// Init cornerstone tools cornerstoneTools.init(); // Enable any elements, and display images // ... // Add our tool, and set it's mode const FreehandRoiTool = cornerstoneTools.FreehandRoiTool; cornerstoneTools.addTool(FreehandRoiTool) cornerstoneTools.setToolActive('FreehandRoi', { mouseButtonMask: 1 })