Check out the source code from our GitHub repo. There are a couple of examples in there.
The development branch is still similar to the main branch with a couple of fixes and an update (as of yesterday) to .NET 4.5. That's soon to change as we continue updating the library. However the main ways of working with it won't change.
With the "stream of images", is your DICOM server a medical device being operated by a user (so they are pushing to you) or is it a PACS server that you query for images and then download what you want (so you are pulling from it)?