<-warning message
<-nifti quality--
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About the warning: it only means the combined file stores its intensities as 64-bit ("double") numbers. The version of ITK-SNAP you're using keeps those values exactly, so nothing is lost, and the warning isn't what makes the image look bad. The message is out of date, and we'll fix it.
To work out the quality problem, could you tell us a bit more about how you combined the two DICOM series?
If you can share the combined DICOM, or the two original series, we can also take a look directly.
On stitching the NIfTI files: ITK-SNAP itself doesn't have a stitching tool, but it comes with a command-line tool, Convert3D, that can do it. Once we know a bit more about your images, we can send you step-by-step instructions.
Best,
Jilei