The quantitative characterisation of the degree of randomness and aggregation of surface micro-and nanostructures is critical to evaluate their effects on targeted functionalities. To this end, the methods of point pattern analysis (PPA), largely used in ecology and medical imaging, seem to provide a powerful toolset.However, the application of these techniques requires the extraction of the point pattern of nanostructures from their microscope images. In this work, we address the issue of the impact that Scanning Electron Microscope (SEM) image processing may have on the fundamental metric of PPA, that is, the Nearest Neighbour Index (NNI). Using typical SEM images of polymer micro-and nanostructures taken from secondary and backscattered electrons, we report the effects of the (a) noise filtering and (b) binarisation threshold on the value of NNI as well as the impact of the image finite size effects. Based on these results, we draw conclusions for the safe choice of SEM settings to provide accurate measurement of nanostructure randomness through NNI estimation.