diff --git a/Packages/ohif-viewerbase/client/components/viewer/imageViewerViewport/imageViewerViewport.js b/Packages/ohif-viewerbase/client/components/viewer/imageViewerViewport/imageViewerViewport.js
index d0b5e50d9..795033687 100644
--- a/Packages/ohif-viewerbase/client/components/viewer/imageViewerViewport/imageViewerViewport.js
+++ b/Packages/ohif-viewerbase/client/components/viewer/imageViewerViewport/imageViewerViewport.js
@@ -455,7 +455,9 @@ const loadDisplaySetIntoViewport = (data, templateData) => {
 
             if (OHIF.viewer.refLinesEnabled) {
                 // ... and if reference lines are globally enabled, let cornerstoneTools know.
-                cornerstoneTools.referenceLines.tool.enable(element, OHIF.viewer.updateImageSynchronizer);
+                cornerstoneTools.setToolEnabledForElement(element, 'referenceLines', {
+                    synchronizationContext: OHIF.viewer.updateImageSynchronizer
+                });
             }
 
             // If the crosshairs tool is active, update the synchronizer
diff --git a/Packages/ohif-viewerbase/client/lib/displayReferenceLines.js b/Packages/ohif-viewerbase/client/lib/displayReferenceLines.js
index 2fafd7db5..f8cc43305 100644
--- a/Packages/ohif-viewerbase/client/lib/displayReferenceLines.js
+++ b/Packages/ohif-viewerbase/client/lib/displayReferenceLines.js
@@ -1,4 +1,5 @@
 import { OHIF } from 'meteor/ohif:core';
+import { cornerstone, cornerstoneTools } from 'meteor/ohif:cornerstone';
 
 /**
  * This function disables reference lines for a specific viewport element.
@@ -22,7 +23,7 @@ export function displayReferenceLines(element) {
     const imagePlane = cornerstone.metaData.get('imagePlane', imageId);
 
     // Disable reference lines for the current element
-    cornerstoneTools.referenceLines.tool.disable(element);
+    cornerstoneTools.setToolDisabledForElement(element, 'referenceLines');
 
     if (!OHIF.viewer.refLinesEnabled || !imagePlane || !imagePlane.frameOfReferenceUID) {
         OHIF.log.info('displayReferenceLines refLinesEnabled is not enabled, no imagePlane or no frameOfReferenceUID');
@@ -46,7 +47,9 @@ export function displayReferenceLines(element) {
                 return;
             }
 
-            cornerstoneTools.referenceLines.tool.enable(viewportElement, OHIF.viewer.updateImageSynchronizer);
+            cornerstoneTools.setToolEnabledForElement(viewportElement, 'referenceLines', {
+                synchronizationContext: OHIF.viewer.updateImageSynchronizer
+            });
         }
     });
 }
diff --git a/Packages/ohif-viewerbase/client/lib/toolManager.js b/Packages/ohif-viewerbase/client/lib/toolManager.js
index 78ed191aa..b8c512fe1 100644
--- a/Packages/ohif-viewerbase/client/lib/toolManager.js
+++ b/Packages/ohif-viewerbase/client/lib/toolManager.js
@@ -56,7 +56,8 @@ export const toolManager = {
             wwwcRegion: 'WwwcRegionTool',
             zoomTouchPinch: 'ZoomTouchPinchTool',
             panMultiTouch: 'PanMultiTouchTool',
-            stackScrollMouseWheel: 'StackScrollMouseWheelTool'
+            stackScrollMouseWheel: 'StackScrollMouseWheelTool',
+            referenceLines: 'ReferenceLinesTool'
         };
 
         const { textStyle, toolStyle, toolColors } = cornerstoneTools;