Overloads Public Sub SaveAnnotations( _
   ByVal stream As Stream, _
   ByVal subCellIndex As Integer, _
   ByVal startPage As Integer, _
   ByVal operation As MedicalViewerFileOperation _
) 

Dim instance As MedicalViewerMultiCell
Dim stream As Stream
Dim subCellIndex As Integer
Dim startPage As Integer
Dim operation As MedicalViewerFileOperation
 
instance.SaveAnnotations(stream, subCellIndex, startPage, operation)

public void SaveAnnotations( 
   Stream stream,
   int subCellIndex,
   int startPage,
   MedicalViewerFileOperation operation
)

public:
void SaveAnnotations( 
   Stream^ stream,
   int subCellIndex,
   int startPage,
   MedicalViewerFileOperation operation
) 

Private Class MedicalViewerForm16 : Inherits Form
      Private _medicalViewer As MedicalViewer
      Private LoadAnnotation As Button
      Private SaveAnnotation As Button
      Private Sub MedicalViewerForm_SizeChanged(ByVal sender As Object, ByVal e As EventArgs)
         _medicalViewer.Bounds = New Rectangle(0, 100, Me.ClientRectangle.Right, Me.ClientRectangle.Bottom - 100)
      End Sub


      Public Sub New()
         Dim _codecs As RasterCodecs = New RasterCodecs()
         Dim _image As RasterImage

         AddHandler SizeChanged, AddressOf MedicalViewerForm_SizeChanged

         ' Create the medical viewer and adjust the size and the location.
         _medicalViewer = New MedicalViewer(1, 2)
         _medicalViewer.Location = New Point(0, 100)
         _medicalViewer.Size = New Size(Me.ClientRectangle.Right, Me.ClientRectangle.Bottom - 100)

         ' Load an image and then add it to the control.
         _image = _codecs.Load(Path.Combine(LEAD_VARS.ImagesDir, "xa.dcm"))
         Dim cell As MedicalViewerMultiCell = New MedicalViewerMultiCell(_image, True, 1, 1)
         _medicalViewer.Cells.Add(cell)

         ' add some action that will be used to change the properties of the images inside the control.
         cell.AddAction(MedicalViewerActionType.AnnotationRectangle)
         cell.AddAction(MedicalViewerActionType.AnnotationEllipse)
         cell.AddAction(MedicalViewerActionType.AnnotationHilite)

         ' assign the added actions to a mouse button, meaning that when the user click and drag the mouse button, the associated action will be activated.
         cell.SetAction(MedicalViewerActionType.AnnotationRectangle, MedicalViewerMouseButtons.Left, MedicalViewerActionFlags.Active Or MedicalViewerActionFlags.RealTime)
         cell.SetAction(MedicalViewerActionType.AnnotationEllipse, MedicalViewerMouseButtons.Middle, MedicalViewerActionFlags.Active Or MedicalViewerActionFlags.RealTime)
         cell.SetAction(MedicalViewerActionType.AnnotationHilite, MedicalViewerMouseButtons.Right, MedicalViewerActionFlags.Active Or MedicalViewerActionFlags.RealTime)

         ' adjust some properties to the cell and add some tags.
         _medicalViewer.Cells(0).SetTag(2, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.UserData, "EX. ID 230-36-5448")
         _medicalViewer.Cells(0).SetTag(4, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.Frame)
         _medicalViewer.Cells(0).SetTag(6, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.Scale)
         _medicalViewer.Cells(0).SetTag(2, MedicalViewerTagAlignment.BottomLeft, MedicalViewerTagType.WindowLevelData)
         _medicalViewer.Cells(0).SetTag(1, MedicalViewerTagAlignment.BottomLeft, MedicalViewerTagType.FieldOfView)


         ' Load another image and then add it to the control.
         _image = _codecs.Load(Path.Combine(LEAD_VARS.ImagesDir, "mr.dcm"))
         _medicalViewer.Cells.Add(New MedicalViewerMultiCell(_image, True, 2, 2))

