This document presents a study on medial axis transformation (MAT) based skeletonization of image patterns using image processing techniques. It discusses how the MAT of an image can be extracted by first computing the Euclidean distance transform of the binary image. Local maxima in the distance transform image correspond to the MAT. Several performance evaluation metrics for analyzing skeletonized images are also introduced, such as connectivity number, thinness measurement and sensitivity. The technique is demonstrated on sample images and results show it can effectively extract the skeleton with good computational speed.