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Revolutionize your Spinal X-ray Documentation.

PostureRay® is the leading X-ray analysis documentation software system designed specifically for chiropractors. Quickly digitize, calibrate, measure and annotate spinal X-rays for clear, objective reporting, without replacing your existing X-ray or PACS system.

Windows-based software, available only to licensed healthcare professionals with radiology training.

PostureRay at a glance

PostureRay® is Windows-based X-ray analysis and reporting software (a radiographic EMR) from PostureCo, Inc., developed with Chiropractic BioPhysics® (CBP®).

Who it’s for
Chiropractors and other licensed healthcare professionals with radiology training.
What it does
Digitizes spinal X-rays and produces documentation and patient education.
Platform
Windows-based software, fully compatible with Windows 11. Imports DICOM, DMX and calibrated JPEG. It does not acquire X-rays or replace PACS systems.
Price
One-time license of $5,999 USD, with financing from $199 USD/month (US only). One year of technical support is included; additional yearly support is $1,250 USD.

Now with computer vision

Computer vision-assisted.
Clinician-validated.

Computer vision-assisted landmark detection on sagittal spine views, which you, the clinician, validate on every marking.

Three lateral cervical X-rays, each with the region found by PostureRay computer vision marked by a dashed box and landmark points.
Step 1 · Computer vision-assisted detection
PostureRay Virtual ViewBox: lateral cervical extension and flexion films with green and red lines of mensuration.
Step 2 · Lines of mensuration
A second pair of lateral cervical X-rays with computer vision landmark points for the clinician to review.
Step 3 · You validate every marking

Illustrative demo films. The clinician validates every computer vision marking.

  • Requirements

    Computer vision digitization is part of the CBP version, needs an active technical support plan and an internet connection.

  • Patented

    PostureRay Computer Vision A.I. is protected under US Patent 11,610,305.

  • Research

    “Exceptional reliability and excellent construct validity when comparing the computer vision to the human observer.” J Clin Med, 2024.

PostureCo’s software tools are intended for objective postural, movement, body composition, and radiographic measurement, documentation, and education purposes. They are designed for use by fitness professionals and licensed healthcare providers. These software tools are not medical devices and are not intended to diagnose, treat, cure, or prevent any disease or medical condition. All markings, landmark placements, and digitizations, whether manual or AI-assisted, must be reviewed and validated by the professional using the software. The user remains solely responsible for all interpretations, clinical judgments, diagnoses, and treatment decisions.

Why doctors choose PostureRay®

More than software. A documentation advantage.

Clear, objective reporting from your spinal X-rays: the measurements, overlays and reports your documentation relies on.

  • Scientifically validated

    Developed with Chiropractic BioPhysics® (CBP), and shown to be reliable and valid for X-ray mensuration in peer-reviewed publications.

  • Efficiency-driven

    Quickly digitize, calibrate, measure and annotate spinal X-rays, without replacing your existing X-ray or PACS system.

  • Client education

    A Virtual ViewBox with a built-in dynamic telestrator and visual overlays, with side-by-side comparisons to ideal spinal models for patient education and understanding.

  • Segmental analysis

    Global and segmental measurement data, with absolute and relative rotation angles and segmental translations.

  • The Harrison Ideal Spinal Model

    The only software licensed to use it: only PostureRay® is officially licensed by Dr. Deed Harrison to overlay the copyrighted model lines.

  • Built on CBP® technique

    PostureRay is designed around the Chiropractic BioPhysics® (CBP®) mensuration techniques, together with other evidence-based measurement best practices.

  • Versatile and compatible

    Supports DICOM, DMX and calibrated JPEG formats. Fully compatible with Windows 11, with a cloud-based Virtual ViewBox to view your reports anywhere, from any computer with an internet connection.

  • Export anywhere

    PDF reports or JPG annotated images, plus direct push to ChiroHD, Genesis / ClinicMind and Atlas, and a generic EHR push interface.

A documentation system: all clinical judgment is made by the clinician. PostureRay® is not a replacement for clinical interpretation, and it does not diagnose. Rather, it’s a robust mensuration documentation tool that enhances your radiographic documentation workflow with objective, valid and reliable reporting, compared to the current scientific literature’s normative values, for documentation and patient education. You review and validate every marking, and every interpretation, diagnosis and treatment decision is yours.

Note: PostureRay® does not acquire X-rays from your x-ray machine nor replace PACS systems. It is a specialized documentation software system designed to enhance your existing imaging documentation workflow.

Virtual ViewBox

Your ViewBox anywhere!

While you are covered by an active technical support plan, the secure, browser-based Virtual ViewBox puts your client education online, viewable on a Mac, iPad or phone.

  • Side-by-side comparisons to ideal spinal models, with segmental measurement data.
  • Browser-based, for the CBP technique version with an active technical support plan.
  • PostureScreen® images can be pushed to PostureRay through the Virtual View Box.
The PostureRay Virtual ViewBox in Safari on an iMac, showing lateral cervical X-rays with green and red lines of mensuration.

