The present invention provides systems and methods for enhancing the delivery and display of medical images over a network. Authorized users may access and view images by accessing a secure server and selecting images for viewing. Various characteristics of the image or images being viewed may be manipulated. Additionally, measuring devices, such as a goniometer, may be placed on an image to measure distances, angles and the like. In one embodiment, one or more templates, for example of medical devices, may be placed on an image and manipulated. In another embodiment, two or more users may view the same image simultaneously, while also viewing a template, measuring device, image manipulations and the like simultaneously. In yet another embodiment, two or more users may discuss one or more images via a discussion board.