diff --git a/bun.lock b/bun.lock
index 18c4b753f..72b2db206 100644
--- a/bun.lock
+++ b/bun.lock
@@ -52,7 +52,7 @@
     },
     "addOns/externals/devDependencies": {
       "name": "@externals/devDependencies",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "@kitware/vtk.js": "32.12.0",
@@ -137,22 +137,22 @@
     },
     "addOns/externals/dicom-microscopy-viewer": {
       "name": "@externals/dicom-microscopy-viewer",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "dicom-microscopy-viewer": "0.48.6",
       },
     },
     "extensions/cornerstone": {
       "name": "@ohif/extension-cornerstone",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
-        "@cornerstonejs/adapters": "4.5.20",
-        "@cornerstonejs/ai": "4.5.20",
-        "@cornerstonejs/core": "4.5.20",
-        "@cornerstonejs/labelmap-interpolation": "4.5.20",
-        "@cornerstonejs/polymorphic-segmentation": "4.5.20",
-        "@cornerstonejs/tools": "4.5.20",
+        "@cornerstonejs/adapters": "4.9.0",
+        "@cornerstonejs/ai": "4.9.0",
+        "@cornerstonejs/core": "4.9.0",
+        "@cornerstonejs/labelmap-interpolation": "4.9.0",
+        "@cornerstonejs/polymorphic-segmentation": "4.9.0",
+        "@cornerstonejs/tools": "4.9.0",
         "@itk-wasm/morphological-contour-interpolation": "1.1.0",
         "@kitware/vtk.js": "32.12.0",
         "html2canvas": "1.4.1",
@@ -169,9 +169,9 @@
         "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2",
         "@cornerstonejs/codec-openjpeg": "1.3.0",
         "@cornerstonejs/codec-openjph": "2.4.7",
-        "@cornerstonejs/dicom-image-loader": "4.5.20",
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@cornerstonejs/dicom-image-loader": "4.9.0",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
         "dcmjs": "0.43.1",
         "dicom-parser": "1.8.21",
         "hammerjs": "2.0.8",
@@ -183,19 +183,19 @@
     },
     "extensions/cornerstone-dicom-pmap": {
       "name": "@ohif/extension-cornerstone-dicom-pmap",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
-        "@cornerstonejs/adapters": "4.5.20",
-        "@cornerstonejs/core": "4.5.20",
+        "@cornerstonejs/adapters": "4.9.0",
+        "@cornerstonejs/core": "4.9.0",
         "@kitware/vtk.js": "32.12.0",
         "react-color": "2.19.3",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/i18n": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/i18n": "3.12.0-beta.79",
         "prop-types": "15.8.1",
         "react": "18.3.1",
         "react-dom": "18.3.1",
@@ -206,16 +206,16 @@
     },
     "extensions/cornerstone-dicom-rt": {
       "name": "@ohif/extension-cornerstone-dicom-rt",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "react-color": "2.19.3",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/i18n": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/i18n": "3.12.0-beta.79",
         "prop-types": "15.8.1",
         "react": "18.3.1",
         "react-dom": "18.3.1",
@@ -226,19 +226,19 @@
     },
     "extensions/cornerstone-dicom-seg": {
       "name": "@ohif/extension-cornerstone-dicom-seg",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
-        "@cornerstonejs/adapters": "4.5.20",
-        "@cornerstonejs/core": "4.5.20",
+        "@cornerstonejs/adapters": "4.9.0",
+        "@cornerstonejs/core": "4.9.0",
         "@kitware/vtk.js": "32.12.0",
         "react-color": "2.19.3",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/i18n": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/i18n": "3.12.0-beta.79",
         "prop-types": "15.8.1",
         "react": "18.3.1",
         "react-dom": "18.3.1",
@@ -249,19 +249,19 @@
     },
     "extensions/cornerstone-dicom-sr": {
       "name": "@ohif/extension-cornerstone-dicom-sr",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
-        "@cornerstonejs/adapters": "4.5.20",
-        "@cornerstonejs/core": "4.5.20",
-        "@cornerstonejs/tools": "4.5.20",
+        "@cornerstonejs/adapters": "4.9.0",
+        "@cornerstonejs/core": "4.9.0",
+        "@cornerstonejs/tools": "4.9.0",
         "classnames": "2.5.1",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-measurement-tracking": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-measurement-tracking": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
         "dcmjs": "0.43.1",
         "dicom-parser": "1.8.21",
         "hammerjs": "2.0.8",
@@ -271,19 +271,19 @@
     },
     "extensions/cornerstone-dynamic-volume": {
       "name": "@ohif/extension-cornerstone-dynamic-volume",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
-        "@cornerstonejs/core": "4.5.20",
-        "@cornerstonejs/tools": "4.5.20",
+        "@cornerstonejs/core": "4.9.0",
+        "@cornerstonejs/tools": "4.9.0",
         "classnames": "2.5.1",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/i18n": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/i18n": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
         "dcmjs": "0.43.1",
         "dicom-parser": "1.8.21",
         "hammerjs": "2.0.8",
@@ -293,7 +293,7 @@
     },
     "extensions/default": {
       "name": "@ohif/extension-default",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "@cornerstonejs/calculate-suv": "1.1.0",
@@ -301,8 +301,8 @@
         "lodash.uniqby": "4.7.0",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/i18n": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/i18n": "3.12.0-beta.79",
         "dcmjs": "0.43.1",
         "dicomweb-client": "0.10.4",
         "prop-types": "15.8.1",
@@ -316,7 +316,7 @@
     },
     "extensions/dicom-microscopy": {
       "name": "@ohif/extension-dicom-microscopy",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "@cornerstonejs/codec-charls": "1.2.3",
@@ -327,10 +327,10 @@
         "mathjs": "12.4.3",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/i18n": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/i18n": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
         "prop-types": "15.8.1",
         "react": "18.3.1",
         "react-dom": "18.3.1",
@@ -341,14 +341,14 @@
     },
     "extensions/dicom-pdf": {
       "name": "@ohif/extension-dicom-pdf",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "classnames": "2.5.1",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
         "dcmjs": "0.43.1",
         "dicom-parser": "1.8.21",
         "hammerjs": "2.0.8",
@@ -358,14 +358,14 @@
     },
     "extensions/dicom-video": {
       "name": "@ohif/extension-dicom-video",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "classnames": "2.5.1",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
         "dcmjs": "0.43.1",
         "dicom-parser": "1.8.21",
         "hammerjs": "2.0.8",
@@ -375,20 +375,20 @@
     },
     "extensions/measurement-tracking": {
       "name": "@ohif/extension-measurement-tracking",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@ohif/ui": "3.12.0-beta.79",
         "@xstate/react": "3.2.2",
         "xstate": "4.38.3",
       },
       "peerDependencies": {
-        "@cornerstonejs/core": "4.5.20",
-        "@cornerstonejs/tools": "4.5.20",
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@cornerstonejs/core": "4.9.0",
+        "@cornerstonejs/tools": "4.9.0",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
         "classnames": "2.5.1",
         "dcmjs": "0.43.1",
         "lodash.debounce": "4.0.8",
@@ -401,14 +401,14 @@
     },
     "extensions/test-extension": {
       "name": "@ohif/extension-test",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "classnames": "2.5.1",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
         "dcmjs": "0.43.1",
         "dicom-parser": "1.8.21",
         "hammerjs": "2.0.8",
@@ -418,7 +418,7 @@
     },
     "extensions/tmtv": {
       "name": "@ohif/extension-tmtv",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "classnames": "2.5.1",
@@ -435,16 +435,16 @@
     },
     "extensions/usAnnotation": {
       "name": "@ohif/extension-ultrasound-pleura-bline",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
-        "@cornerstonejs/core": "4.5.20",
-        "@cornerstonejs/tools": "4.5.20",
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/i18n": "3.12.0-beta.78",
-        "@ohif/ui-next": "3.12.0-beta.78",
+        "@cornerstonejs/core": "4.9.0",
+        "@cornerstonejs/tools": "4.9.0",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/i18n": "3.12.0-beta.79",
+        "@ohif/ui-next": "3.12.0-beta.79",
       },
       "devDependencies": {
         "@babel/core": "7.28.0",
@@ -487,7 +487,7 @@
     },
     "modes/basic": {
       "name": "@ohif/mode-basic",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
       },
@@ -508,7 +508,7 @@
     },
     "modes/basic-dev-mode": {
       "name": "@ohif/mode-basic-dev-mode",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "i18next": "17.3.1",
@@ -518,17 +518,17 @@
         "webpack-merge": "5.10.0",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/extension-dicom-pdf": "3.12.0-beta.78",
-        "@ohif/extension-dicom-video": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/extension-dicom-pdf": "3.12.0-beta.79",
+        "@ohif/extension-dicom-video": "3.12.0-beta.79",
       },
     },
     "modes/basic-test-mode": {
       "name": "@ohif/mode-test",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "i18next": "17.3.1",
@@ -538,19 +538,19 @@
         "webpack-merge": "5.10.0",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/extension-dicom-pdf": "3.12.0-beta.78",
-        "@ohif/extension-dicom-video": "3.12.0-beta.78",
-        "@ohif/extension-measurement-tracking": "3.12.0-beta.78",
-        "@ohif/extension-test": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/extension-dicom-pdf": "3.12.0-beta.79",
+        "@ohif/extension-dicom-video": "3.12.0-beta.79",
+        "@ohif/extension-measurement-tracking": "3.12.0-beta.79",
+        "@ohif/extension-test": "3.12.0-beta.79",
       },
     },
     "modes/longitudinal": {
       "name": "@ohif/mode-longitudinal",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "i18next": "17.3.1",
@@ -560,32 +560,32 @@
         "webpack-merge": "5.10.0",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-rt": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-seg": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/extension-dicom-pdf": "3.12.0-beta.78",
-        "@ohif/extension-dicom-video": "3.12.0-beta.78",
-        "@ohif/extension-measurement-tracking": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-rt": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-seg": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/extension-dicom-pdf": "3.12.0-beta.79",
+        "@ohif/extension-dicom-video": "3.12.0-beta.79",
+        "@ohif/extension-measurement-tracking": "3.12.0-beta.79",
       },
     },
     "modes/microscopy": {
       "name": "@ohif/mode-microscopy",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "i18next": "17.3.1",
       },
       "peerDependencies": {
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-dicom-microscopy": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-dicom-microscopy": "3.12.0-beta.79",
       },
     },
     "modes/preclinical-4d": {
       "name": "@ohif/mode-preclinical-4d",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
       },
@@ -604,7 +604,7 @@
     },
     "modes/segmentation": {
       "name": "@ohif/mode-segmentation",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "i18next": "17.3.1",
@@ -648,7 +648,7 @@
     },
     "modes/tmtv": {
       "name": "@ohif/mode-tmtv",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "i18next": "17.3.1",
@@ -669,14 +669,14 @@
     },
     "modes/usAnnotation": {
       "name": "@ohif/mode-ultrasound-pleura-bline",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
-        "@cornerstonejs/core": "4.5.20",
-        "@cornerstonejs/tools": "4.5.20",
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.78",
-        "@ohif/extension-ultrasound-pleura-bline": "3.12.0-beta.78",
+        "@cornerstonejs/core": "4.9.0",
+        "@cornerstonejs/tools": "4.9.0",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.79",
+        "@ohif/extension-ultrasound-pleura-bline": "3.12.0-beta.79",
         "i18next": "17.3.1",
       },
       "devDependencies": {
@@ -708,34 +708,34 @@
     },
     "platform/app": {
       "name": "@ohif/app",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "@cornerstonejs/codec-charls": "1.2.3",
         "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2",
         "@cornerstonejs/codec-openjpeg": "1.3.0",
         "@cornerstonejs/codec-openjph": "2.4.7",
-        "@cornerstonejs/dicom-image-loader": "4.5.20",
+        "@cornerstonejs/dicom-image-loader": "4.9.0",
         "@emotion/serialize": "1.3.3",
-        "@ohif/core": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-rt": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-seg": "3.12.0-beta.78",
-        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.78",
-        "@ohif/extension-default": "3.12.0-beta.78",
-        "@ohif/extension-dicom-microscopy": "3.12.0-beta.78",
-        "@ohif/extension-dicom-pdf": "3.12.0-beta.78",
-        "@ohif/extension-dicom-video": "3.12.0-beta.78",
-        "@ohif/extension-test": "3.12.0-beta.78",
-        "@ohif/extension-ultrasound-pleura-bline": "3.12.0-beta.78",
-        "@ohif/i18n": "3.12.0-beta.78",
-        "@ohif/mode-basic-dev-mode": "3.12.0-beta.78",
-        "@ohif/mode-longitudinal": "3.12.0-beta.78",
-        "@ohif/mode-microscopy": "3.12.0-beta.78",
-        "@ohif/mode-test": "3.12.0-beta.78",
-        "@ohif/mode-ultrasound-pleura-bline": "3.12.0-beta.78",
-        "@ohif/ui": "3.12.0-beta.78",
-        "@ohif/ui-next": "3.12.0-beta.78",
+        "@ohif/core": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-rt": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-seg": "3.12.0-beta.79",
+        "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.79",
+        "@ohif/extension-default": "3.12.0-beta.79",
+        "@ohif/extension-dicom-microscopy": "3.12.0-beta.79",
+        "@ohif/extension-dicom-pdf": "3.12.0-beta.79",
+        "@ohif/extension-dicom-video": "3.12.0-beta.79",
+        "@ohif/extension-test": "3.12.0-beta.79",
+        "@ohif/extension-ultrasound-pleura-bline": "3.12.0-beta.79",
+        "@ohif/i18n": "3.12.0-beta.79",
+        "@ohif/mode-basic-dev-mode": "3.12.0-beta.79",
+        "@ohif/mode-longitudinal": "3.12.0-beta.79",
+        "@ohif/mode-microscopy": "3.12.0-beta.79",
+        "@ohif/mode-test": "3.12.0-beta.79",
+        "@ohif/mode-ultrasound-pleura-bline": "3.12.0-beta.79",
+        "@ohif/ui": "3.12.0-beta.79",
+        "@ohif/ui-next": "3.12.0-beta.79",
         "@svgr/webpack": "8.1.0",
         "@types/react": "18.3.23",
         "classnames": "2.5.1",
@@ -787,7 +787,7 @@
     },
     "platform/cli": {
       "name": "@ohif/cli",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "bin": {
         "ohif-cli": "src/index.js",
       },
@@ -811,7 +811,7 @@
     },
     "platform/core": {
       "name": "@ohif/core",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "dcmjs": "0.43.1",
@@ -836,16 +836,16 @@
         "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2",
         "@cornerstonejs/codec-openjpeg": "1.3.0",
         "@cornerstonejs/codec-openjph": "2.4.7",
-        "@cornerstonejs/core": "4.5.20",
-        "@cornerstonejs/dicom-image-loader": "4.5.20",
-        "@ohif/ui": "3.12.0-beta.78",
+        "@cornerstonejs/core": "4.9.0",
+        "@cornerstonejs/dicom-image-loader": "4.9.0",
+        "@ohif/ui": "3.12.0-beta.79",
         "cornerstone-math": "0.1.9",
         "dicom-parser": "1.8.21",
       },
     },
     "platform/i18n": {
       "name": "@ohif/i18n",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@babel/runtime": "7.28.2",
         "i18next-locize-backend": "2.2.2",
@@ -870,7 +870,7 @@
     },
     "platform/ui": {
       "name": "@ohif/ui",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@testing-library/react": "13.4.0",
         "browser-detect": "0.2.28",
@@ -921,7 +921,7 @@
     },
     "platform/ui-next": {
       "name": "@ohif/ui-next",
-      "version": "3.12.0-beta.78",
+      "version": "3.12.0-beta.79",
       "dependencies": {
         "@radix-ui/react-accordion": "1.2.11",
         "@radix-ui/react-checkbox": "1.3.2",
@@ -1228,9 +1228,9 @@
 
