Class DicomImage

[JsonObject(MemberSerialization.OptIn)]
public sealed class DicomImage : RasterCachedMultipageImage, IDisposable, IObjectWithBounds, IRasterImageArgb32PixelLoader, IRasterImageRawDataLoader, IHasXmpData, IHasMetadata, IMultipageImageExt, IMultipageImage

using (var inputImage = Image.Load("original.jpg"))
                                                  {
                                                      var options = new DicomOptions { ColorType = ColorType.Grayscale8Bit };

                                                      inputImage.Save("original_8Bit.dcm", options);
                                                  }

using (var inputImage = Image.Load("original.jpg"))
                                              {
                                                  var options = new DicomOptions
                                                  {
                                                      ColorType = ColorType.Rgb24Bit,
                                                      Compression = new Compression { Type = CompressionType.Rle }
                                                  };

                                                  inputImage.Save("original_RLE.dcm", options);
                                              }

using (var inputImage = Image.Load("original.jpg"))
                                                    {
                                                        var options = new DicomOptions
                                                        {
                                                            ColorType = ColorType.Rgb24Bit,
                                                            Compression = new Compression
                                                            {
                                                                Type = CompressionType.Jpeg2000,
                                                                Jpeg2000 = new Jpeg2000Options
                                                                {
                                                                    Codec = Jpeg2000Codec.Jp2,
                                                                    Irreversible = false
                                                                }
                                                            }
                                                        };

                                                        inputImage.Save("original_JPEG2000.dcm", options);
                                                    }

using (var inputImage = Image.Load("original.jpg"))
                                               {
                                                   var options = new DicomOptions
                                                   {
                                                       ColorType = ColorType.Rgb24Bit,
                                                       Compression = new Compression
                                                       {
                                                           Type = CompressionType.Jpeg,
                                                           Jpeg = new JpegOptions
                                                           {
                                                               CompressionType = JpegCompressionMode.Baseline,
                                                               SampleRoundingMode = SampleRoundingMode.Truncate,
                                                               Quality = 50
                                                           }
                                                       }
                                                   };

                                                   inputImage.Save("original_JPEG.dcm", options);
                                               }

string dir = "c:\\temp\\";

                                                                           // Load a DICOM image from a file stream.
                                                                           using (System.IO.Stream stream = System.IO.File.OpenRead(dir + "sample.dicom"))
                                                                           {
                                                                               using (Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = new Aspose.Imaging.FileFormats.Dicom.DicomImage(stream))
                                                                               {
                                                                                   // Save each page as an individual PNG image.                    
                                                                                   foreach (Aspose.Imaging.FileFormats.Dicom.DicomPage dicomPage in dicomImage.DicomPages)
                                                                                   {
                                                                                       // Generate a file name based on the page index.
                                                                                       string fileName = string.Format("sample.{0}.png", dicomPage.Index);

                                                                                       // A DICOM page is a raster image, so all allowed operations with a raster image are applicable to a DICOM page.
                                                                                       dicomPage.Save(dir + fileName, new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                   }
                                                                               }
                                                                           }

using (DicomImage image = (DicomImage)Image.Create(
                                                   new DicomOptions() { Source = new StreamSource(new MemoryStream()) },
                                                   100,
                                                   100))
                                           {
                                               // Draw something using vector graphics
                                               Graphics graphics = new Graphics(image);
                                               graphics.FillRectangle(new SolidBrush(Color.BlueViolet), image.Bounds);
                                               graphics.FillRectangle(new SolidBrush(Color.Aqua), 10, 20, 50, 20);
                                               graphics.FillEllipse(new SolidBrush(Color.Orange), 30, 50, 70, 30);

                                               // Save the pixels of the drawn image. They are now on the first page of the Dicom image.
                                               int[] pixels = image.LoadArgb32Pixels(image.Bounds);

                                               // Add a few pages after, making them darker
                                               for (int i = 1; i < 5; i++)
                                               {
                                                   DicomPage page = image.AddPage();
                                                   page.SaveArgb32Pixels(page.Bounds, pixels);
                                                   page.AdjustBrightness(i * 30);
                                               }

                                               // Add a few pages in front of the main page, making them brighter
                                               for (int i = 1; i < 5; i++)
                                               {
                                                   DicomPage page = image.InsertPage(0);
                                                   page.SaveArgb32Pixels(page.Bounds, pixels);
                                                   page.AdjustBrightness(-i * 30);
                                               }

