A method is presented to determine the three-dimensional positions of immuno-labeled gold markers from tilted electron micrograph recordings by using image processing techniques. The method consists of three basic modules: localization of the markers in the recordings, estimation of the motion parameters, and matching corresponding markers between the views. Localization consists of a segmentation step based on edge detection and region growing. It also allows for the separation of (visually) aggregated markers. Initial estimates for the motion parameters are obtained from a small number of user-indicated correspondences. A matching algorithm based on simulated annealing is used to find corresponding markers. With the resulting mapping, the motion parameters are updated and used in a new matching step, etc. Once the parameters are stable, the marker depths are retrieved. The developed method has been applied to semithin resin sections of A431 cells labeled for DNA and detected by silver-enhanced ultrasmall gold particles. It represents a reliable method to analyze the three-dimensional distribution of gold markers in electron microscope samples.