VintaSoft Imaging .NET SDK 12.4: Documentation for .NET developer
In This Topic
    DICOM: Working with DICOM files
    In This Topic
    Digital Imaging and Communications in Medicine (DICOM) is the standard for the communication and management
    of medical imaging information and related data. DICOM standard includes a file format definition and a network communications protocol.

    VintaSoft DICOM .NET Plug-in has a set of classes which allows to get images and patient data from DICOM files very easily.

    DicomFile class

    DicomFile class allows to:
    Here is C#/VB.NET code that shows how to get patient information (metadata) from DICOM file:
    /// <summary>
    /// Gets and prints information about DICOM file.
    /// </summary>
    /// <param name="filePath">Path to a DICOm file.</param>
    public void GetDicomFileInfo(string filePath)
    {
        // open DICOM file
        using (Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile file =
            new Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile(filePath))
        {
            // show file name and page count
            System.Console.WriteLine("File: {0} Page count: {1}",
                System.IO.Path.GetFileName(filePath), file.Pages.Count);
            System.Console.WriteLine();
    
            // get DICOM file metadata
            Vintasoft.Imaging.Metadata.DicomFrameMetadata fileMetadata =
                new Vintasoft.Imaging.Metadata.DicomFrameMetadata(file);
    
            // for each metadata node
            foreach (Vintasoft.Imaging.Metadata.DicomDataElementMetadata children in fileMetadata)
            {
                // print information about metadata node
                PrintMetadataNodeInfo(children);
                System.Console.WriteLine();
            }
        }
    }
    
    /// <summary>
    /// Prints information about metadata node.
    /// </summary>
    /// <param name="node">Metadata node.</param>
    public void PrintMetadataNodeInfo(Vintasoft.Imaging.Metadata.MetadataNode node)
    {
        // if node is DicomDataElementMetadata
        if (node is Vintasoft.Imaging.Metadata.DicomDataElementMetadata)
        {
            Vintasoft.Imaging.Metadata.DicomDataElementMetadata dataElementMetadata =
                (Vintasoft.Imaging.Metadata.DicomDataElementMetadata)node;
            // show data element info
            System.Console.Write("(0x{0},0x{1}) {2,-40} {3}",
                dataElementMetadata.GroupNumber.ToString("X").PadLeft(4, '0'),
                dataElementMetadata.ElementNumber.ToString("X").PadLeft(4, '0'),
                dataElementMetadata.Name,
                GetValueAsString(dataElementMetadata));
        }
    
        // show children info
        foreach (Vintasoft.Imaging.Metadata.MetadataNode children in node)
            PrintMetadataNodeInfo(children);
    }
    
    /// <summary>
    /// Returns the metadata value as a string.
    /// </summary>
    /// <param name="node">The metadata node.</param>
    private string GetValueAsString(Vintasoft.Imaging.Metadata.DicomDataElementMetadata node)
    {
        object value = node.Value;
    
        // if node value is empty
        if (value == null)
            return "NULL";
    
        // if node value is array
        if (value is System.Array)
        {
            System.Array array = (System.Array)value;
    
            // if array is empty
            if (array.Length == 0)
                return "Empty Array";
    
            // get array length
            int length = System.Math.Min(50, array.Length);
    
            // convert array to a string
            string result = "{";
            for (int i = 0; i < length - 1; i++)
                result += string.Format("{0}, ", ConvertToString(array.GetValue(i)));
            result += string.Format("{0}", ConvertToString(array.GetValue(length - 1)));
            if (array.Length != length)
                result += " ...";
            result += "}";
    
            return result;
        }
        // if node contains UID
        else if (value is Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomUidBase)
        {
            // return UID value
            return ConvertToString(((Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomUidBase)value).Value);
        }
        else
        {
            return ConvertToString(value);
        }
    }
    
    /// <summary>
    /// Converts the specified data to a string.
    /// </summary>
    /// <param name="data">The data.</param>
    private string ConvertToString(object data)
    {
        return System.Convert.ToString(data, System.Globalization.CultureInfo.CurrentCulture);            
    }
    
    /* This code example produces the following output:
        
