Variables that should be set in order to work with gdcmPython: GDCM_DATA_ROOT path to gdcmData PYTHONPATH path to both - GDCM_BIN - GDCM_BIN/bin (for linux) or GDCM_BIN/bin/Release (for Windows) e.g. export GDCM_DICT_PATH=~/cvs/gdcm/Dicts/ export GDCM_DATA_PATH=~/cvs/gdcmData/ export PYTHONPATH=~/cvs/gdcmbin/bin:~/cvs/gdcmbin/