Available in LEADTOOLS Document and Medical Imaging toolkits.
Annotation Functions: Object Properties Getting and Setting Freehand HotSpot Properties
LAnnFreehandHotSpot::GetMetafile
LAnnotation::GetPredefinedMetafile
LAnnFreehandHotSpot::SetMetafile
LAnnotation::SetPredefinedMetafile
LAnnotation::GetOptions
LAnnotation::SetOptions