    File: brain_005.dcm Pages count: 1
    
    (0x0002,0x0001) File Meta Information Version            {0, 1}
    (0x0002,0x0002) Media Storage SOP Class UID              1.2.840.10008.5.1.4.1.1.4
    (0x0002,0x0003) Media Storage SOP Instance UID           0.0.0.0.1.8811.2.5.20010413115754.12432
    (0x0002,0x0010) Transfer Syntax UID                      1.2.840.10008.1.2.1
    (0x0002,0x0012) Implementation Class UID                 0.0.0.0
    (0x0002,0x0013) Implementation Version Name              NOTSPECIFIED
    (0x0002,0x0016) Source Application Entity Title          NOTSPECIFIED
    (0x0008,0x0008) Image Type                               {ORIGINAL, PRIMARY, MPR}
    (0x0008,0x0016) SOP Class UID                            1.2.840.10008.5.1.4.1.1.4
    (0x0008,0x0018) SOP Instance UID                         0.0.0.0.1.8811.2.5.20010413115754.12432
    (0x0008,0x0020) Study Date                               16.03.2001 0:00:00
    (0x0008,0x0021) Series Date                              16.03.2001 0:00:00
    (0x0008,0x0022) Acquisition Date                         16.03.2001 0:00:00
    (0x0008,0x0023) Content Date                             23.03.2001 0:00:00
    (0x0008,0x0030) Study Time                               14:30:08
    (0x0008,0x0031) Series Time                              14:34:14
    (0x0008,0x0032) Acquisition Time                         14:34:15
    (0x0008,0x0033) Content Time                             14:30:10
    (0x0008,0x0050) Accession Number                         NULL
    (0x0008,0x0060) Modality                                 MR
    (0x0008,0x0070) Manufacturer                             GE Medical Systems
    (0x0008,0x0080) Institution Name
    (0x0008,0x0090) Referring Physician's Name
    (0x0008,0x1010) Station Name                             MRS1
    (0x0008,0x1030) Study Description                        BRAIN
    (0x0008,0x103E) Series Description                       FSE PD AXIAL OBL
    (0x0008,0x1050) Performing Physician's Name
    (0x0008,0x1070) Operators' Name                          EC
    (0x0008,0x1090) Manufacturer's Model Name                SIGNA
    (0x0010,0x0010) Patient's Name
    (0x0010,0x0020) Patient ID                               123565
    (0x0010,0x0030) Patient's Birth Date                     NULL
    (0x0010,0x0040) Patient's Sex                            F
    (0x0010,0x1010) Patient's Age                            028Y
    (0x0010,0x1030) Patient's Weight                         61,235
    (0x0010,0x21B0) Additional Patient History               NULL
    (0x0018,0x0020) Scanning Sequence                        SE
    (0x0018,0x0021) Sequence Variant                         SK
    (0x0018,0x0022) Scan Options                             SP
    (0x0018,0x0023) MR Acquisition Type                      2D
    (0x0018,0x0024) Sequence Name                            fse
    (0x0018,0x0050) Slice Thickness                          5
    (0x0018,0x0080) Repetition Time                          2300
    (0x0018,0x0081) Echo Time                                22
    (0x0018,0x0083) Number of Averages                       1
    (0x0018,0x0084) Imaging Frequency                        63,8615
    (0x0018,0x0086) Echo Number(s)                           1
    (0x0018,0x0087) Magnetic Field Strength                  1,5
    (0x0018,0x0088) Spacing Between Slices                   2
    (0x0018,0x0089) Number of Phase Encoding Steps           256
    (0x0018,0x0091) Echo Train Length                        8
    (0x0018,0x0095) Pixel Bandwidth                          31,25
    (0x0018,0x1020) Software Version(s)                      3
    (0x0018,0x1030) Protocol Name                            CLINICAL BRAIN
    (0x0018,0x1088) Heart Rate                               0
    (0x0018,0x1090) Cardiac Number of Images                 0
    (0x0018,0x1094) Trigger Window                           0
    (0x0018,0x1100) Reconstruction Diameter                  220
    (0x0018,0x1250) Receive Coil Name                        HEAD
    (0x0018,0x1310) Acquisition Matrix                       {0, 256, 256, 0}
    (0x0018,0x1312) In-plane Phase Encoding Direction        ROW
    (0x0018,0x1314) Flip Angle                               90
    (0x0018,0x1316) SAR                                      0,0313309
    (0x0018,0x5100) Patient Position                         HFS
    (0x0020,0x000D) Study Instance UID                       0.0.0.0.2.8811.20010413115754.12432
    (0x0020,0x000E) Series Instance UID                      0.0.0.0.3.8811.2.20010413115754.12432
    (0x0020,0x0010) Study ID                                 8811
    (0x0020,0x0011) Series Number                            2
    (0x0020,0x0012) Acquisition Number                       31748
    (0x0020,0x0013) Instance Number                          5
    (0x0020,0x0020) Patient Orientation                      {L, PH}
    (0x0020,0x0030) Image Position                           {-110,5, -82,1063, -44,9575}
    (0x0020,0x0032) Image Position (Patient)                 {-110,5, -82,1063, -44,9575}
    (0x0020,0x0035) Image Orientation                        {1, 0, 0, 0, 0,99096, 0,134158}
    (0x0020,0x0037) Image Orientation (Patient)              {1, 0, 0, 0, 0,99096, 0,134158}
    (0x0020,0x0052) Frame of Reference UID                   0.0.0.0.4.8811.2.20010413115754.12432
    (0x0020,0x1002) Images in Acquisition                    1
    (0x0020,0x1040) Position Reference Indicator             NA
    (0x0020,0x1041) Slice Location                           -30,2
    (0x0028,0x0002) Samples per Pixel                        1
    (0x0028,0x0004) Photometric Interpretation               MONOCHROME2
    (0x0028,0x0010) Rows                                     256
    (0x0028,0x0011) Columns                                  256
    (0x0028,0x0030) Pixel Spacing                            {0,859375, 0,859375}
    (0x0028,0x0100) Bits Allocated                           16
    (0x0028,0x0101) Bits Stored                              16
    (0x0028,0x0102) High Bit                                 15
    (0x0028,0x0103) Pixel Representation                     1
    (0x0028,0x0106) Smallest Image Pixel Value               0
    (0x0028,0x0107) Largest Image Pixel Value                932
    (0x0028,0x0120) Pixel Padding Value                      0
    (0x0028,0x1050) Window Center                            0
    (0x0028,0x1051) Window Width                             0
    (0x0028,0x1052) Rescale Intercept                        0
    (0x0028,0x1053) Rescale Slope                            1
    (0x0028,0x1054) Rescale Type                             SIGNAL INTENSITY (UNITLESS)
    (0x7FE0,0x0010) Pixel Data                               {0, 0, 0, 0, 0, 0, 0, 0, 0 ...}
    */
    
