I am convinced that you definitely need to improve on your monitor setup. For me optimal visibility is a kee point for successful use of AlignRT in clinical routine. You have to provide for your RTTs the best possible setting and you need to define that together with them. I am not aware of any “novel arrangements”. Larger monitor (one or even two) would improve situation but optimal positioning as as important. I you are using rather expensive equipment you definitely have to provide together with your Hospital infrasturcture management an optimal solution so that your RTTs can (AND LIKE TO!) use the system. All this probably does not help too much, but there is no magic sulution to that problem.