Systems and methods for real-time, interactive image analysis are disclosed. An example system includes a computing device configured to: generate a segmentation of the image in real-time based on a position of a movable pointer on the display and update the segmentation based on a change to the position of the pointer on the display; generate a representation of the object based on the segmentation, wherein the representation is simplified from the image of the object and includes an outline of the object based on the generated segmentation including the first center and the first significant axis; calculate measurements for the object based on the segmentation including the first center and the first significant axis; and display the representation and the measurements via the display.