     "@bcoe/v8-coverage": ["@bcoe/v8-coverage@0.2.3", "", {}, "sha512-0hYQ8SB4Db5zvZB4axdMHGwEaQjkZzFjQiN9LVYvIFB2nSUHW9tYpxWriPrWDASIxiaXax83REcLxuSdnGPZtw=="],
 
-    "@cornerstonejs/adapters": ["@cornerstonejs/adapters@4.5.20", "", { "dependencies": { "@babel/runtime-corejs2": "7.26.10", "buffer": "6.0.3", "dcmjs": "0.43.1", "gl-matrix": "3.4.3", "ndarray": "1.0.19" }, "peerDependencies": { "@cornerstonejs/core": "4.5.20", "@cornerstonejs/tools": "4.5.20" } }, "sha512-VamRAnlWoNrb4dKx8UfZBgR3mssei88OMoSaNG9V6g+CZUfpMEuZrinTN7ksph0kZ6h8YgIdfDoSzweTpS7cNA=="],
+    "@cornerstonejs/adapters": ["@cornerstonejs/adapters@4.9.0", "", { "dependencies": { "@babel/runtime-corejs2": "7.26.10", "buffer": "6.0.3", "dcmjs": "0.43.1", "gl-matrix": "3.4.3", "ndarray": "1.0.19" }, "peerDependencies": { "@cornerstonejs/core": "4.9.0", "@cornerstonejs/tools": "4.9.0" } }, "sha512-wP5nZQobLe0JHfdftxqOm9901XPnDASDP40nEryKHI/t+8MMKq/XOI4zStkwdInimgaohHR9ppV8Ybuob7Zu4Q=="],
 
