I haven't worked with MonoTouch. However, in objective-C you would get an image for a PDF page like this (notice the CTM transforms):
-(UIImage *)getThumbForPage:(int)page_number{
CGFloat width = 60.0;
// Get the page
CGPDFPageRef myPageRef = CGPDFDocumentGetPage(myDocumentRef, page);
// Changed this line for the line above which is a generic line
//CGPDFPageRef page = [self getPage:page_number];
CGRect pageRect = CGPDFPageGetBoxRect(page, kCGPDFMediaBox);
CGFloat pdfScale = width/pageRect.size.width;
pageRect.size = CGSizeMake(pageRect.size.width*pdfScale, pageRect.size.height*pdfScale);
pageRect.origin = CGPointZero;
UIGraphicsBeginImageContext(pageRect.size);
CGContextRef context = UIGraphicsGetCurrentContext();
// White BG
CGContextSetRGBFillColor(context, 1.0,1.0,1.0,1.0);
CGContextFillRect(context,pageRect);
CGContextSaveGState(context);
// ***********
// Next 3 lines makes the rotations so that the page look in the right direction
// ***********
CGContextTranslateCTM(context, 0.0, pageRect.size.height);
CGContextScaleCTM(context, 1.0, -1.0);
CGContextConcatCTM(context, CGPDFPageGetDrawingTransform(page, kCGPDFMediaBox, pageRect, 0, true));
CGContextDrawPDFPage(context, page);
CGContextRestoreGState(context);
UIImage *thm = UIGraphicsGetImageFromCurrentImageContext();
UIGraphicsEndImageContext();
return thm;
}
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