diff --git a/extensions/cornerstone/src/hps/mpr.ts b/extensions/cornerstone/src/hps/mpr.ts
index c28c8a537..ed22e2843 100644
--- a/extensions/cornerstone/src/hps/mpr.ts
+++ b/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',
+            },
+          ],
+        },
+      ],
+    },
   ],
 };
diff --git a/extensions/cornerstone/src/utils/getCornerstoneOrientation.test.ts b/extensions/cornerstone/src/utils/getCornerstoneOrientation.test.ts
index 0e8e18d5b..88842b759 100644
--- a/extensions/cornerstone/src/utils/getCornerstoneOrientation.test.ts
+++ b/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);
diff --git a/extensions/cornerstone/src/utils/getCornerstoneOrientation.ts b/extensions/cornerstone/src/utils/getCornerstoneOrientation.ts
index 6e47fe807..f72c6ed3f 100644
--- a/extensions/cornerstone/src/utils/getCornerstoneOrientation.ts
+++ b/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;
     }