-    "@cornerstonejs/ai": ["@cornerstonejs/ai@4.5.20", "", { "dependencies": { "@babel/runtime-corejs2": "7.26.10", "buffer": "6.0.3", "dcmjs": "0.43.1", "gl-matrix": "3.4.3", "lodash.clonedeep": "4.5.0", "ndarray": "1.0.19", "onnxruntime-common": "1.17.1", "onnxruntime-web": "1.17.1" }, "peerDependencies": { "@cornerstonejs/core": "4.5.20", "@cornerstonejs/tools": "4.5.20" } }, "sha512-M+MumfAzEX2U5r0QRifYvYqH3xBf2qaqPNaMprHuzPG0Xh8NR9E4KvpZWdW8Wn04quTBO8O/nJ+H9deGlY0idA=="],
+    "@cornerstonejs/ai": ["@cornerstonejs/ai@4.9.0", "", { "dependencies": { "@babel/runtime-corejs2": "7.26.10", "buffer": "6.0.3", "dcmjs": "0.43.1", "gl-matrix": "3.4.3", "lodash.clonedeep": "4.5.0", "ndarray": "1.0.19", "onnxruntime-common": "1.17.1", "onnxruntime-web": "1.17.1" }, "peerDependencies": { "@cornerstonejs/core": "4.9.0", "@cornerstonejs/tools": "4.9.0" } }, "sha512-eS036rfCJ4twK9LpyixUS2UgZ5IfR4A1gA959LyR9jyOY0ol24KeJyvXsZ9eSpbJO8VJ3tJVLwNVAKgjyosnwQ=="],
 
     "@cornerstonejs/calculate-suv": ["@cornerstonejs/calculate-suv@1.1.0", "", {}, "sha512-Q9XraiDJif9aMFArD2iEuDO/HXbcRVCqB7KfaHgDrdTTjgDFovS91Psbdim7crypRSvE6dh/+HKeFNHdvNkA6w=="],
 
@@ -1242,15 +1242,15 @@
 
     "@cornerstonejs/codec-openjph": ["@cornerstonejs/codec-openjph@2.4.7", "", {}, "sha512-qvP4q4JDib7mi9r7LqKOwqz7YZ8gjtDX4ZCezeYf8+eb7MBXCz5uXAMeVF3yz9Axw4XiIMdB/pqXkm8tqCl13w=="],
 
-    "@cornerstonejs/core": ["@cornerstonejs/core@4.5.20", "", { "dependencies": { "@kitware/vtk.js": "32.12.1", "comlink": "4.4.2", "gl-matrix": "3.4.3", "loglevel": "1.9.2" } }, "sha512-AWI8GilT9JfCBJywnQwZ5xQZG4EQHujIb4J9VPqyJ/K0ShQ4b7l9kabZ30S6zkimeClntNVVa1Quas7gWPW2LQ=="],
+    "@cornerstonejs/core": ["@cornerstonejs/core@4.9.0", "", { "dependencies": { "@kitware/vtk.js": "32.12.1", "comlink": "4.4.2", "gl-matrix": "3.4.3", "loglevel": "1.9.2" } }, "sha512-Gj8/nhogWg63r4vUSXD4QU8ffAB5AzUcAfNjPYBk7L6yzp42AwBMkuh2zetY1ZSJCgsCImIYpcvH/WLWpZa/9Q=="],
 
-    "@cornerstonejs/dicom-image-loader": ["@cornerstonejs/dicom-image-loader@4.5.20", "", { "dependencies": { "@cornerstonejs/codec-charls": "1.2.3", "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2", "@cornerstonejs/codec-openjpeg": "1.2.4", "@cornerstonejs/codec-openjph": "2.4.7", "comlink": "4.4.2", "dicom-parser": "1.8.21", "jpeg-lossless-decoder-js": "2.1.2", "pako": "2.1.0", "uuid": "9.0.1" }, "peerDependencies": { "@cornerstonejs/core": "4.5.20" } }, "sha512-eH4q4ERBlJJsJL9gRWEmCVR96VIxAYV3XIEs9PbRqMs4cfW4AjcupmwuCIbTAVP93LIDXxqN8f2lQXCDjQugjQ=="],
+    "@cornerstonejs/dicom-image-loader": ["@cornerstonejs/dicom-image-loader@4.9.0", "", { "dependencies": { "@cornerstonejs/codec-charls": "1.2.3", "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2", "@cornerstonejs/codec-openjpeg": "1.3.0", "@cornerstonejs/codec-openjph": "2.4.7", "comlink": "4.4.2", "dicom-parser": "1.8.21", "jpeg-lossless-decoder-js": "2.1.2", "pako": "2.1.0", "uuid": "9.0.1" }, "peerDependencies": { "@cornerstonejs/core": "4.9.0" } }, "sha512-IKgpSjGPya/Nhntf6Cy09RafsO9sqDb4EwkoCC8cZ+QFCe4af6sNSIovJjOdREqIgB5iMEsTa8U1foe/slRwlA=="],
 
-    "@cornerstonejs/labelmap-interpolation": ["@cornerstonejs/labelmap-interpolation@4.5.20", "", { "dependencies": { "@itk-wasm/morphological-contour-interpolation": "1.1.0", "itk-wasm": "1.0.0-b.165" }, "peerDependencies": { "@cornerstonejs/core": "4.5.20", "@cornerstonejs/tools": "4.5.20", "@kitware/vtk.js": "32.12.1" } }, "sha512-lbVKXloFJk1HFHtFKLSjbchilnE1bfnM/JYlr16HSvlgb1rPd7GPoZFfrn034oowNEfOLjqJ+C35EaaIjSOxxw=="],
+    "@cornerstonejs/labelmap-interpolation": ["@cornerstonejs/labelmap-interpolation@4.9.0", "", { "dependencies": { "@itk-wasm/morphological-contour-interpolation": "1.1.0", "itk-wasm": "1.0.0-b.165" }, "peerDependencies": { "@cornerstonejs/core": "4.9.0", "@cornerstonejs/tools": "4.9.0", "@kitware/vtk.js": "32.12.1" } }, "sha512-LrWrXcLh9Gd4FE3hkq74bElGXJjF1izE9SFjvkYIHNUHGuIQiD2oYGlBFALXpjUb4i3B4hfVA0wz55z4Fz2vfg=="],
 
-    "@cornerstonejs/polymorphic-segmentation": ["@cornerstonejs/polymorphic-segmentation@4.5.20", "", { "dependencies": { "@icr/polyseg-wasm": "0.4.0" }, "peerDependencies": { "@cornerstonejs/core": "4.5.20", "@cornerstonejs/tools": "4.5.20", "@kitware/vtk.js": "32.12.1" } }, "sha512-s4es71KDzsrMPchGm5B3lERIF/M+OHMtFZbXAzGcZ8KnZZkmX1j1G6vxakcW8IjXL4knkDuSkZxevFXWIKyMoA=="],
+    "@cornerstonejs/polymorphic-segmentation": ["@cornerstonejs/polymorphic-segmentation@4.9.0", "", { "dependencies": { "@icr/polyseg-wasm": "0.4.0" }, "peerDependencies": { "@cornerstonejs/core": "4.9.0", "@cornerstonejs/tools": "4.9.0", "@kitware/vtk.js": "32.12.1" } }, "sha512-oONftUjfDTfa7ex6zqeUtuPqqeFAATH5dszxiKh4xtoY2AlBhNFjfbhFLdWTa4Y1Lfl9yOWNK1sNZAOA1BnUXQ=="],
 
-    "@cornerstonejs/tools": ["@cornerstonejs/tools@4.5.20", "", { "dependencies": { "@types/offscreencanvas": "2019.7.3", "comlink": "4.4.2", "lodash.get": "4.4.2" }, "peerDependencies": { "@cornerstonejs/core": "4.5.20", "@kitware/vtk.js": "32.12.1", "@types/d3-array": "3.2.1", "@types/d3-interpolate": "3.0.4", "d3-array": "3.2.4", "d3-interpolate": "3.0.1", "gl-matrix": "3.4.3" } }, "sha512-FY2sxm7vPiCI1Vm1JsHeIYMi45686V8/RkRa47XDt/035B/v36pr81pyE9nl/jb7FJiHfzSyDeROJ8YoPVe9qQ=="],
+    "@cornerstonejs/tools": ["@cornerstonejs/tools@4.9.0", "", { "dependencies": { "@types/offscreencanvas": "2019.7.3", "comlink": "4.4.2", "lodash.get": "4.4.2" }, "peerDependencies": { "@cornerstonejs/core": "4.9.0", "@kitware/vtk.js": "32.12.1", "@types/d3-array": "3.2.1", "@types/d3-interpolate": "3.0.4", "d3-array": "3.2.4", "d3-interpolate": "3.0.1", "gl-matrix": "3.4.3" } }, "sha512-cUd50Lc85T4OwTXPrBTUjyIKHHe5icxR5N8H6X3NQFfhTsCB11nZLt7530hL2oQZmAleg5u853XbAVzoaa9mjg=="],
 
