“…However, studies have shown CI to have low accuracy in comparison with other indices [21]. In addition, the methodology to determine cranial dimensions (width and length) varies widely as does the source of measurements (e.g., anthropometric measurements, clinical photographs, 3D photogrammetry, CT images) [4,25,27,31], which is why comparisons of CI are difficult. Due to the significant compensatory skull bossing frequently found in scaphocephaly, separate frontal and occipital indices have been suggested to be used [1].…”