            ''' <summary>
            ''' Gets and prints information about DICOM file.
            ''' </summary>
            ''' <param name="filePath">Path to a DICOm file.</param>
            Public Sub GetDicomFileInfo(filePath As String)
                ' open DICOM file
                Using file As New Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile(filePath)
                    ' show file name and page count
                    System.Console.WriteLine("File: {0} Page count: {1}", System.IO.Path.GetFileName(filePath), file.Pages.Count)
                    System.Console.WriteLine()
    
                    ' get DICOM file metadata
                    Dim fileMetadata As New Vintasoft.Imaging.Metadata.DicomFrameMetadata(file)
    
                    ' for each metadata node
                    For Each children As Vintasoft.Imaging.Metadata.DicomDataElementMetadata In fileMetadata
                        ' print information about metadata node
                        PrintMetadataNodeInfo(children)
                        System.Console.WriteLine()
                    Next
                End Using
            End Sub
    
            ''' <summary>
            ''' Prints information about metadata node.
            ''' </summary>
            ''' <param name="node">Metadata node.</param>
            Public Sub PrintMetadataNodeInfo(node As Vintasoft.Imaging.Metadata.MetadataNode)
                ' if node is DicomDataElementMetadata
                If TypeOf node Is Vintasoft.Imaging.Metadata.DicomDataElementMetadata Then
                    Dim dataElementMetadata As Vintasoft.Imaging.Metadata.DicomDataElementMetadata = DirectCast(node, Vintasoft.Imaging.Metadata.DicomDataElementMetadata)
                    ' show data element info
                    System.Console.Write("(0x{0},0x{1}) {2,-40} {3}", dataElementMetadata.GroupNumber.ToString("X").PadLeft(4, "0"C), dataElementMetadata.ElementNumber.ToString("X").PadLeft(4, "0"C), dataElementMetadata.Name, GetValueAsString(dataElementMetadata))
                End If
    
                ' show children info
                For Each children As Vintasoft.Imaging.Metadata.MetadataNode In node
                    PrintMetadataNodeInfo(children)
                Next
            End Sub
    
