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/usr/include/ITK-4.5/localMetaConfiguration.h is in libinsighttoolkit4-dev 4.5.0-3.

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/*============================================================================
  MetaIO
  Copyright 2000-2010 Insight Software Consortium

  Distributed under the OSI-approved BSD License (the "License");
  see accompanying file Copyright.txt for details.

  This software is distributed WITHOUT ANY WARRANTY; without even the
  implied warranty of MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.
  See the License for more information.
============================================================================*/
#ifdef METAIO_USE_NAMESPACE
  #undef METAIO_USE_NAMESPACE
#endif
#ifdef METAIO_NAMESPACE
  #undef METAIO_NAMESPACE
#endif
#ifdef METAIO_STL
  #undef METAIO_STL
#endif
#ifdef METAIO_STREAM
  #undef METAIO_STREAM
#endif
#ifdef METAIO_EXPORT
  #undef METAIO_EXPORT
#endif

#include "metaIOConfig.h"

#if defined(METAIO_FOR_ITK) || !defined(METAIO_FOR_VTK)
  // ITK

  #define METAIO_USE_NAMESPACE  0
  #define METAIO_NAMESPACE      ITKMetaIO

  #include "itk_zlib.h"

  #define METAIO_STL    std
  #define METAIO_STREAM std
  #include <iostream>
  #include <fstream>

  #define METAIO_EXPORT

#else
// VTK

  #define METAIO_USE_NAMESPACE  1
  #define METAIO_NAMESPACE      vtkmetaio

  #include "vtk_zlib.h"

  #define METAIO_STL    std
  #define METAIO_STREAM std
  #include <iostream>
  #include <fstream>

  #if (defined(_WIN32) || defined(WIN32)) && defined(vtkmetaio_BUILD_SHARED_LIBS)
    #ifdef vtkmetaio_EXPORTS
      #define METAIO_EXPORT __declspec(dllexport)
      #define METAIO_EXTERN
    #else
      #define METAIO_EXPORT __declspec(dllimport)
      #define METAIO_EXTERN extern
    #endif
  #else
    #define METAIO_EXPORT
  #endif

// end VTK/ITK
#endif