HOW TO: Read and Write BLOB Data by Using ADO.NET with Visual Basic .NET
http://support.microsoft.com/default.aspx?scid=kb;EN-US;308042
HOW TO: Read and Write a File to and from a BLOB Column by Using ADO.NET and Visual Basic .NET
http://support.microsoft.com/default.aspx?scid=kb%3Ben-us%3B316887