     "@cspotcode/source-map-support": ["@cspotcode/source-map-support@0.8.1", "", { "dependencies": { "@jridgewell/trace-mapping": "0.3.9" } }, "sha512-IchNf6dN4tHoMFIn/7OE8LWZ19Y6q/67Bmf6vnGREv8RSbBVb9LPJxEcnwrcwX6ixSvaiGoomAUvu4YSxXrVgw=="],
 
diff --git a/extensions/cornerstone-dicom-pmap/package.json b/extensions/cornerstone-dicom-pmap/package.json
index 18e324574..4265e66af 100644
--- a/extensions/cornerstone-dicom-pmap/package.json
+++ b/extensions/cornerstone-dicom-pmap/package.json
@@ -46,8 +46,8 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/adapters": "4.5.20",
-    "@cornerstonejs/core": "4.5.20",
+    "@cornerstonejs/adapters": "4.9.0",
+    "@cornerstonejs/core": "4.9.0",
     "@kitware/vtk.js": "32.12.0",
     "react-color": "2.19.3"
   }
diff --git a/extensions/cornerstone-dicom-seg/package.json b/extensions/cornerstone-dicom-seg/package.json
index 6faaaef17..6290017c0 100644
--- a/extensions/cornerstone-dicom-seg/package.json
+++ b/extensions/cornerstone-dicom-seg/package.json
@@ -46,8 +46,8 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/adapters": "4.5.20",
-    "@cornerstonejs/core": "4.5.20",
+    "@cornerstonejs/adapters": "4.9.0",
+    "@cornerstonejs/core": "4.9.0",
     "@kitware/vtk.js": "32.12.0",
     "react-color": "2.19.3"
   }
diff --git a/extensions/cornerstone-dicom-seg/src/getToolbarModule.ts b/extensions/cornerstone-dicom-seg/src/getToolbarModule.ts
index 35a576f29..6fb56cad2 100644
--- a/extensions/cornerstone-dicom-seg/src/getToolbarModule.ts
+++ b/extensions/cornerstone-dicom-seg/src/getToolbarModule.ts
@@ -1,4 +1,6 @@
+import { utilities as cstUtils } from '@cornerstonejs/tools';
 import { useUIStateStore } from '@ohif/extension-default';
+
 import LogicalContourOperationsOptions from './components/LogicalContourOperationsOptions';
 import SimplifyContourOptions from './components/SimplifyContourOptions';
 import SmoothContoursOptions from './components/SmoothContoursOptions';
@@ -118,5 +120,23 @@ export function getToolbarModule({ servicesManager }: withAppTypes) {
         };
       },
     },
+    {
+      name: 'evaluate.cornerstone.segmentation.synchronizeDrawingRadius',
+      evaluate: ({ button, radiusOptionId }) => {
+        const toolGroupIds = toolGroupService.getToolGroupIds();
+        if (!toolGroupIds?.length) {
+          return;
+        }
+
+        for (const toolGroupId of toolGroupIds) {
+          const brushSize = cstUtils.segmentation.getBrushSizeForToolGroup(toolGroupId);
+
+          if (brushSize) {
+            const option = toolbarService.getOptionById(button, radiusOptionId);
+            option.value = brushSize;
+          }
+        }
+      },
+    },
   ];
 }
diff --git a/extensions/cornerstone-dicom-sr/package.json b/extensions/cornerstone-dicom-sr/package.json
index dbc55dd93..4ab057ad7 100644
--- a/extensions/cornerstone-dicom-sr/package.json
+++ b/extensions/cornerstone-dicom-sr/package.json
@@ -46,9 +46,9 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/adapters": "4.5.20",
-    "@cornerstonejs/core": "4.5.20",
-    "@cornerstonejs/tools": "4.5.20",
+    "@cornerstonejs/adapters": "4.9.0",
+    "@cornerstonejs/core": "4.9.0",
+    "@cornerstonejs/tools": "4.9.0",
     "classnames": "2.5.1"
   }
 }
diff --git a/extensions/cornerstone-dynamic-volume/package.json b/extensions/cornerstone-dynamic-volume/package.json
index 9b5ef7c32..b364f2ce6 100644
--- a/extensions/cornerstone-dynamic-volume/package.json
+++ b/extensions/cornerstone-dynamic-volume/package.json
@@ -42,8 +42,8 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/core": "4.5.20",
-    "@cornerstonejs/tools": "4.5.20",
+    "@cornerstonejs/core": "4.9.0",
+    "@cornerstonejs/tools": "4.9.0",
     "classnames": "2.5.1"
   }
 }
diff --git a/extensions/cornerstone/package.json b/extensions/cornerstone/package.json
index 539d5e20d..24ee93af6 100644
--- a/extensions/cornerstone/package.json
+++ b/extensions/cornerstone/package.json
@@ -40,7 +40,7 @@
     "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2",
     "@cornerstonejs/codec-openjpeg": "1.3.0",
     "@cornerstonejs/codec-openjph": "2.4.7",
-    "@cornerstonejs/dicom-image-loader": "4.5.20",
+    "@cornerstonejs/dicom-image-loader": "4.9.0",
     "@ohif/core": "3.12.0-beta.80",
     "@ohif/ui": "3.12.0-beta.80",
     "dcmjs": "0.43.1",
@@ -53,12 +53,12 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/adapters": "4.5.20",
-    "@cornerstonejs/ai": "4.5.20",
-    "@cornerstonejs/core": "4.5.20",
-    "@cornerstonejs/labelmap-interpolation": "4.5.20",
-    "@cornerstonejs/polymorphic-segmentation": "4.5.20",
-    "@cornerstonejs/tools": "4.5.20",
+    "@cornerstonejs/adapters": "4.9.0",
+    "@cornerstonejs/ai": "4.9.0",
+    "@cornerstonejs/core": "4.9.0",
+    "@cornerstonejs/labelmap-interpolation": "4.9.0",
+    "@cornerstonejs/polymorphic-segmentation": "4.9.0",
+    "@cornerstonejs/tools": "4.9.0",
     "@itk-wasm/morphological-contour-interpolation": "1.1.0",
     "@kitware/vtk.js": "32.12.0",
     "html2canvas": "1.4.1",
diff --git a/extensions/cornerstone/src/commandsModule.ts b/extensions/cornerstone/src/commandsModule.ts
index 61c0679f7..7738fd1a8 100644
--- a/extensions/cornerstone/src/commandsModule.ts
+++ b/extensions/cornerstone/src/commandsModule.ts
@@ -120,6 +120,7 @@ function commandsModule({
 }: OhifTypes.Extensions.ExtensionParams): OhifTypes.Extensions.CommandsModule {
   const {
     viewportGridService,
+    toolbarService,
     toolGroupService,
     cineService,
     uiDialogService,
@@ -159,6 +160,25 @@ function commandsModule({
     };
   }
 
+  function _handleBrushSizeAction(action: 'increase' | 'decrease') {
+    const toolGroupIds = toolGroupService.getToolGroupIds();
+    if (!toolGroupIds?.length) {
+      return;
+    }
+
+    for (const toolGroupId of toolGroupIds) {
+      const brushSize = segmentationUtils.getBrushSizeForToolGroup(toolGroupId);
+
+      const newBrushSize = action === 'increase' ? brushSize + 3 : brushSize - 3;
+
+      if (brushSize) {
+        segmentationUtils.setBrushSizeForToolGroup(toolGroupId, newBrushSize);
+
+        toolbarService.refreshToolbarState({ toolGroupId });
+      }
+    }
+  }
+
   const actions = {
     jumpToMeasurementViewport: ({ annotationUID, measurement }) => {
       cornerstoneTools.annotation.selection.setAnnotationSelected(annotationUID, true);
@@ -2025,17 +2045,11 @@ function commandsModule({
         segmentAI.initViewport(viewport);
       }
     },
-    setBrushSize: ({ value, toolNames }) => {
+    setBrushSize: ({ value }) => {
       const brushSize = Number(value);
 
