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PostureRay Update - What's New? Features and Change Log Update

Last Updated: Jan 24, 2018 03:53PM EST

What's New in Version 23 of PostureRay?

  • Lateral Stitching:
    • Lateral Cervical + Lateral Thoracic + Lateral Lumbar
    • Lateral Thoracic + Lateral Lumbar
  • Anterior Stitching:
    • Anterior Cervical + Anterior Thoracic + Anterior Lumbar
    • Anterior Cervical + Anterior Thoracic + Modified Fergusson
    • APOM+ Anterior Thoracic + Anterior Lumbar
    • APOM + Anterior Thoracic + Modified Fergusson
    • Anterior Cervical + Anterior Lumbar
    • Anterior Cervical + Modified Fergusson
    • Anterior Thoracic + Anterior Lumbar
    • Anterior Thoracic + Modified Fergusson
  • Scoliosis Stitching:
    • Cervical Scoliosis+ Thoracic Scoliosis + Lumbar Scoliosis
    • Cervical Scoliosis + Thoracic Scoliosis + Modified Fergusson Scoliosis
    • Cervical Scoliosis + Lumbar Scoliosis
    • Cervical Scoliosis + Modified Fergusson Scoliosis
    • Thoracic Scoliosis + Lumbar Scoliosis
    • Thoracic Scoliosis + Modified Fergusson Scoliosis
  • Mixed Anterior/Scoliosis Stitching:
    • Anterior Cervical + Thoracic Scoliosis + Lumbar Scoliosis
    • Anterior Cervical + Thoracic Scoliosis + Modified Fergusson Scoliosis
    • APOM+ Thoracic Scoliosis + Lumbar Scoliosis
    • APOM + Thoracic Scoliosis + Modified Fergusson Scoliosis
    • Anterior Cervical + Lumbar Scoliosis
    • Anterior Cervical + Modified Fergusson Scoliosis
  • Stitching module is only currently available for the CBP technique Module
  • Currently you can not stitch a 2 view Lateral Cervico-Thoracic + Thoraco-Lumbar, but will be added in a future version.
  • Video link:

Multiple fixes and improvements:

Added S1 post-tangent option for line-drawing in System Setup form

Evaluation form:

  • Touch-up saving exception fixed
  • Touch-up button tool-tips hidden after leaving button
  • LCN SK default not checked in setup form will leave SK unchecked initially.
  • AP Thoracic and Fullspine: apex list box: made background red when no apices so that new users will notice it more.
  • L6 checked and S1 digitization started. Display message: "L6 has been added for digitization. However, S1 has been digitized. Please make sure that S1 markers aren't on the L6 vertebra."
  • Scoliosis pane: more messages to help user
  • Lateral Fullspine digitization: SK may be checked only if C1 is checked.
  • Gender label in the Client Pane was black instead of blue.
  • Some views such as AP Cervical apex wasn't being changed.

Patient Report: for Lateral fullspine with the three lateral sectionals present, if from stitching, still show the Lateral Fullspine page
Impression report:

  • For AP Full non-scoliosis with four curves or more: the assessment was overflowing the bottom of the assessment text box.
  • Lateral Lumbar new table layout for assessment.
  • If Lateral Fullspine is stitched and we have the Lateral Sectionals, show a separate Lateral Fullspine page with the three tables.
  • added an option for Lateral Full line-drawing

Instability Lumbar Report: assessment introduction typos fixed
Patient Comparative Report:

  • AP Full non-scoliosis different apices: the two side-by-side tables were sometimes over-written at the bottom by the global table.
  • Assessment text fixed for better fitting of 2 and 3 curve assessments.
  • Cover page now has Evaluation and X-ray dates for Initial and Follow-up studies.

Impression comparative Report:
- Lateral Lumbar to Lateral Fullspine: If one was L5-S1 and the other was L5-L6 and L6-S1, there was a problem in the instability summary table.
Travel Sheet:

  • Text for AP Full: fixed text for apex 5 and 6.
  • Don't exceed the 25 lines of text with wrap-around
  • : last name quirk fixed

AP Fullspine: made normal line end at level of top vertebra
Patient Report template form: if the user checks "Page Number" or "Page Header" and the "Page Frame" isn't checked, display a warning.
DMX form: If DMX folder wasn't drilled down to the level of the DMX file and the DMX File did drill down, an exception was produced. This has been fixed.
LC Fullspine: If C7 not present, don't try to calculate the C2-C7 posterior tangent angle
Export Evaluation Image form: First Name label in the selection tab was black instead of blue
LC ext/flex/-Tz/+Tz: C0-C1 Chamberlain to APL direction calculated and sign of the result now reflects the direction

CLEAR method:
- QD added for Nasium, AP Thoracic and AP Lumbar
- QD added for LCN, AP Cervical, AP Thoracic and AP Lumbar
- For LCN, there was a QD under another name: When all vertebrae was unchecked (initially) only the S-Line markers were digitized. QD checkbox replaced.
- For AP Lumbar initially FH only was checked. This has been removed and when QD checked, we digitized the two vertical markers and two FH markers.

