After you have defined all the hot spots and made all your changes to the image, you save it as a hypergraphic.
To save a hypergraphic
nFrom the File menu, choose Save As to save the file with hot spots using the .SHG filename extension provided by Hotspot Editor.
Hotspot Editor saves your graphic with the appropriate hot-spot coding. You can now include this graphic in your Help file using a bmc, bml, or bmr reference.