import { ContextMenuController } from './CustomizableContextMenu';
 import DicomTagBrowser from './DicomTagBrowser/DicomTagBrowser';
@@ -66,8 +69,8 @@ const commandsModule = ({
      */
     addDisplaySetAsLayer: ({ viewportId, displaySetInstanceUID, removeFirst = false }) => {
       if (!viewportId) {
-          const { activeViewportId } = servicesManager.services.viewportGridService.getState();
-          viewportId = activeViewportId;
+        const { activeViewportId } = servicesManager.services.viewportGridService.getState();
+        viewportId = activeViewportId;
       }
 
       if (!viewportId || !displaySetInstanceUID) {
@@ -151,6 +154,19 @@ const commandsModule = ({
         return;
       }
 
+      // Check if it's a segmentation and handle accordingly.
+      // Note that for the sake of hydrated segmentations, we remove the
+      // segmentation before checking if the display set is indeed in the viewport.
+      // This is because hydrated segmentations are not in the viewport per se
+      // {i.e. they are not layered) but are simply referenced by the display
+      // set in the viewport.
+      const isSegmentation = DERIVED_OVERLAY_MODALITIES.includes(displaySet.Modality);
+      if (isSegmentation) {
+        segmentationService.removeRepresentationsFromViewport(viewportId, {
+          segmentationId: displaySetInstanceUID,
+        });
+      }
+
       // Get current display sets for the viewport
       const currentDisplaySetUIDs = viewportGridService.getDisplaySetsUIDsForViewport(viewportId);
 
@@ -159,14 +175,6 @@ const commandsModule = ({
         return;
       }
 
-      // Check if it's a segmentation and handle accordingly
-      const isSegmentation = DERIVED_OVERLAY_MODALITIES.includes(displaySet.Modality);
-      if (isSegmentation) {
-        segmentationService.removeSegmentationRepresentations(viewportId, {
-          segmentationId: displaySetInstanceUID,
-        });
-      }
-
       const updatedViewports = hangingProtocolService.getViewportsRequireUpdate(
         viewportId,
         displaySetInstanceUID
@@ -651,7 +659,9 @@ const commandsModule = ({
       const displaySets = displaySetService.activeDisplaySets;
       const { UIModalService } = servicesManager.services;
 
-      const defaultDisplaySetInstanceUID = displaySetInstanceUID || displaySetInstanceUIDs[0];
+      const defaultDisplaySetInstanceUID =
+        displaySetInstanceUID || displaySetInstanceUIDs[0] || displaySets[0]?.displaySetInstanceUID;
+
       UIModalService.show({
         content: DicomTagBrowser,
         contentProps: {
@@ -724,10 +734,11 @@ const commandsModule = ({
         displaySetIndexToShow > -1 && displaySetIndexToShow < currentDisplaySets.length;
         displaySetIndexToShow += direction
       ) {
-        if (
-          !excludeNonImageModalities ||
-          !nonImageModalities.includes(currentDisplaySets[displaySetIndexToShow].Modality)
-        ) {
+        const nextDisplaySet = currentDisplaySets[displaySetIndexToShow];
+        if (nextDisplaySet.madeInClient) {
+          continue;
+        }
+        if (!excludeNonImageModalities || !nonImageModalities.includes(nextDisplaySet.Modality)) {
           break;
         }
       }
@@ -761,6 +772,67 @@ const commandsModule = ({
 