                                               // Save the created multi-page image to the output file
                                               image.Save("MultiPage.dcm");
                                           }

public DicomImage(DicomOptions dicomOptions, int width, int height)

public DicomImage(Stream stream, LoadOptions loadOptions)

string dir = "c:\\temp\\";

                                                                                                                     // Load a DICOM image from a file stream.
                                                                                                                     using (System.IO.Stream stream = System.IO.File.OpenRead(dir + "multiframe.dicom"))
                                                                                                                     {
                                                                                                                         // The max allowed size for all internal buffers is 256KB.
                                                                                                                         Aspose.Imaging.LoadOptions loadOptions = new Aspose.Imaging.LoadOptions();
                                                                                                                         loadOptions.BufferSizeHint = 256 * 1024;

                                                                                                                         using (Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = new Aspose.Imaging.FileFormats.Dicom.DicomImage(stream, loadOptions))
                                                                                                                         {
                                                                                                                             // Save each page as an individual PNG image.
                                                                                                                             foreach (Aspose.Imaging.FileFormats.Dicom.DicomPage dicomPage in dicomImage.DicomPages)
                                                                                                                             {
                                                                                                                                 // Generate a file name based on the page index.
                                                                                                                                 string fileName = string.Format("multiframe.{0}.png", dicomPage.Index);

                                                                                                                                 // A DICOM page is a raster image, so all allowed operations with a raster image are applicable to a DICOM page.
                                                                                                                                 dicomPage.Save(dir + fileName, new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                             }
                                                                                                                         }
                                                                                                                     }

public DicomImage(Stream stream)

string dir = "c:\\temp\\";

                                                                           // Load a DICOM image from a file stream.
                                                                           using (System.IO.Stream stream = System.IO.File.OpenRead(dir + "sample.dicom"))
                                                                           {
                                                                               using (Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = new Aspose.Imaging.FileFormats.Dicom.DicomImage(stream))
                                                                               {
                                                                                   // Save each page as an individual PNG image.                    
                                                                                   foreach (Aspose.Imaging.FileFormats.Dicom.DicomPage dicomPage in dicomImage.DicomPages)
                                                                                   {
                                                                                       // Generate a file name based on the page index.
                                                                                       string fileName = string.Format("sample.{0}.png", dicomPage.Index);

                                                                                       // A DICOM page is a raster image, so all allowed operations with a raster image are applicable to a DICOM page.
                                                                                       dicomPage.Save(dir + fileName, new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                   }
                                                                               }
                                                                           }

public DicomPage ActivePage { get; set; }

public int ActivePageIndex { get; }

public DicomPage[] DicomPages { get; }

public override FileFormat FileFormat { get; }

public DicomImageInfo FileInfo { get; }

public override bool HasAlpha { get; }

public override int PageCount { get; }

public override Image[] Pages { get; }

public void AddPage(RasterImage page)

public DicomPage AddPage()

using (DicomImage image = (DicomImage)Image.Create(
                                                   new DicomOptions() { Source = new StreamSource(new MemoryStream()) },
                                                   100,
                                                   100))
                                           {
                                               // Draw something using vector graphics
                                               Graphics graphics = new Graphics(image);
                                               graphics.FillRectangle(new SolidBrush(Color.BlueViolet), image.Bounds);
                                               graphics.FillRectangle(new SolidBrush(Color.Aqua), 10, 20, 50, 20);
                                               graphics.FillEllipse(new SolidBrush(Color.Orange), 30, 50, 70, 30);

                                               // Save the pixels of the drawn image. They are now on the first page of the Dicom image.
                                               int[] pixels = image.LoadArgb32Pixels(image.Bounds);

                                               // Add a few pages after, making them darker
                                               for (int i = 1; i < 5; i++)
                                               {
                                                   DicomPage page = image.AddPage();
                                                   page.SaveArgb32Pixels(page.Bounds, pixels);
                                                   page.AdjustBrightness(i * 30);
                                               }

                                               // Add a few pages in front of the main page, making them brighter
                                               for (int i = 1; i < 5; i++)
                                               {
                                                   DicomPage page = image.InsertPage(0);
                                                   page.SaveArgb32Pixels(page.Bounds, pixels);
                                                   page.AdjustBrightness(-i * 30);
                                               }

