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...The dimensionality refers to spatiotemporal dimensions, the voxels can be n-dimensional vectors. Open-source multi-dimensional image analysis in Python, R, Java, C#, Lua, Ruby, TCL and C++. Developed by the Insight Toolkit community for the biomedical sciences and beyond.
A fast image processing library with low memory needs
...It can also load images via ImageMagick or GraphicsMagick, letting it work with formats like DICOM. It comes with bindings for C, C++, and the command-line. Full bindings are available for Ruby, Python, PHP, C# / .NET, Go, and Lua.
An image processing application based on a scripting language: now LUA (LIP subproject). Some native function are built-in, and some use other projects (FreeImage and FreeType).