            ''' <summary>
            ''' Returns the metadata value as a string.
            ''' </summary>
            ''' <param name="node">The metadata node.</param>
            Private Function GetValueAsString(node As Vintasoft.Imaging.Metadata.DicomDataElementMetadata) As String
                Dim value As Object = node.Value
    
                ' if node value is empty
                If value Is Nothing Then
                    Return "NULL"
                End If
    
                ' if node value is array
                If TypeOf value Is System.Array Then
                    Dim array As System.Array = DirectCast(value, System.Array)
    
                    ' if array is empty
                    If array.Length = 0 Then
                        Return "Empty Array"
                    End If
    
                    ' get array length
                    Dim length As Integer = System.Math.Min(50, array.Length)
    
                    ' convert array to a string
                    Dim result As String = "{"
                    For i As Integer = 0 To length - 2
                        result += String.Format("{0}, ", ConvertToString(array.GetValue(i)))
                    Next
                    result += String.Format("{0}", ConvertToString(array.GetValue(length - 1)))
                    If array.Length <> length Then
                        result += " ..."
                    End If
                    result += "}"
    
                    Return result
                ' if node contains UID
                ElseIf TypeOf value Is Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomUidBase Then
                    ' return UID value
                    Return ConvertToString(DirectCast(value, Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomUidBase).Value)
                Else
                    Return ConvertToString(value)
                End If
            End Function
    
            ''' <summary>
            ''' Converts the specified data to a string.
            ''' </summary>
            ''' <param name="data">The data.</param>
            Private Function ConvertToString(data As Object) As String
                Return System.Convert.ToString(data, System.Globalization.CultureInfo.CurrentCulture)
            End Function
    
