I would build it/use it with Cygwin, but I'm unable to compile Win32::GUI::DIBitmap for Cygwin.The project I'm working on requires both Win32::GUI::DIBitmap, as well as the bugfix for -background, which I understand is available in CVS.
Its a simple process to build with Mingw, just load down the components and away you go.
Hope that is of some help. Cheers, jez.