DicomObjects does not have direct, simple ways to create DICOM overlays.

Common use case and restrictions It is common that users need to send an entire DICOM study that contains hundreds (or even thousands) of images to a remote DICOM node.

Only the mandatory elements (and one or two others we’ve been talked into adding) are put into the DICOMDIR by the AddToDirectory (.

A sequence in DICOM is represented by DicomDataSets Object in DicomObjects and a sequence item is represented by a DicomDataSet Object.

Hounsfield Units (HU) are used in CT images it is a measure of radio-density, calibrated to distilled water and free air.

DicomObjects.NET C-MOVE is slightly more complicated but user has a lot more flexibility.