       setTimeout(() => actions.scrollActiveThumbnailIntoView(), 0);
     },
+
+    /**
+     * Creates a store function based on the data source type.
+     * @param dataSource - 'download', 'copyToClipboard', or a named data source
+     * @param defaultFileName - Default filename for download/clipboard
+     * @param defaultContentType - Default content type for clipboard
+     * @returns A store function, or null if no valid store exists
+     */
+    createStoreFunction: ({ dataSource, defaultFileName, defaultContentType }) => {
+      if (dataSource === 'download') {
+        return async dicom => {
+          const instances = Array.isArray(dicom) ? dicom : [dicom];
+          DicomMetadataStore.addInstances(instances, true);
+          if (instances.length !== 1) {
+            throw new Error('Download only supports a single DICOM instance');
+          }
+          const reportBlob = dcmjs.data.datasetToBlob(instances[0]);
+          downloadBlob(reportBlob, { filename: defaultFileName || 'dicom.dcm' });
+        };
+      }
+
+      if (dataSource === 'copyToClipboard') {
+        return async dicom => {
+          const instances = Array.isArray(dicom) ? dicom : [dicom];
+          DicomMetadataStore.addInstances(instances, true);
+          if (instances.length !== 1) {
+            throw new Error('Copy to clipboard only supports a single DICOM instance');
+          }
+          const reportBlob = dcmjs.data.datasetToBlob(instances[0]);
+          const type = defaultContentType || 'application/dicom';
+          await navigator.clipboard.write([
+            new ClipboardItem({ [type]: new Blob([reportBlob], { type }) }),
+          ]);
+        };
+      }
+
+      // DICOM STOW path — resolve the named data source
+      const dataSources = extensionManager.getDataSources(dataSource);
+      const resolvedDataSource = dataSources?.[0];
+      if (!resolvedDataSource?.store?.dicom) {
+        return null;
+      }
+
+      return async (dicom, { dicomDict } = {}) => {
+        const instances = Array.isArray(dicom) ? dicom : [dicom];
+        const config = resolvedDataSource.getConfig?.();
+        if (config?.wadoRoot) {
+          instances.forEach(instance => {
+            instance.wadoRoot = config.wadoRoot;
+          });
+        }
+        DicomMetadataStore.addInstances(instances, true);
+        for (const instance of instances) {
+          await resolvedDataSource.store.dicom(instance, null, dicomDict);
+        }
+        const studyUIDs = new Set(instances.map(i => i.StudyInstanceUID).filter(Boolean));
+        for (const uid of studyUIDs) {
+          resolvedDataSource.deleteStudyMetadataPromise(uid);
+        }
+      };
+    },
   };
 
   const definitions = {
@@ -789,6 +861,7 @@ const commandsModule = ({
     scrollActiveThumbnailIntoView: actions.scrollActiveThumbnailIntoView,
     addDisplaySetAsLayer: actions.addDisplaySetAsLayer,
     removeDisplaySetLayer: actions.removeDisplaySetLayer,
+    createStoreFunction: actions.createStoreFunction,
   };
 
   return {

extensions/default/src/customizations/reportDialogCustomization.tsx

@@ -1,4 +1,5 @@
-import React, { useCallback, useEffect, useMemo, useState } from 'react';
+import React, { useCallback, useEffect, useMemo, useRef, useState } from 'react';
+import { useTranslation } from 'react-i18next';
 import { InputDialog } from '@ohif/ui-next';
 import { Select, SelectContent, SelectItem, SelectTrigger, SelectValue } from '@ohif/ui-next';
 import { useSystem } from '@ohif/core';
@@ -21,6 +22,7 @@ type ReportDialogProps = {
     priorSeriesNumber: number;
   }) => void;
   onCancel: () => void;
+  enableDownload?: boolean;
 };
 
 function ReportDialog({
@@ -31,8 +33,11 @@ function ReportDialog({
   hide,
   onSave,
   onCancel,
+  enableDownload = false,
 }: ReportDialogProps) {
+  const { t } = useTranslation('Buttons');
   const { servicesManager } = useSystem();
+  const actionTakenRef = useRef(false);
   const [selectedDataSource, setSelectedDataSource] = useState<string | null>(
     dataSources?.[0]?.value ?? null
   );
@@ -72,6 +77,7 @@ function ReportDialog({
   }, [selectedSeries, seriesOptions]);
 
   const handleSave = useCallback(() => {
+    actionTakenRef.current = true;
     onSave({
       reportName,
       dataSource: selectedDataSource,
@@ -82,11 +88,33 @@ function ReportDialog({
   }, [selectedDataSource, selectedSeries, reportName, hide, onSave]);
 
   const handleCancel = useCallback(() => {
+    actionTakenRef.current = true;
     onCancel();
     hide();
   }, [onCancel, hide]);
 
