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Using computed tomography, photogrammetry & structured light scanning for measuring human mandibles: a comparison of
Isabella Crebert1, Xanthe Weston2, Dilan Seckiner3
1Office of the School of Law & Justice, University of Newcastle, Newcastle, Australia. issy.crebert@newcastle.edu.au.
International Journal of Legal Medicine
|July 28, 2026
Summary
Photogrammetry and structured light scanning (SLS) offer accessible alternatives to computed tomography (CT) for mandible measurements. These methods provide interchangeable results, expanding options when CT is unavailable.
Area of Science:
- Medical Imaging
- Anthropometry
- Biomechanical Engineering
Background:
- Computed tomography (CT) is a reliable method for mandibular metric assessments but faces limitations in cost, portability, and ease of use.
- Accessible and user-friendly imaging alternatives are needed to overcome CT's accessibility challenges.
Purpose of the Study:
- To evaluate photogrammetry and structured light scanning (SLS) as viable alternatives to CT for quantitative analysis of human mandibles.
- To compare the accuracy and reliability of measurements obtained via CT, photogrammetry, and SLS.
Main Methods:
- Thirty-three human mandibles were imaged using CT, photogrammetry, and SLS.
- Intra-observer and inter-observer reliability were assessed using the Intraclass Correlation Coefficient (ICC).
- Inter-modality agreement was evaluated using the Total Absolute Error (TEM).
Main Results:
- Intra-observer ICC results ranged from 0.37 to 1, indicating variable measurement reliability.
- While inter-observer results were unreliable, inter-modality TEM assessments were within acceptable thresholds (<5 TEM).
- Photogrammetry demonstrated the highest consistency with CT (ICC 0.37-0.88), followed closely by SLS (ICC 0.47-0.87), with all methods proving interchangeable.
Conclusions:
- Photogrammetry and SLS are effective, interchangeable alternatives to CT for mandibular metric assessments.
- These techniques offer practical solutions in clinical and research settings where CT access is limited.
- Further refinement of protocols is needed to improve inter-observer reliability for these alternative methods.

