André Ferreira Bem Silva,  Tiago H. C. Nobrega,  Diego Dias Bispo Carvalho,  Renan Teston Inácio,  Aldo von Wangenheim. 

We propose a set of libraries with the goal of providing a framework to build medical applications. Instead of using the existing packages in libraries to perform the tasks of image and volume handling and visualization, all code has been written for scratch. We expose the reasoning for this decision while presenting a medical workstation and a few physical simulation prototypes as example applications.

http://www.lbd.dcc.ufmg.br/colecoes/colibri/2009/032.pdf

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