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ActiveX allows to save the acquired image to a file, memory or database. Acquired image can be saved as new BMP, JPEG, PNG, TIFF file or PDF document (version 1.4). Also acquired image can be added to an existing TIFF file or PDF document (version from 1.0 to 1.4).
Here are examples which demonstrate how to save acquired image(s) to a file:
TWAIN Advanced Demo demonstrates how to acquire image from scanner and save it to a disk.