I installed a Canon DR-M160II scanner and scanned the same document.  This is a much slower scanner.  It scanned all the pages, and everything looked good in the ImageEnMView.  However, when saved and reloaded the images are not the same.
This is similar to the problem with the Fujitsu scanner.  Here are the results for two scanning tasks using the same pages:
1) Images appear correct after scanning.  Saved File.  Opened File.  Error: The last two images are blank bitmaps.  All other images appear correct.
2) Images appear correct after scanning.  Deleted the last page, two images.  Saved File.  Opened file.  The images at the beginning are all messed up.  See the image below. Images 48 thru 70 are correct.  The deleted images are gone as expected.
Acquire Code
    if SelectAcquireSource([ieaTwain]) then
      if SelectedAcquireSource.API = ieaTwain then
        begin
          AcquireParams.YResolution := 300;
          AcquireParams.XResolution := 300;
          AcquireParams.DuplexEnabled := True;
          SetTwainParameters;
          Acquire();
        end
Set Twain Parameters Code
  with MyMultiView.MIO.TwainParams do
  begin
    AutoDiscardBlankPages := Twain_AutoDiscard_Disable;
    XResolution.CurrentValue := 300;
    YResolution.CurrentValue := 300;
    BufferedTransfer := True;
    VisibleDialog := True;
    Update;
  end;
Save Code
        MyMultiView.MIO.SaveToFileTIFF(FileName);
Open File Code
        MyMultiView.LoadFromFileOnDemand(FileName);
Delete Image Code
  with MyMultiView do
  begin
    v_SelectedImage := SelectedImage;
    if Odd(v_SelectedImage) then
      ShowMessage('You must select an image on the left.')
    else
      begin
        if v_SelectedImage >= ImageCount then
          ShowMessage('Invalid selection')
        else
          begin
            DeleteImage(v_SelectedImage+1);
            DeleteImage(v_SelectedImage);
          end;
      end;
  end;
 