            ' This code example produces the following output:
    '
    '        File: brain_005.dcm Pages count: 1
    '
    '        (0x0002,0x0001) File Meta Information Version            {0, 1}
    '        (0x0002,0x0002) Media Storage SOP Class UID              1.2.840.10008.5.1.4.1.1.4
    '        (0x0002,0x0003) Media Storage SOP Instance UID           0.0.0.0.1.8811.2.5.20010413115754.12432
    '        (0x0002,0x0010) Transfer Syntax UID                      1.2.840.10008.1.2.1
    '        (0x0002,0x0012) Implementation Class UID                 0.0.0.0
    '        (0x0002,0x0013) Implementation Version Name              NOTSPECIFIED
    '        (0x0002,0x0016) Source Application Entity Title          NOTSPECIFIED
    '        (0x0008,0x0008) Image Type                               {ORIGINAL, PRIMARY, MPR}
    '        (0x0008,0x0016) SOP Class UID                            1.2.840.10008.5.1.4.1.1.4
    '        (0x0008,0x0018) SOP Instance UID                         0.0.0.0.1.8811.2.5.20010413115754.12432
    '        (0x0008,0x0020) Study Date                               16.03.2001 0:00:00
    '        (0x0008,0x0021) Series Date                              16.03.2001 0:00:00
    '        (0x0008,0x0022) Acquisition Date                         16.03.2001 0:00:00
    '        (0x0008,0x0023) Content Date                             23.03.2001 0:00:00
    '        (0x0008,0x0030) Study Time                               14:30:08
    '        (0x0008,0x0031) Series Time                              14:34:14
    '        (0x0008,0x0032) Acquisition Time                         14:34:15
    '        (0x0008,0x0033) Content Time                             14:30:10
    '        (0x0008,0x0050) Accession Number                         NULL
    '        (0x0008,0x0060) Modality                                 MR
    '        (0x0008,0x0070) Manufacturer                             GE Medical Systems
    '        (0x0008,0x0080) Institution Name
    '        (0x0008,0x0090) Referring Physician's Name
    '        (0x0008,0x1010) Station Name                             MRS1
    '        (0x0008,0x1030) Study Description                        BRAIN
    '        (0x0008,0x103E) Series Description                       FSE PD AXIAL OBL
    '        (0x0008,0x1050) Performing Physician's Name
    '        (0x0008,0x1070) Operators' Name                          EC
    '        (0x0008,0x1090) Manufacturer's Model Name                SIGNA
    '        (0x0010,0x0010) Patient's Name
    '        (0x0010,0x0020) Patient ID                               123565
    '        (0x0010,0x0030) Patient's Birth Date                     NULL
    '        (0x0010,0x0040) Patient's Sex                            F
    '        (0x0010,0x1010) Patient's Age                            028Y
    '        (0x0010,0x1030) Patient's Weight                         61,235
    '        (0x0010,0x21B0) Additional Patient History               NULL
    '        (0x0018,0x0020) Scanning Sequence                        SE
    '        (0x0018,0x0021) Sequence Variant                         SK
    '        (0x0018,0x0022) Scan Options                             SP
    '        (0x0018,0x0023) MR Acquisition Type                      2D
    '        (0x0018,0x0024) Sequence Name                            fse
    '        (0x0018,0x0050) Slice Thickness                          5
    '        (0x0018,0x0080) Repetition Time                          2300
    '        (0x0018,0x0081) Echo Time                                22
    '        (0x0018,0x0083) Number of Averages                       1
    '        (0x0018,0x0084) Imaging Frequency                        63,8615
    '        (0x0018,0x0086) Echo Number(s)                           1
    '        (0x0018,0x0087) Magnetic Field Strength                  1,5
    '        (0x0018,0x0088) Spacing Between Slices                   2
    '        (0x0018,0x0089) Number of Phase Encoding Steps           256
    '        (0x0018,0x0091) Echo Train Length                        8
    '        (0x0018,0x0095) Pixel Bandwidth                          31,25
    '        (0x0018,0x1020) Software Version(s)                      3
    '        (0x0018,0x1030) Protocol Name                            CLINICAL BRAIN
    '        (0x0018,0x1088) Heart Rate                               0
    '        (0x0018,0x1090) Cardiac Number of Images                 0
    '        (0x0018,0x1094) Trigger Window                           0
    '        (0x0018,0x1100) Reconstruction Diameter                  220
    '        (0x0018,0x1250) Receive Coil Name                        HEAD
    '        (0x0018,0x1310) Acquisition Matrix                       {0, 256, 256, 0}
    '        (0x0018,0x1312) In-plane Phase Encoding Direction        ROW
    '        (0x0018,0x1314) Flip Angle                               90
    '        (0x0018,0x1316) SAR                                      0,0313309
    '        (0x0018,0x5100) Patient Position                         HFS
    '        (0x0020,0x000D) Study Instance UID                       0.0.0.0.2.8811.20010413115754.12432
    '        (0x0020,0x000E) Series Instance UID                      0.0.0.0.3.8811.2.20010413115754.12432
    '        (0x0020,0x0010) Study ID                                 8811
    '        (0x0020,0x0011) Series Number                            2
    '        (0x0020,0x0012) Acquisition Number                       31748
    '        (0x0020,0x0013) Instance Number                          5
    '        (0x0020,0x0020) Patient Orientation                      {L, PH}
    '        (0x0020,0x0030) Image Position                           {-110,5, -82,1063, -44,9575}
    '        (0x0020,0x0032) Image Position (Patient)                 {-110,5, -82,1063, -44,9575}
    '        (0x0020,0x0035) Image Orientation                        {1, 0, 0, 0, 0,99096, 0,134158}
    '        (0x0020,0x0037) Image Orientation (Patient)              {1, 0, 0, 0, 0,99096, 0,134158}
    '        (0x0020,0x0052) Frame of Reference UID                   0.0.0.0.4.8811.2.20010413115754.12432
    '        (0x0020,0x1002) Images in Acquisition                    1
    '        (0x0020,0x1040) Position Reference Indicator             NA
    '        (0x0020,0x1041) Slice Location                           -30,2
    '        (0x0028,0x0002) Samples per Pixel                        1
    '        (0x0028,0x0004) Photometric Interpretation               MONOCHROME2
    '        (0x0028,0x0010) Rows                                     256
    '        (0x0028,0x0011) Columns                                  256
    '        (0x0028,0x0030) Pixel Spacing                            {0,859375, 0,859375}
    '        (0x0028,0x0100) Bits Allocated                           16
    '        (0x0028,0x0101) Bits Stored                              16
    '        (0x0028,0x0102) High Bit                                 15
    '        (0x0028,0x0103) Pixel Representation                     1
    '        (0x0028,0x0106) Smallest Image Pixel Value               0
    '        (0x0028,0x0107) Largest Image Pixel Value                932
    '        (0x0028,0x0120) Pixel Padding Value                      0
    '        (0x0028,0x1050) Window Center                            0
    '        (0x0028,0x1051) Window Width                             0
    '        (0x0028,0x1052) Rescale Intercept                        0
    '        (0x0028,0x1053) Rescale Slope                            1
    '        (0x0028,0x1054) Rescale Type                             SIGNAL INTENSITY (UNITLESS)
    '        (0x7FE0,0x0010) Pixel Data                               {0, 0, 0, 0, 0, 0, 0, 0, 0 ...}
    '
    