                                               // Save the created multi-page image to the output file
                                               image.Save("MultiPage.dcm");
                                           }

public override void AdjustBrightness(int brightness)

string dir = "c:\\temp\\";

                                                                                 using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                 {
                                                                                     Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                     // Set the brightness value. The accepted values of brightness are in the range [-255, 255].
                                                                                     dicomImage.AdjustBrightness(50);
                                                                                     dicomImage.Save(dir + "sample.AdjustBrightness.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                 }

public override void AdjustContrast(float contrast)

string dir = "c:\\temp\\";

                                                                               using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                               {
                                                                                   Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                   // Set the contrast value. The accepted values of contrast are in the range [-100f, 100f].
                                                                                   dicomImage.AdjustContrast(50f);
                                                                                   dicomImage.Save(dir + "sample.AdjustContrast.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                               }

public override void AdjustGamma(float gamma)

string dir = "c:\\temp\\";

                                                                            using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                            {
                                                                                Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                // Set gamma coefficient for red, green and blue channels.
                                                                                dicomImage.AdjustGamma(2.5f);
                                                                                dicomImage.Save(dir + "sample.AdjustGamma.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                            }

public override void AdjustGamma(float gammaRed, float gammaGreen, float gammaBlue)

string dir = "c:\\temp\\";

                                                                                                                                 using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                 {
                                                                                                                                     Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                                     // Set individual gamma coefficients for red, green and blue channels.
                                                                                                                                     dicomImage.AdjustGamma(1.5f, 2.5f, 3.5f);
                                                                                                                                     dicomImage.Save(dir + "sample.AdjustGamma.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                 }

public override void BinarizeBradley(double brightnessDifference, int windowSize)

string dir = "c:\\temp\\";

                                                                                                                                                                                                 using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                                                 {
                                                                                                                                                                                                     Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                                                                                                     // Binarize the image with a brightness difference of 5. The brightness is a difference between a pixel and the average of an 10 x 10 window of pixels centered around this pixel.
                                                                                                                                                                                                     dicomImage.BinarizeBradley(5, 10);
                                                                                                                                                                                                     dicomImage.Save(dir + "sample.BinarizeBradley5_10x10.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                                                 }

public override void BinarizeFixed(byte threshold)

string dir = "c:\\temp\\";

                                                                                                                                                 using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                 {
                                                                                                                                                     Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                                                     // Binarize the image with a threshold value of 127.
                                                                                                                                                     // If a corresponding gray value of a pixel is greater than 127, a value of 255 will be assigned to it, 0 otherwise.
                                                                                                                                                     dicomImage.BinarizeFixed(127);
                                                                                                                                                     dicomImage.Save(dir + "sample.BinarizeFixed.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                 }

public override void BinarizeOtsu()

string dir = "c:\\temp\\";

                                                                                                                                          using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                          {
                                                                                                                                              Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                                              // Binarize the image with Otsu thresholding.
                                                                                                                                              dicomImage.BinarizeOtsu();
                                                                                                                                              dicomImage.Save(dir + "sample.BinarizeOtsu.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                          }

public override void CacheData()

string dir = "c:\\temp\\";

                                                                               // Load an image from a DICOM file.
                                                                               using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                               {
                                                                                   // This call caches all the pages so that no additional data loading will be performed from the underlying data stream.
                                                                                   image.CacheData();

                                                                                   // Or you can cache the pages individually.
                                                                                   foreach (Aspose.Imaging.FileFormats.Dicom.DicomPage page in image.DicomPages)
                                                                                   {
                                                                                       page.CacheData();
                                                                                   }
                                                                               }

public override void Crop(Rectangle rectangle)

string dir = "c:\\temp\\";

                                                                                                                     using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                     {
                                                                                                                         Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                         // Crop the image. The cropping area is the rectangular central area of the image.
                                                                                                                         Aspose.Imaging.Rectangle area = new Aspose.Imaging.Rectangle(dicomImage.Width / 4, dicomImage.Height / 4, dicomImage.Width / 2, dicomImage.Height / 2);
                                                                                                                         dicomImage.Crop(area);

                                                                                                                         // Save the cropped image to PNG
                                                                                                                         dicomImage.Save(dir + "sample.Crop.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                     }

public override void Crop(int leftShift, int rightShift, int topShift, int bottomShift)

string dir = @"c:\temp\";