+  const handleDownload = useCallback(() => {
+    actionTakenRef.current = true;
+    onSave({
+      reportName,
+      dataSource: 'download',
+      priorSeriesNumber: Math.max(...seriesOptions.map(it => it.seriesNumber)),
+      series: selectedSeries,
+    });
+    hide();
+  }, [selectedDataSource, selectedSeries, reportName, hide, onSave]);
+
+  // Handles the close dialog button/external close as a cancel
+  useEffect(() => {
+    return () => {
+      if (!actionTakenRef.current) {
+        onCancel();
+      }
+    };
+  }, [onCancel]);
+
   const showDataSourceSelect = dataSources?.length > 1;
+  const showDownloadButton = enableDownload;
 
   return (
     <div className="text-foreground flex min-w-[400px] max-w-md flex-col">
@@ -181,9 +209,11 @@ function ReportDialog({
         <div className="flex justify-end gap-2">
           <InputDialog>
             <InputDialog.Actions>
-              <InputDialog.ActionsSecondary onClick={handleCancel}>
-                Cancel
-              </InputDialog.ActionsSecondary>
+              {showDownloadButton && (
+                <InputDialog.ActionsSecondary onClick={handleDownload}>
+                  {t('Download')}
+                </InputDialog.ActionsSecondary>
+              )}
               <InputDialog.ActionsPrimary onClick={handleSave}>Save</InputDialog.ActionsPrimary>
             </InputDialog.Actions>
           </InputDialog>

extensions/default/src/customizations/sortingCriteriaCustomization.ts

@@ -1,7 +1,14 @@
 import { utils } from '@ohif/core';
 
 const { sortingCriteria } = utils;
+const { seriesSortCriteria } = sortingCriteria;
+
+/** Stable series order for e2e (Playwright sets TEST_ENV=true via cross-env). */
+const sortingCriteriaFn =
+  process.env.TEST_ENV === 'true'
+    ? seriesSortCriteria.compareSeriesUID
+    : seriesSortCriteria.seriesInfoSortingCriteria;
 
 export default {
-  sortingCriteria: sortingCriteria.seriesSortCriteria.seriesInfoSortingCriteria,
+  sortingCriteria: sortingCriteriaFn,
 };

extensions/default/src/customizations/userPreferencesCustomization.tsx

@@ -17,9 +17,60 @@ interface HotkeyDefinitions {
   [key: string]: HotkeyDefinition;
 }
 
+const MODIFIER_OPTIONS = [
+  { value: '16', label: 'Shift' },
+  { value: '17', label: 'Ctrl' },
+  { value: '18', label: 'Alt' },
+  { value: '91', label: 'Meta' },
+];
+
+const DEFAULT_TOOL_BINDINGS_STORAGE_KEY = 'user-preferred-tool-bindings';
+
+function getToolModifier(
+  toolGroupService: any,
+  toolGroupId: string,
+  toolName: string,
+  mouseButton: number
+): string | null {
+  if (!toolGroupService) {
+    return null;
+  }
+  const bindings = toolGroupService.getToolBindings(toolGroupId, toolName);
+  if (!bindings?.length) {
+    return null;
+  }
+  const modifierBinding = bindings.find(
+    binding =>
+      binding.mouseButton === mouseButton &&
+      binding.modifierKey != null &&
+      binding.numTouchPoints == null
+  );
+
+  return modifierBinding?.modifierKey != null ? String(modifierBinding.modifierKey) : null;
+}
+
+function getModifierFromBindings(
+  bindings: Array<Record<string, unknown>> | undefined,
+  mouseButton: number
+): string | null {
+  if (!bindings?.length) {
+    return null;
+  }
+
+  const modifierBinding = bindings.find(
+    binding =>
+      binding.mouseButton === mouseButton &&
+      binding.modifierKey != null &&
+      binding.numTouchPoints == null
+  );
+
+  return modifierBinding?.modifierKey != null ? String(modifierBinding.modifierKey) : null;
+}
+
 function UserPreferencesModalDefault({ hide }: { hide: () => void }) {
-  const { hotkeysManager } = useSystem();
+  const { hotkeysManager, servicesManager } = useSystem();
   const { t, i18n: i18nextInstance } = useTranslation('UserPreferencesModal');
+  const toolGroupService = (servicesManager as any)?.services?.toolGroupService;
 
