diff --git a/packages/dicomImageLoader/src/imageLoader/createImage.js b/packages/dicomImageLoader/src/imageLoader/createImage.js
index 859a7e24d1..83df325bd2 100644
--- a/packages/dicomImageLoader/src/imageLoader/createImage.js
+++ b/packages/dicomImageLoader/src/imageLoader/createImage.js
@@ -133,15 +133,18 @@ function createImage(imageId, pixelData, transferSyntax, options = {}) {
       };
     }
   }
+
+  const { decodeConfig } = getOptions();
+
   const decodePromise = decodeImageFrame(
     imageFrame,
     transferSyntax,
     pixelData,
     canvas,
-    options
+    options,
+    decodeConfig
   );
 
-  const { decodeConfig } = getOptions();
   const { convertFloatPixelDataToInt, use16BitDataType } = decodeConfig;
 
   return new Promise((resolve, reject) => {
diff --git a/packages/dicomImageLoader/src/imageLoader/decodeImageFrame.js b/packages/dicomImageLoader/src/imageLoader/decodeImageFrame.js
index 4bc1d3d259..c7b11c0688 100644
--- a/packages/dicomImageLoader/src/imageLoader/decodeImageFrame.js
+++ b/packages/dicomImageLoader/src/imageLoader/decodeImageFrame.js
@@ -8,7 +8,13 @@ import { inflateRaw } from 'pako/lib/inflate.js';
 
 window.pako = { inflateRaw };
 
-function processDecodeTask(imageFrame, transferSyntax, pixelData, options) {
+function processDecodeTask(
+  imageFrame,
+  transferSyntax,
+  pixelData,
+  options,
+  decodeConfig
+) {
   const priority = options.priority || undefined;
   const transferList = options.transferPixelData
     ? [pixelData.buffer]
@@ -21,6 +27,7 @@ function processDecodeTask(imageFrame, transferSyntax, pixelData, options) {
       transferSyntax,
       pixelData,
       options,
+      decodeConfig,
     },
     priority,
     transferList
@@ -32,24 +39,55 @@ function decodeImageFrame(
   transferSyntax,
   pixelData,
   canvas,
-  options = {}
+  options = {},
+  decodeConfig
 ) {
   switch (transferSyntax) {
     case '1.2.840.10008.1.2':
       // Implicit VR Little Endian
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.1':
       // Explicit VR Little Endian
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.2':
       // Explicit VR Big Endian (retired)
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.1.99':
       // Deflate transfer syntax (deflated by dicomParser)
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.5':
       // RLE Lossless
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.4.50':
       // JPEG Baseline lossy process 1 (8 bit)
 
@@ -62,32 +100,86 @@ function decodeImageFrame(
         return decodeJPEGBaseline8BitColor(imageFrame, pixelData, canvas);
       }
 
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.4.51':
       // JPEG Baseline lossy process 2 & 4 (12 bit)
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.4.57':
       // JPEG Lossless, Nonhierarchical (Processes 14)
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.4.70':
       // JPEG Lossless, Nonhierarchical (Processes 14 [Selection 1])
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.4.80':
       // JPEG-LS Lossless Image Compression
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.4.81':
       // JPEG-LS Lossy (Near-Lossless) Image Compression
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.4.90':
       // JPEG 2000 Lossless
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
     case '1.2.840.10008.1.2.4.91':
       // JPEG 2000 Lossy
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
 
     case '3.2.840.10008.1.2.4.96':
       // HTJ2K
-      return processDecodeTask(imageFrame, transferSyntax, pixelData, options);
+      return processDecodeTask(
+        imageFrame,
+        transferSyntax,
+        pixelData,
+        options,
+        decodeConfig
+      );
   }
 
   /* Don't know if these work...
diff --git a/packages/dicomImageLoader/src/shared/decodeImageFrame.js b/packages/dicomImageLoader/src/shared/decodeImageFrame.js
index 4e4a6a8bc5..d5c968e1c7 100644
--- a/packages/dicomImageLoader/src/shared/decodeImageFrame.js
+++ b/packages/dicomImageLoader/src/shared/decodeImageFrame.js
@@ -10,7 +10,6 @@ import decodeJPEGLS from './decoders/decodeJPEGLS.js';
 import decodeJPEG2000 from './decoders/decodeJPEG2000.js';
 import decodeHTJ2K from './decoders/decodeHTJ2K.js';
 import scaleArray from './scaling/scaleArray.js';
-import { getOptions } from '../imageLoader/internal/options.js';
 
 function decodeImageFrame(
   imageFrame,
@@ -141,17 +140,17 @@ function decodeImageFrame(
 
   decodePromise
     .then((imageFrame) => {
-      callbackFn(postProcessDecodedPixels(imageFrame, options, start));
+      callbackFn(
+        postProcessDecodedPixels(imageFrame, options, start, decodeConfig)
+      );
     })
     .catch((err) => {
       throw err;
     });
 }
 
-function postProcessDecodedPixels(imageFrame, options, start) {
-  const {
-    decodeConfig: { use16BitDataType },
-  } = getOptions();
+function postProcessDecodedPixels(imageFrame, options, start, decodeConfig) {
+  const { use16BitDataType } = decodeConfig || {};
 
   const shouldShift =
     imageFrame.pixelRepresentation !== undefined &&
diff --git a/packages/dicomImageLoader/src/webWorker/decodeTask.js b/packages/dicomImageLoader/src/webWorker/decodeTask.js
index 88a0ecb349..c096a8cb89 100644
--- a/packages/dicomImageLoader/src/webWorker/decodeTask.js
+++ b/packages/dicomImageLoader/src/webWorker/decodeTask.js
@@ -68,7 +68,9 @@ function handler(data, doneCallback) {
     data.data.imageFrame,
     data.data.transferSyntax,
     pixelData,
-    decodeConfig.decodeTask,
+    // decodeTask are webworker specific, but decodeConfig are the configs
+    // that are passed in from the user. We need to merge them together
+    Object.assign(decodeConfig.decodeTask, data.data.decodeConfig),
     data.data.options,
     finishedCallback
   );