# How to annotate/markup an image with arrows and anatomical names

**URL:** <https://discourse.slicer.org/t/how-to-annotate-markup-an-image-with-arrows-and-anatomical-names/21588>\
**Category:** Support\
**Tags:** registration, segmentation, dicom, 3d-model\
**Created:** [January 24, 2022, 2:47am UTC](https://discourse.slicer.org/t/how-to-annotate-markup-an-image-with-arrows-and-anatomical-names/21588 "2022-01-24T02:47:23Z")\
**Posts on this page:** 4\
**Page:** 3

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**Author:** ![rbumm](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/rbumm/32/9404_2.png) [@rbumm](https://discourse.slicer.org/u/rbumm)\
**Post date:** [December 5, 2023, 3:16pm UTC](https://discourse.slicer.org/t/how-to-annotate-markup-an-image-with-arrows-and-anatomical-names/21588/42 "2023-12-05T15:16:57Z")

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Not with the ExtraMarkups, I dont think that is possible.  
Annotations, markups, and segmentation can be exported into DICOM format.

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**Author:** ![chir.set](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/chir.set/32/66982_2.png) [@chir.set](https://discourse.slicer.org/u/chir.set)\
**Post date:** [December 5, 2023, 3:20pm UTC](https://discourse.slicer.org/t/how-to-annotate-markup-an-image-with-arrows-and-anatomical-names/21588/43 "2023-12-05T15:20:03Z")

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> [@Piergiorgio\_Gaudioso](#):
>
> Is it possible to export a DICOM file with those markups?

To my knowledge, no.

DICOM image data, metadata and markups nodes are different objects, represented differently in memory, and stored differently on disk. They cannot be blended in a single file. If you want to keep these together, you may save your scene as an \*.mrb file and share or archive it.

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**Author:** ![Piergiorgio\_Gaudioso](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/piergiorgio_gaudioso/32/68592_2.png) [@Piergiorgio\_Gaudioso](https://discourse.slicer.org/u/Piergiorgio_Gaudioso)\
**Post date:** [December 5, 2023, 4:03pm UTC](https://discourse.slicer.org/t/how-to-annotate-markup-an-image-with-arrows-and-anatomical-names/21588/44 "2023-12-05T16:03:09Z")

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And this “.mrb” file can be visualized in a DICOM viewer? How can I save in this way?

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**Author:** ![chir.set](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/chir.set/32/66982_2.png) [@chir.set](https://discourse.slicer.org/u/chir.set)\
**Post date:** [December 5, 2023, 4:18pm UTC](https://discourse.slicer.org/t/how-to-annotate-markup-an-image-with-arrows-and-anatomical-names/21588/45 "2023-12-05T16:18:05Z")

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> [@Piergiorgio\_Gaudioso](#):
>
> And this “.mrb” file can be visualized in a DICOM viewer?

If you mean _another_ DICOM viewer, no. The [MRB](https://slicer.readthedocs.io/en/latest/user_guide/data_loading_and_saving.html#scenes) file does not even contain DICOM files, these are saved in NRRD format. It has meaning within Slicer only.

> [@Piergiorgio\_Gaudioso](#):
>
> How can I save in this way?

Check the [documentation](https://slicer.readthedocs.io/en/latest/user_guide/data_loading_and_saving.html).

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