Methods and Systems for viewing, manipulating, transmitting and comparing digital image patient imaging studies. The methods and systems enable a user to take, receive, store and transmit digital imaging studies. The system allows the digital imaging studies to be stored locally and backed up at a remote server. The user is able to provide commands to provide for additional services or features to be performed on the imaging studies at the remote server and/or the local server. Users at local servers are able to grant access to selected images to third parties for collaboration. The user is able to compare a digital patient image with a digital image of an appropriate implant enabling the user to properly size, fit and locate the implant with respect to the digital image. Additionally, the system allows the user to compare digital images over time to determine implant movement with respect to its insertion, as well as changes within the bones.