                                                                                                                          using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                          {
                                                                                                                              Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                              // Crop again. Set a margin of 10% of the image size.
                                                                                                                              int horizontalMargin = dicomImage.Width / 10;
                                                                                                                              int verticalMargin = dicomImage.Height / 10;
                                                                                                                              dicomImage.Crop(horizontalMargin, horizontalMargin, verticalMargin, verticalMargin);

                                                                                                                              // Save the cropped image to PNG.
                                                                                                                              dicomImage.Save(dir + "sample.Crop.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                          }

public override void Dither(DitheringMethod ditheringMethod, int bitsCount, IColorPalette customPalette)

string dir = "c:\\temp\\";

                                                                                                                              using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                              {
                                                                                                                                  Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                                  // Perform threshold dithering using 4-bit color palette which contains 16 colors.
                                                                                                                                  // The more bits specified the higher quality and the bigger size of the output image.
                                                                                                                                  // Note that only 1-bit, 4-bit and 8-bit palettes are supported at the moment.
                                                                                                                                  dicomImage.Dither(Aspose.Imaging.DitheringMethod.ThresholdDithering, 4, null);

                                                                                                                                  dicomImage.Save(dir + "sample.ThresholdDithering4.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                              }

                                                                                                                              using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                              {
                                                                                                                                  Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                                  // Perform floyd dithering using 1-bit color palette which contains only 2 colors - black and white.
                                                                                                                                  // The more bits specified the higher quality and the bigger size of the output image.
                                                                                                                                  // Note that only 1-bit, 4-bit and 8-bit palettes are supported at the moment.
                                                                                                                                  dicomImage.Dither(Aspose.Imaging.DitheringMethod.FloydSteinbergDithering, 1, null);

                                                                                                                                  dicomImage.Save(dir + "sample.FloydSteinbergDithering1.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                              }

public override void Filter(Rectangle rectangle, FilterOptionsBase options)

string dir = "c:\\temp\\";

                                                                                   using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                   {
                                                                                       Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                       // Apply a median filter with a rectangle size of 5 to the entire image.
                                                                                       dicomImage.Filter(dicomImage.Bounds, new Aspose.Imaging.ImageFilters.FilterOptions.MedianFilterOptions(5));
                                                                                       dicomImage.Save(dir + "sample.MedianFilter.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                   }

                                                                                   using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                   {
                                                                                       Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                       // Apply a bilateral smoothing filter with a kernel size of 5 to the entire image.
                                                                                       dicomImage.Filter(dicomImage.Bounds, new Aspose.Imaging.ImageFilters.FilterOptions.BilateralSmoothingFilterOptions(5));
                                                                                       dicomImage.Save(dir + "sample.BilateralSmoothingFilter.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                   }

                                                                                   using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                   {
                                                                                       Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                       // Apply a Gaussian blur filter with a radius of 5 and a sigma value of 4.0 to the entire image.
                                                                                       dicomImage.Filter(dicomImage.Bounds, new Aspose.Imaging.ImageFilters.FilterOptions.GaussianBlurFilterOptions(5, 4.0));
                                                                                       dicomImage.Save(dir + "sample.GaussianBlurFilter.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                   }

                                                                                   using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                   {
                                                                                       Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                       // Apply a Gauss-Wiener filter with a radius of 5 and a smooth value of 4.0 to the entire image.
                                                                                       dicomImage.Filter(dicomImage.Bounds, new Aspose.Imaging.ImageFilters.FilterOptions.GaussWienerFilterOptions(5, 4.0));
                                                                                       dicomImage.Save(dir + "sample.GaussWienerFilter.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                   }

                                                                                   using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                   {
                                                                                       Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                       // Apply a motion wiener filter with a length of 5, a smooth value of 4.0 and an angle of 90.0 degrees to the entire image.
                                                                                       dicomImage.Filter(dicomImage.Bounds, new Aspose.Imaging.ImageFilters.FilterOptions.MotionWienerFilterOptions(10, 1.0, 90.0));
                                                                                       dicomImage.Save(dir + "sample.MotionWienerFilter.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                   }

                                                                                   using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                   {
                                                                                       Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                       // Apply a sharpen filter with a kernel size of 5 and a sigma value of 4.0 to the entire image.
                                                                                       dicomImage.Filter(dicomImage.Bounds, new Aspose.Imaging.ImageFilters.FilterOptions.SharpenFilterOptions(5, 4.0));
                                                                                       dicomImage.Save(dir + "sample.SharpenFilter.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                   }

public override void Grayscale()

string dir = "c:\\temp\\";

