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In the routine examination of medical image, often need to measure the target image to obtain the relevant data. These measurements are mainly focused on the acquisition of distance, area, angle, and perimeter data. Because of the rigor of medical measurement, the measurement data must be accurate, simple, convenient and easy to popularize. With the development of computer technology, its application in medicine has been more and more widely respected. The computer aided medical image measurement not only replaces the traditional manual measurement method, at the same time, the accuracy and efficiency of the measurement are greatly improved, and the manual operation of image measurement is saved. This paper introduces the medical image measurement distance, angle, area and perimeter of the correlation algorithm, and the method of color filling is designed for the problem of how to determine the target area, The method can effectively distinguish the image of the target area. At the same time, in order to improve the efficiency of the algorithm, the algorithm is reduced, and its improved algorithm is proposed, which can effectively reduce the number of the algorithm and improve the performance of the system.