diff --git a/extensions/cornerstone/src/commandsModule.ts b/extensions/cornerstone/src/commandsModule.ts
index a2e059d5782..1859eec24ec 100644
--- a/extensions/cornerstone/src/commandsModule.ts
+++ b/extensions/cornerstone/src/commandsModule.ts
@@ -696,6 +696,48 @@ function commandsModule({
     renameMeasurement: async ({ uid }) => {
       await actions._handleMeasurementLabelDialog(uid);
     },
+
+    changeMeasurementColor: ({uid}) => {
+      const measurement = measurementService.getMeasurement(uid);
+
+      if (!measurement) {
+        console.debug('No measurement found for color editing');
+        return;
+      }
+
+       const color = measurement.color ?? [255, 255, 0, 255];
+      const rgbaColor = {
+        r: color[0],
+        g: color[1],
+        b: color[2],
+        a: (color[3] !== undefined ? color[3] : 255) / 255.0,
+      };
+
+      uiDialogService.show({
+        id: 'measurement-color-dialog',
+        content: colorPickerDialog,
+        title: i18n.t('Tools:Measurement Color'),
+        contentProps: {
+          value: rgbaColor,
+          onSave: newRgbaColor => {
+            const colorArray = [newRgbaColor.r, newRgbaColor.g, newRgbaColor.b, newRgbaColor.a * 255.0];
+            const colorStr = `rgba(${newRgbaColor.r}, ${newRgbaColor.g}, ${newRgbaColor.b}, ${newRgbaColor.a})`;
+
+            // Update OHIF measurement service
+            measurementService.updateColorMeasurement(uid, colorArray);
+
+            // Update cornerstone tools rendering
+            annotation.config.style.setAnnotationStyles(uid, {
+              color: colorStr,
+            });
+
+            // Force re-render
+            const renderingEngine = cornerstoneViewportService.getRenderingEngine();
+            renderingEngine.render();
+          },
+        },
+      });
+    },
     /**
      *
      * @param props - containing the updates to apply
@@ -2576,6 +2618,9 @@ function commandsModule({
     renameMeasurement: {
       commandFn: actions.renameMeasurement,
     },
+    changeMeasurementColor: {
+      commandFn: actions.changeMeasurementColor,
+    },
     updateMeasurement: {
       commandFn: actions.updateMeasurement,
     },
diff --git a/extensions/cornerstone/src/initMeasurementService.ts b/extensions/cornerstone/src/initMeasurementService.ts
index 84f370dc730..870432132da 100644
--- a/extensions/cornerstone/src/initMeasurementService.ts
+++ b/extensions/cornerstone/src/initMeasurementService.ts
@@ -353,7 +353,7 @@ const connectMeasurementServiceToTools = ({
 }) => {
   const { measurementService, cornerstoneViewportService, viewportGridService } =
     servicesManager.services;
-  const { MEASUREMENT_REMOVED, MEASUREMENTS_CLEARED, MEASUREMENT_UPDATED, RAW_MEASUREMENT_ADDED } =
+  const { MEASUREMENT_REMOVED, MEASUREMENTS_CLEARED, MEASUREMENT_UPDATED, RAW_MEASUREMENT_ADDED, MEASUREMENT_ADDED } =
     measurementService.EVENTS;
 
   measurementService.subscribe(MEASUREMENTS_CLEARED, ({ measurements, trackingContext }) => {
@@ -421,7 +421,7 @@ const connectMeasurementServiceToTools = ({
         return;
       }
 
-      const { uid, label, isLocked, isVisible } = measurement;
+      const { uid, label, isLocked, isVisible, color } = measurement;
       const sourceAnnotation = annotation.state.getAnnotation(uid);
       const { data, metadata } = sourceAnnotation;
 
@@ -440,9 +440,13 @@ const connectMeasurementServiceToTools = ({
       // update the isVisible state
       annotation.visibility.setAnnotationVisibility(uid, isVisible);
 