What's New in Version 22 of PostureRay?

  • New CBP Lateral Lumbar Predicted normal based on Pelvic Incidence 
  • NEW Report Branding – Change colors of reports and edit logo position
  • New Normal Line thickness Change Selector
  • New option to allow reports to flip x-rays back to Chiropractic View (Left on your reading Left)
  • New Annotation Tools Added: Line Bisection, Draw angle and distance to horizontal or Vertical
  • AP and Lateral Fullspine x-rays are maximized now much and much larger in Patient and Impression Reports for better viewing when printed.
  • Fixes to Digitization Auto-scrolling.
  • ViewBox resizing is now available
  • Warnings if Duplicate name exists in database, to avoid staff from creating multiple accounts for the same patient
  • Optional Digitization Cursor
  • Multiple new additional references to Impression report for better documentation
  • On AP Fullspine, C2-C7 are now optional
  • Ap Fullspine – added HB angle
  • X-Rays Maximized in patient ROF report for AP and Lateral Fullspine
  • Added endplate AMA guides lines and highlighting to Lateral Thoracic analysis
  • Highlighting of lateral lumbar sacral base if S1 to Horizontal < 33 or >= 45 degrees
  • CBP Ideal Values now listed in the View Results Screen in Parenthesis in evaluation form
  • Multiple bug fixes and enhancements to user interface

New CBP Lateral Lumbar Predicted normal based on Pelvic Incidence
Video link:


New Branding Color Controls for Reports
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New Normal Line thickness Change Selector & Alternate Cursor
Video Link:

AP and Lateral Fullspine x-rays are maximized
Video link:

What's New in Version 21 of PostureRay?

  • X-ray and Posture Annotation tool -long awaited, add notes as well as unique measurements on top of x-rays that is outside of the normal digitization EHR functions.
  • Custom Patient Report Template - Custom PDFs in your PostureRay Reports
  • AP Fullspine and Fullspine Scoliosis
  • Modified Ferguson Short Leg view Scoliosis Analysis - Finally we know you all wanted this!
  • Ability in scoliosis views to select superior or inferior portion of vertebrae for Cobb analysis
  • "Image Jumping - automatic image scrolling" to location when digitizing under magnification to save time!
  • Reporting of AP Cervical from AP Fullspine: if more than one apex in C2-T9 region, the apex with the biggest Translation from T9 is selected
  • Reporting of Sectional Scoliosis from Fullspine scoliosis: the curves having the larges Risser-Fergusson values are selected
  • Increased vertebrae digitizing levels on multiple views
  • Atlas and Genesis EHR integration updated
  • Lateral sectional and Fullspine - New CBP measurement S1centroid offset to hip axis
  • quicker method to jump into new examination when entering new client demographics.

Image Jump Image Scrolling to Location when digitizing under magnification
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Annotation Module for marking additional information on x-ray images
video link:

AP FullSpine Analysis
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Custom PDF Report Builder
Now you can insert any PDF documents and customize your PostureRay Report documents!
video link:


Whats new in Mid 2015 Release of PostureRay Version 20
  • PostureScreen direct importing from iOS device (iPad/iPhone/iPod Touch)
  • All 4 views in PostureScreen available on ViewBox and Reports
  • CBP Cervical Morphology is available on lateral fullspines if no lateral cervical is digitized
  • Macro support for the "Notes" tab
  • PostureScreen push to PostureRay will setup PostureRay account if client doesn't exist in PostureRay
  • PostureScreen import from iPad will append posture views to existing x-ray exam for same date
  • Postures viewed in Viewbox can be selected as individual so as to pair with an x-ray
  • Genesis EHR (Billing Precision / Vericle) direct upload exporting annotated images
  • Improved DICOM image support
  • DICOM mapping one image to several xrays (AP Fullspine to multiple AP sectionals)
  • Improved date narrowing for ranges of evaluations and importing x-rays
  • Set date range to current week (or any time period) for quick look up of evaluations
  • DMX import image rotation for using DMX for Correction Potential X-rays
  • INSTABILITY UPDATE - Ability to use percentage of translational movement vs mm of translations for instability reporting on cervical and lumbar flexion and extension studies
  • Numerous Bug and Stability Fixes
Some Video Highlights are as follows: 