    


    DicomDataSet class

    DicomDataSet class allows to:

    DicomDataElement class

    DicomDataElement class allows to:

    DicomFrameCollection class

    DicomFrameCollection class allows to:

    DicomFrame class

    DicomFrame class allows to:
    Here is C#/VB.NET code that shows how to get an image of DICOM frame and save it to a PNG file:
    /// <summary>
    /// Gets an image of DICOM frame and saves image to a PNG file.
    /// </summary>
    /// <param name="filePath">Path to a DICOM file.</param>
    /// <param name="pageIndex">Index of DICOM page.</param>
    public void GetAndSaveDicomImage(string filePath, int pageIndex)
    {
        // open DICOM file
        using (Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile dicomFile =
            new Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile(filePath))
        {
            // get DICOM page
            Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFrame page = dicomFile.Pages[pageIndex];
            // get DICOM image
            using (Vintasoft.Imaging.VintasoftImage image = page.GetImage())
            {
                // save image to a PNG file
                image.Save(@"E:\DicomImage.png");
            }
        }
    }
    
    ''' <summary>
    ''' Gets an image of DICOM frame and saves image to a PNG file.
    ''' </summary>
    ''' <param name="filePath">Path to a DICOM file.</param>
    ''' <param name="pageIndex">Index of DICOM page.</param>
    Public Sub GetAndSaveDicomImage(filePath As String, pageIndex As Integer)
        ' open DICOM file
        Using dicomFile As New Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile(filePath)
            ' get DICOM page
            Dim page As Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFrame = dicomFile.Pages(pageIndex)
            ' get DICOM image
            Using image As Vintasoft.Imaging.VintasoftImage = page.GetImage()
                ' save image to a PNG file
                image.Save("E:\DicomImage.png")
            End Using
        End Using
    End Sub
    


    Here is C#/VB.NET code that shows how to get DICOM image with overlay objects and save it to a PNG file:
    /// <summary>
    /// Gets DICOM image with overlay objects and saves it to a PNG file.
    /// </summary>
    /// <param name="filePath">Path to DICOM file.</param>
    /// <param name="pageIndex">Index of DICOM page.</param>
    public void GetAndSaveDicomImageWithOverlays(string filePath, int pageIndex)
    {
        // open DICOM file
        using (Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile dicomFile =
            new Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile(filePath))
        {
            // get DICOM page
            Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFrame page = dicomFile.Pages[pageIndex];
            // return DICOM image with overlay objects
            using (Vintasoft.Imaging.VintasoftImage image = page.GetImage(null, true, null))
            {
                // save image to a PNG file
                image.Save(@"E:\DicomImage.png");
            }
        }
    }
    
    ''' <summary>
    ''' Gets DICOM image with overlay objects and saves it to a PNG file.
    ''' </summary>
    ''' <param name="filePath">Path to DICOM file.</param>
    ''' <param name="pageIndex">Index of DICOM page.</param>
    Public Sub GetAndSaveDicomImageWithOverlays(filePath As String, pageIndex As Integer)
        ' open DICOM file
        Using dicomFile As New Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile(filePath)
            ' get DICOM page
            Dim page As Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFrame = dicomFile.Pages(pageIndex)
            ' return DICOM image with overlay objects
            Using image As Vintasoft.Imaging.VintasoftImage = page.GetImage(Nothing, True, Nothing)
                ' save image to a PNG file
                image.Save("E:\DicomImage.png")
            End Using
        End Using
    End Sub
    


    Here is C#/VB.NET code that shows how to get raw DICOM image, apply VOI LUT to the DICOM image, draw overlay objects on the DICOM image and save DICOM image to a PNG file:
    /// <summary>
    /// Gets raw DICOM image, applies a VOI LUT to the DICOM image,
    /// draws the overlay objects to the DICOM image, saves DICOM image to a PNG file.
    /// </summary>
    /// <param name="filePath">Path to DICOM file.</param>
    /// <param name="pageIndex">Index of DICOM page.</param>
    public void GetAndSaveDicomImageWithOverlaysAndAdjustImageWindow(string filePath, int pageIndex)
    {
        // open DICOM file
        using (Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile dicomFile =
            new Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile(filePath))
        {
            // get DICOM page
            Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFrame page = dicomFile.Pages[pageIndex];
    
