---
title: Image Calibration for X-ray Measurement
description: Image Calibration for X-ray Measurement
---

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June 26, 2025

# Image Calibration for X-ray Measurement

## Learn to use the scaling button to calibrate the known length reference for measuring

This process uses a reference object of known length within your X-ray image.

**Step 1: Enlarge the Image**

1. In the "View exam" screen, **double-click** on the X-ray image you wish to calibrate. This will enlarge the image.

**Step 2: Access the Scaling Tool**

1. Navigate to the **"Analyze" tab**.
2. Click on the **scaling button ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Jun-05-2025-09-28-17-8309-PM.png?width=44&height=31&name=image-png-Jun-05-2025-09-28-17-8309-PM.png)**.
3. An instruction window will appear.
   
   ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Jun-05-2025-09-29-43-9547-PM.png?width=368&height=367&name=image-png-Jun-05-2025-09-29-43-9547-PM.png)

**Step 3: Choose Option B for known object length**

1. Within the instruction window, select **Option B**, which is labeled as "Apply length scaling only, using a reference".
2. You will notice that a field for "REF. Length in mm" is required.

**Step 4: Input the Reference Length**

1. In the "REF. Length in mm" box, **type in the exact known length (in millimeters)** of the reference object that is visible in your X-ray image.
2. Click the **OK** button.

**Step 5: Show Your Reference Length on the X-ray**

1. You will be prompted with a message: "Click and drag a line on the x-ray to orient grid".
   
   ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Jun-05-2025-09-35-55-4785-PM.png?width=521&height=376&name=image-png-Jun-05-2025-09-35-55-4785-PM.png)
2. On the X-ray image, **locate the reference object** you just provided the length for.
3. **Hold down the left mouse button** at one end of your reference object.
4. **Drag the cursor along the entire length** of the reference object.
5. **Release the mouse button** at the other end of your reference object.
   
   ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Jun-05-2025-09-38-30-9956-PM.png?width=521&height=374&name=image-png-Jun-05-2025-09-38-30-9956-PM.png)

**Step 6: Confirm Calibration**

1. Once you release the mouse button, a grid of 1mm squares will be **overlaid on your image**. This visually confirms that the scaling has been applied based on your reference length.
   
   ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Jun-05-2025-09-50-14-2923-PM.png?width=519&height=360&name=image-png-Jun-05-2025-09-50-14-2923-PM.png)

**Step 7: Remove the Grid (Optional)**

1. To remove the overlaid grid, simply **click on the scale button again**.

**Your X-ray image has now been successfully calibrated and is ready to be measured!**

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