A method for 3-D cephalometric analysis acquires reconstructed volume image data from a computed tomographic scan of a patients head. The acquired volume image data simultaneously displays from at least a first 2-D view and a second 2-D view. For an anatomical feature of the head, an operator instruction positions a reference mark corresponding to the feature on either the first or the second displayed 2-D view and the reference mark displays on each of the at least first and second displayed 2-D views. In at least the first and second displayed 2-D views, one or more connecting lines display between two or more of the positioned reference marks. One or more cephalometric parameters are derived according to the positioned reference marks, the derived parameters are displayed.