diff --git a/common/reviews/api/tools.api.md b/common/reviews/api/tools.api.md
index 8b669db243..1fbd44cc99 100644
--- a/common/reviews/api/tools.api.md
+++ b/common/reviews/api/tools.api.md
@@ -4678,6 +4678,8 @@ export class StackScrollMouseWheelTool extends BaseTool {
 export class StackScrollTool extends BaseTool {
     constructor(toolProps?: PublicToolProps, defaultToolProps?: ToolProps);
     // (undocumented)
+    deltaX: number;
+    // (undocumented)
     deltaY: number;
     // (undocumented)
     _dragCallback(evt: EventTypes_2.InteractionEventType): void;
@@ -4691,6 +4693,8 @@ export class StackScrollTool extends BaseTool {
     static toolName: any;
     // (undocumented)
     touchDragCallback(evt: EventTypes_2.InteractionEventType): void;
+    // (undocumented)
+    _triggerMIP(viewport: any, delta: any, invert: any): void;
 }
 
 // @public
diff --git a/packages/tools/examples/volumeViewportSynchronization/index.ts b/packages/tools/examples/volumeViewportSynchronization/index.ts
index 45c3a0a421..fcdee8521a 100644
--- a/packages/tools/examples/volumeViewportSynchronization/index.ts
+++ b/packages/tools/examples/volumeViewportSynchronization/index.ts
@@ -10,6 +10,7 @@ import {
   createImageIdsAndCacheMetaData,
   setTitleAndDescription,
   addToggleButtonToToolbar,
+  addDropdownToToolbar,
 } from '../../../../utils/demo/helpers';
 import * as cornerstoneTools from '@cornerstonejs/tools';
 
@@ -24,6 +25,7 @@ const {
   ZoomTool,
   ToolGroupManager,
   StackScrollMouseWheelTool,
+  StackScrollTool,
   Enums: csToolsEnums,
   synchronizers,
   SynchronizerManager,
@@ -97,6 +99,33 @@ Toggle the controls to add viewports to the synchronization groups.
 
 content.append(instructions);
 // ============================= //
+const toolGroupId = 'TOOL_GROUP_ID';
+const leftClickTools = [WindowLevelTool.toolName, StackScrollTool.toolName];
+const defaultLeftClickTool = leftClickTools[0];
+let currentLeftClickTool = leftClickTools[0];
+addDropdownToToolbar({
+  options: {
+    values: leftClickTools,
+    defaultValue: defaultLeftClickTool,
+  },
+  onSelectedValueChange: (selectedValue) => {
+    console.log('>>>>> selectedValue :: ', selectedValue);
+    const toolGroup = ToolGroupManager.getToolGroup(toolGroupId);
+    console.log('>>>>> toolGroup :: ', toolGroup);
+
+    toolGroup.setToolPassive(currentLeftClickTool);
+
+    toolGroup.setToolActive(<string>selectedValue, {
+      bindings: [
+        {
+          mouseButton: MouseBindings.Primary, // Left Click
+        },
+      ],
+    });
+
+    currentLeftClickTool = selectedValue;
+  },
+});
 
 const SynchronizerButtonInfo = [
   { viewportLabel: 'A', viewportId: viewportIds[0] },
@@ -151,12 +180,11 @@ async function run() {
   // Init Cornerstone and related libraries
   await initDemo();
 
-  const toolGroupId = 'TOOL_GROUP_ID';
-
   // Add tools to Cornerstone3D
   cornerstoneTools.addTool(PanTool);
   cornerstoneTools.addTool(WindowLevelTool);
   cornerstoneTools.addTool(StackScrollMouseWheelTool);
+  cornerstoneTools.addTool(StackScrollTool);
   cornerstoneTools.addTool(ZoomTool);
 
   // Define a tool group, which defines how mouse events map to tool commands for
@@ -164,10 +192,20 @@ async function run() {
   const toolGroup = ToolGroupManager.createToolGroup(toolGroupId);
 
   // Add tools to the tool group
-  toolGroup.addTool(WindowLevelTool.toolName, { volumeId });
+  toolGroup.addTool(WindowLevelTool.toolName);
   toolGroup.addTool(PanTool.toolName);
   toolGroup.addTool(ZoomTool.toolName);
   toolGroup.addTool(StackScrollMouseWheelTool.toolName);
+  toolGroup.addTool(StackScrollTool.toolName, {
+    leftRightMode: false,
+    mipMode: {
+      enabled: true,
+      invert: false,
+      pixelsPerThickness: 5,
+      minSlabThickness: 5e-2,
+      maxSlabThickness: 30,
+    },
+  });
 