   const { hotkeyDefinitions = {}, hotkeyDefaults = {} } = hotkeysManager;
 
@@ -51,9 +102,19 @@ function UserPreferencesModalDefault({ hide }: { hide: () => void }) {
 
   const currentLanguage = currentLanguageFn();
 
+  const initialCrosshairModifier = useMemo(
+    () => getToolModifier(toolGroupService, 'mpr', 'Crosshairs', 1),
+    [toolGroupService]
+  );
+  const defaultCrosshairBindings = useMemo(
+    () => toolGroupService?.getDefaultToolBindings?.('mpr', 'Crosshairs'),
+    [toolGroupService]
+  );
+
   const [state, setState] = useState({
     hotkeyDefinitions: initialHotkeyDefinitions,
     languageValue: currentLanguage.value,
+    crosshairModifier: initialCrosshairModifier,
   });
 
   const onLanguageChangeHandler = (value: string) => {
@@ -78,9 +139,17 @@ function UserPreferencesModalDefault({ hide }: { hide: () => void }) {
       ...state,
       languageValue: defaultLanguage.value,
       hotkeyDefinitions: resolvedHotkeyDefaults,
+      crosshairModifier: getModifierFromBindings(defaultCrosshairBindings, 1),
     }));
 
     hotkeysManager.restoreDefaultBindings();
+    if (toolGroupService && defaultCrosshairBindings?.length) {
+      toolGroupService.setToolBindings('mpr', 'Crosshairs', defaultCrosshairBindings);
+      toolGroupService.applyToolBindings('mpr', 'Crosshairs', {
+        replaceExisting: true,
+      });
+    }
+    toolGroupService?.removePersistedToolBindings('mpr', 'Crosshairs');
   };
 
   const displayNames = React.useMemo(() => {
@@ -165,6 +234,44 @@ function UserPreferencesModalDefault({ hide }: { hide: () => void }) {
             />
           ))}
         </UserPreferencesModal.HotkeysGrid>
+
+        {state.crosshairModifier != null && (
+          <>
+            <UserPreferencesModal.SubHeading>
+              {t('ModifierKeys', { defaultValue: 'Modifier Keys' })}
+            </UserPreferencesModal.SubHeading>
+            <UserPreferencesModal.HotkeysGrid>
+              <div className="flex items-center justify-between gap-2">
+                <span className="text-foreground text-base">
+                  {t('CrosshairsModifier', { defaultValue: 'Crosshairs' })}
+                </span>
+                <div className="flex items-center gap-1.5">
+                  <span className="text-muted-foreground text-sm">
+                    {t('PlusLeftClick', { defaultValue: 'Left Click +' })}
+                  </span>
+                  <Select
+                    value={state.crosshairModifier}
+                    onValueChange={val => setState(s => ({ ...s, crosshairModifier: val }))}
+                  >
+                    <SelectTrigger className="w-16">
+                      <SelectValue />
+                    </SelectTrigger>
+                    <SelectContent>
+                      {MODIFIER_OPTIONS.map(opt => (
+                        <SelectItem
+                          key={opt.value}
+                          value={opt.value}
+                        >
+                          {opt.label}
+                        </SelectItem>
+                      ))}
+                    </SelectContent>
+                  </Select>
+                </div>
+              </div>
+            </UserPreferencesModal.HotkeysGrid>
+          </>
+        )}
       </UserPreferencesModal.Body>
       <FooterAction>
         <FooterAction.Left>
@@ -191,6 +298,18 @@ function UserPreferencesModalDefault({ hide }: { hide: () => void }) {
                 return; // Exit early since we're reloading
               }
               hotkeysManager.setHotkeys(state.hotkeyDefinitions);
+
+              if (toolGroupService && state.crosshairModifier != null) {
+                const bindings = [
+                  { mouseButton: 1, modifierKey: Number(state.crosshairModifier) },
+                ];
+                toolGroupService.setToolBindings('mpr', 'Crosshairs', bindings);
+                toolGroupService.applyToolBindings('mpr', 'Crosshairs', {
+                  replaceExisting: true,
+                });
+                toolGroupService.persistToolBindings('mpr', 'Crosshairs', bindings);
+              }
+
               hotkeysModule.stopRecord();
               hotkeysModule.unpause();
               hide();
@@ -206,4 +325,5 @@ function UserPreferencesModalDefault({ hide }: { hide: () => void }) {
 
