diff --git a/patches/@cornerstonejs__adapters.patch b/patches/@cornerstonejs__adapters.patch
index e2ce3608fb8..d950ae88ff4 100644
--- a/patches/@cornerstonejs__adapters.patch
+++ b/patches/@cornerstonejs__adapters.patch
@@ -1,3 +1,62 @@
+diff --git a/dist/esm/adapters/Cornerstone3D/Segmentation/labelmapImagesFromBuffer.js b/dist/esm/adapters/Cornerstone3D/Segmentation/labelmapImagesFromBuffer.js
+index db4972221ea40cd1eaad450e9a6334c8eef4ef72..120316e2ac6929810b1da4b5cc4cfb083f0f8ce0 100644
+--- a/dist/esm/adapters/Cornerstone3D/Segmentation/labelmapImagesFromBuffer.js
++++ b/dist/esm/adapters/Cornerstone3D/Segmentation/labelmapImagesFromBuffer.js
+@@ -552,10 +552,11 @@ function insertPixelDataPlanar(_ref0) {
+     PerFrameFunctionalGroupsSequence = multiframe.PerFrameFunctionalGroupsSequence,
+     Rows = multiframe.Rows,
+     Columns = multiframe.Columns;
+-  const sharedImageOrientationPatient = SharedFunctionalGroupsSequence.PlaneOrientationSequence ? SharedFunctionalGroupsSequence.PlaneOrientationSequence.ImageOrientationPatient : undefined;
++  const sharedImageOrientationPatient = SharedFunctionalGroupsSequence?.PlaneOrientationSequence ? SharedFunctionalGroupsSequence.PlaneOrientationSequence.ImageOrientationPatient : undefined;
+   const sliceLength = Columns * Rows;
+-  const metadataFrameCount = Number(multiframe.NumberOfFrames) || PerFrameFunctionalGroupsSequence.length;
+-  const groupsLenFromMetadata = PerFrameFunctionalGroupsSequence.length || metadataFrameCount;
++  const perFrameLength = PerFrameFunctionalGroupsSequence?.length || 0;
++  const metadataFrameCount = Number(multiframe.NumberOfFrames) || perFrameLength;
++  const groupsLenFromMetadata = perFrameLength || metadataFrameCount;
+   const groupsLen = typeof decodedFrameCount === 'number' ? Math.min(groupsLenFromMetadata, decodedFrameCount) : groupsLenFromMetadata;
+   let overlapping = false;
+   return new Promise(resolve => {
+@@ -564,7 +565,7 @@ function insertPixelDataPlanar(_ref0) {
+     const processChunk = firstIndex => {
+       for (let i = firstIndex; i < firstIndex + imagesPerChunk && i < groupsLen; i++) {
+         var _PerFrameFunctionalGr;
+-        const PerFrameFunctionalGroups = PerFrameFunctionalGroupsSequence[i];
++        const PerFrameFunctionalGroups = PerFrameFunctionalGroupsSequence?.[i];
+         const ImageOrientationPatientI = sharedImageOrientationPatient || (PerFrameFunctionalGroups === null || PerFrameFunctionalGroups === void 0 || (_PerFrameFunctionalGr = PerFrameFunctionalGroups.PlaneOrientationSequence) === null || _PerFrameFunctionalGr === void 0 ? void 0 : _PerFrameFunctionalGr.ImageOrientationPatient);
+         if (!ImageOrientationPatientI) {
+           throw new Error("SEG frame ".concat(i + 1, " is missing ImageOrientationPatient in per-frame and shared functional groups."));
+@@ -817,7 +818,7 @@ function insertOverlappingPixelDataPlanar(_ref12) {
+     PerFrameFunctionalGroupsSequence = multiframe.PerFrameFunctionalGroupsSequence,
+     Rows = multiframe.Rows,
+     Columns = multiframe.Columns;
+-  const sharedImageOrientationPatient = SharedFunctionalGroupsSequence.PlaneOrientationSequence ? SharedFunctionalGroupsSequence.PlaneOrientationSequence.ImageOrientationPatient : undefined;
++  const sharedImageOrientationPatient = SharedFunctionalGroupsSequence?.PlaneOrientationSequence ? SharedFunctionalGroupsSequence.PlaneOrientationSequence.ImageOrientationPatient : undefined;
+   const sliceLength = Columns * Rows;
+   const arrayOfSegmentData = getArrayOfSegmentData({
+     sliceLength,
+@@ -910,7 +911,7 @@ const getSegmentData = _ref14 => {
+   for (let currentLabelMapImageIndex = 0; currentLabelMapImageIndex < labelMapImages.length; currentLabelMapImageIndex++) {
+     const currentLabelMapImage = labelMapImages[currentLabelMapImageIndex];
+     const referencedImageId = currentLabelMapImage.referencedImageId;
+-    const PerFrameFunctionalGroupsIndex = PerFrameFunctionalGroupsSequence.findIndex((PerFrameFunctionalGroups, currentSequenceIndex) => {
++    const PerFrameFunctionalGroupsIndex = PerFrameFunctionalGroupsSequence?.findIndex((PerFrameFunctionalGroups, currentSequenceIndex) => {
+       const _extractInfoFromPerFr = extractInfoFromPerFrameFunctionalGroups({
+           PerFrameFunctionalGroups,
+           sequenceIndex: currentSequenceIndex,
+@@ -922,10 +923,10 @@ const getSegmentData = _ref14 => {
+       const isCorrectPerFrameFunctionalGroup = groupsSegmentIndex === segmentIndex && groupsReferenceImageId === currentLabelMapImage.referencedImageId;
+       return isCorrectPerFrameFunctionalGroup;
+     });
+-    if (PerFrameFunctionalGroupsIndex === -1) {
++    if (PerFrameFunctionalGroupsIndex === -1 || PerFrameFunctionalGroupsIndex === undefined) {
+       continue;
+     }
+-    const PerFrameFunctionalGroups = PerFrameFunctionalGroupsSequence[PerFrameFunctionalGroupsIndex];
++    const PerFrameFunctionalGroups = PerFrameFunctionalGroupsSequence?.[PerFrameFunctionalGroupsIndex];
+     const alignedPixelDataI = getAlignedPixelData({
+       sharedImageOrientationPatient,
+       PerFrameFunctionalGroups,
 diff --git a/dist/esm/adapters/helpers/checkOrientation.js b/dist/esm/adapters/helpers/checkOrientation.js
 index f147ce19972dfe2f30ed820509943bb2ab2f34d0..47868b5ae063ee61e4061aa46ef5ccf49692fb34 100644
 --- a/dist/esm/adapters/helpers/checkOrientation.js
diff --git a/pnpm-lock.yaml b/pnpm-lock.yaml
index f4456362d21..1e24bf79f7f 100644
--- a/pnpm-lock.yaml
+++ b/pnpm-lock.yaml
@@ -246,7 +246,7 @@ overrides:
   image-size@>=0.6.3 <2.0.4: 2.0.4
 