         ' add some action that will be used to change the properties of the images inside the control.
         _medicalViewer.Cells(1).AddAction(MedicalViewerActionType.AnnotationRectangle)
         _medicalViewer.Cells(1).AddAction(MedicalViewerActionType.AnnotationEllipse)
         _medicalViewer.Cells(1).AddAction(MedicalViewerActionType.AnnotationHilite)

         ' assign the added actions to a mouse button, meaning that when the user click and drag the mouse button, the associated action will be activated.
         _medicalViewer.Cells(1).SetAction(MedicalViewerActionType.AnnotationRectangle, MedicalViewerMouseButtons.Left, MedicalViewerActionFlags.Active Or MedicalViewerActionFlags.RealTime)
         _medicalViewer.Cells(1).SetAction(MedicalViewerActionType.AnnotationEllipse, MedicalViewerMouseButtons.Middle, MedicalViewerActionFlags.Active Or MedicalViewerActionFlags.RealTime)
         _medicalViewer.Cells(1).SetAction(MedicalViewerActionType.AnnotationHilite, MedicalViewerMouseButtons.Right, MedicalViewerActionFlags.Active Or MedicalViewerActionFlags.RealTime)

         ' adjust some properties to the cell and add some tags.
         _medicalViewer.Cells(1).SetTag(2, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.UserData, "EX. ID 230-36-5448")
         _medicalViewer.Cells(1).SetTag(4, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.Frame)
         _medicalViewer.Cells(1).SetTag(6, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.Scale)
         _medicalViewer.Cells(1).SetTag(2, MedicalViewerTagAlignment.BottomLeft, MedicalViewerTagType.WindowLevelData)
         _medicalViewer.Cells(1).SetTag(1, MedicalViewerTagAlignment.BottomLeft, MedicalViewerTagType.FieldOfView)



         LoadAnnotation = New Button()
         LoadAnnotation.Bounds = New Rectangle(10, 10, 100, 30)
         LoadAnnotation.Text = "Load Annotation"
         AddHandler LoadAnnotation.Click, AddressOf LoadAnnotation_Click

         SaveAnnotation = New Button()
         SaveAnnotation.Bounds = New Rectangle(110, 10, 100, 30)
         SaveAnnotation.Text = "Save Annotation"
         AddHandler SaveAnnotation.Click, AddressOf SaveAnnotation_Click

         Controls.AddRange(New Control() { _medicalViewer, LoadAnnotation, SaveAnnotation })

      End Sub

      Public ReadOnly Property Viewer() As MedicalViewer
         Get
            Return _medicalViewer
         End Get
      End Property

      Private Function GetFileStream() As FileStream
         Dim fs As FileStream
         If File.Exists(Path.Combine(LEAD_VARS.ImagesDir, "SavedAnnotation.ann")) Then
            fs = New FileStream(Path.Combine(LEAD_VARS.ImagesDir, "SavedAnnotation.ann"), FileMode.Open)
         Else
            fs = File.Create(Path.Combine(LEAD_VARS.ImagesDir, "SavedAnnotation.ann"))
         End If

         Return fs
      End Function

      Private Sub SaveAnnotation_Click(ByVal sender As Object, ByVal e As EventArgs)
         Dim fs As FileStream = GetFileStream()
         Dim cell As MedicalViewerMultiCell = CType(_medicalViewer.Cells(0), MedicalViewerMultiCell)

         cell.SaveAnnotations(fs, 0)
         fs.Close()
      End Sub

      Private Sub LoadAnnotation_Click(ByVal sender As Object, ByVal e As EventArgs)
         Dim fs As FileStream = GetFileStream()
         Dim cell As MedicalViewerMultiCell = CType(_medicalViewer.Cells(0), MedicalViewerMultiCell)

         cell.LoadAnnotations(fs, 0)
         fs.Close()
      End Sub
   End Class


   Private Function GetMedicalControl16() As MedicalViewerForm16
      Return New MedicalViewerForm16()
   End Function