 export default {
   'ohif.userPreferencesModal': UserPreferencesModalDefault,
+  'ohif.userPreferences.toolBindingsStorageKey': DEFAULT_TOOL_BINDINGS_STORAGE_KEY,
 };

extensions/default/src/getSopClassHandlerModule.js

@@ -6,13 +6,7 @@ import getDisplaySetsFromUnsupportedSeries from './getDisplaySetsFromUnsupported
 import { chartHandler } from './SOPClassHandlers/chartSOPClassHandler';
 import { metaData } from '@cornerstonejs/core';
 
-const {
-  isImage,
-  sortStudyInstances,
-  instancesSortCriteria,
-  sopClassDictionary,
-  isDisplaySetReconstructable,
-} = utils;
+const { isImage, sortStudyInstances, sopClassDictionary, isDisplaySetReconstructable } = utils;
 const { ImageSet } = classes;
 
 const DEFAULT_VOLUME_LOADER_SCHEME = 'cornerstoneStreamingImageVolume';
@@ -54,12 +48,20 @@ function getDisplaySetInfo(instances) {
     let firstTimePointInstances;
 
     if (instances[0].NumberOfFrames > 1 && timePoints.length > 1) {
-      // handle multiframe dynamic volume
-      firstTimePointInstances = timePoints[0].map(imageId => metaData.get('instance', imageId));
+      // Handle multiframe dynamic volumes. Local file frame imageIds do not
+      // always resolve to a frame-level instance object, so keep resolved
+      // entries and fall back to the source multiframe instance when needed.
+      firstTimePointInstances = timePoints[0]
+        .map(imageId => metaData.get('instance', imageId))
+        .filter(Boolean);
+
+      if (!firstTimePointInstances.length) {
+        firstTimePointInstances = [instances[0]];
+      }
     } else {
       // O(n) to convert it into a map and O(1) to find each instance
       instances.forEach(instance => instancesMap.set(instance.imageId, instance));
-      firstTimePointInstances = timePoint.map(imageId => instancesMap.get(imageId));
+      firstTimePointInstances = timePoint.map(imageId => instancesMap.get(imageId)).filter(Boolean);
     }
     displaySetInfo = isDisplaySetReconstructable(firstTimePointInstances, appConfig);
   } else {
@@ -267,6 +269,7 @@ const sopClassUids = [
   sopClassDictionary.XRay3DAngiographicImageStorage,
   sopClassDictionary.XRay3DCraniofacialImageStorage,
   sopClassDictionary.BreastTomosynthesisImageStorage,
+  sopClassDictionary.CornealTopographyMapStorage,
   sopClassDictionary.BreastProjectionXRayImageStorageForPresentation,
   sopClassDictionary.BreastProjectionXRayImageStorageForProcessing,
   sopClassDictionary.IntravascularOpticalCoherenceTomographyImageStorageForPresentation,