 patchedDependencies:
-  '@cornerstonejs/adapters': 45d05af17fbf5bd9bda466dc8ea82c2e86f79d0155d5844baa753b690971f382
+  '@cornerstonejs/adapters': 9ec6f243febe5c8358a1aaae2127e0e59d71548573a110eb33be51cf7dbc9a9c
   '@cornerstonejs/core': a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5
 
 importers:
@@ -407,7 +407,7 @@ importers:
         version: 7.29.7
       '@cornerstonejs/adapters':
         specifier: 5.6.8
-        version: 5.6.8(patch_hash=45d05af17fbf5bd9bda466dc8ea82c2e86f79d0155d5844baa753b690971f382)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
+        version: 5.6.8(patch_hash=9ec6f243febe5c8358a1aaae2127e0e59d71548573a110eb33be51cf7dbc9a9c)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
       '@cornerstonejs/ai':
         specifier: 5.6.8
         version: 5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
@@ -516,7 +516,7 @@ importers:
         version: 7.29.7
       '@cornerstonejs/adapters':
         specifier: 5.6.8
-        version: 5.6.8(patch_hash=45d05af17fbf5bd9bda466dc8ea82c2e86f79d0155d5844baa753b690971f382)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
+        version: 5.6.8(patch_hash=9ec6f243febe5c8358a1aaae2127e0e59d71548573a110eb33be51cf7dbc9a9c)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
       '@cornerstonejs/core':
         specifier: 5.6.8
         version: 5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0)
@@ -605,7 +605,7 @@ importers:
         version: 7.29.7
       '@cornerstonejs/adapters':
         specifier: 5.6.8
-        version: 5.6.8(patch_hash=45d05af17fbf5bd9bda466dc8ea82c2e86f79d0155d5844baa753b690971f382)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
+        version: 5.6.8(patch_hash=9ec6f243febe5c8358a1aaae2127e0e59d71548573a110eb33be51cf7dbc9a9c)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
       '@cornerstonejs/core':
         specifier: 5.6.8
         version: 5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0)
@@ -654,7 +654,7 @@ importers:
         version: 7.29.7
       '@cornerstonejs/adapters':
         specifier: 5.6.8
-        version: 5.6.8(patch_hash=45d05af17fbf5bd9bda466dc8ea82c2e86f79d0155d5844baa753b690971f382)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
+        version: 5.6.8(patch_hash=9ec6f243febe5c8358a1aaae2127e0e59d71548573a110eb33be51cf7dbc9a9c)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))
       '@cornerstonejs/core':
         specifier: 5.6.8
         version: 5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0)
@@ -14739,7 +14739,7 @@ snapshots:
   '@colors/colors@1.5.0':
     optional: true
 
-  '@cornerstonejs/adapters@5.6.8(patch_hash=45d05af17fbf5bd9bda466dc8ea82c2e86f79d0155d5844baa753b690971f382)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))':
+  '@cornerstonejs/adapters@5.6.8(patch_hash=9ec6f243febe5c8358a1aaae2127e0e59d71548573a110eb33be51cf7dbc9a9c)(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@cornerstonejs/tools@5.6.8(@cornerstonejs/core@5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@kitware/vtk.js@36.4.1(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0))(@types/d3-array@3.2.1)(@types/d3-interpolate@3.0.4)(d3-array@3.2.4)(d3-interpolate@3.0.1)(gl-matrix@3.4.3))':
     dependencies:
       '@babel/runtime-corejs2': 7.26.10
       '@cornerstonejs/core': 5.6.8(patch_hash=a80dc1a8df5e9e7fbfe0ad7ab6eff21acfca717ebb4cbb8a751cd61d51ab4da5)(@cornerstonejs/metadata@5.6.8)(@cornerstonejs/utils@5.6.8)(autoprefixer@10.6.1(postcss@8.5.26))(wslink@2.5.0)