After attempting use WSIDicomizer, a project that utilises this library, we found that some isyntax files were not converted correctly and was vastly different to a SDK produced tiff, this issue after testing with the latest version of this repo and the provided example isyntax to tiff converter showed that the tiff produced was a similar poor quality to the dicom files produced by wsidicomizer, meaning an issue with how libisyntax reads this isyntax file, some more information and screenshots of the problem can be found in the issue for wsidicomizer:
imi-bigpicture/wsidicomizer#133