Kernel mode caching and HttpHandlers

Ever tried to get a IHttpHandler delivered data to use the IIS (7) kernel mode cache?
Ever tried to get fancy and make the handler auto configured (ie managing it programmatically)?
Well, I tried a lot but gave up.

Basic setup to use IHttpHandler and kernel mode cache

1. To get a IHttpHandler deliver data (like images) and make it use the IIS kernel-mode cache, there are a few points that you must not miss. (http://support.microsoft.com/kb/817445)
2. You need to register the handler in the system.webServer/handlers section (http://msdn.microsoft.com/en-us/library/46c5ddfy(v=vs.100).aspx)
3. If you run a routed site (like a MVC site) you must Ignore the route of the handler (else it will not be added to the kernel cache).

Trying to get fancy and using any method below to minimize configuration (avoid step 2 above).
a. Adding the IHttpHandler using a IRouteHandler (http://www.mikesdotnetting.com/Article/126/ASP.NET-MVC-Prevent-Image-Leeching-with-a-Custom-RouteHandler)
b. Changing handler after the handler has been calculated (http://stackoverflow.com/questions/1888016/any-way-to-add-httphandler-programatically-in-net)
c. Using a IHttpHandlerFactory (same registration as point 2 but if you have several handlers you can configure one factory and redirect to each handler)
d. Modifying system.webServer/handlers programmatically doesn't even work. No API, no hacks, no nothing?! Didn't even find a way to read which handlers were registered in web.config without parsing it manually and backtracking inherited configuration files...

None of the fancy methods works (1-3 works but not with kernel cache). Problem is that kernel cache is disabled IF the handler is changed along the way. (http://blogs.msdn.com/b/tmarq/archive/2010/04/01/asp-net-4-0-enables-routing-of-extensionless-urls-without-impacting-static-requests.aspx)

So I'm back with a standard IHttpHandler, manually registering it in web.config and ignoring routes...