       toolGroupService.getToolGroupIds()?.forEach(toolGroupId => {
-        if (toolNames?.length === 0) {
-          segmentationUtils.setBrushSizeForToolGroup(toolGroupId, brushSize);
-        } else {
-          toolNames?.forEach(toolName => {
-            segmentationUtils.setBrushSizeForToolGroup(toolGroupId, brushSize, toolName);
-          });
-        }
+        segmentationUtils.setBrushSizeForToolGroup(toolGroupId, brushSize);
       });
     },
     setThresholdRange: ({
@@ -2064,26 +2078,10 @@ function commandsModule({
       }
     },
     increaseBrushSize: () => {
-      const toolGroupIds = toolGroupService.getToolGroupIds();
-      if (!toolGroupIds?.length) {
-        return;
-      }
-
-      for (const toolGroupId of toolGroupIds) {
-        const brushSize = segmentationUtils.getBrushSizeForToolGroup(toolGroupId);
-        segmentationUtils.setBrushSizeForToolGroup(toolGroupId, brushSize + 3);
-      }
+      _handleBrushSizeAction('increase');
     },
     decreaseBrushSize: () => {
-      const toolGroupIds = toolGroupService.getToolGroupIds();
-      if (!toolGroupIds?.length) {
-        return;
-      }
-
-      for (const toolGroupId of toolGroupIds) {
-        const brushSize = segmentationUtils.getBrushSizeForToolGroup(toolGroupId);
-        segmentationUtils.setBrushSizeForToolGroup(toolGroupId, brushSize - 3);
-      }
+      _handleBrushSizeAction('decrease');
     },
     addNewSegment: () => {
       const { segmentationService } = servicesManager.services;
diff --git a/extensions/measurement-tracking/package.json b/extensions/measurement-tracking/package.json
index 277274a69..007dee266 100644
--- a/extensions/measurement-tracking/package.json
+++ b/extensions/measurement-tracking/package.json
@@ -32,8 +32,8 @@
     "start": "yarn run dev"
   },
   "peerDependencies": {
-    "@cornerstonejs/core": "4.5.20",
-    "@cornerstonejs/tools": "4.5.20",
+    "@cornerstonejs/core": "4.9.0",
+    "@cornerstonejs/tools": "4.9.0",
     "@ohif/core": "3.12.0-beta.80",
     "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.80",
     "@ohif/extension-default": "3.12.0-beta.80",
diff --git a/extensions/usAnnotation/package.json b/extensions/usAnnotation/package.json
index a64687bfb..8fbfc35ea 100644
--- a/extensions/usAnnotation/package.json
+++ b/extensions/usAnnotation/package.json
@@ -42,8 +42,8 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/core": "4.5.20",
-    "@cornerstonejs/tools": "4.5.20",
+    "@cornerstonejs/core": "4.9.0",
+    "@cornerstonejs/tools": "4.9.0",
     "@ohif/core": "3.12.0-beta.80",
     "@ohif/extension-cornerstone": "3.12.0-beta.80",
     "@ohif/extension-default": "3.12.0-beta.80",
diff --git a/modes/segmentation/src/constants.ts b/modes/segmentation/src/constants.ts
new file mode 100644
index 000000000..c8afca7e4
--- /dev/null
+++ b/modes/segmentation/src/constants.ts
@@ -0,0 +1,2 @@
+export const MIN_SEGMENTATION_DRAWING_RADIUS = 0.5;
+export const MAX_SEGMENTATION_DRAWING_RADIUS = 99.5;
diff --git a/modes/segmentation/src/initToolGroups.ts b/modes/segmentation/src/initToolGroups.ts
index bef3b1d3e..23509a8c9 100644
--- a/modes/segmentation/src/initToolGroups.ts
+++ b/modes/segmentation/src/initToolGroups.ts
@@ -1,3 +1,5 @@
+import { MIN_SEGMENTATION_DRAWING_RADIUS, MAX_SEGMENTATION_DRAWING_RADIUS } from './constants';
+
 const colours = {
   'viewport-0': 'rgb(200, 0, 0)',
   'viewport-1': 'rgb(200, 200, 0)',
@@ -32,6 +34,8 @@ function createTools({ utilityModule, commandsManager }) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'FILL_INSIDE_CIRCLE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -48,6 +52,8 @@ function createTools({ utilityModule, commandsManager }) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'ERASE_INSIDE_CIRCLE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -55,6 +61,8 @@ function createTools({ utilityModule, commandsManager }) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'FILL_INSIDE_SPHERE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -62,6 +70,8 @@ function createTools({ utilityModule, commandsManager }) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'ERASE_INSIDE_SPHERE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -69,6 +79,8 @@ function createTools({ utilityModule, commandsManager }) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'THRESHOLD_INSIDE_CIRCLE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -76,6 +88,8 @@ function createTools({ utilityModule, commandsManager }) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'THRESHOLD_INSIDE_SPHERE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -83,6 +97,8 @@ function createTools({ utilityModule, commandsManager }) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'THRESHOLD_INSIDE_CIRCLE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
           threshold: {
             isDynamic: true,
             dynamicRadius: 3,
@@ -100,6 +116,8 @@ function createTools({ utilityModule, commandsManager }) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'THRESHOLD_INSIDE_SPHERE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
           threshold: {
             isDynamic: true,
             dynamicRadius: 3,
diff --git a/modes/segmentation/src/toolbarButtons.ts b/modes/segmentation/src/toolbarButtons.ts
index ced9497c7..69360f4a6 100644
--- a/modes/segmentation/src/toolbarButtons.ts
+++ b/modes/segmentation/src/toolbarButtons.ts
@@ -2,6 +2,8 @@ import type { Button } from '@ohif/core/types';
 import { ViewportGridService } from '@ohif/core';
 import i18n from 'i18next';
 
+import { MIN_SEGMENTATION_DRAWING_RADIUS, MAX_SEGMENTATION_DRAWING_RADIUS } from './constants';
+
 const setToolActiveToolbar = {
   commandName: 'setToolActiveToolbar',
   commandOptions: {
@@ -651,6 +653,10 @@ const toolbarButtons: Button[] = [
           toolNames: ['CircularBrush', 'SphereBrush'],
           disabledText: i18n.t('Buttons:Create new segmentation to enable this tool.'),
         },
+        {
+          name: 'evaluate.cornerstone.segmentation.synchronizeDrawingRadius',
+          radiusOptionId: 'brush-radius',
+        },
         {
           name: 'evaluate.cornerstone.hasSegmentationOfType',
           segmentationRepresentationType: 'Labelmap',
@@ -667,8 +673,9 @@ const toolbarButtons: Button[] = [
           name: 'Radius (mm)',
           id: 'brush-radius',
           type: 'range',
-          min: 0.5,
-          max: 99.5,
+          explicitRunOnly: true,
+          min: MIN_SEGMENTATION_DRAWING_RADIUS,
+          max: MAX_SEGMENTATION_DRAWING_RADIUS,
           step: 0.5,
           value: 25,
           commands: [
@@ -894,6 +901,10 @@ const toolbarButtons: Button[] = [
           name: 'evaluate.cornerstone.segmentation',
           toolNames: ['CircularEraser', 'SphereEraser'],
         },
+        {
+          name: 'evaluate.cornerstone.segmentation.synchronizeDrawingRadius',
+          radiusOptionId: 'eraser-radius',
+        },
         {
           name: 'evaluate.cornerstone.hasSegmentationOfType',
           segmentationRepresentationType: 'Labelmap',
@@ -904,8 +915,9 @@ const toolbarButtons: Button[] = [
           name: 'Radius (mm)',
           id: 'eraser-radius',
           type: 'range',
-          min: 0.5,
-          max: 99.5,
+          explicitRunOnly: true,
+          min: MIN_SEGMENTATION_DRAWING_RADIUS,
+          max: MAX_SEGMENTATION_DRAWING_RADIUS,
           step: 0.5,
           value: 25,
           commands: {
@@ -949,6 +961,10 @@ const toolbarButtons: Button[] = [
             'ThresholdSphereBrushDynamic',
           ],
         },
+        {
+          name: 'evaluate.cornerstone.segmentation.synchronizeDrawingRadius',
+          radiusOptionId: 'threshold-radius',
+        },
         {
           name: 'evaluate.cornerstone.hasSegmentationOfType',
           segmentationRepresentationType: 'Labelmap',
@@ -960,14 +976,14 @@ const toolbarButtons: Button[] = [
           segmentationRepresentationType: 'Labelmap',
         },
       },
-
       options: [
         {
           name: 'Radius (mm)',
           id: 'threshold-radius',
           type: 'range',
-          min: 0.5,
-          max: 99.5,
+          explicitRunOnly: true,
+          min: MIN_SEGMENTATION_DRAWING_RADIUS,
+          max: MAX_SEGMENTATION_DRAWING_RADIUS,
           step: 0.5,
           value: 25,
           commands: {
diff --git a/modes/tmtv/src/constants.ts b/modes/tmtv/src/constants.ts
new file mode 100644
index 000000000..c8afca7e4
--- /dev/null
+++ b/modes/tmtv/src/constants.ts
@@ -0,0 +1,2 @@
+export const MIN_SEGMENTATION_DRAWING_RADIUS = 0.5;
+export const MAX_SEGMENTATION_DRAWING_RADIUS = 99.5;
diff --git a/modes/tmtv/src/initToolGroups.js b/modes/tmtv/src/initToolGroups.js
index 4c959be00..f844839c3 100644
--- a/modes/tmtv/src/initToolGroups.js
+++ b/modes/tmtv/src/initToolGroups.js
@@ -1,3 +1,5 @@
+import { MIN_SEGMENTATION_DRAWING_RADIUS, MAX_SEGMENTATION_DRAWING_RADIUS } from './constants';
+
 export const toolGroupIds = {
   CT: 'ctToolGroup',
   PT: 'ptToolGroup',
@@ -61,6 +63,8 @@ function _initToolGroups(toolNames, Enums, toolGroupService, commandsManager) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'FILL_INSIDE_CIRCLE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -68,6 +72,8 @@ function _initToolGroups(toolNames, Enums, toolGroupService, commandsManager) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'ERASE_INSIDE_CIRCLE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -75,6 +81,8 @@ function _initToolGroups(toolNames, Enums, toolGroupService, commandsManager) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'FILL_INSIDE_SPHERE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -82,6 +90,8 @@ function _initToolGroups(toolNames, Enums, toolGroupService, commandsManager) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'ERASE_INSIDE_SPHERE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -89,6 +99,8 @@ function _initToolGroups(toolNames, Enums, toolGroupService, commandsManager) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'THRESHOLD_INSIDE_CIRCLE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -96,6 +108,8 @@ function _initToolGroups(toolNames, Enums, toolGroupService, commandsManager) {
         parentTool: 'Brush',
         configuration: {
           activeStrategy: 'THRESHOLD_INSIDE_SPHERE',
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
       {
@@ -110,6 +124,8 @@ function _initToolGroups(toolNames, Enums, toolGroupService, commandsManager) {
             isDynamic: true,
             dynamicRadius: 3,
           },
+          minRadius: MIN_SEGMENTATION_DRAWING_RADIUS,
+          maxRadius: MAX_SEGMENTATION_DRAWING_RADIUS,
         },
       },
     ],
diff --git a/modes/tmtv/src/toolbarButtons.ts b/modes/tmtv/src/toolbarButtons.ts
index 2a5c740d9..f0a91200a 100644
--- a/modes/tmtv/src/toolbarButtons.ts
+++ b/modes/tmtv/src/toolbarButtons.ts
@@ -1,6 +1,8 @@
 import { toolGroupIds } from './initToolGroups';
 import i18n from 'i18next';
 