PostureScreen Importing
Video Link:

PostureScreen 4 Views in ViewBox and Reports, Comments & Impression Macros
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Genesis EHR Integration 
Video Link:

DICOM mapping one image to several xrays (AP Fullspine to multiple AP sectionals)
Video link:

INSTABILITY UPDATE: Ability to use percentage of translational movement vs mm of translations for instability reporting on cervical and lumbar flexion and extension studies
video link:

This is What's New in the mid 2014 Release update of PostureRay Version 19
  • Cervical Morphology Measurements for CBP Technique 
  • Added Anterior and Posterior Cervical Translation stress views
  • Sagittal Vertical Axis (SVA) for lateral fullspine view C1-S1, C7-S1, T1-S1
  • Fixed lateral fullspine normal model at C7/T1 junction (smoothed curve transition)
  • View Box options: Show lateral fullspine SVA, Show lateral cervical, thoracic and lumbar vertical axis, New text overlay for all segmental values, Numbering of vertebrae, Quickly toggle on and off Cobb and Risser Ferguson Scoliosis Views, Toggle between Patient lines, Impression Lines and Endplate analysis where applicable
  • Moved Zoom/Contrast buttons down to not accidentally open up when setting lateral cervical x-ray
  • Zoom ‘bug’ fixed when zoomed in if you erase a digitized point, you are no longer zoomed out.
  • Added ability to search and create cases easier
  • Multiple other tweaks and bug fixes


All New ViewBox





Fall 2013 Release!

We have a lot of new and exciting features with the Fall 2013 PostureRay Release. 
Below we highlight some of the many new upgraded features that we know you will love.

There are certain times where time is of the essence.  When you wish to do a partial ROF or show the patient immediately where their spine is compared to normal.  Now using just 2-3 clicks, the Harrison Idealspinal model can be superimposed properly over the patient's film without digitizing all the segments.  This is helpful in cases where you must work on an acute case, but wish to educate them briefly on their abnormalities.  This allows you to even show them on the view box, as well as generate educational reports (however only translational global measurements will be given).
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This feature is extremely helpful when a patient had many x-rays on file or for specific stress/correction potential x-rays, labeling the individual x-rays for both viewing in the view box as well during the x-ray exporting as a .jpg so that if you import into another EHR, the x-rays are labeled and at a glance you know specifics such as heel lift size used, or Denneroll size, or functional mirror image order of a scoliosis setup, or label it based on injury or phase of care, etc.

​video link:




This new feature has been requested for utilization to more easily convey sagital balance points.  These vertical axis lines are based on the Harrison Ideal Spine Elliptical model.
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ALL NEW REPORT COVER PAGES - This update was needed to address that in certain states, certain insurance companies require specific labeling on their x-ray reports.
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NASIUM CENTER SKULL LINE UPDATE - ability to manually over ride traditional bisection of skull and force ending point through the Dens.  Video link:


This was a popular request in that many office get side tracked midway through loading films, and they 'forget' what films they had already loaded for a particular study.  So now these are listed for you when you come back to a case, and the films to choose from will be deleted as they are utilized.
video link:


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 Version 18

You can see this tutorial online through youtube at:

To be eligible  for this update, you only need to be active on your technical support agreement which is attached as a PDF to this support FAQ document.

Exciting NEW Features:
  1. Nasium upper cervical Analysis
  2. Ability to import and comment on other xray views which are not digitized and even AP and Lateral postures!
  3. Label exams so you now can tell which exams you need to compare quickly and easily
  4. View box can now include uploaded PostureScreen photos
  5. Patient reports can now include postural photos from PostureScreen Mobile
  6. Digitzation helper lines, for better reliability when a doctor is digitizating, acting as a straight edge ruler (lateral views)
  7. Ability to perform various comparative reports, such as Denneroll stress views, Heel lift stress views, folow up xrays, post exam reports - the introduction paragraphs are now specific to the type of examination you are generating report on.
  8. Reports have an all new and more professional look!
  9. Ability to import logos to impression reports as well as the patient reports.
  10. Expanded impression report documentation area for up to 10, 000 characters!
  11. Radiographic "Summary" documentation reporting options - a clinical correlation report can now use Phrase Builder to quickly document the proper supporting documentation.
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