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One of the less effective processes within current Computer Assisted Surgery systems, utilizing pre-operative planning, is the registration of the plan with the intra-operative position of the patient. The technique described in this paper requires no digitisation of anatomical features or fiducial markers but instead relies on image matching between pseudo and real x-ray images generated by a virtual and a real image intensifier respectively. The technique is an extension to the work undertaken by Weese [1].
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