As you point out, the RMagick gem is not maintained anymore, which is
a pity (and a bit suprising), considering how popular it is as a Ruby
gem.
Frustrated by this, I therefore implemented support for the
mini_magick gem to replace the RMagick gem in ruby-dicom some time
ago. The mini_magick gem, unlike RMagick, is dead simple to install on
any system. So for those having trouble with RMagick, it is worth
trying out mini_magick instead, and then specify this gem as the image
processor for the DICOM library.
Regards,
Chris