The water distribution network of The Netherlands contains around 30,000 km of asbestos cement (AC) pipes, which constitutes around 25% of the total network. As a pipe material, AC has a relatively poor performance, and therefore is a high priority for renewal. To help decide an effective order of replacement, the water utilities need condition assessment techniques that help them determine which pipes have the highest risk of failure. In the presented work, X-ray computed tomography (CT) was used to measure the degradation of AC pipes taken out of the field. These scans provide a description of the pipe degradation with unmatched detail. The results are compared with strength tests performed on the same pipes, revealing that detailed knowledge of the complete pipe degradation is more important than previously assumed. Moreover, comparison of the CT results to those of a commercial, non-destructive inspection technique was used as a new avenue for validation of this technique, demonstrating its future usefulness for attaining the detailed measurement of pipe degradation required by water utilities.