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VintaSoft TWAIN .NET SDK allows to save TWAIN acquired image to a file, memory or database. TWAIN acquired image can be saved as new BMP, JPEG, PNG, TIFF file or PDF document (version 1.4). Also TWAIN acquired image can be added to an existing TIFF file or PDF document (version from 1.0 to 1.4).
Here is a list of examples, which demonstrate how to save TWAIN acquired image(s) to a file:
TWAIN Advanced Demo and
WPF TWAIN Advanced Demo demonstrate how to acquire image from TWAIN scanner and save images to a file.