I want to let you know that I have launched a project web page for <a href="http://dicom.rubyforge.org/";>RUBY DICOM</a>, which includes a tutorial for using <a href="http://dicom.rubyforge.org/tutorial1.html";>DICOM with Ruby on Rails</a>! Hopefully a couple of more tutorials will follow eventually. Please check it out if that sounds interesting for you.