Use ghostscript to render tiff or jpg from the pdf. You have fine grained control over the result.
If this is a commercial application, you need a commercial license. If you use the application commercially, but inside your organisation, you are allowed to use the GPLed version of ghostscript.
Ghostscript can be found here. The PDF interpreter in many opensource packages relies on the gs PDF interpreter. Imagemagick for example, requires ghostscript libraries.
Download GS here: http://ghostscript.com/download/gsdnld.html
Use C# Process
class to execute Ghostscript, there is a SO topic on this here How to run a C# console application with the console hidden
The commandline for tiff will be:
D:\gs\gs9.20>bin\gswin64c.exe -sOutputFile=d:\some%02d.tiff -dBATCH -dNOPAUSE -sDEVICE=tiff24nc -sCompression=lzw -r150 -sPageList=1 d:\PDFReference.pdf
This will create one some01.tiff
file on d:\
in 150dpi resolution.