+import { MIN_SEGMENTATION_DRAWING_RADIUS, MAX_SEGMENTATION_DRAWING_RADIUS } from './constants';
+
 const setToolActiveToolbar = {
   commandName: 'setToolActiveToolbar',
   commandOptions: {
@@ -205,18 +207,25 @@ const toolbarButtons = [
     props: {
       icon: 'icon-tool-brush',
       label: i18n.t('Buttons:Brush'),
-      evaluate: {
-        name: 'evaluate.cornerstone.segmentation',
-        toolNames: ['CircularBrush', 'SphereBrush'],
-        disabledText: i18n.t('Buttons:Create new segmentation to enable this tool.'),
-      },
+      evaluate: [
+        {
+          name: 'evaluate.cornerstone.segmentation',
+          toolNames: ['CircularBrush', 'SphereBrush'],
+          disabledText: i18n.t('Buttons:Create new segmentation to enable this tool.'),
+        },
+        {
+          name: 'evaluate.cornerstone.segmentation.synchronizeDrawingRadius',
+          radiusOptionId: 'brush-radius',
+        },
+      ],
       options: [
         {
           name: 'Radius (mm)',
           id: 'brush-radius',
           type: 'range',
-          min: 0.5,
-          max: 99.5,
+          explicitRunOnly: true,
+          min: MIN_SEGMENTATION_DRAWING_RADIUS,
+          max: MAX_SEGMENTATION_DRAWING_RADIUS,
           step: 0.5,
           value: 25,
           commands: {
@@ -244,17 +253,24 @@ const toolbarButtons = [
     props: {
       icon: 'icon-tool-eraser',
       label: i18n.t('Buttons:Eraser'),
-      evaluate: {
-        name: 'evaluate.cornerstone.segmentation',
-        toolNames: ['CircularEraser', 'SphereEraser'],
-      },
+      evaluate: [
+        {
+          name: 'evaluate.cornerstone.segmentation',
+          toolNames: ['CircularEraser', 'SphereEraser'],
+        },
+        {
+          name: 'evaluate.cornerstone.segmentation.synchronizeDrawingRadius',
+          radiusOptionId: 'eraser-radius',
+        },
+      ],
       options: [
         {
           name: 'Radius (mm)',
           id: 'eraser-radius',
           type: 'range',
-          min: 0.5,
-          max: 99.5,
+          explicitRunOnly: true,
+          min: MIN_SEGMENTATION_DRAWING_RADIUS,
+          max: MAX_SEGMENTATION_DRAWING_RADIUS,
           step: 0.5,
           value: 25,
           commands: {
@@ -282,17 +298,24 @@ const toolbarButtons = [
     props: {
       icon: 'icon-tool-threshold',
       label: i18n.t('Buttons:Threshold Tool'),
-      evaluate: {
-        name: 'evaluate.cornerstone.segmentation',
-        toolNames: ['ThresholdCircularBrush', 'ThresholdSphereBrush'],
-      },
+      evaluate: [
+        {
+          name: 'evaluate.cornerstone.segmentation',
+          toolNames: ['ThresholdCircularBrush', 'ThresholdSphereBrush'],
+        },
+        {
+          name: 'evaluate.cornerstone.segmentation.synchronizeDrawingRadius',
+          radiusOptionId: 'threshold-radius',
+        },
+      ],
       options: [
         {
           name: 'Radius (mm)',
           id: 'threshold-radius',
           type: 'range',
-          min: 0.5,
-          max: 99.5,
+          explicitRunOnly: true,
+          min: MIN_SEGMENTATION_DRAWING_RADIUS,
+          max: MAX_SEGMENTATION_DRAWING_RADIUS,
           step: 0.5,
           value: 25,
           commands: {
diff --git a/modes/usAnnotation/package.json b/modes/usAnnotation/package.json
index cc4bdd604..9df85b147 100644
--- a/modes/usAnnotation/package.json
+++ b/modes/usAnnotation/package.json
@@ -34,8 +34,8 @@
   },
   "dependencies": {
     "@babel/runtime": "7.28.2",
-    "@cornerstonejs/core": "4.5.20",
-    "@cornerstonejs/tools": "4.5.20",
+    "@cornerstonejs/core": "4.9.0",
+    "@cornerstonejs/tools": "4.9.0",
     "@ohif/core": "3.12.0-beta.80",
     "@ohif/extension-cornerstone-dicom-sr": "3.12.0-beta.80",
     "@ohif/extension-ultrasound-pleura-bline": "3.12.0-beta.80",
diff --git a/platform/app/package.json b/platform/app/package.json
index 27be77d74..a9fa2da1b 100644
--- a/platform/app/package.json
+++ b/platform/app/package.json
@@ -53,7 +53,7 @@
     "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2",
     "@cornerstonejs/codec-openjpeg": "1.3.0",
     "@cornerstonejs/codec-openjph": "2.4.7",
-    "@cornerstonejs/dicom-image-loader": "4.5.20",
+    "@cornerstonejs/dicom-image-loader": "4.9.0",
     "@emotion/serialize": "1.3.3",
     "@ohif/core": "3.12.0-beta.80",
     "@ohif/extension-cornerstone": "3.12.0-beta.80",
diff --git a/platform/core/package.json b/platform/core/package.json
index 87ee7aa92..3bc057963 100644
--- a/platform/core/package.json
+++ b/platform/core/package.json
@@ -37,8 +37,8 @@
     "@cornerstonejs/codec-libjpeg-turbo-8bit": "1.2.2",
     "@cornerstonejs/codec-openjpeg": "1.3.0",
     "@cornerstonejs/codec-openjph": "2.4.7",
-    "@cornerstonejs/core": "4.5.20",
-    "@cornerstonejs/dicom-image-loader": "4.5.20",
+    "@cornerstonejs/core": "4.9.0",
+    "@cornerstonejs/dicom-image-loader": "4.9.0",
     "@ohif/ui": "3.12.0-beta.80",
     "cornerstone-math": "0.1.9",
     "dicom-parser": "1.8.21"
diff --git a/platform/core/src/services/ToolBarService/ToolbarService.ts b/platform/core/src/services/ToolBarService/ToolbarService.ts
index 515df0583..cb2d309ce 100644
--- a/platform/core/src/services/ToolBarService/ToolbarService.ts
+++ b/platform/core/src/services/ToolBarService/ToolbarService.ts
@@ -2,7 +2,7 @@ import { CommandsManager } from '../../classes';
 import { ExtensionManager } from '../../extensions';
 import { PubSubService } from '../_shared/pubSubServiceInterface';
 import type { RunCommand } from '../../types/Command';
-import { Button, ButtonProps, EvaluateFunction, EvaluatePublic } from './types';
+import { Button, ButtonOptions, ButtonProps, EvaluateFunction, EvaluatePublic } from './types';
 
 const EVENTS = {
   TOOL_BAR_MODIFIED: 'event::toolBarService:toolBarModified',
@@ -592,7 +592,7 @@ export default class ToolbarService extends PubSubService {
 
     const { id: buttonId, props: componentProps } = btn;
 
-    const createEnhancedOptions = (options, itemId) => {
+    const createEnhancedOptions = (options: ButtonOptions[], itemId) => {
       const optionsToUse = Array.isArray(options) ? options : [options];
       const toolProps = this.getButtonProps(itemId);
 
