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If you are looking for a general overview of the whole DSX Suite please see the DSX Overview Page
X4D track 3D objects (bones, implants, etc.) in x-ray images by generating reconstructed radiographs (DRRs) of the objects and matching them to the x-ray images. It requires that the 3D x-ray configuration parameters be defined in the subject file and that the x-ray images be corrected.
The instructions on the use of the X4D is divided into sections. They are as follows:
X4D cannot be installed independently, only as a part of the DSX Manager system. The instructions on installing can be found on the DSX Manager Installation Page. X4D requires an activation code in order to be used.