Dicom 多幀影像一般都比較大，全部讀取的話對記憶體的要求很高，而且效率很低，所以在這種情況下需要一個單幀提取的方式。這裡分別介紹DCMTK和GDCM的單幀提取的方式：

DCMTK：

#include "dcmtk/config/osconfig.h" 
#include "dcmtk/dcmimgle/dcmimage.h" 

int main(int argc, char *argv[])
{
    OFLog::configure(OFLogger::INFO_LOG_LEVEL);

    DicomImage *image = new DicomImage("mf_image.dcm
 
", CIF_UsePartialAccessToPixelData, 0, 10 /* fcount */); 

    if (image->getStatus() == EIS_Normal)
    {
        do {
            DCMIMGLE_INFO("processing frame " << image->getFirstFrame() + 1 << " to " 
                                              << image->getFirstFrame() + image->getFrameCount());
        } 
 
while (image->processNextFrames());
    }

    delete image;

    return 0;
}

GDCM:

gdcm::ImageRegionReader reader;
reader.SetFileName(fileName);

std::vector<unsigned int> dims = gdcm::ImageHelper::GetDimensionsValue(reader.GetFile());

gdcm::BoxRegion box;
box.SetDomain(0, dims[0] - 1, 0, dims[1
 
] - 1, i, i);
reader.SetRegion(box);

size_t bufferLength = reader.ComputeBufferLength();
char* buffer = new char[bufferLength];
memset(buffer, 0x0, bufferLength);

if (!reader.ReadIntoBuffer(buffer, bufferLength)) {
    std::cout << "讀取失敗" << std::endl;
    return 0;
}
            

GDCM 處理的時候有個問題需要注意，用ImageRegionReader讀取出來後，再去呼叫reader.GetImage().GetTransferSyntax() 去獲取檔案語法，會發現該語法和原始Dicom檔案的語法不一致，所以如果需要獲取檔案語法，需要以下方法進行獲取：

const FileMetaInformation &header = reader.GetFile().GetHeader();
const TransferSyntax &ts = header.GetDataSetTransferSyntax();