const measurementData = {
    visible: true,
    active: true,
    invalidated: true,
    handles: {
      end: {
        x: cx,
        y: cy,
        highlight: true,
        active: true,
        key: 'end',
      },
      initialRotation: rotation,
      perpendicularPoint: {
        x: radiusX,
        y: radiusY,
        highlight: true,
        active: false,
        isFirst: true,
        key: 'perpendicular',
      },
      textBox: {
        active: false,
        hasMoved: false,
        movesIndependently: false,
        drawnIndependently: true,
        allowedOutsideImage: true,
        hasBoundingBox: true,
      },
    },
  };

 cornerstoneTools.setToolActive('RotatedEllipticalRoi', {
    mouseButtonMask: 1,
  });
  cornerstoneTools.addToolState(
    element,
    'RotatedEllipticalRoi',
    measurementData
  );