    
            // get raw DICOM image
    
            // create settings for decoding DICOM image
            Vintasoft.Imaging.Codecs.Decoders.DicomDecodingSettings decodingSettings =
                new Vintasoft.Imaging.Codecs.Decoders.DicomDecodingSettings();
            // specify that Modality LUT should not be applied to a DICOM image
            decodingSettings.ApplyModalityLut = false;
            // specify that VOI LUT should not be applied to a DICOM image
            decodingSettings.ApplyValueOfInterestLut = false;
            // specify that overlay objects should not be drawn on DICOM image
            decodingSettings.ShowOverlayImages = false;
            // get raw DICOM image
            using (Vintasoft.Imaging.VintasoftImage image = page.GetImage(decodingSettings, null))
            {
    
    
                // apply VOI LUT to the DICOM image
    
                Vintasoft.Imaging.ImageProcessing.ApplyDicomImageVoiLutCommand applyDicomImageVoiLutCommand =
                    new Vintasoft.Imaging.ImageProcessing.ApplyDicomImageVoiLutCommand();
                applyDicomImageVoiLutCommand.VoiLut = new Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomImageVoiLookupTable(128, 50);
                applyDicomImageVoiLutCommand.ExecuteInPlace(image);
    
    
                // draw overlay objects on DICOM image
    
                Vintasoft.Imaging.ImageProcessing.ApplyDicomOverlaysCommand applyDicomOverlaysCommand =
                    new Vintasoft.Imaging.ImageProcessing.ApplyDicomOverlaysCommand();
                applyDicomOverlaysCommand.OverlayImages = page.OverlayImages;
                applyDicomOverlaysCommand.OverlayColor = new Vintasoft.Imaging.ImageColors.Rgb24Color(180, 180, 180);
                applyDicomOverlaysCommand.ExecuteInPlace(image);
    
    
                // save image to a PNG file
                image.Save(@"E:\DicomImage.png");
            }
        }
    }
    
    ''' <summary>
    ''' Gets raw DICOM image, applies a VOI LUT to the DICOM image,
    ''' draws the overlay objects to the DICOM image, saves DICOM image to a PNG file.
    ''' </summary>
    ''' <param name="filePath">Path to DICOM file.</param>
    ''' <param name="pageIndex">Index of DICOM page.</param>
    Public Sub GetAndSaveDicomImageWithOverlaysAndAdjustImageWindow(filePath As String, pageIndex As Integer)
        ' open DICOM file
        Using dicomFile As New Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFile(filePath)
            ' get DICOM page
            Dim page As Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomFrame = dicomFile.Pages(pageIndex)
    
    
            ' get raw DICOM image
    
            ' create settings for decoding DICOM image
            Dim decodingSettings As New Vintasoft.Imaging.Codecs.Decoders.DicomDecodingSettings()
            ' specify that Modality LUT should not be applied to a DICOM image
            decodingSettings.ApplyModalityLut = False
            ' specify that VOI LUT should not be applied to a DICOM image
            decodingSettings.ApplyValueOfInterestLut = False
            ' specify that overlay objects should not be drawn on DICOM image
            decodingSettings.ShowOverlayImages = False
            ' get raw DICOM image
            Using image As Vintasoft.Imaging.VintasoftImage = page.GetImage(decodingSettings, Nothing)
    
    
                ' apply VOI LUT to the DICOM image
    
                Dim applyDicomImageVoiLutCommand As New Vintasoft.Imaging.ImageProcessing.ApplyDicomImageVoiLutCommand()
                applyDicomImageVoiLutCommand.VoiLut = New Vintasoft.Imaging.Codecs.ImageFiles.Dicom.DicomImageVoiLookupTable(128, 50)
                applyDicomImageVoiLutCommand.ExecuteInPlace(image)
    
    
                ' draw overlay objects on DICOM image
    
                Dim applyDicomOverlaysCommand As New Vintasoft.Imaging.ImageProcessing.ApplyDicomOverlaysCommand()
                applyDicomOverlaysCommand.OverlayImages = page.OverlayImages
                applyDicomOverlaysCommand.OverlayColor = New Vintasoft.Imaging.ImageColors.Rgb24Color(180, 180, 180)
                applyDicomOverlaysCommand.ExecuteInPlace(image)
    
    
                ' save image to a PNG file
                image.Save("E:\DicomImage.png")
            End Using
        End Using
    End Sub