   ' This example copied the annotation container of the sub-cell when user right clicks on it, and paste the annotation container on the sub-cell that the user click on it using the left mouse button.
   <Test> _
   Public Sub MedicalViewerSaveAnnotationStreamExample()
      Dim myForm As MedicalViewerForm16 = GetMedicalControl16()
      Dim medicalViewer As MedicalViewer = myForm.Viewer

      myForm.ShowDialog()
   End Sub


Public NotInheritable Class LEAD_VARS
   Public Const ImagesDir As String = "C:\Users\Public\Documents\LEADTOOLS Images"
End Class

class MedicalViewerForm16 : Form
     {
         private MedicalViewer _medicalViewer;
         Button LoadAnnotation;
         Button SaveAnnotation;
         void MedicalViewerForm_SizeChanged(object sender, EventArgs e)
         {
             _medicalViewer.Bounds = new Rectangle(0, 100, this.ClientRectangle.Right, this.ClientRectangle.Bottom - 100);
         }


         public MedicalViewerForm16()
         {
             RasterCodecs _codecs = new RasterCodecs();
             RasterImage _image;

             this.SizeChanged += new EventHandler(MedicalViewerForm_SizeChanged);

             // Create the medical viewer and adjust the size and the location.
             _medicalViewer = new MedicalViewer(1, 2);
             _medicalViewer.Location = new Point(0, 100);
             _medicalViewer.Size = new Size(this.ClientRectangle.Right, this.ClientRectangle.Bottom - 100);

             // Load an image and then add it to the control.
             _image = _codecs.Load(Path.Combine(LEAD_VARS.ImagesDir,"xa.dcm"));
             MedicalViewerMultiCell cell = new MedicalViewerMultiCell(_image, true, 1, 1);
             _medicalViewer.Cells.Add(cell);

             // add some action that will be used to change the properties of the images inside the control.
             cell.AddAction(MedicalViewerActionType.AnnotationRectangle);
             cell.AddAction(MedicalViewerActionType.AnnotationEllipse);
             cell.AddAction(MedicalViewerActionType.AnnotationHilite);

             // assign the added actions to a mouse button, meaning that when the user click and drag the mouse button, the associated action will be activated.
             cell.SetAction(MedicalViewerActionType.AnnotationRectangle, MedicalViewerMouseButtons.Left, MedicalViewerActionFlags.Active | MedicalViewerActionFlags.RealTime);
             cell.SetAction(MedicalViewerActionType.AnnotationEllipse, MedicalViewerMouseButtons.Middle, MedicalViewerActionFlags.Active | MedicalViewerActionFlags.RealTime);
             cell.SetAction(MedicalViewerActionType.AnnotationHilite, MedicalViewerMouseButtons.Right, MedicalViewerActionFlags.Active | MedicalViewerActionFlags.RealTime);

             // adjust some properties to the cell and add some tags.
             _medicalViewer.Cells[0].SetTag(2, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.UserData, "EX. ID 230-36-5448");
             _medicalViewer.Cells[0].SetTag(4, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.Frame);
             _medicalViewer.Cells[0].SetTag(6, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.Scale);
             _medicalViewer.Cells[0].SetTag(2, MedicalViewerTagAlignment.BottomLeft, MedicalViewerTagType.WindowLevelData);
             _medicalViewer.Cells[0].SetTag(1, MedicalViewerTagAlignment.BottomLeft, MedicalViewerTagType.FieldOfView);


             // Load another image and then add it to the control.
             _image = _codecs.Load(Path.Combine(LEAD_VARS.ImagesDir,"mr.dcm"));
             _medicalViewer.Cells.Add(new MedicalViewerMultiCell(_image, true, 2, 2));

             // add some action that will be used to change the properties of the images inside the control.
             _medicalViewer.Cells[1].AddAction(MedicalViewerActionType.AnnotationRectangle);
             _medicalViewer.Cells[1].AddAction(MedicalViewerActionType.AnnotationEllipse);
             _medicalViewer.Cells[1].AddAction(MedicalViewerActionType.AnnotationHilite);

