I have been using the Tru-Align System for almost one year. The system has provided a beneficial enhancement to my radiographs. I have found improvement in both the clarity and dimensional accuracy of the images (a benefit in both diagnosis and treatment). The user friendly design aids in X-ray cone alignment eliminating a lot of guess work. I use it with PSP plates, but have tried it with film and hard sensors. It works well with all three receptor modalities. I favorably recommend Tru-Align.