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I have used DICOM using MERGECOM when I was in GE Healthcare in 2005. After that I don't have much knowledge in the DICOM system.
Now we have a requirement for implementing PACS system using .NET platform.
Can you recommend a decent, good, community supported .NET based DICOM library or framework? or Do you know any commercial libraries for DICOM which support .NET?
Have you tried the DVTk .NET libraries. It is open source.
http://www.dvtk.org/modules/wiwimod/index.php?page=DVTk+Library&cmenu=developer
Sorry for the multiple answers to the question, but due to the nature of the question, it makes sense to have multiple answers so users can vote each individual DICOM library up or down, depending on their experience.
Since you mentioned MergeCOM-3, Merge does also have a .NET wrapper to their standard library, as you can see on their website here. They have the User's Manual online for you to download and view to get a flavor of their implementation. If you're considering commercial options, it is also a possibility.