diff --git a/pixeldata/src/lib.rs b/pixeldata/src/lib.rs
index b14e5bb2..c8fa2315 100644
--- a/pixeldata/src/lib.rs
+++ b/pixeldata/src/lib.rs
@@ -169,7 +169,7 @@ pub enum InnerError {
     #[snafu(display("PixelData attribute is not a primitive value or pixel sequence"))]
     InvalidPixelData { backtrace: Backtrace },
 
-    #[snafu(display("Invalid BitsAllocated, must be 8 or 16"))]
+    #[snafu(display("Invalid BitsAllocated, must be 1, 8 or 16"))]
     InvalidBitsAllocated { backtrace: Backtrace },
 
     #[snafu(display("Unsupported PhotometricInterpretation `{}`", pi))]
@@ -468,7 +468,7 @@ impl DecodedPixelData<'_> {
     /// Retrieve a slice of a frame's raw pixel data samples as bytes,
     /// irrespective of the expected size of each sample.
     pub fn frame_data(&self, frame: u32) -> Result<&[u8]> {
-        let bytes_per_sample = self.bits_allocated as usize / 8;
+        let bytes_per_sample = (self.bits_allocated as usize + 7) / 8;
         let frame_length = self.rows as usize
             * self.cols as usize
             * self.samples_per_pixel as usize
@@ -1157,6 +1157,10 @@ impl DecodedPixelData<'_> {
                     }
                 }
             }
+            1 => {
+                let data = self.frame_data(frame)?;
+                self.mono_image_with_extend(data.iter().copied(), *bit_depth)?
+            }
             _ => InvalidBitsAllocatedSnafu.fail()?,
         };
         // Convert MONOCHROME1 => MONOCHROME2
@@ -2268,17 +2272,35 @@ where
             }
             DicomValue::Primitive(p) => {
                 // Non-encoded, just return the pixel data for a single frame
-                let frame_size = ((bits_allocated + 7) / 8) as usize
-                    * samples_per_pixel as usize
-                    * rows as usize
-                    * cols as usize;
-                let frame_offset = frame_size * frame as usize;
+                let frame_pixels = (rows as usize) * (cols as usize);
+                let frame_samples = frame_pixels * (samples_per_pixel as usize);
+                let frame_size = if bits_allocated == 1 {
+                    frame_samples / 8
+                } else {
+                    frame_samples * ((bits_allocated as usize + 7) / 8)
+                };
+                let frame_offset = frame_size * (frame as usize);
+
                 let data = p.to_bytes();
-                data.get(frame_offset..frame_offset + frame_size)
-                    .with_context(|| FrameOutOfRangeSnafu {
+
+                let frame_data = data.get(frame_offset..frame_offset + frame_size).context(
+                    FrameOutOfRangeSnafu {
                         frame_number: frame,
-                    })?
-                    .to_vec()
+                    },
+                )?;
+
+                let pixel_data = if bits_allocated == 1 {
+                    // Map every bit in each byte to a separate byte of either 0 or 255
+                    frame_data
+                        .iter()
+                        .flat_map(|&byte| (0..8).map(move |bit| ((byte >> bit) & 1) * 255))
+                        .take(frame_pixels)
+                        .collect()
+                } else {
+                    frame_data.to_vec()
+                };
+
+                pixel_data
             }
             DicomValue::Sequence(..) => InvalidPixelDataSnafu.fail()?,
         };
@@ -2910,4 +2932,34 @@ mod tests {
         let interleaved: Vec<u8> = vec![1, 5, 9, 2, 6, 10, 3, 7, 11, 4, 8, 12];
         assert_eq!(interleave(&planar), interleaved);
     }
+
+    #[cfg(feature = "image")]
+    #[test]
+    fn test_1bit_image_decoding() {
+        use crate::PixelDecoder as _;
+        use std::path::Path;
+
+        let test_file =
+            dicom_test_files::path("pydicom/liver.dcm").expect("test DICOM file should exist");
+        println!("Parsing pixel data for {}", test_file.display());
+        let obj = dicom_object::open_file(test_file).unwrap();
+        let pixel_data = obj.decode_pixel_data_frame(0).unwrap();
+        let output_dir =
+            Path::new("../target/dicom_test_files/_out/test_1bit_image_decoding");
+        std::fs::create_dir_all(output_dir).unwrap();
+
+        assert_eq!(pixel_data.number_of_frames(), 1, "expected 1 frame only");
+
+        let image = pixel_data.to_dynamic_image(0).unwrap();
+        let image_path = output_dir.join(format!(
+            "{}-{}.png",
+            Path::new("pydicom/liver.dcm")
+                .file_stem()
+                .unwrap()
+                .to_str()
+                .unwrap(),
+            0,
+        ));
+        image.save(image_path).unwrap();
+    }
 }