             // assign the added actions to a mouse button, meaning that when the user click and drag the mouse button, the associated action will be activated.
             _medicalViewer.Cells[1].SetAction(MedicalViewerActionType.AnnotationRectangle, MedicalViewerMouseButtons.Left, MedicalViewerActionFlags.Active | MedicalViewerActionFlags.RealTime);
             _medicalViewer.Cells[1].SetAction(MedicalViewerActionType.AnnotationEllipse, MedicalViewerMouseButtons.Middle, MedicalViewerActionFlags.Active | MedicalViewerActionFlags.RealTime);
             _medicalViewer.Cells[1].SetAction(MedicalViewerActionType.AnnotationHilite, MedicalViewerMouseButtons.Right, MedicalViewerActionFlags.Active | MedicalViewerActionFlags.RealTime);

             // adjust some properties to the cell and add some tags.
             _medicalViewer.Cells[1].SetTag(2, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.UserData, "EX. ID 230-36-5448");
             _medicalViewer.Cells[1].SetTag(4, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.Frame);
             _medicalViewer.Cells[1].SetTag(6, MedicalViewerTagAlignment.TopLeft, MedicalViewerTagType.Scale);
             _medicalViewer.Cells[1].SetTag(2, MedicalViewerTagAlignment.BottomLeft, MedicalViewerTagType.WindowLevelData);
             _medicalViewer.Cells[1].SetTag(1, MedicalViewerTagAlignment.BottomLeft, MedicalViewerTagType.FieldOfView);



             LoadAnnotation = new Button();
             LoadAnnotation.Bounds = new Rectangle(10, 10, 100, 30);
             LoadAnnotation.Text = "Load Annotation";
             LoadAnnotation.Click += new EventHandler(LoadAnnotation_Click);

             SaveAnnotation = new Button();
             SaveAnnotation.Bounds = new Rectangle(110, 10, 100, 30);
             SaveAnnotation.Text = "Save Annotation";
             SaveAnnotation.Click += new EventHandler(SaveAnnotation_Click);

             Controls.AddRange(new Control[] { _medicalViewer, LoadAnnotation, SaveAnnotation });

         }

         public MedicalViewer Viewer
         {
             get { return _medicalViewer; }
         }

         FileStream GetFileStream()
         {
             FileStream fs;
             if (File.Exists(Path.Combine(LEAD_VARS.ImagesDir,"SavedAnnotation.ann")))
                 fs = new FileStream(Path.Combine(LEAD_VARS.ImagesDir,"SavedAnnotation.ann"), FileMode.Open);
             else
                 fs = File.Create(Path.Combine(LEAD_VARS.ImagesDir,"SavedAnnotation.ann"));

             return fs;
         }

         void SaveAnnotation_Click(object sender, EventArgs e)
         {
             FileStream fs = GetFileStream();
             MedicalViewerMultiCell cell = (MedicalViewerMultiCell)(_medicalViewer.Cells[0]);

             cell.SaveAnnotations(fs, 0);
             fs.Close();
         }

         void LoadAnnotation_Click(object sender, EventArgs e)
         {
             FileStream fs = GetFileStream();
             MedicalViewerMultiCell cell = (MedicalViewerMultiCell)(_medicalViewer.Cells[0]);

             cell.LoadAnnotations(fs, 0);
             fs.Close();
         }
     }


     MedicalViewerForm16 GetMedicalControl16()
     {
         return new MedicalViewerForm16();
     }

     // This example copied the annotation container of the sub-cell when user right clicks on it, and paste the annotation container on the sub-cell that the user click on it using the left mouse button.

     public void MedicalViewerSaveAnnotationStreamExample()
     {
         MedicalViewerForm16 myForm = GetMedicalControl16();
         MedicalViewer medicalViewer = myForm.Viewer;

         myForm.ShowDialog();
     }


static class LEAD_VARS
{
   public const string ImagesDir = @"C:\Users\Public\Documents\LEADTOOLS Images";
}