                                                                                                                                                                                                    using (Aspose.Imaging.Image image = Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                                                    {
                                                                                                                                                                                                        Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                                                                                                                                        dicomImage.Grayscale();
                                                                                                                                                                                                        dicomImage.Save(dir + "sample.Grayscale.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                                                    }

public DicomPage InsertPage(int pageIndex)

using (DicomImage image = (DicomImage)Image.Create(
                                                   new DicomOptions() { Source = new StreamSource(new MemoryStream()) },
                                                   100,
                                                   100))
                                           {
                                               // Draw something using vector graphics
                                               Graphics graphics = new Graphics(image);
                                               graphics.FillRectangle(new SolidBrush(Color.BlueViolet), image.Bounds);
                                               graphics.FillRectangle(new SolidBrush(Color.Aqua), 10, 20, 50, 20);
                                               graphics.FillEllipse(new SolidBrush(Color.Orange), 30, 50, 70, 30);

                                               // Save the pixels of the drawn image. They are now on the first page of the Dicom image.
                                               int[] pixels = image.LoadArgb32Pixels(image.Bounds);

                                               // Add a few pages after, making them darker
                                               for (int i = 1; i < 5; i++)
                                               {
                                                   DicomPage page = image.AddPage();
                                                   page.SaveArgb32Pixels(page.Bounds, pixels);
                                                   page.AdjustBrightness(i * 30);
                                               }

                                               // Add a few pages in front of the main page, making them brighter
                                               for (int i = 1; i < 5; i++)
                                               {
                                                   DicomPage page = image.InsertPage(0);
                                                   page.SaveArgb32Pixels(page.Bounds, pixels);
                                                   page.AdjustBrightness(-i * 30);
                                               }

                                               // Save the created multi-page image to the output file
                                               image.Save("MultiPage.dcm");
                                           }

protected override void ReleaseManagedResources()

public void RemovePage(int pageIndex)

public override void Resize(int newWidth, int newHeight, ResizeType resizeType)

string dir = "c:\\temp\\";

                                                                                          using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                          {
                                                                                              // Scale up by 2 times using Nearest Neighbour resampling.
                                                                                              image.Resize(image.Width* 2, image.Height* 2, Aspose.Imaging.ResizeType.NearestNeighbourResample);

                                                                                              // Save to PNG with default options.
                                                                                              image.Save(dir + "upsample.nearestneighbour.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                          }

                                                                                          using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                          {
                                                                                              // Scale down by 2 times using Nearest Neighbour resampling.
                                                                                              image.Resize(image.Width / 2, image.Height / 2, Aspose.Imaging.ResizeType.NearestNeighbourResample);

                                                                                              // Save to PNG with default options.
                                                                                              image.Save(dir + "downsample.nearestneighbour.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                          }

                                                                                          using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                          {
                                                                                              // Scale up by 2 times using Bilinear resampling.
                                                                                              image.Resize(image.Width* 2, image.Height* 2, Aspose.Imaging.ResizeType.BilinearResample);

                                                                                              // Save to PNG with default options.
                                                                                              image.Save(dir + "upsample.bilinear.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                          }

                                                                                          using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                          {
                                                                                              // Scale down by 2 times using Bilinear resampling.
                                                                                              image.Resize(image.Width / 2, image.Height / 2, Aspose.Imaging.ResizeType.BilinearResample);

                                                                                              // Save to PNG with default options.
                                                                                              image.Save(dir + "downsample.bilinear.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                          }

public override void Resize(int newWidth, int newHeight, ImageResizeSettings settings)

string dir = "c:\\temp\\";

                                                                                           Aspose.Imaging.ImageResizeSettings resizeSettings = new Aspose.Imaging.ImageResizeSettings();

                                                                                           // The adaptive algorithm based on weighted and blended rational function and lanczos3 interpolation.
                                                                                           resizeSettings.Mode = Aspose.Imaging.ResizeType.AdaptiveResample;

                                                                                           // The small rectangular filter
                                                                                           resizeSettings.FilterType = Aspose.Imaging.ImageFilterType.SmallRectangular;

                                                                                           // The number of colors in the palette.
                                                                                           resizeSettings.EntriesCount = 256;

                                                                                           // The color quantization is not used
                                                                                           resizeSettings.ColorQuantizationMethod = ColorQuantizationMethod.None;

