You can use ImageMagick to read DICOM files and it is free and cross-platform, generally installed on Linux distros and available for OSX and Windows.
Sample for Version 6.x follows...
////////////////////////////////////////////////////////////////////////////////
// sample.cpp
// Mark Setchell
//
// ImageMagick Magick++ sample code
//
// Compile with:
// g++ sample.cpp -o sample $(Magick++-config --cppflags --cxxflags --ldflags --libs)
////////////////////////////////////////////////////////////////////////////////
#include <Magick++.h>
#include <iostream>
using namespace std;
using namespace Magick;
int main(int argc,char **argv)
{
// Initialise ImageMagick library
InitializeMagick(*argv);
// Create Image object and read in DICOM image
Image image("sample.dcm");
// Get dimensions
int w = image.columns();
int h = image.rows();
cout << "Dimensions: " << w << "x" << h << endl;
PixelPacket *pixels = image.getPixels(0, 0, w, h);
for(int y=0; y<h; y++){
for(int x=0; x<w; x++){
Color color = pixels[w * y + x];
cout << x << "," << y << ":" << color.redQuantum() << "/" << color.greenQuantum() << "/" << color.blueQuantum() << endl;
}
}
}
Sample Output
Dimensions: 512x512
0,0:0/0/0
1,0:0/0/0
2,0:0/0/0
3,0:0/0/0
4,0:0/0/0
5,0:0/0/0
6,0:0/0/0
7,0:0/0/0
8,0:0/0/0
9,0:0/0/0
10,0:0/0/0
11,0:0/0/0
12,0:0/0/0
13,0:0/0/0
14,0:0/0/0
15,0:0/0/0
16,0:0/0/0
17,0:0/0/0
18,0:0/0/0
19,0:0/0/0
20,0:0/0/0
21,0:0/0/0
22,0:0/0/0
23,0:0/0/0
24,0:0/0/0
25,0:0/0/0
...
...
260,18:80/80/80
261,18:144/144/144
262,18:192/192/192
263,18:80/80/80
264,18:32/32/32
265,18:144/144/144
...
...
If you want to use Version 7.x, see Eric's technique here.
Or, at the command line in Terminal, you can convert a file to raw 8-bit RGB binary data like this:
# Convert 512x512 image to 8-bit RGB binary file
convert sample.dcm -depth 8 rgb:image.bin
ls -l image.bin
-rw-r--r-- 1 mark staff 786432 30 Jun 15:29 image.bin
You can hopefully see from the file size that the image is now 786,432 bytes, which is 3 bytes for each of the 512x512 pixels, so you can directly read the data into your C++ program knowing you will get:
RGB RGB RGB RGB ... RGB
Or, at the command line in Terminal, you can dump the image data as hex:
convert sample.dcm -depth 8 txt: | more
Sample Output
# ImageMagick pixel enumeration: 512,512,65535,gray
0,0: (0,0,0) #000000 gray(0)
1,0: (0,0,0) #000000 gray(0)
2,0: (0,0,0) #000000 gray(0)