What controls/tools are you using in your medical software for capturing and manipulating images? Also you probably mentioned it in class and I didn't pick up on it, but do you store your document images as a file or within a SQL data base?

-Larry

One thing I might add on the TIFFs are multi-page TIFs.  If you are going to support multi-page TIFs then you may want to look at using a 3rd party tool like Atalasoft.  When you load up a TIF into an Image in .NET it will assume the first page if there is more than one page stored within the TIF.