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This book contains extended versions of papers presented at the international Conference VIPIMAGE 2009 - ECCOMAS Thematic Conference on Computational Vision and Medical Image, that was held at Faculdade de Engenharia da Universidade do Porto, Portugal, from 14th to 16th of October 2009. This conference was the second ECCOMAS thematic conference on computational vision and medical image processing. It covered topics related to image processing and analysis, medical imaging and computational modelling and simulation, considering their multidisciplinary nature.The book collects the state-of-the-art research, methods and new trends on the subject of computational vision and medical image processing contributing to the development of these knowledge areas.