@@ -833,4 +833,14 @@ export default class ToolbarService extends PubSubService {
         return { align: 'start', side: 'bottom' };
     }
   }
+
+  /**
+   * Retrieves an option by its ID from a button's options array.
+   * @param button - The button object.
+   * @param optionId - The ID of the option to retrieve.
+   * @returns The option with the specified ID.
+   */
+  public getOptionById(button: Button, optionId: string) {
+    return button.props.options?.find(option => option.id === optionId);
+  }
 }
diff --git a/platform/core/src/services/ToolBarService/types.ts b/platform/core/src/services/ToolBarService/types.ts
index 317197cb5..9d7b4df8e 100644
--- a/platform/core/src/services/ToolBarService/types.ts
+++ b/platform/core/src/services/ToolBarService/types.ts
@@ -40,6 +40,7 @@ export type ButtonOptions = {
   max?: number;
   step?: number;
   value?: number | number[] | string;
+  values: Array<{ value: string; label: string }>;
   commands?: RunCommand;
   condition?: (props: Record<string, unknown>) => boolean;
   children?: React.ReactNode | (() => React.ReactNode);
@@ -50,6 +51,7 @@ export type ButtonOptions = {
 export type ButtonProps = {
   id: string;
   icon: string;
+  isActive?: boolean;
   label: string;
   tooltip?: string;
   commands?: RunCommand;
diff --git a/platform/docs/versioned_docs/version-3.11/platform/services/data/ToolbarService.md b/platform/docs/versioned_docs/version-3.11/platform/services/data/ToolbarService.md
index 704e4cd2b..e952e7308 100644
--- a/platform/docs/versioned_docs/version-3.11/platform/services/data/ToolbarService.md
+++ b/platform/docs/versioned_docs/version-3.11/platform/services/data/ToolbarService.md
@@ -34,8 +34,7 @@ The `ToolBarService` is a straightforward service designed to handle the toolbar
 - `setButtons`: sets the buttons defined in the service. It overrides all the
   previous buttons
 
-
-
+- `getOptionById(button, optionId)`: from inside a given button, will search through its props and grab the one with the given optionId
 
 ## Button Definitions
 
diff --git a/tests/SEGDrawingToolsResizing.spec.ts b/tests/SEGDrawingToolsResizing.spec.ts
new file mode 100644
index 000000000..2ac1408b9
--- /dev/null
+++ b/tests/SEGDrawingToolsResizing.spec.ts
@@ -0,0 +1,95 @@
+import { test, expect } from 'playwright-test-coverage';
+import { Page } from '@playwright/test';
+
+import { visitStudy, checkForScreenshot, screenShotPaths } from './utils';
+import { press } from './utils/keyboardUtils';
+
+test.beforeEach(async ({ page }) => {
+  const studyInstanceUID = '1.3.12.2.1107.5.2.32.35162.30000015050317233592200000046';
+  const mode = 'segmentation';
+  await visitStudy(page, studyInstanceUID, mode, 2000);
+
+  await page.getByTestId('panelSegmentationWithToolsLabelMap-btn').click();
+  await page.getByTestId('addSegmentation').click();
+
+  await page.waitForTimeout(500);
+});
+
+async function performDrawingToolInteraction(page: Page, toolName: string) {
+  const brushRadiusInput = page.getByTestId(`${toolName}-radius`).locator('input');
+  const viewportGrid = page.getByTestId('viewport-grid');
+  const circle = viewportGrid.locator('svg.svg-layer circle').first();
+
+  await expect(brushRadiusInput).toHaveValue('25');
+  await viewportGrid.click({ position: { x: 275, y: 300 } });
+  let radius = parseFloat(await circle.getAttribute('r'));
+  expect(radius).toBeGreaterThanOrEqual(65);
+  expect(radius).toBeLessThanOrEqual(68);
+
+  await page.waitForTimeout(500);
+  await press({ page, key: '[', nTimes: 2 });
+  await expect(brushRadiusInput).toHaveValue('19');
+  await viewportGrid.click({ position: { x: 500, y: 300 } });
+  radius = parseFloat(await circle.getAttribute('r'));
+  expect(radius).toBeGreaterThanOrEqual(49);
+  expect(radius).toBeLessThanOrEqual(52);
+
+  await page.waitForTimeout(500);
+
+  await press({ page, key: ']', nTimes: 5 });
+  await expect(brushRadiusInput).toHaveValue('34');
+  await viewportGrid.click({ position: { x: 275, y: 500 } });
+  radius = parseFloat(await circle.getAttribute('r'));
+  expect(radius).toBeGreaterThanOrEqual(87);
+  expect(radius).toBeLessThanOrEqual(90);
+
+  await page.waitForTimeout(500);
+
+  await brushRadiusInput.fill('42');
+  await viewportGrid.click({ position: { x: 500, y: 500 } });
+  radius = parseFloat(await circle.getAttribute('r'));
+  expect(radius).toBeGreaterThanOrEqual(108);
+  expect(radius).toBeLessThanOrEqual(111);
+
+  await page.waitForTimeout(500);
+}
+
+test('(shouldUpdateThis) should resize segmentation brush tool', async ({ page }) => {
+  await page.getByTestId('Brush-btn').click();
+
+  await performDrawingToolInteraction(page, 'brush');
+
+  await checkForScreenshot(
+    page,
+    page.getByTestId('viewport-grid'),
+    screenShotPaths.segDrawingToolsResizing.brushTool
+  );
+});
+
+test('(shouldUpdateThis) should resize segmentation eraser tool', async ({ page }) => {
+  await page.getByTestId('Brush-btn').click();
+
+  await page.getByTestId('brush-radius').locator('input').fill('99.5');
+  await page.getByTestId('viewport-grid').click({ position: { x: 400, y: 400 } });
+
+  await page.waitForTimeout(500);
+
+  await page.getByTestId('Eraser-btn').click();
+  await page.getByTestId('eraser-radius').locator('input').fill('25');
+
+  await page.waitForTimeout(500);
+
+  await performDrawingToolInteraction(page, 'eraser');
+
+  await checkForScreenshot(
+    page,
+    page.getByTestId('viewport-grid'),
+    screenShotPaths.segDrawingToolsResizing.eraserTool
+  );
+});
+
+test('(shouldUpdateThis) should resize segmentation threshold tool', async ({ page }) => {
+  await page.getByTestId('Threshold-btn').click();
+
+  await performDrawingToolInteraction(page, 'threshold');
+});
diff --git a/tests/screenshots/chromium/SEGDrawingToolsResizing.spec.ts/brushTool.png b/tests/screenshots/chromium/SEGDrawingToolsResizing.spec.ts/brushTool.png
new file mode 100644
index 000000000..6a53ee8e1
Binary files /dev/null and b/tests/screenshots/chromium/SEGDrawingToolsResizing.spec.ts/brushTool.png differ
diff --git a/tests/screenshots/chromium/SEGDrawingToolsResizing.spec.ts/eraserTool.png b/tests/screenshots/chromium/SEGDrawingToolsResizing.spec.ts/eraserTool.png
new file mode 100644
index 000000000..c1b0ee2f7
Binary files /dev/null and b/tests/screenshots/chromium/SEGDrawingToolsResizing.spec.ts/eraserTool.png differ
diff --git a/tests/utils/screenShotPaths.ts b/tests/utils/screenShotPaths.ts
index 82b395e56..ef2f75a18 100644
--- a/tests/utils/screenShotPaths.ts
+++ b/tests/utils/screenShotPaths.ts
@@ -144,6 +144,10 @@ const screenShotPaths = {
     segDataOverlayNoHydrationPreMPR: 'segDataOverlayNoHydrationPreMpr.png',
     segDataOverlayNoHydrationPostMPR: 'segDataOverlayNoHydrationPostMpr.png',
   },
+  segDrawingToolsResizing: {
+    brushTool: 'brushTool.png',
+    eraserTool: 'eraserTool.png',
+  },
   mprThenRTOverlayNoHydration: {
     mprPreRTOverlayNoHydration: 'mprPreRTOverlayNoHydration.png',
     mprPostRTOverlayNoHydration: 'mprPostRTOverlayNoHydration.png',
diff --git a/yarn.lock b/yarn.lock
index cab4fa6a9..2cedc037c 100644
--- a/yarn.lock
+++ b/yarn.lock
@@ -1280,10 +1280,10 @@
   resolved "https://registry.yarnpkg.com/@bcoe/v8-coverage/-/v8-coverage-0.2.3.tgz#75a2e8b51cb758a7553d6804a5932d7aace75c39"
   integrity sha512-0hYQ8SB4Db5zvZB4axdMHGwEaQjkZzFjQiN9LVYvIFB2nSUHW9tYpxWriPrWDASIxiaXax83REcLxuSdnGPZtw==
 
-"@cornerstonejs/adapters@4.5.20":
-  version "4.5.20"
-  resolved "https://registry.yarnpkg.com/@cornerstonejs/adapters/-/adapters-4.5.20.tgz#3ed39349f8843babf7fbe56b40eb7b0264894780"
-  integrity sha512-VamRAnlWoNrb4dKx8UfZBgR3mssei88OMoSaNG9V6g+CZUfpMEuZrinTN7ksph0kZ6h8YgIdfDoSzweTpS7cNA==
+"@cornerstonejs/adapters@4.9.0":
+  version "4.9.0"
+  resolved "https://registry.yarnpkg.com/@cornerstonejs/adapters/-/adapters-4.9.0.tgz#fb3b4eedb30c9df9dc16174cc387a845b8394685"
+  integrity sha512-wP5nZQobLe0JHfdftxqOm9901XPnDASDP40nEryKHI/t+8MMKq/XOI4zStkwdInimgaohHR9ppV8Ybuob7Zu4Q==
   dependencies:
     "@babel/runtime-corejs2" "7.26.10"
     buffer "6.0.3"
@@ -1291,10 +1291,10 @@
     gl-matrix "3.4.3"
     ndarray "1.0.19"
 