-      // annotation.config.style.setAnnotationStyles(uid, {
-      //   color: `rgb(${color[0]}, ${color[1]}, ${color[2]})`,
-      // });
+      if (color) {
+        annotation.config.style.setAnnotationStyles(uid, {
+          color: `rgba(${color[0]}, ${color[1]}, ${color[2]}, ${
+            (color[3] !== undefined ? color[3] : 255) / 255.0
+          })`,
+        });
+      }
 
       // I don't like this but will fix later
       const renderingEngine =
@@ -454,6 +458,24 @@ const connectMeasurementServiceToTools = ({
     }
   );
 
+  measurementService.subscribe(
+    MEASUREMENT_ADDED,
+    ({ source, measurement }) => {
+      if (!source || source.name !== CORNERSTONE_3D_TOOLS_SOURCE_NAME) {
+        return;
+      }
+
+      const { uid, color } = measurement;
+      if (color) {
+        annotation.config.style.setAnnotationStyles(uid, {
+          color: `rgba(${color[0]}, ${color[1]}, ${color[2]}, ${
+            (color[3] !== undefined ? color[3] : 255) / 255.0
+          })`,
+        });
+      }
+    }
+  );
+
   measurementService.subscribe(
     RAW_MEASUREMENT_ADDED,
     ({ source, measurement, data, dataSource }) => {
@@ -515,6 +537,15 @@ const connectMeasurementServiceToTools = ({
         },
       };
       annotationManager.addAnnotation(newAnnotation);
+
+      if (measurement.color) {
+        annotation.config.style.setAnnotationStyles(measurement.uid, {
+          color: `rgba(${measurement.color[0]}, ${measurement.color[1]}, ${measurement.color[2]}, ${
+            (measurement.color[3] !== undefined ? measurement.color[3] : 255) / 255.0
+          })`,
+        });
+      }
+
       commandsManager.run('triggerCreateAnnotationMemo', {
         annotation: newAnnotation,
         FrameOfReferenceUID: newAnnotation.metadata.FrameOfReferenceUID,
diff --git a/platform/core/src/services/MeasurementService/MeasurementService.test.js b/platform/core/src/services/MeasurementService/MeasurementService.test.js
index 51ec9b66d23..fd73b543971 100644
--- a/platform/core/src/services/MeasurementService/MeasurementService.test.js
+++ b/platform/core/src/services/MeasurementService/MeasurementService.test.js
@@ -42,6 +42,8 @@ describe('MeasurementService.js', () => {
         { x: 1, y: 2 },
       ],
       source: source,
+      color: [255, 255, 0, 255],
+      isDirty: undefined,
     };
     // A measurement with various metadata missing (e.g. referenced SOPInstanceUID) that
     // would not typically get mapped my the MeasurementService possibly because it was
diff --git a/platform/core/src/services/MeasurementService/MeasurementService.ts b/platform/core/src/services/MeasurementService/MeasurementService.ts
index d91a61b990d..720f9603fb8 100644
--- a/platform/core/src/services/MeasurementService/MeasurementService.ts
+++ b/platform/core/src/services/MeasurementService/MeasurementService.ts
@@ -543,6 +543,7 @@ class MeasurementService extends PubSubService {
     const newMeasurement = {
       ...oldMeasurement,
       ...measurement,
+      color: measurement.color || oldMeasurement?.color || [255, 255, 0, 255],
       modifiedTimestamp: Math.floor(Date.now() / 1000),
       uid: internalUID,
     };
@@ -900,6 +901,12 @@ class MeasurementService extends PubSubService {
     return measurementUIDs.forEach(uid => this.toggleVisibilityMeasurement(uid, visibility));
   }
 
+  /**
+   * Updates the color of a specific measurement and broadcasts the update event.
+   *
+   * @param {string} measurementUID The unique identifier of the measurement
+   * @param {number[]} color The new color as an RGBA array [r, g, b, a]
+   */
   public updateColorMeasurement(measurementUID: string, color: number[]): void {
     const measurement = this.measurements.get(measurementUID);