Calibrate
Measurements are displayed with length in pixels until you have calibrated the image. Calibration should be perfomed by using an object of known size in the same plane as what is of interest (f.e. a coronary artery).
Start the caibration tool via the menu of the image window, 'Tools' and select 'Calibrate'. With the left mouse button you can now make a calibration measurement, same as you do with the measuring tool; the right mouse button enables you to zoom and use the panning window to pan the zoomed image. The calibration mode can be cancelled by pressing the escape button or by taking a measurement of 0 length. The text in the window shows you the calibration mode is active.
Zoom the image to calibrate more accurately. See image below.

Zoomed around the object of known size,
calibration measurement taken of 43.3 pixels
After you have taken the calibration measurement, you'll be presented with the calibration window, enabling you to make up to 3 calibration choices:
- User calibration
Enter the precise length in millimeters of the object you just measured.
- Dicom header calibration
Use values that are stored in the Dicom header of the image.
- Previous calibration
Use the last calibration made within the last 30 minutes. This enables you to use the calibration of other images.
Press 'OK' to use the distance you chose or press 'Cancel' to cancel the calibration. See image below.

The object has a known size of 10mm
Further items you need to know:
-There are 2 indications that measurements are calibrated: 1)length in pixels and 2)text in the bottom left of the image window
-Biplane images need to be calibrated individually
-The calibration measurement always remains visible and can only be deleted by making a new calibration and entering the value of 0.0
-In case of f.e. x-ray, due to the diverging x-ray beam, object of the same size but placed at different distances from the source of the beam, appear to have different sizes
-An image pixel is assumed to be square

One of the indications that measurements are calibrated