-"@cornerstonejs/ai@4.5.20":
-  version "4.5.20"
-  resolved "https://registry.yarnpkg.com/@cornerstonejs/ai/-/ai-4.5.20.tgz#69fde3dc9a61f115cfa4cc2d0dcfa5841ed1113d"
-  integrity sha512-M+MumfAzEX2U5r0QRifYvYqH3xBf2qaqPNaMprHuzPG0Xh8NR9E4KvpZWdW8Wn04quTBO8O/nJ+H9deGlY0idA==
+"@cornerstonejs/ai@4.9.0":
+  version "4.9.0"
+  resolved "https://registry.yarnpkg.com/@cornerstonejs/ai/-/ai-4.9.0.tgz#60a3cded3bdd0b9c030b0173d71212b4c2012083"
+  integrity sha512-eS036rfCJ4twK9LpyixUS2UgZ5IfR4A1gA959LyR9jyOY0ol24KeJyvXsZ9eSpbJO8VJ3tJVLwNVAKgjyosnwQ==
   dependencies:
     "@babel/runtime-corejs2" "7.26.10"
     buffer "6.0.3"
@@ -1320,7 +1320,7 @@
   resolved "https://registry.yarnpkg.com/@cornerstonejs/codec-libjpeg-turbo-8bit/-/codec-libjpeg-turbo-8bit-1.2.2.tgz#ae384b149d6655e3dd6e18b9891fab479ab5e144"
   integrity sha512-aAUMK2958YNpOb/7G6e2/aG7hExTiFTASlMt/v90XA0pRHdWiNg5ny4S5SAju0FbIw4zcMnR0qfY+yW3VG2ivg==
 
-"@cornerstonejs/codec-openjpeg@1.2.4", "@cornerstonejs/codec-openjpeg@1.3.0", "@cornerstonejs/codec-openjpeg@^1.2.4":
+"@cornerstonejs/codec-openjpeg@1.3.0", "@cornerstonejs/codec-openjpeg@^1.2.4":
   version "1.3.0"
   resolved "https://registry.yarnpkg.com/@cornerstonejs/codec-openjpeg/-/codec-openjpeg-1.3.0.tgz#2e5973f3e207db3d6cf47e34f74010e2f6f0a0bf"
   integrity sha512-hP8WAZ63AcaDYmHbBVTY04x424AglXsRHrI6VBdW4eTiJ76f0heWrEodT9Sb3sNwazzYuyMOIZNndJPeVSeHcw==
@@ -1330,24 +1330,24 @@
   resolved "https://registry.yarnpkg.com/@cornerstonejs/codec-openjph/-/codec-openjph-2.4.7.tgz#784394d05d8cf735640e9c3baa206535ee8e0376"
   integrity sha512-qvP4q4JDib7mi9r7LqKOwqz7YZ8gjtDX4ZCezeYf8+eb7MBXCz5uXAMeVF3yz9Axw4XiIMdB/pqXkm8tqCl13w==
 
-"@cornerstonejs/core@4.5.20":
-  version "4.5.20"
-  resolved "https://registry.yarnpkg.com/@cornerstonejs/core/-/core-4.5.20.tgz#02c89300bf32629ecc5e3deb9053f5ec4118f9f8"
-  integrity sha512-AWI8GilT9JfCBJywnQwZ5xQZG4EQHujIb4J9VPqyJ/K0ShQ4b7l9kabZ30S6zkimeClntNVVa1Quas7gWPW2LQ==
+"@cornerstonejs/core@4.9.0":
+  version "4.9.0"
+  resolved "https://registry.yarnpkg.com/@cornerstonejs/core/-/core-4.9.0.tgz#e3ffe1064a810e8fa7d6af0d5dd3a26be4d625c5"
+  integrity sha512-Gj8/nhogWg63r4vUSXD4QU8ffAB5AzUcAfNjPYBk7L6yzp42AwBMkuh2zetY1ZSJCgsCImIYpcvH/WLWpZa/9Q==
   dependencies:
     "@kitware/vtk.js" "32.12.1"
     comlink "4.4.2"
     gl-matrix "3.4.3"
     loglevel "1.9.2"
 
-"@cornerstonejs/dicom-image-loader@4.5.20":
-  version "4.5.20"
-  resolved "https://registry.yarnpkg.com/@cornerstonejs/dicom-image-loader/-/dicom-image-loader-4.5.20.tgz#be0e640fc546512bda8d43bd6276a666f3de5dda"
-  integrity sha512-eH4q4ERBlJJsJL9gRWEmCVR96VIxAYV3XIEs9PbRqMs4cfW4AjcupmwuCIbTAVP93LIDXxqN8f2lQXCDjQugjQ==
+"@cornerstonejs/dicom-image-loader@4.9.0":
+  version "4.9.0"
+  resolved "https://registry.yarnpkg.com/@cornerstonejs/dicom-image-loader/-/dicom-image-loader-4.9.0.tgz#6745c9140b075ffeffddd90c5bbda2a9162c55b7"
+  integrity sha512-IKgpSjGPya/Nhntf6Cy09RafsO9sqDb4EwkoCC8cZ+QFCe4af6sNSIovJjOdREqIgB5iMEsTa8U1foe/slRwlA==
   dependencies:
     "@cornerstonejs/codec-charls" "1.2.3"
     "@cornerstonejs/codec-libjpeg-turbo-8bit" "1.2.2"
-    "@cornerstonejs/codec-openjpeg" "1.2.4"
+    "@cornerstonejs/codec-openjpeg" "1.3.0"
     "@cornerstonejs/codec-openjph" "2.4.7"
     comlink "4.4.2"
     dicom-parser "1.8.21"
@@ -1355,25 +1355,25 @@
     pako "2.1.0"
     uuid "9.0.1"
 
-"@cornerstonejs/labelmap-interpolation@4.5.20":
-  version "4.5.20"
-  resolved "https://registry.yarnpkg.com/@cornerstonejs/labelmap-interpolation/-/labelmap-interpolation-4.5.20.tgz#e8962f04bc566175369a7cd78c685cc2c2df488b"
-  integrity sha512-lbVKXloFJk1HFHtFKLSjbchilnE1bfnM/JYlr16HSvlgb1rPd7GPoZFfrn034oowNEfOLjqJ+C35EaaIjSOxxw==
+"@cornerstonejs/labelmap-interpolation@4.9.0":
+  version "4.9.0"
+  resolved "https://registry.yarnpkg.com/@cornerstonejs/labelmap-interpolation/-/labelmap-interpolation-4.9.0.tgz#946625ae54934318130f683edd7bb0e40620ab8c"
+  integrity sha512-LrWrXcLh9Gd4FE3hkq74bElGXJjF1izE9SFjvkYIHNUHGuIQiD2oYGlBFALXpjUb4i3B4hfVA0wz55z4Fz2vfg==
   dependencies:
     "@itk-wasm/morphological-contour-interpolation" "1.1.0"
     itk-wasm "1.0.0-b.165"
 
-"@cornerstonejs/polymorphic-segmentation@4.5.20":
-  version "4.5.20"
-  resolved "https://registry.yarnpkg.com/@cornerstonejs/polymorphic-segmentation/-/polymorphic-segmentation-4.5.20.tgz#8fb0eec12f51457c140f93343f94ba870d0fe10c"
-  integrity sha512-s4es71KDzsrMPchGm5B3lERIF/M+OHMtFZbXAzGcZ8KnZZkmX1j1G6vxakcW8IjXL4knkDuSkZxevFXWIKyMoA==
+"@cornerstonejs/polymorphic-segmentation@4.9.0":
+  version "4.9.0"
+  resolved "https://registry.yarnpkg.com/@cornerstonejs/polymorphic-segmentation/-/polymorphic-segmentation-4.9.0.tgz#805d651af4b69c1570dea0134179f75faaa9428c"
+  integrity sha512-oONftUjfDTfa7ex6zqeUtuPqqeFAATH5dszxiKh4xtoY2AlBhNFjfbhFLdWTa4Y1Lfl9yOWNK1sNZAOA1BnUXQ==
   dependencies:
     "@icr/polyseg-wasm" "0.4.0"
 
-"@cornerstonejs/tools@4.5.20":
-  version "4.5.20"
-  resolved "https://registry.yarnpkg.com/@cornerstonejs/tools/-/tools-4.5.20.tgz#4e6f2d0dc2ecbee84b1d2d3108abaf9081b2c1f6"
-  integrity sha512-FY2sxm7vPiCI1Vm1JsHeIYMi45686V8/RkRa47XDt/035B/v36pr81pyE9nl/jb7FJiHfzSyDeROJ8YoPVe9qQ==
+"@cornerstonejs/tools@4.9.0":
+  version "4.9.0"
+  resolved "https://registry.yarnpkg.com/@cornerstonejs/tools/-/tools-4.9.0.tgz#276c84095789cd39afc223a42389c469de253720"
+  integrity sha512-cUd50Lc85T4OwTXPrBTUjyIKHHe5icxR5N8H6X3NQFfhTsCB11nZLt7530hL2oQZmAleg5u853XbAVzoaa9mjg==
   dependencies:
     "@types/offscreencanvas" "2019.7.3"
     comlink "4.4.2"