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RGuillermoFlag for United States of America

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How to measure sizes and angles in scanned images ?

Hello Experts,
This time our goal is to be able to measure sizes in dental/orthdontic radiographies.
Our app gets the radiography directly from any kind of xray machine,

Now how do you do to measure distances in an image....fox example from this dot to this dot?
we work with visual basic and visual c#

All ideas to measure distances or angles in images are very welcome.
if there is source example also great.

Regards,
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Dustin Saunders
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Excellent !
Thank you Experts !!!