diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/imagePixelSpacingMetaDataProvider.js b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/imagePixelSpacingMetaDataProvider.js
new file mode 100644
index 00000000..6a2f283d
--- /dev/null
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/imagePixelSpacingMetaDataProvider.js
@@ -0,0 +1,193 @@
+import cornerstoneDICOMImageLoader from '@cornerstonejs/dicom-image-loader'
+function parseImageId(imageId) {
+  // build a url by parsing out the url scheme and frame index from the imageId
+  const firstColonIndex = imageId.indexOf(':');
+
+  let url = imageId.substring(firstColonIndex + 1);
+  const frameIndex = url.indexOf('frame=');
+
+  let frame;
+
+  if (frameIndex !== -1) {
+    const frameStr = url.substr(frameIndex + 6);
+
+    frame = parseInt(frameStr, 10);
+    url = url.substr(0, frameIndex - 1);
+  }
+
+  return {
+    scheme: imageId.substr(0, firstColonIndex),
+    url,
+    frame,
+  };
+}
+function getNumberValues(dataSet, tag, minimumLength) {
+  const values = [];
+  const valueAsString = dataSet.string(tag);
+
+  if (!valueAsString) {
+    return;
+  }
+  const split = valueAsString.split('\\');
+
+  if (minimumLength && split.length < minimumLength) {
+    return;
+  }
+  for (let i = 0; i < split.length; i++) {
+    values.push(parseFloat(split[i]));
+  }
+
+  return values;
+}
+function getImageTypeSubItemFromDataset(dataSet, index) {
+  const imageType = dataSet.string('x00080008');
+  if (imageType) {
+      const subTypes = imageType.split('\\');
+      if (subTypes.length > index) {
+          return subTypes[index];
+      }
+  }
+  return undefined;
+}
+function isNMReconstructable(imageSubType) {
+  return imageSubType === 'RECON TOMO' || imageSubType === 'RECON GATED TOMO';
+}
+function extractOrientationFromNMMultiframeDataset(dataSet) {
+  let imageOrientationPatient;
+  const modality = dataSet.string('x00080060');
+  if (modality?.includes('NM')) {
+      const imageSubType = getImageTypeSubItemFromDataset(dataSet, 2);
+      if (imageSubType && isNMReconstructable(imageSubType)) {
+          if (dataSet.elements.x00540022) {
+              imageOrientationPatient = getNumberValues(dataSet.elements.x00540022.items[0].dataSet, 'x00200037', 6);
+          }
+      }
+  }
+  return imageOrientationPatient;
+}
+function extractOrientationFromDataset(dataSet) {
+  let imageOrientationPatient = getNumberValues(dataSet, 'x00200037', 6);
+  if (!imageOrientationPatient && dataSet.elements.x00209116) {
+      imageOrientationPatient = getNumberValues(dataSet.elements.x00209116.items[0].dataSet, 'x00200037', 6);
+  }
+  if (!imageOrientationPatient) {
+      imageOrientationPatient =
+          extractOrientationFromNMMultiframeDataset(dataSet);
+  }
+  return imageOrientationPatient;
+}
+function extractPositionFromNMMultiframeDataset(dataSet) {
+  let imagePositionPatient;
+  const modality = dataSet.string('x00080060');
+  if (modality?.includes('NM')) {
+      const imageSubType = getImageTypeSubItemFromDataset(dataSet, 2);
+      if (imageSubType && isNMReconstructable(imageSubType)) {
+          if (dataSet.elements.x00540022) {
+              imagePositionPatient = getNumberValues(dataSet.elements.x00540022.items[0].dataSet, 'x00200032', 3);
+          }
+      }
+  }
+  return imagePositionPatient;
+}
+function extractPositionFromDataset(dataSet) {
+  let imagePositionPatient = getNumberValues(dataSet, 'x00200032', 3);
+  if (!imagePositionPatient && dataSet.elements.x00209113) {
+      imagePositionPatient = getNumberValues(dataSet.elements.x00209113.items[0].dataSet, 'x00200032', 3);
+  }
+  if (!imagePositionPatient) {
+      imagePositionPatient = extractPositionFromNMMultiframeDataset(dataSet);
+  }
+  return imagePositionPatient;
+}
+function extractSliceThicknessFromDataset(dataSet) {
+  let sliceThickness;
+  if (dataSet.elements.x00180050) {
+      sliceThickness = dataSet.floatString('x00180050');
+  }
+  else if (dataSet.elements.x00289110 &&
+      dataSet.elements.x00289110.items.length &&
+      dataSet.elements.x00289110.items[0].dataSet.elements.x00180050) {
+      sliceThickness =
+          dataSet.elements.x00289110.items[0].dataSet.floatString('x00180050');
