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Background The Formetric 4D System (Diers International GmbH, Schlangenbad Germany) is a popular system for measuring surface topography in patients with adolescent scoliosis [1-4]. The system automatically detects anatomic landmarks on the patient, but then gives the user the opportunity to make adjustments to those landmarks if necessary. The purpose of this study was to see whether there would be more variability in repeated measurements if the landmarks were adjusted by the clinician or if they were left in the place where the machine had put them.

A comparison of authomatic vs. manual detection of anatomical landmarks during surface topography evaluation using the formtric 4D system