                                                                                           // The euclidian method
                                                                                           resizeSettings.ColorCompareMethod = ColorCompareMethod.Euclidian;

                                                                                           using (Aspose.Imaging.Image image = (Aspose.Imaging.Image)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                           {
                                                                                               Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = (Aspose.Imaging.FileFormats.Dicom.DicomImage)image;

                                                                                               // Scale down by 2 times using adaptive resampling.
                                                                                               dicomImage.Resize(image.Width / 2, image.Height / 2, resizeSettings);

                                                                                               // Save to PNG
                                                                                               dicomImage.Save(dir + "downsample.adaptive.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                           }

public override void ResizeHeightProportionally(int newHeight, ResizeType resizeType)

string dir = "c:\\temp\\";

                                                                                                                                                                              using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                              {
                                                                                                                                                                                  // Scale up by 2 times using Nearest Neighbour resampling.
                                                                                                                                                                                  image.ResizeHeightProportionally(image.Height* 2, Aspose.Imaging.ResizeType.NearestNeighbourResample);

                                                                                                                                                                                  // Save to PNG with the default options.
                                                                                                                                                                                  image.Save(dir + "upsample.nearestneighbour.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                              }

                                                                                                                                                                              using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                              {
                                                                                                                                                                                  // Scale down by 2 times using Nearest Neighbour resampling.
                                                                                                                                                                                  image.ResizeHeightProportionally(image.Height / 2, Aspose.Imaging.ResizeType.NearestNeighbourResample);

                                                                                                                                                                                  // Save to PNG with the default options.
                                                                                                                                                                                  image.Save(dir + "downsample.nearestneighbour.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                              }

                                                                                                                                                                              using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                              {
                                                                                                                                                                                  // Scale up by 2 times using Bilinear resampling.
                                                                                                                                                                                  image.ResizeHeightProportionally(image.Height* 2, Aspose.Imaging.ResizeType.BilinearResample);

                                                                                                                                                                                  // Save to PNG with the default options.
                                                                                                                                                                                  image.Save(dir + "upsample.bilinear.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                              }

                                                                                                                                                                              using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                              {
                                                                                                                                                                                  // Scale down by 2 times using Bilinear resampling.
                                                                                                                                                                                  image.ResizeHeightProportionally(image.Height / 2, Aspose.Imaging.ResizeType.BilinearResample);

                                                                                                                                                                                  // Save to PNG with the default options.
                                                                                                                                                                                  image.Save(dir + "downsample.bilinear.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                              }

public void ResizeProportional(int newWidth, int newHeight, ResizeType resizeType)

public override void ResizeWidthProportionally(int newWidth, ResizeType resizeType)

string dir = "c:\\temp\\";

                                                                                                                                                                              using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                              {
                                                                                                                                                                                  // Scale up by 2 times using Nearest Neighbour resampling.
                                                                                                                                                                                  image.ResizeWidthProportionally(image.Width* 2, Aspose.Imaging.ResizeType.NearestNeighbourResample);

                                                                                                                                                                                  // Save to PNG with the default options.
                                                                                                                                                                                  image.Save(dir + "upsample.nearestneighbour.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                              }

                                                                                                                                                                              using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                              {
                                                                                                                                                                                  // Scale down by 2 times using Nearest Neighbour resampling.
                                                                                                                                                                                  image.ResizeWidthProportionally(image.Width / 2, Aspose.Imaging.ResizeType.NearestNeighbourResample);

                                                                                                                                                                                  // Save to PNG with the default options.
                                                                                                                                                                                  image.Save(dir + "downsample.nearestneighbour.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                              }

                                                                                                                                                                              using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                              {
                                                                                                                                                                                  // Scale up by 2 times using Bilinear resampling.
                                                                                                                                                                                  image.ResizeWidthProportionally(image.Width* 2, Aspose.Imaging.ResizeType.BilinearResample);

                                                                                                                                                                                  // Save to PNG with the default options.
                                                                                                                                                                                  image.Save(dir + "upsample.bilinear.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                              }

                                                                                                                                                                              using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                                              {
                                                                                                                                                                                  // Scale down by 2 times using Bilinear resampling.
                                                                                                                                                                                  image.ResizeWidthProportionally(image.Width / 2, Aspose.Imaging.ResizeType.BilinearResample);                