Affordable investment, unmatched value

One license. A year of support included.

$5,999USD one-time licenseFinancing from $199 USD/month (US only), through Affirm
  • One year of technical support included: software updates, AI Assisted digitization, online viewbox and online backups.
  • Additional yearly support: $1,250 USD/year, or $125 USD/month with a one-year minimum.
  • Multi-clinic discounts are available.
  • Available only to licensed healthcare professionals with radiology training.

Minimum technical specifications

Windows
Windows 11 recommended; Windows 10 SP1 minimum
Processor
Intel Core i5 or better
Memory
More than 8 GB RAM
Storage
More than 500 GB
Monitor
2400×1600 or higher
Mac
Only through a Windows virtual machine (Parallels, Boot Camp or VMware)
Imaging
Imports DICOM, DMX and calibrated JPEG. PostureRay® does not acquire X-rays or replace PACS systems.

Windows 10 reached its end of support on October 14, 2025. Windows 10 notice

What’s included

Included with PostureScreen®.
Add more when you need it.

LeanScreen®, SquatScreen®, ROMScreen™ range of motion and SitScreen® are modules inside PostureScreen® on iPhone and iPad, included with PostureScreen®. RemoteScreen® and PostureScribe.AI® are add-on subscriptions, and PostureRay® is separate software.

Included with PostureScreen®

$59.99 USD to start, with 30 days of unlimited use. Then $24.99 USD/month or $249 USD/year for unlimited assessments.

Add-on subscriptions

+ Cloud Services

Remote photo and video assessments worldwide, in your client’s own browser, with nothing to download. Every result comes to you to verify first; clients never see results. Free for clients; you add Cloud Services, from $9.99 USD/month, with unlimited photo and video uploads (limited only by your storage). The AI-Guided Health History (USA only at this time) needs Cloud Services Platinum ($49.99 USD/month) or higher plus a PostureScribe.AI® subscription, with up to 12 intakes per month on Platinum.

About RemoteScreen®

The ambient AI scribe with your assessment data built in. $49.99 USD/month with an initial 7-day free trial; requires the Unlimited Assessment Subscription. USA only.

About PostureScribe.AI®

Separate software

This page

Windows-based X-ray analysis and documentation software for chiropractors, with its own license. PostureScreen® images can be pushed to PostureRay through the Virtual View Box.

Straight answers

Questions, answered.

Still wondering? Call 866-577-7297 or send us a message.

What is PostureRay?

PostureRay® is the leading X-ray analysis documentation software system designed specifically for chiropractors. It digitizes, calibrates, measures and annotates spinal X-rays for clear, objective reporting, with PDF reports and annotated JPG images.

Which techniques does PostureRay support?

PostureRay is designed around the Chiropractic BioPhysics® (CBP®) technique and its mensuration methods, together with other evidence-based measurement best practices.

Does the computer vision read the X-ray for me?

No. Computer vision-assisted landmark detection places the markings on sagittal spine views, and you, the clinician, validate every one. PostureRay is a documentation system, not a medical device: it does not diagnose, and it is not a replacement for clinical interpretation. All clinical judgment is made by the clinician.

Does PostureRay replace my PACS or X-ray system?

No. PostureRay® does not acquire X-rays from your x-ray machine nor replace PACS systems. It is a specialized documentation software system designed to enhance your existing imaging documentation workflow.

Which image formats does it support?

DICOM, DMX and calibrated JPEG formats.

Does PostureRay run on a Mac?

PostureRay is Windows-based software. On a Mac it runs only through a Windows virtual machine such as Parallels, Boot Camp or VMware. The browser-based Virtual ViewBox runs on Mac, iPad and phones.

How much does PostureRay cost?

A one-time license of $5,999 USD, with financing options from $199 USD/month (US only). One year of technical support is included, covering software updates, AI Assisted digitization, online viewbox and online backups. Additional yearly support is $1,250 USD/year.

Who can buy PostureRay?

PostureRay is sold only to licensed healthcare practitioners who have completed training in radiology as part of their professional coursework, in school or in postgraduate studies.

What is the Virtual ViewBox?

A secure, browser-based portal for client education, available while you are covered by an active technical support plan, for the CBP technique version.

Research

Scientifically validated.
Professionally trusted.

Verified counts, as of October 2026.5 See every study

157
published studies have used or validated PostureScreen®
133
of them are peer-reviewed journal articles
62
publications on the PostureRay research page

“The PostureScreen mobile application has demonstrated strong rater reliability and preliminary evidence of construct validity.”

Rater reliability and construct validity of a mobile application for posture analysis. J Phys Ther Sci, 2018

Save time and gain clarity with PostureRay®.

Windows-based X-ray analysis for licensed healthcare professionals with radiology training.

Get started

Questions? Call 866-577-7297 or send us a message

Assess posture on iPad and iPhone too: PostureScreen®