+  }
+  return sliceThickness;
+}
+function extractSpacingFromDataset(dataSet) {
+  let rowPixelSpacing = null
+  let columnPixelSpacing = null
+  let pixelSpacing = getNumberValues(dataSet, 'x00280030', 2);
+  const imagePixelSpacing = getNumberValues(dataSet, 'x00181164', 2);
+  const estimatedRadiographicMagnificationFactor = getNumberValues(dataSet, 'x00181114', 2);
+  if (pixelSpacing) {
+      rowPixelSpacing = pixelSpacing[0]
+      columnPixelSpacing = pixelSpacing[1]
+    } else if (imagePixelSpacing && estimatedRadiographicMagnificationFactor) {
+      rowPixelSpacing = imagePixelSpacing[0] / estimatedRadiographicMagnificationFactor[0];
+      columnPixelSpacing = imagePixelSpacing[1] / estimatedRadiographicMagnificationFactor[1];
+    } else if (imagePixelSpacing && !estimatedRadiographicMagnificationFactor) {
+      rowPixelSpacing = imagePixelSpacing[0];
+      columnPixelSpacing = imagePixelSpacing[1];
+    }
+  return rowPixelSpacing !== null ? [rowPixelSpacing, columnPixelSpacing] : undefined
+}
+function metaDataProvider(type, imageId) {
+  const parsedImageId = parseImageId(imageId);
+  const dataSet = cornerstoneDICOMImageLoader.wadouri.dataSetCacheManager.get(parsedImageId.url)
+  
+  
+  if (!dataSet) {
+    return;
+  }
+  if (type === 'imagePlaneModule') {
+    const imageOrientationPatient = getNumberValues(dataSet, 'x00200037', 6);
+    const imagePositionPatient = getNumberValues(dataSet, 'x00200032', 3);
+    const pixelSpacing = extractSpacingFromDataset(dataSet);
+
+    let rowCosines = null;
+
+    let columnCosines = null;
+
+    if (imageOrientationPatient) {
+      rowCosines = [
+        parseFloat(imageOrientationPatient[0]),
+        parseFloat(imageOrientationPatient[1]),
+        parseFloat(imageOrientationPatient[2]),
+      ];
+      columnCosines = [
+        parseFloat(imageOrientationPatient[3]),
+        parseFloat(imageOrientationPatient[4]),
+        parseFloat(imageOrientationPatient[5]),
+      ];
+    }
+    return {
+      frameOfReferenceUID: dataSet.string('x00200052'),
+      rows: dataSet.uint16('x00280010'),
+      columns: dataSet.uint16('x00280011'),
+      imageOrientationPatient,
+      rowCosines,
+      columnCosines,
+      imagePositionPatient,
+      sliceThickness: dataSet.floatString('x00180050'),
+      sliceLocation: dataSet.floatString('x00201041'),
+      pixelSpacing: pixelSpacing,
+      rowPixelSpacing: pixelSpacing ? pixelSpacing[0] : null,
+      columnPixelSpacing: pixelSpacing ? pixelSpacing[1] : null,
+    };
+  }
+  if (type === 'nmMultiframeGeometryModule') {
+    const modality = dataSet.string('x00080060');
+      const imageSubType = getImageTypeSubItemFromDataset(dataSet, 2);
+      return {
+          modality,
+          imageType: dataSet.string('x00080008'),
+          imageSubType,
+          imageOrientationPatient: extractOrientationFromDataset(dataSet),
+          imagePositionPatient: extractPositionFromDataset(dataSet),
+          sliceThickness: extractSliceThicknessFromDataset(dataSet),
+          pixelSpacing: extractSpacingFromDataset(dataSet),
+          numberOfFrames: dataSet.uint16('x00280008'),
+          isNMReconstructable: isNMReconstructable(imageSubType) && modality.includes('NM'),
+      };
+  }
+}
+export default metaDataProvider;
\ No newline at end of file
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/initProviders.js b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/initProviders.js
index 06beeca1..43133125 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/initProviders.js
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/initProviders.js
@@ -1,6 +1,6 @@
 import * as cornerstone3D from '@cornerstonejs/core'
 import ptScalingMetaDataProvider from './ptScalingMetaDataProvider'
-
+import imagePixelSpacingMetaDataProvider from './imagePixelSpacingMetaDataProvider'
 const { calibratedPixelSpacingMetadataProvider } = cornerstone3D.utilities
 
 export default function initProviders() {
@@ -14,4 +14,8 @@ export default function initProviders() {
     ),
     11000
   )
+  cornerstone3D.metaData.addProvider(
+    imagePixelSpacingMetaDataProvider,
+    11000
+  )
 }