                                                                                                                                                                                  // Save to PNG with the default options.
                                                                                                                                                                                  image.Save(dir + "downsample.bilinear.png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                                              }

public override void Rotate(float angle, bool resizeProportionally, Color backgroundColor)

string dir = "c:\\temp\\";

                                                                                                                     // Load a DICOM image from a file stream.
                                                                                                                     using (System.IO.Stream stream = System.IO.File.OpenRead(dir + "multiframe.dicom"))
                                                                                                                     {
                                                                                                                         using (Aspose.Imaging.FileFormats.Dicom.DicomImage dicomImage = new Aspose.Imaging.FileFormats.Dicom.DicomImage(stream))
                                                                                                                         {
                                                                                                                             // Rotate the image around the center by 60 degrees clockwise.
                                                                                                                             // Use gray as the background color.
                                                                                                                             dicomImage.Rotate(60, true, Aspose.Imaging.Color.Gray);

                                                                                                                             Aspose.Imaging.ImageOptions.TiffOptions createOptions = new Aspose.Imaging.ImageOptions.TiffOptions(Imaging.FileFormats.Tiff.Enums.TiffExpectedFormat.Default);
                                                                                                                             createOptions.Compression = Aspose.Imaging.FileFormats.Tiff.Enums.TiffCompressions.Deflate;

                                                                                                                             // Note that if the image is colorful, it will be automatically converted to the grayscale format according to the options below
                                                                                                                             createOptions.Photometric = Aspose.Imaging.FileFormats.Tiff.Enums.TiffPhotometrics.MinIsBlack;
                                                                                                                             createOptions.BitsPerSample = new ushort[] { 8 };

                                                                                                                             // Create an array of TIFF frames.
                                                                                                                             // The number of the frames is equal to the number of the DJVU pages.
                                                                                                                             Aspose.Imaging.FileFormats.Tiff.TiffFrame[] tiffFrames = new Aspose.Imaging.FileFormats.Tiff.TiffFrame[dicomImage.DicomPages.Length];

                                                                                                                             // Save each page as an individual TIFF frame.
                                                                                                                             foreach (Aspose.Imaging.FileFormats.Dicom.DicomPage dicomPage in dicomImage.DicomPages)
                                                                                                                             {
                                                                                                                                 // Create a TIFF frame based on the DICOM page.
                                                                                                                                 tiffFrames[dicomPage.Index] = new Aspose.Imaging.FileFormats.Tiff.TiffFrame(dicomPage, createOptions);
                                                                                                                             }

                                                                                                                             // Compose a TIFF image from the frames.
                                                                                                                             using (Aspose.Imaging.FileFormats.Tiff.TiffImage tiffImage = new Aspose.Imaging.FileFormats.Tiff.TiffImage(tiffFrames))
                                                                                                                             {
                                                                                                                                 // Save to a file.
                                                                                                                                 tiffImage.Save(dir + "multiframe.tif");
                                                                                                                             }
                                                                                                                         }
                                                                                                                     }

public override void RotateFlip(RotateFlipType rotateFlipType)

string dir = "c:\\temp\\";

                                                                                                                                               Aspose.Imaging.RotateFlipType[] rotateFlipTypes = new Aspose.Imaging.RotateFlipType[]
                                                                                                                                               {
                                                                                                                                                   Aspose.Imaging.RotateFlipType.Rotate90FlipNone,
                                                                                                                                                   Aspose.Imaging.RotateFlipType.Rotate90FlipX,
                                                                                                                                                   Aspose.Imaging.RotateFlipType.Rotate90FlipXY,
                                                                                                                                                   Aspose.Imaging.RotateFlipType.Rotate90FlipY,
                                                                                                                                               };

                                                                                                                                               foreach (Aspose.Imaging.RotateFlipType rotateFlipType in rotateFlipTypes)
                                                                                                                                               {
                                                                                                                                                   // Rotate, flip and save to the output file.
                                                                                                                                                   using (Aspose.Imaging.FileFormats.Dicom.DicomImage image = (Aspose.Imaging.FileFormats.Dicom.DicomImage)Aspose.Imaging.Image.Load(dir + "sample.dicom"))
                                                                                                                                                   {
                                                                                                                                                       image.RotateFlip(rotateFlipType);
                                                                                                                                                       image.Save(dir + "sample." + rotateFlipType + ".png", new Aspose.Imaging.ImageOptions.PngOptions());
                                                                                                                                                   }
                                                                                                                                               }