   // Set the initial state of the tools, here all tools are active and bound to
   // Different mouse inputs
diff --git a/packages/tools/src/tools/StackScrollTool.ts b/packages/tools/src/tools/StackScrollTool.ts
index 93afd056da..9ff38af485 100644
--- a/packages/tools/src/tools/StackScrollTool.ts
+++ b/packages/tools/src/tools/StackScrollTool.ts
@@ -15,19 +15,30 @@ import { PublicToolProps, ToolProps, EventTypes } from '../types';
 class StackScrollTool extends BaseTool {
   static toolName;
   deltaY: number;
+  deltaX: number;
   constructor(
     toolProps: PublicToolProps = {},
     defaultToolProps: ToolProps = {
       supportedInteractionTypes: ['Mouse', 'Touch'],
       configuration: {
         invert: false,
+        leftRightMode: false,
         debounceIfNotLoaded: true,
-        loop: false
+        loop: false,
+        stackScrollEnabled: true,
+        mipMode: {
+          enabled: true,
+          invert: false,
+          pixelsPerThickness: 5,
+          minSlabThickness: 5e-2,
+          maxSlabThickness: 30,
+        },
       },
     }
   ) {
     super(toolProps, defaultToolProps);
     this.deltaY = 1;
+    this.deltaX = 1;
   }
 
   mouseDragCallback(evt: EventTypes.InteractionEventType) {
@@ -42,9 +53,16 @@ class StackScrollTool extends BaseTool {
     const { viewport } = getEnabledElementByIds(viewportId, renderingEngineId);
 
     const targetId = this.getTargetId(viewport);
-    const { debounceIfNotLoaded, invert, loop } = this.configuration;
+    const {
+      debounceIfNotLoaded,
+      invert,
+      loop,
+      leftRightMode,
+      stackScrollEnabled,
+    } = this.configuration;
 
     const deltaPointY = deltaPoints.canvas[1];
+    const deltaPointX = deltaPoints.canvas[0];
 
     let volumeId;
     if (viewport instanceof VolumeViewport) {
@@ -53,24 +71,66 @@ class StackScrollTool extends BaseTool {
 
     const pixelsPerImage = this._getPixelPerImage(viewport);
     const deltaY = deltaPointY + this.deltaY;
+    const deltaX = deltaPointX + this.deltaX;
 
     if (!pixelsPerImage) {
       return;
     }
 
-    if (Math.abs(deltaY) >= pixelsPerImage) {
-      const imageIdIndexOffset = Math.round(deltaY / pixelsPerImage);
+    if (stackScrollEnabled && !leftRightMode) {
+      if (Math.abs(deltaY) >= pixelsPerImage) {
+        const imageIdIndexOffset = Math.round(deltaY / pixelsPerImage);
 
-      scroll(viewport, {
-        delta: invert ? -imageIdIndexOffset : imageIdIndexOffset,
-        volumeId,
-        debounceLoading: debounceIfNotLoaded,
-        loop: loop
-      });
+        scroll(viewport, {
+          delta: invert ? -imageIdIndexOffset : imageIdIndexOffset,
+          volumeId,
+          debounceLoading: debounceIfNotLoaded,
+          loop: loop,
+        });
 
-      this.deltaY = deltaY % pixelsPerImage;
-    } else {
-      this.deltaY = deltaY;
+        this.deltaY = deltaY % pixelsPerImage;
+      } else {
+        this.deltaY = deltaY;
+      }
+    }
+
+    if (stackScrollEnabled && leftRightMode) {
+      if (Math.abs(deltaX) >= pixelsPerImage) {
+        const imageIdIndexOffset = Math.round(deltaX / pixelsPerImage);
+
+        scroll(viewport, {
+          delta: invert ? -imageIdIndexOffset : imageIdIndexOffset,
+          volumeId,
+          debounceLoading: debounceIfNotLoaded,
+          loop: loop,
+        });
+
+        this.deltaX = deltaX % pixelsPerImage;
+      } else {
+        this.deltaX = deltaX;
+      }
+    }
+
+    const { mipMode } = this.configuration;
+    if (!mipMode?.enabled) return;
+    const { pixelsPerThickness, mipModeInvert } = mipMode;
+
+    if (mipMode?.enabled && leftRightMode) {
+      if (Math.abs(deltaY) >= pixelsPerThickness) {
+        this._triggerMIP(viewport, deltaY > 0 ? -1 : 1, mipModeInvert);
+        this.deltaY = deltaY % pixelsPerThickness;
+      } else {
+        this.deltaY = deltaY;
+      }
+    }
+
+    if (mipMode?.enabled && !leftRightMode) {
+      if (Math.abs(deltaX) >= pixelsPerThickness) {
+        this._triggerMIP(viewport, deltaX > 0 ? 1 : -1, mipModeInvert);
+        this.deltaX = deltaX % pixelsPerThickness;
+      } else {
+        this.deltaX = deltaX;
+      }
     }
   }
 
@@ -91,6 +151,28 @@ class StackScrollTool extends BaseTool {
       return viewport.getImageIds().length;
     }
   }
+
+  _triggerMIP(viewport, delta, invert) {
+    const inversionValue = invert ? -1 : 1;
+    const { minSlabThickness, maxSlabThickness } = this.configuration.mipMode;
+    if (viewport instanceof VolumeViewport) {
+      const slabThickness = Math.min(
+        maxSlabThickness,
+        viewport.getSlabThickness() + inversionValue * delta
+      );
+      if (slabThickness <= minSlabThickness) {
+        viewport.setBlendMode(0);
+        viewport.setSlabThickness(minSlabThickness);
+        viewport.render();
+      } else {
+        viewport.setBlendMode(1);
+        viewport.setSlabThickness(
+          slabThickness >= maxSlabThickness ? maxSlabThickness : slabThickness
+        );
+        viewport.render();
+      }
+    }
+  }
 }
 
 StackScrollTool.toolName = 'StackScroll';